Pelvic Health, Front And Centre with Laura Bunso

Send us Fan MailPelvic health isn’t a niche problem—it’s something most people will face at some point, from teenage athletes and new mums to high-stress executives, ageing men, and cancer survivors. In this episode, physical therapist and clinic founder Laura Bunso explains how a once-undervalued speciality became the centrepiece of a thriving, patient-first practice that quietly changes lives every day.Laura shares the personal turning point that shaped her mission, then outlines what real pelvic floor care looks like: respectful assessment, clear education, and tailored plans focused on restoring coordination—not chasing perfection. We explore surprising recoveries in men misdiagnosed with "prostatitis", the emergency-room reality of severe constipation, and why paradoxical contraction makes straining the worst thing to do. She explains how surface EMG biofeedback gives patients real-time insight into hidden muscles and how small behaviour shifts—caffeine, breath, posture, voiding habits—unlock relief faster than expected.Beyond treatment, Laura discusses how hip pathology can drive pelvic floor tension, why reimbursement still lags behind evidence, and how billing systems often misunderstand pelvic care. We also cover her clinic’s growth: private one-to-one sessions, new satellite locations, and telehealth delivering much of the behavioural change work remotely. Her ethos is simple: common does not mean normal—and people deserve help long before surgery or long-term medication.Whether you’re a clinician building a focused service, a patient searching for answers, or someone who suspects there’s more to “going when you can", this conversation offers tools, hope, and a blueprint for better care. Subscribe, share with someone who needs it, and leave a review to help more people discover pelvic health that truly works.Guest BiographyLaura Bunso, PT, MTC, is a certified manual therapist and founder of Smart Body Physical Therapy in Jacksonville, Florida. With over 20 years of experience, she leads a specialised pelvic health clinic serving men and women with incontinence, pelvic pain, and post-surgical recovery needs.Trained in orthopaedics and pelvic health, Laura made the bold decision to focus exclusively on pelvic therapy after recognising a major gap in care. Her practice integrates internal manual therapy, behavioural retraining, and surface EMG biofeedback to treat bowel, bladder, and sexual health dysfunctions.She is also the host of the podcast Pelvic Like It Is, where she shares practical pelvic health education for the public. Links / Social Media Handles🌐 Website:  https://smartbodypt.comLinkedIn: https://www.linkedin.com/in/laura-bunso-pt-mtc-88bb428/🎙 Podcast: 'Pelvic Like It Is': (Available on Spotify and Apple Podcasts)Instagram: https://www.instagram.com/smartbodyptFacebook: https://www.facebook.com/SmartBodyPTSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.