NorthStar Physical Therapy

In this episode, Dr. North shares her clinical perspective on GLP-1/GIP's effect on health, focusing on how they affect lipedema weight management, bone health, hormonal balance, sexual function, and their inherent connection with pelvic and lymphatic health.

SummaryIn this episode, Dr. North breaks down the insurance-speak many clients struggle to navigate, talks about what it means to be an out-of-network provider, and shares what she is able to offer as an out-of-network provider that insurance-based practices cannot. She helps shed light on the complicated ins and outs of coverage and billing within healthcare and encourages her listeners to be their own health and wellness advocates.

SummaryIn this episode of the North Star Physical Therapy Podcast, Shirlea North discusses the intersection of pelvic health and lymphatic health, particularly focusing on lipedema. She emphasizes the importance of a holistic approach to treatment, the need for proper screening and referrals, and the collaboration between different health specialists to optimize patient care. Shirlea also highlights the common symptoms associated with lipedema and pelvic health issues, advocating for a comprehensive understanding and management of these conditions.

In this episode, Shirlea North discusses dyspareunia, or pain with penetration, exploring its significance in sexual health and intimacy. She emphasizes the importance of open dialogue between providers and clients, the complexities of assessing and treating dyspareunia, and the need for a comprehensive approach to pelvic health. Shirlea highlights that experiencing pain during penetration is not normal and encourages individuals to seek help, whether through pelvic floor therapy or other medical interventions. The conversation aims to destigmatize discussions around sexual health, particularly in the context of Valentine's Day, and to empower individuals to pursue pleasurable and pain-free intimacy.

In this episode, Dr. North reflects on the past year, discussing the advancements in healthcare and personal growth. She emphasizes the importance of setting goals for the new year, focusing on refinement in both personal and professional aspects of life. Dr. North encourages listeners to take time for self-reflection and to create a balanced life that includes wellness, fun, and strong relationships.Takeaways:Reflecting on the past year helps in setting future goals.Establishing a word of the year can guide personal growth.Refinement in personal and professional life is essential.Setting achievable and measurable goals is crucial.Celebrate small wins to maintain motivation.Balance between work and personal life is important.Community involvement enhances professional relationships.Continuous education is vital for clinicians.Self-reflection can lead to positive changes.Carving out time for self-care is necessary.

In this episode of the North Star Physical Therapy podcast, Shirlea North reflects on the past year, discussing personal and professional growth, the challenges of managing stress during the holiday season, and the importance of active stress management techniques. She emphasizes the need for self-care and mindfulness, especially during busy times, and encourages listeners to take moments throughout their day to regulate their nervous system. As the year comes to a close, she invites listeners to reflect on their experiences and prepare for a healthier new year.Takeaways:Reflecting on the year can lead to personal growth.Managing stress is crucial during the holiday season.Active stress management techniques can improve well-being.Taking moments throughout the day for self-care is essential.Breathing exercises can help regulate the nervous system.Mindfulness can enhance daily experiences and reduce stress.Setting goals for the new year can foster motivation.Recognizing triggers for stress can aid in symptom management.Building resilience helps in managing future stressors.Engaging with health professionals can provide personalized strategies.Check out the website (www.northstardpt.com) for the services we perform or send me a message at Facebook or Instagram!

