In this episode I discuss with Physiotherapist, Fiona Rogers: 

• What is TTNS (Trans tibial nerve stimulation) using a tens machine and how does it work?
• Why don’t we hear more about it? 
• Where does it stand amongst other treatments for overactive bladder
• When in practice you may consider applying TTNS 
• Suggestions for purchasing a TENS machine
• Settings/parameters ideal for overactive bladder 
• How a patient would apply TTNS themselves
• Success rates
• Side effects
• The difference between PTNS (percutaneous trans tibial nerve stimulation) and TTNS

Fiona is a physiotherapist from Australia with 40 years of experience across public, private and defence health settings. She has been spent the last 25 in the field of pelvic health.

Fiona and her husband own the company Pelvic Floor Exercise – an online store selling pelvic health products and resources. 

She has always had a passion for teaching, starting as a student clinical supervisor and now teaches and tutors on the Australian Physiotherapy Association’s pelvic health pathways as well as mentoring and running courses privately under her company Pelvic Floor Education with Fiona Rogers.

Fiona is frequently asked to speak on the topics of products and neuromodulation for pelvic floor conditions in Australia, overseas and at conferences and she has a peer reviewed publication on tibial nerve stimulation for OAB. 

HOW TO FIND FIONA:

pelvicfloorexercise.com.au or pelvicflooreducationfionarogers.com.au

Faceboook  

Instagram 

LinkedIn Fiona Rogers

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In this episode I discuss with UBCO Professor, Ali McManus: 

• How we as parents model healthy eating and physical activity to our children
• The guilt we may feel as parents when we prioritize our own physical activity and how we can rethink this
• Trends in different areas of the world when it comes to childhood obesity and parent level of activity
• The research Ali McManus and her team are conducting on sex  and developmental-based differences in brain and cardiovascular health, and the impact of exercise, prolonged sitting and the environment.

Ali McManus is a Professor at UBCO. She trained as a physical education and biology teacher in the U.K., completed a Masters in Medical Sciences (specializing in pediatric cardiology) and a PhD in Pediatric Exercise Physiology. She joined the University of Hong Kong in 1994 and worked as a Professor of Pediatric Exercise Physiology for 19 years before joining UBCO in 2013. She runs the Pediatric Exercise Research Laboratory (PERL) at UBCO, where she and her team explore sex- and developmental-based differences in brain and cardiovascular health, and the impact of exercise, prolonged sitting and the environment.

LINKS MENTIONED:

More about Ali's research and ways to participate

HOW TO CONTACT ALI:
perllab.com

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

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In this episode I discuss with Board Certified Urogynecologist, Dr. Sarah Boyles: 

• Types of incontinence
• Typical patient flow through medical system 
• Impact of incontinence on quality of life 
• Reasons why incontinence may develop
• What you can expect at a urogynecology appointment 
• Treatment options (pessary, physio, bulking agents, compression, surgery) 
• Description of surgical options
• Surgical risks 
• Post operative instructions 
• How effective are bladder slings? 

Sarah Boyles is a board certified urogynecologist (FPMRS) with more than 15 years of clinical experience treating women with pelvic floor issues.  She attended medical school at the University of Pittsburgh followed by residency in Obstetrics & Gynecology at The Ohio State University.  She then completed a 3 year fellowship in Female Pelvic Medicine & Reconstructive Surgery at Oregon Health & Science University.  She has published extensively in her field and has been active in creating Quality Standards nationally through the American Urogynecologic Society.  She has been a “Top Doc” In Portland every year for the last 7 years and loves her clinical practice.

She is passionate about educating women on their pelvic floor and especially urinary incontinence.  Over the pandemic, she began creating evidence-based content for women that is easy to obtain outside the doctor’s office.  Her goal is to help women understand why they are leaking and recognize the spectrum of available and proven treatment options. Her more recent work, including her YouTube channel and podcast, focus on helping women improve their bladder function while they are waiting to be seen by a specialist.  Look for her new membership, which will provide detailed reviews on available incontinence products as well as a community and support, to open later this summer.  

HOW TO LEARN MORE FROM SARAH:

BLOG  thewomensbladderdoctor.com 

SOCIAL MEDIA  Instagram, Facebook and Pinterest @thewomensbladderdoctor

YOUTUBE channel the women’s bladder doctor

PODCAST While you wait...

