Ladies, are you doing your kegels correctly?

After Physical Therapist Tasha Parman describes them in this podcast, you might be surprised. I was and have reformed my ways!

Like many people, you may think that urinary incontinence or pelvic pain is a problem of middle-aged and older women, especially those who've had a baby.

But even young women can suffer, regardless of whether she has been pregnant, her weight, physical activity, or urinary tract infections. 

Apparently, this is an under-acknowledged issue in women’s health.

I’ll be honest: I was very surprised when I first heard about this.

Who suffers from incontinence:

• 25% of young women
• 44-57% of middle-aged women
• 75% of older women (reference)
• Elite female athletes: 28% report urine loss during sport (Reference Nygaard et al, 1994)
• Urinary incontinence is not just inconvenient embarrassing. It costs $19.5 billion for treatment (New Hope 2012)
• In men, the prevalence of incontinence is much lower than in women, about 3% to 11% overall (Resource)

What we cover in this podcast:

Physical Therapist Tasha Parman explains this incontinence, pelvic pain, and ways to address it with physical therapy.

Did I mention that we also discuss how to perform your kegels correctly? So definitely tune in!

Stress incontinence:

This is defined by involuntary leakage, often caused by coughing, sneezing or exercise. It usually is due to a weakness in pelvic floor muscles or over-stretched support tissues around the urethra. It is stress more common in Caucasian women.

Urge incontinence:

This is when the muscles around the bladder exert pressure for frequent urination. Folks with diabetes may be more likely to suffer. It is more common in African American women.

Resources:

• http://www.healpelvicpain.com/
• http://www.amazon.com/Explain-Pain-David-Butler/dp/0987342665
• https://hermanwallace.com/blog
• http://www.womenshealthapta.org/

About Tasha Parman, DPT:

Tasha Parman is a licensed physical therapist and Executive Director, currently practicing at MOSAIC Physical Therapy in Mountlake Terrace, WA. She is a Board-Certified Orthopedic Clinical Specialist. Tasha helps people with pelvic floor dysfunctions and enjoys helping men, women, and children who suffer from incontinence, pelvic pain, constipation, and other pelvic health conditions.

We hear a LOT about the microbiome these days with splashy headlines and head-turning articles. But what does science actually tell us about the microbiome and its influence on human health? Is it really as the media tells us, or is there a gap between what researchers say and what journalists write?

Kristina Campbell is a professional in the field of the microbiome. In today’s show, she disseminates facts and dispells myths when it comes to microbes and humans. Hear everything from risks and rewards of fecal matter transplants (FMT) to how much to worry about sanitizing your kids’ toys. We’ll talk about microbes and chronic disease, as well as surprising insights about dysbiosis. I can’t wait to share this with you!

In today's episode, Jennifer McGurk will help us understand some of the truths and myths about eating disorders. In particular, we'll cover these three truths and discuss the myths behind them.

Truth #1: Many people with eating disorders look healthy, yet may be extremely ill.

Truth #4: Eating disorders are not choices, but serious biologically influenced illnesses.

Truth #5: Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.

What is an eating disorder?

Psychological disturbance in the brain that comes out with disordered eating patterns.  If you're like a lot of people, you might think of anorexia as an eating disorder. But that's only one piece of what makes up disordered eating. Did you know that “disordered eating” is everywhere?

Some eating disorders are easier to recognize, such as anorexia or binging and purging. But did you know that disordered eating can arise from chronic dieting, thinking about food a lot, and even strict attempts to "eat clean"?

Dietitians, clinical nutritionists, and therapists are often the first health care professionals to see disordered eating habits/patterns with clients (who may not even realize it’s a problem).

Here are some of the forms that eating disorders can take:

1. Binge-eating: dieting
2. Bulimia
3. Anorexia
4. Disordered eating: chronic dieter, thinks about food a lot
5. Orthorexia:
6. Extreme picky eating: avoidant restrictive feeding disorder (ARFD)
7. Ellyn Satter: normal eating

I don't specialize in eating disorders, but I can't avoid it in my practice. It often sneaks a ride when my patients are working through other issues, like these:

Food Sensitivities & Digestive Disorders:

People with food sensitivities often develop disordered eating patterns because of fears that certain foods will harm them. I love helping people find freedom from this fear by finding the foods that truly do support their well-being.

