One word that I would use to describe pelvic floor therapy: empowering. I spoke with @drbbayruthie.bsky.social about pelvic floor therapy for @rewirenewsgroup.com and you can learn all about it here! rewirenewsgroup.com/2026/01/22/p...

Peek into the Pelvis: The number one thing I see make a difference in leakage with running? Being fully evaluated by a PT who looks at every factor of your running: load transfer, ROM, strength, impact tolerance, coordination of abs and PFM, posture, alignment, and PFM strength.

Peek into the Pelvis: Leaking while running has a lot of contributors. Rarely do I see a "kegels-only" approach, help. Let's talk about it:

Peek into the Pelvis: So much of pelvic floor work is figuring out what you're bad at and making you practice it. That's why we always say "get evaluated."

Peek into the Pelvis: Estrogen used v@ginally is one of the best protections for bladder and pelvic floor health in a low E body. With estrogen, you are like a whoopie pie: thick, soft, cushiony, moist.

Peek into the Pelvis: We say 25 grams of fiber per day for most women and People AFAB, but when doesn't this work? It doesn't work with endometriosis patients, bc a large stool can be mechanically hard to pass if there are implants on the colon/sigmoid/rectum.

Peek into the Pelvis: Letdown strategies to reduce pelvic floor tension can be both active, and passive. Do both. The more you train, or rather downtrain, the better you get.

Peek into the Pelvis: Hip internal rotation is associated with pelvic floor opening or lengthening. If you have a tight pelvic floor, this is a great thing to work on. The most low-energy way to achieve that: rolling your legs in and out while lying down or in a recliner.

Peek into the Pelvis: Walk with swagger. Swing your arms. Swing your hips. Be a silly goose. It's good for your pelvic floor and will make you happy (endorphins). (If you can't walk, wiggle and swing as able)

Peek into the Pelvis: Lengthening your pelvic floor can happen in a few ways. My favs? Inhaling into the perineum in sidelying or sitting on a ball. You *allow* the pelvic floor to move in the same way you allow your belly to move when you breathe. Try it and tell me what you notice.

Peek into the Pelvis: Kegels shorten (tighten) the pelvic floor. They help about 30% of pelvic health problems. If they don't work for you, you might also need lengthening and coordination of the pelvic floor.

Peek into the Pelvis: Capital-T Trauma and little-t trauma can leave you so disconnected from your body that you miss regular signals, like the urge to pee or poop ...until it’s an Emergency. "Listen to your body" doesn't work when you've been ignoring it to feel safe.

Today's Peek into the Pelvis: Ladies and People AFAB: Hormonal changes can cause dryness. It can feel like irritation, sandpaper, chafe, rubbing. Applying a moisturizer right before bed soaks into the tissues over night. ⤵️

Pelvic Health Tip of the Day: Feeling pelvic floor heaviness after activity? During periods of high stress? But then it goes away after rest and recovery? You might have Low Energy Availability. Bottom line? You need to eat. You need to sleep. Pelvic floor is a TATTLE TALE

Not to brag but, while this cough from the Flu A is coming from the bottom of my soul, it hasn't made me pee my pants! It's the little things.

Overhead at my gyn office: "Doing kegels isn't enough, you have to work on the brain body connection so that urge doesn't take over." She then proceeds to teach them the "stop, think, breathe, Kegel!" Yes, gyn friend. I've taught you so well. Making me proud 🥲

Just spitballing here, but if corporations don't pay taxes to the US, they shouldn't be able to spend money related to the govt, eg lobbying, payments to candidates, and PACs. Only tax payers should have that right. They can be "people," but shouldn't be given rights only afforded to taxpayers.

Sometimes resistance is the stuff you do everyday.

Things I taught people as a pelvic floor PT today: How to use breathing to help a BM How to use breathing to expand and the improve rib ROM How to Kegel targeting the posterior part only How to Kegel targeting tje anterior part only How to Kegel to reduce prolapse

"The hike itself was rigorous, even for one trained in advanced walking." From Ricken Hale's long anticipated new book, The You You Are, actually perfectly describes hiking Katahdin! Thoreau inspired, indeed. #severance

Colin Farrell is all green flags, still, right? Cause every time I go to watch a movie, there's so many red flag actors that I just cannot enjoy the movie. Someone please confirm that Colin is still a green flag, please?

Are there people who have not been rabidly consuming the news?

My Library didn't have my book, #YourPostpartumBody. Bc we actually care about postpartum humans in my world. I'm gonna donate it, 'cause we all need women's health and postpartum care info in 2025, the year of JD Vance wanting “more babies in the United States of America.”

Who loves Wallace and Gromit? Did you see the new movie? Discuss with me!

Wakes up. Opens social media. Thinks "what fresh hell is this?" Continues scrolling entirely too long because I can't look away from the death of democracy.

Does anyone feel like they've grown a community here without already being a blue check? Would love to find more people interested in: Medical research for women/AFAB people Pelvic Health Postpartum recovery Prolapse care Integrative/whole person pelvic care Trauma informed care

This is also a review for my book. Using inclusive language creates a larger table with more seats. No identities were erased in our book. If that's threatening to you, it shows that you think only Your Way or operating in the world is valid. Including other people is not erasure.

This is a review for my book. Needing help postpartum for your mental health, pelvic floor, and expert advice on healing does NOT take away anyone's struggle with fertility. (Can't believe this needs to be said!)

Hello from Maine. We will take your snow. This is the driest winter of my life and I'm hating it. What is cold for, if not snow?

Hello my name is Ruth. I am a PT who specializes in pelvic health. I have cats. In epic irony, I have a cat with constipation and subluxing knee caps and another that makes urine crystals.

I have led a sheltered life, so listening to Slouching Toward Bethlehem, and hearing Didion talk about "STP" as a drug has me like, what is that????

What's good around here? Looking for mutuals who like: Science Healthcare Pelvic health nerd shit Advocacy for women's health Postpartum health care and research advocacy Physical therapy stuff that's pragmatic and not elitist garbage Cats/dogs/ and cute things that you feed in your house

Two concepts I'm thinking about for this year (that might be at odds) are: 1) Vitality 2) Non-attachment What are you thinking about for this year?

Beautiful day in the Harbor

Thinking about a new year new you but worried about the "ahem*, humidity levels, in your pants? Step one: can you balance on one leg for one minute? Can you do that equally on BOTH legs? If not, add this to your toothbrushing routine. One minute per leg or two minutes on the weaker one.

December 5: Doors at 6, Event at 630 PM, @spacegallery.bsky.social in Portland! Come talk to us about being #Postpartum, build community, have fun! Discounted #yourpostpartumbody book with advanced ticket optional! Music with Draudiga, discussion with Hannah Matthews!

So far the worst thing about bluesky is where the like button is located

Me: I really need to stop checking these apps. It's bad for my nervous system. Every cabinet appointment is like a jump scare. Also me: mother trucker, he nominated Dr. fing Oz????? FFS.

Brunswick Maine friends! I'm giving another FREE talk about pelvic health tonight at Parkview (Community Health and Wellness Center) 530 PM! It may involve the electric slide...

Portland, Maine! We are going to have a Postpartum Health extravaganza at Space Gallery on Dec 5th! Whose going?? What do you want to see there??

So far I've only followed Hank and John Green and a library... It's kind of the best algorithm I've ever had in my life.

New! Pelvic Health PT! Co-author of Your Postpartum Body. Passionate about trauma informed care, skilled in chronic pain/illness, LGBTQIA inclusive Care, trans affirming care, smash the patriarchy enthusiast, but also happily married to a man, has cats and takes photos of them, bc of course!