In this episode, Dr. Christine Pieton discusses a very common pelvic health topic - painful intercourse related to menopause and estrogen decline - explaining how topical estrogen, hyaluronic acid suppositories, and pelvic floor physical therapy significantly improve dryness, tissue flexibility, and muscle tension. Dr. Pieton also covers footwear recommendations for balance and fall prevention, emphasizing the importance of wide toe boxes and minimal cushioning to improve proprioception alongside strength training. The episode also does a deep dive about about how to know if you have a pelvic floor problem, along with answering audience member questions about how to support pelvic floor health proactively during pregnancy, hemorrhoid management, stress incontinence treatments like Bulkamid injections, and how to find a qualified pelvic floor physical therapist. Throughout the episode, Dr. Pieton emphasizes that the pelvic floor muscles connect with the hip, core, and back muscles, and highlights misconceptions about Kegel exercises, explaining that pelvic floor muscle strengthening needs to include lengthening and contracting for best results.

Have a question about that nagging foot, back, hip, or shoulder issue that won't go away? Wondering if what your doctor is recommending is what Dr. PT would do? Dr. Christine Pieton will be answering your questions about how to fix those nagging aches, pains, and pelvic floor issues that are holding you back. Join the Dr. PT Podcast live stream every Monday at 2 p.m. Pacific / 5 p.m. Eastern on YouTube and listen to the audio podcast posted weekly wherever you enjoy listening. Visit DrPTPodcast.com for more info!

To participate, call 1-800-375-2872 or email: askme@drptpodcast.com

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