Chronic Dieting: 

People who diet often usually complain that they're always thinking about food, rarely enjoying it, and worry about all the confusing information around food. Restricting foods also often leads to the rebound "binge" eating, which usually marks the end of the diet. Before the next diet, last supper eating ensues (because you may never get the foods you really want again!). Constant food restriction and extreme diets also slows the dieter's metabolism, making their relationship with food all the more challenging. As you can imagine, it takes a big toll on the body, too!

Clean Eating:

In the sincere quest for clean, healthy eating, disordered eating often sneaks up on us. This can lead to fears about "unclean" or "unhealthy" foods. Lots of food rules and food trends can trigger obsessive thoughts about food. Sometimes, a person will follow an extreme food trend that sacrifices their mental, emotional, and even physical well-being.

The Academy of Eating Disorders declared these as the official truths about eating disorders:

Truth #1: Many people with eating disorders look healthy, yet may be extremely ill.

Truth #2: Families are not to blame, and can be the patients’ and providers’ best allies in treatment.

Truth #3: An eating disorder diagnosis is a health crisis that disrupts personal and family functioning.

Truth #4: Eating disorders are not choices, but serious biologically influenced illnesses.

Truth #5: Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.

Truth #6: Eating disorders carry an increased risk for both suicide and medical complications.

Truth #7: Genes and environment play important roles in the development of eating disorders.

About our guest: Jennifer McGurk, RDN, CDN, CDE, CEDRD is the owner of Eat With Knowledge in Nyack, NY and specializes in the treatment of eating disorders and emotional eating.  Her passion is to help people find peace and balance with food.  She is also the author of the Pursuing Private Practice series on how to start and grow a business.   

With all the fury, feuds and frustrations the media plays over and over, you're probably feeling some increased anxiety and tension. From social unrest, to political furor, to health issues and financial concerns, we have our plates (and heads) more than

Most people experience heartburn at one point or another in life. Some people find the symptoms to be severe and taxing. Many people take antacids or proton pump inhibitors (PPIs) as a normal part of life. However, as recent studies are showing, PPIs and

In this episode with Susan Linke,  guest expert on food sensitivities and functional nutrition, we'll cover the following:

1.     What is your microbiome's influence on your genes?

2.     How does this connect to leaky gut?

3.     How are the immune system, depression and the gut linked?

4.     How are food sensitivities and microbiome linked?

5.     How is muscle pain triggered by food sensitivities?

Labs mentioned:

• Oxford (provides the MRT food sensitivities test)
• Spectracell (provides micronutrient panels and much more)
• Cyrex

Who is Susan Linke, MS, MBA, RDN:

www.susanlinke.com

Susan Linke is a registered and licensed dietitian, Certified LEAP Therapist (CLT) and Certified Gluten Practitioner, and a sought-after speaker and lecturer.  She received her MBA from Texas Tech University in Lubbock, TX, and a Master of Science degree in Nutrition from Texas Woman’s University in Denton, TX.   She is a member of the Institute of Functional Medicine, and various dietetic practice groups of the Academy of Nutrition and Dietetics including Dietitians in Integrative and Functional Medicine, SCAN,  Nutrition Entrepreneurs, Medical Nutrition Practice Group and Dietitians in Gluten Intolerance Diseases (DIGID).  

She is on the advisory boards for the Integrative and Functional Nutrition Academy as well as Oxford Biomedical Technologies, Inc. and is the recipient of the 2015 “Excellence in Practice Award” from the DIFM dietetic practice group.

Susan has received extensive training in immunology, adverse food reactions, and practical application of dietary treatment for chronic inflammatory conditions.  

Considered one of the most experienced LEAP therapists in the country, she has spent the last 10 years  training and mentoring thousands of dietitians nationwide who are interested in incorporating anti-inflammatory protocols through food sensitivity testing and expanding their knowledge of functional and integrative medical nutrition therapy.

She is a sought-after speaker and lecturer, having presented at numerous local, state, and national dietetic association conferences, in addition to radio interviews and contributions to magazine articles.

