The Balance with Britt Podcast · Holistic Britt Nutrition

Pelvic Floor Therapy & Constipation, PCOS, Pre- & Post Natal Support with Physiotherapist Ali Greco

·44 min·2 clips

Allie says many leaking symptoms can come from pelvic floor tightness, not weakness.

1. The Balance with Britt Podcast episode focuses on pelvic floor therapy with registered physiotherapist Allie Greco. 2. Brittany Nicholson hosts and Greco owns Align Wellness in Sault Ste. Marie, where she practices orthopedic and pelvic floor physiotherapy and teaches Pilates. 3. The episode asks who pelvic floor therapy is for and what it can change before pregnancy, after birth, and outside childbirth. 4. Greco says pelvic floor care is not only for pre- and postnatal patients and also sees men after prostate removal. 5. She describes young girls who cannot insert a tampon and people in their 50s or 60s who missed earlier pelvic health care. 6. Constipation becomes a major topic because Greco says it affects the pelvic floor and can contribute to urgency and incontinence. 7. She references the Bristol stool chart, fiber diaries, water intake, movement, and the squatty potty as part of constipation support. 8. Greco explains that relaxing the pelvic floor matters as much as strengthening it, especially when someone strains to empty their bowels. 9. She also links PCOS and endometriosis to pelvic pain, muscle tension, painful periods, and pain with intercourse. 10. For those conditions, she describes breathing work, stretching, legs up the wall, pigeon, cat cow, and a TENS machine for cramps. 11. The episode spends significant time on pre-birth preparation for pregnancy and labor. 12. Greco says a pelvic floor assessment can check baseline strength, weakness, and the ability to do a Kegel or reverse Kegel. 13. She recommends perineal massage at 34 weeks, warm compresses during pushing, and labor positions such as the peanut ball. 14. Greco says deep core work and pressure management are part of preparation for delivery and recovery. 15. Brittany says she is five months pregnant and uses the conversation to ask about epidurals, tearing, and postpartum recovery. 16. Greco says some people think they are doing Kegels correctly when they are not, and she uses visual cues like a blueberry, marble, or blossoming flower. 17. She says internal assessment is never mandatory and consent can be withdrawn at any time, including in a vaginal or rectal exam. 18. The tone is practical, conversational, and educational, with Brittany sharing personal examples and Greco answering in plain language. 19. People curious about pregnancy, constipation, pelvic pain, or bladder leakage would get the most from it. 20. People looking for entertainment without health detail or body-focused discussion may skip it.

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