ADDIIONAL RESOURCES ON BLADDER LEAKS

46. Bladder leaks with cough, sneeze and exercise with Adrienne Sim

52. Discussing bladder leaks, treatments and surgery with urologist, Dr. Jennifer Locke

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I discuss with Naturopathic Doctor, Dr. Rachel Fobert: 

• What defines constipation?
• What is considered ideal poop
• Signs and symptoms of constipation 
• Reasons people can become constipated?
• Negative effects of constipation?
• Recommendations for softer stools 
• How to get help 

Dr. Rachel Fobert is a licensed Naturopathic Doctor striving to help women with digestive system issues move from being defeated, battling their body and eventually becoming their own DIY doctor to confident and no longer allowing their symptoms to hold them back. Dr. Rachel Fobert has supported hundreds of women on their journey to feeling well with a special focus in functional constipation and Irritable Bowel Syndrome - Constipation Type (IBS-C). Realizing patients were not given much advice that was actually constipation specific yet they were dreaming of a day they had a plan beyond a laxative, downing water, eating more fiber and maybe throwing in a probiotic, Dr. Rachel wanted to do better for these women.  Constipation has quickly become a risk factor for developing an eating disorder simply because of the confusion women experience around the condition itself. With years of schooling on how to read the scientific research and her naturopathic medical training Dr. Rachel dove into the literature which revealed constipation requires a personalized approach as it is difficult to treat, integrative care, doctor patient teamwork and a lot more than fiber and water. Having a deep understanding of the bowels gives Dr. Rachel a unique perspective to provide patients with well rounded, evidence based care with clear expectations (no over promising and under delivering here). 

How to contact Dr. Rachel Robert:

https://rachelfobert.com

Instagram

Links Mentioned:

Bristol Stool Chart

Blue poop test

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

URESTA:  https://uresta.com/. Discount Code: PELVICFLOORPROJECT

Main Mom Event: https://okanaganmoms.com/

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I discuss with Dr. Rebecca Dekker from Evidence Based Birth:

• What is the perineum?
• Different types of tears
• How often do tears happen?
• Factors that increase or decrease chance of tearing 
• Side effects of tearing
• 5 evidence based ways to decrease tearing in childbirth 
• How are we doing in terms of evidence based care?
• Ways we can improve?

Rebecca Dekker, a nurse with her PhD, is the founder and CEO of Evidence Based Birth® and the author of “Babies Are Not Pizzas: They’re Born, Not Delivered!” Previously, Dr. Dekker was an Assistant Professor of Nursing at the University of Kentucky. In 2016, she shifted gears to focus full time on the mission of Evidence Based Birth.® Dr. Dekker and Team EBB are committed to creating a world in which all families have access to safe, respectful, evidence based, and empowering care during pregnancy, birth, and postpartum. EBB does this by boldly making the research evidence on childbirth freely and publicly accessible. Dr. Dekker is also host of the Evidence Based Birth® Podcast, with more than 5.5 million downloads!

How to contact Rebecca:

www.evidencebasedbirth.com

Evidence Based Birth Podcast

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

URESTA:  https://uresta.com/. Discount Code: PELVICFLOORPROJECT

Main Mom Event: https://okanaganmoms.com/

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I discuss with Lauren Barker, CEO of Uresta: 

• The reasons why a Canadian Urogynecologist created the device for incontinence 
• Differences between Uresta and a pessary
• What does Uresta look like and what does it do?
• Sizing
• Suggestions for insertion and removal 
• How long can it be left in?
• How well does it work and which symptoms will it best address?
• Pricing

Uresta was founded by world-renowned, Canadian urogynecologist and Dalhousie University Professor Dr. Scott A. Farrell. He recognized that the options for dealing with leaks were outdated, not to mention uncomfortable, and wanted to create a non-invasive, at-home solution.

In 2014, the company was acquired by a group of accomplished Canadian female entrepreneurs. This group, headed by former CEO and current board member Carol Chapman, immediately made plans to bring this life-changing product to the world. (Dr. Farrell is still actively involved today, serving as Uresta’s Chief Medical Officer and sits on the Board of Directors.)

Today, Uresta is led by our bright and determined CEO Lauren Barker. With a background in finance and an interest in women’s health, she’s in good company with our shareholder group, comprised of the chair of a top Canadian bank, a CEO of a renewable energy company, the lead partner for a global consulting firm, a division head of a global pharmaceutical company, and other amazing and powerful women determined to help women with incontinence take back control of their life.

Links Mentioned in the episode:

Uresta Insider Facebook Group

www.uresta.com

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

URESTA:  https://uresta.com/. Discount Code: PELVICFLOORPROJECT

Main Mom Event: https://okanaganmoms.com/

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I discuss with Dr. Rachel Ollivier, Nurse Practitioner and women's health scientist based at the BC Women's Hospital + Health Centre in Vancouver, BC:

• Sexual health is physical, emotional and relational 
• The 6 week check up: What it is and what it isn’t
• Body image and its relationship with sexual self-image
• Identity as a mother vs. as a sexual being
• Whose job is it to talk about sexual health with postpartum moms?
• Navigating the “right time” to have sex postpartum
• Pain with intercourse postpartum
• Internal and external changes after birth
• Redefining intimacy
• Ways we can make this easier for those coming after us 
• Our role as care providers 

Dr. Rachel Ollivier, PhD, NP(F), MSCP is a Nurse Practitioner who practices clinically in the areas of women's cardiovascular health and complex gynecology in addition to acting as the NP Lead for the new Menopause & Midlife Health Program at the BC Women's Hospital & Health Centre. She is passionate about bridging research with clinical practice and her expertise in postpartum sexual health stems from her doctoral research, which she completed in 2022. Dr. Ollivier developed the first patient educational tool on sexual health after birth in Canada and has completed numerous televised and podcast interviews to share her work. She is also an Adjunct Professor in the UBC School of Nursing and serves on several Boards in addition to other volunteer work.   

