How I Got Into Pelvic Health — For the Women and Men Out There

I didn’t plan to specialize in pelvic health. It started with a few tough cases I couldn’t crack — women with hip and low back pain that didn’t respond to the usual treatments.

Then my own symptoms started in late 2020. After an urgent care visit, ultrasound, pelvic PT, and a varicocelectomy, I learned firsthand how complex and overlooked men’s pelvic health can be.

There’s never a “perfect” time for treatment (surgery or therapy) especially when life throws everything at you: moving, job changes, and caregiving. You’ve got to make the time for the things that are important. 

Lastly, my dad’s prostate cancer diagnosis in 2019 (originally staged at 4, later downgraded to 2 after surgery) led me down a path of curiosity with men’s health. Men: if you have a family history, start screening at 40/45. If you don’t know your history, 40 is still the safest bet.

Post-prostectomy effects like incontinence and pain are common — but not untreatable. With the right plan, recovery is possible.

I started sharing my story, and old friends started reaching out. Just seeing a post made them comfortable to reach out and ask questions.

In conclusion, I got into pelvic health by accident…it was more patching a hole in my clinical practice that led to a few IG posts, that led to women reaching out. I share my story for men to be more comfortable knowing they aren’t alone in dealing with pelvic issues, it isn’t just women. Two old friends of mine have reached out with their issues simply due to seeing social media posts. I share my dad’s story to normalize early screening and be persistent with further testing if it’s warranted. If/when you have your prostate removed, there is treatment to regain urine control with a bit of hard work and exercise. 

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"It's all downhill after you turn 30."

Yeah, it will be if you aren't conscious about your lifestyle choices. 

It doesn't have to be though. 

The best part...preventing the downhill slide is pretty damn simple with a tiny bit of hard work. 

Check out the episode for a few "How-To" tips.

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Tight muscles, like strained relationships, reflect unresolved tension.

The muscles are tense because they haven’t faced stress (proper weight lifting/resistance training progressions) the right way. Proper challenge leads to growth, but poor stress or shallow fixes only deepen the tension—whether in the body or in relationships.

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The Emsella Chair may be a worthwhile option if you've worked with a pelvic floor physical therapist, incorporated proper loading of your PF, and still haven't seen progress—it could be the missing piece to get you on track.

However, it's important to remember that this is an "and," not an "or" situation.

Alongside Emsella, you must also address other key factors like heavy lifting habits, the timing of pelvic floor activation ("the flick"), and overall body weight to optimize your results and return back to a pad-free life.

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There’s no shortcut. No hack. No secret sauce.

Whether it’s fitness, business, or life in general — you have to put in the work.

Not flashy. Not fancy. Just consistent effort, over and over again.

✅ 2 lifting sessions a week

It’s not about motivation. It’s about commitment.

Motivation is fleeting. Commitment is what gets you through when it’s dark, boring, or hard.

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Overall, I suggest going with the total body splits to allow for more time to get the necessary cardio in. Once people switch from body part splits to total body splits in the program, 99% of them enjoy the change and enjoy the freedom to not be tied to a gym 4-6 days/wk.

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If you’re new to the newsletter/podcast, you’ll want to check out episode 41 to get a little more detail of what plyometrics are.

The pelvic floor is comprised of ~30% type II muscle fibers.

What does this mean?

These are the fast twitch, quick response fibers.

These fibers are quicker to adapt and grow.

To stimulate these fibers, men and women need to be heavy lifting and perform quick reaction type drills to stress these fibers, and have them adapt.

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Last weekend, I did a live podcast to answer questions on Instagram for anyone who tuned in.

One question that came up was continuing to train with a recent injury.

I talked about a few modifications this fella could make.

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Your feet are the only point of intended contact with the ground.

Ensuring your feet are solid and able to handle the demands the mountain places on them, is priceless.

Topics:

1) What the foot is

2) How to keep them healthy

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