Susan resides in Dallas, TX where she is the owner of an integrative and functional nutrition-based private practice, and also counsels clients through telecommute.  In her spare time, her favorite thing to do is spend time playing with her 3 grandchildren who live in Arkansas.  

Have you ever wanted to end the dieting rat race? Today, hear why diets don?t work, and what to do instead. Joining me is Dietitian and Health Coach, Maria McConville. She?ll help unravel the importance of eating, sleeping, and critical thinking in the pr

Detoxification is occurring all the the time.

It is a biological process in which your body converts waste products into exceretable material, which you then eliminate from your urine, skin, breath and poop.

You're doing it right now!

We do it naturally all day long. Because we're a bit overloaded with environmental pollutants, genetic variations & toxins, carcinogens and more right now, it's a great idea to give your body a little extra detox boost.

There are a number of things you can do to help your body release toxins with nutritious food and lifestyle.

What Mary Purdy and I cover in this show:

• What it really means to detox (in scientific terms!).
• Why it's a good idea to detox
  • Nutrigenetics: variations on genes involved in enzyme production in liver. Genes are deleted often, which can compromise ability to detox. Two phases for detox in liver, gene variants can disrupt chemical pathway.

• Pollutants: plastics & other endocrine disruptors, estrogen-mimicking compounds, heavy metals, herbicides, pesticides, antibiotics from our food supply, and even medications can be harmful!

• HOW detoxification works

Mary will bust some of the most pervasive myths about detoxification and cleansing.

For example, did you know that a using starvation or an intense master cleanse is a really terrible way to try to cleanse? 

A Master cleanse very detrimental, especially for someone who hasn’t had good nutrition already built up.

You see, detoxication requires a LOT of nutrients. You can't starve your way through a detox and expect optimal results!

[ctt title="Detoxication requires a LOT of nutrition. You must eat to properly cleanse. (Can you tweet this please?) " tweet="#Detoxication requires #nutrition. You must eat to properly #cleanse. http://ctt.ec/kO9p0+ @MaryPurdyHere @FrancesLArnold" coverup="kO9p0"]

Food supports detoxification pathways

Here are some of the many nutrients needs to detox: Magnesium, B-vitamins, vitamin C, folic acid, magnesium, zinc, glutathione, N-acetylcysteine, lipoic acid, selenium, among others.

In addition, you'll need plenty of protein for the amino acids, especially the branch chain amino acids.

You'll want to eat these things too:

• healthy fats in their whole form: avocado, nuts, seeds, olives, coconut
• Herbs and spices: turmeric, smoked paprika, garam marsala, curry, cilantro, parsley, basil, harissa, garlic, ginger,
• Fiber: binds toxins to poop it out
• Drink plenty of fluid for kidneys

And be sure to take in herbs and supplements that support detox.

herbal formulations: dandelion, artichoke, milk thistle, green tea, sulfurophane (broccoli sprouts), formulations with amino acids, NAC (makes glutathione), GST enzymes made by NAC, probiotics (help with digestion & stool formation) 5-25 billion blends.

And of course, there are some foods that are helpful to eliminate, especially during a full elimination-detoxification diet:

processed foods, foods that create adverse reactions (gluten, dairy, alcohol, soy, eggs, processed sugars and artificial everything.)

Today's Brilliant Guest:

MARY PURDY MS, RDN: holds a Master’s Degree in Nutrition from Bastyr University. She was in private practice for 8 years and now works as a coach with the Scientific Wellness Company, Arivale using personalized genetic data and cutting edge science to guide clients in improving their health. She remains adjunct professor at Bastyr University and clinical supervisor at their teaching clinic. Mary has provided online detox programs and given over a hundred wellness presentations for local businesses. She is Past President of the Greater Seattle Dietetic Association and currently Communications Chair for Dietitians in Integrative and Functional Medicine. She has been interviewed on Seattle’s Public Radio & quoted in national publications like Prevention, Health, and Today’s Dietitian. Mary’s participation in this podcast is reflective of her own professional beliefs, and are not reflective of Arivale.

Twitter: @MaryPurdyHere

Mary's You Tube Show