How to Contact Rachel:
Email: [email protected]

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

URESTA:  https://uresta.com/. Discount Code: PELVICFLOORPROJECT

Main Mom Event: https://okanaganmoms.com/

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I discuss with Naturopathic Doctor, Dr. Brittany Schamerhorn:

• The menstrual cycle and changes that characterize the menopause transition
• The role of testosterone, estrogen and progesterone 
• The various symptoms experienced by women during perimenopause and menopause (not just hot flashes!)
• What can someone expect when they book an appointment with a naturopathic doctor
• Do hormones need to be tested?
• The menopause transition has traditionally carried a ‘doomsday’ feeling but is actually light at the end of the tunnel?

Dr. Brittany Schamerhorn is a Naturopathic Doctor, Menopause Society Certified Practitioner, educator and co-founder of the Okanagan Women’s Clinic in Kelowna BC Canada. She has a clinical focus in women’s hormonal health. Helping women go from tired, stressed, and feeling victim to their hormones to energized, balanced, and in control. She aims to help women feel vibrant, resilient, and energized throughout every phase and transition of life.

 She works hard to provide realistic, comprehensive and evidence-based care for her patients where they feel heard and respected. She believes that through education doctors can play an important role in supporting and empowering patients to achieve their health goals

 She obtained her Doctor of Naturopathic Medicine from the Boucher Institute of Naturopathic Medicine (now CCNM-Boucher) where she obtained the clinical excellence award upon graduation. Dr. Schamerhorn is a member and certified practitioner of The Menopause Society (previously North American Menopause Society - NAMS). As an educator, she provides talks to both the public and other healthcare professionals. She has educated clinicians in multiple capacities and is a previous instructor at the Naturopathic Medical School in Vancouver. She has completed multiple additional trainings focusing in both general health and women’s health, including training in hormone therapy and lactation/breastfeeding.

 Outside of clinical practice, Dr. Schamerhorn can be found adventuring outside with her young family. She can usually be found with a coffee in hand and too many books on the go.

 Dr. Brittany Schamerhorn is currently accepting patients in person in Kelowna BC and is available for virtual care for anyone in BC.

HOW TO CONTACT BRITTANY

Instagram

[email protected]

 www.drbrittanyschamerhorn.com

LINKS MENTIONED:

The uterine cycle

Uterine cycle changes during menopause transition

ADDITIONAL EPISODES ON THE TOPIC:

79. This isn’t about menopause, it’s about your health with Shirley Weir

43. Perimenopause and menopause with Michelle Lyons

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SRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECT

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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This episode is meant to follow Episode #96, Erectile dysfunction, premature ejaculation, urinary issues, pain and the prostate with Urologist, Dr. Matthew Ho. 

In this episode with fellow physiotherapist, Corinne Wade, we discuss the physiotherapy approach to addressing some of the most common pelvic floor related symptoms that men experience. 

• Erectile dysfunction
• Premature ejaculation
• Urinary issues 
• Genital and pelvic pain 
• Prostate related issues 

Corinne Wade is a registered physiotherapist with 25 years' experience in pelvic floor physiotherapy.  She has worked in both the USA and Canada.  She is the proud owner of her own Pelvic Health clinic in Kelowna, BC called Kare Physiotherapy,   She treats conditions such as urinary/fecal incontinence, pelvic organ prolapse, pelvic pain and sexual health issues for all genders.  Corinne is passionate about mythbusting and breaking the taboos around topics such as poo, pee and sex!

How to Contact Corinne
www.karephysio.com

 Instagram

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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In this episode I sit down with Kelowna based Urologist, Dr. Matthew Ho to discuss: 

• What you can expect at a Urology appointment
• Diagnostic tests commonly ordered 
• Common reasons men are referred to a urologist and treatment suggestions that may be provided 
• Urinary issues
  • Storage issues (frequency, urge, incontinence, pain, nighttime urination)
  • Issues with emptying (weak flow, straining, blockage, stop/start, not fully emptying)
• Erectile dysfunction
• Genital pain
• Premature ejaculation
• Prostate related issues

Physiotherapy is a common treatment recommendation, stay tuned for the next episode where I cover the physiotherapy approach to the above symptoms 

Dr. Matthew Ho is a Royal College of Physicians and Surgeons of Canada-certified Urologist practicing in Kelowna, BC.  Born and raised in Vancouver, B.C., he attended the University of British Columbia for undergraduate studies and medical school. He completed his Urology residency in Vancouver and subsequently moved to Chicago for an accredited fellowship in Urologic Oncology. While he specializes in urologic cancers, Dr. Ho sees patients with the whole spectrum of urologic concerns.

How to Contact Dr. Matthew Ho

Website - www.homdurology.ca

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Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/

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