Hey there, welcome to the NorthStar Physical Therapy podcast!In this episode, I'm focusing on something that doesn't get talked about nearly enough: men's pelvic health.November is the perfect time to recognize that pelvic health isn't just for postpartum women or those going through menopause — it's for everyone, including men and anyone assigned male at birth. The truth is, male and female pelvic anatomy is remarkably similar, and the pelvic floor plays critical roles in urinary function, bowel function, sexual function, organ support, pelvic stability, and lymphatic health — no matter your anatomy.Yet so many men suffer in silence for years, dealing with symptoms like urinary leakage, hesitancy, incomplete emptying, bowel issues, erectile dysfunction, or pain during sex. These symptoms are often dismissed as "normal aging" or never brought up at all due to stigma or embarrassment.But here's the truth: these are treatable conditions, and pelvic health physical therapy can help.Let's get into:Why men have pelvic floors too — and why they matterCommon urinary, bowel, and sexual symptoms men experienceHow pelvic health connects to hip pain, low back pain, and mobilityThe role of stress, nervous system regulation, and lifestyle habitsWhy internal pelvic assessments can be game-changingReal client success storiesHow to find a men's pelvic health specialistBreaking the stigma around male pelvic healthCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I tackle one of the most common — yet often misunderstood — symptoms I see in the clinic: urinary urgency and frequency.I explain why this isn't just a postpartum issue or a normal part of aging, how multiple body systems can contribute to these symptoms, and why tracking your patterns is the most powerful tool you have for getting answers.From understanding what's actually "normal" for bladder function to uncovering hidden triggers like posture, nervous system tension, and lifestyle habits, this episode is essential listening for anyone dealing with constant bathroom trips or that "gotta go NOW" feeling.Let’s get into:What urinary urgency and frequency really meanWhy this happens to anybody — not just those who are postpartum or perimenopausalNormal vs. abnormal urination patternsThe detective work behind pelvic health evaluationsHidden triggers: posture, stress, medications, and moreThe pelvic floor's role (and why Kegels aren't always the answer)Why tracking is your most powerful toolHow lifestyle tweaks can reduce symptomsWhen to seek help from a pelvic health PTCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I dive into one of the most important — and fastest-growing — trends in physical therapy: the powerful connection between pelvic health and lymphatic health.I explain why clinicians who understand both systems are becoming increasingly sought after, how this dual expertise allows for more comprehensive care, and why more patients are seeking out specialists who can see the body as an integrated whole rather than in separate parts.From understanding how the pelvic floor acts as a lymphatic pump to the importance of ongoing professional education and multi-system assessment, this episode is a must-listen for both patients and providers who want to understand the “why” behind this emerging, whole-body approach to care.Let’s get into:Introduction to today’s topicA new trend in physical therapyUnderstanding lymphedema and lipedemaThe need for comprehensive, whole-body carePelvic floor as a lymphatic pumpHow pelvic and lymphatic therapy overlapTraining and scope of careThe role of education and advocacySpecialized care for complex conditionsHow NorthStar PT bridges the gapA message to clinicians and clientsCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this special anniversary episode, I reflect on three years of NorthStar Physical Therapy — from humble beginnings as a mobile practice to now being a thriving brick-and-mortar clinic serving Northern Virginia and beyond.I also open up about the challenges of being a small business owner in healthcare, our  journey toward building a concierge-style practice, and why our mission to provide expert, compassionate, and holistic pelvic and lymphatic care continues to guide everything we do. Further, I highlight October as both Breast Cancer Awareness Month and Physical Therapy Awareness Month, sharing how these observances connect directly to our specialties in pelvic and lymphatic health at NorthStar Physical Therapy, and why holistic, one-on-one care matters for survivors and all clients alike.Let’s dive into:Introduction to today’s topicStarting the practice - From mobile visits across Northern Virginia → to subleasing space → to building a permanent brick-and-mortar clinic.Why concierge care mattersChallenges of small business ownershipOctober celebrationsPelvic health & breast cancer connectionImportance of specialized therapyThe fascia connectionHolistic screening approachThe NorthStar differenceClosing gratitudeCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I will explore what it really takes to safely return to running, sport, or impact activities after pregnancy — and why these principles apply to anyone getting back into higher-level movement after time away.From pelvic floor recovery to orthopedic alignment, footwear, and strength training, I will share how our Return to Sport/Return to Run screen helps identify imbalances and prepare the body for long-term success. Whether your goal is running a marathon, joining group fitness, or just playing hopscotch with your kids without leakage, this episode gives you a roadmap to getting back to the activities you love with confidence!Let’s talk about:Introduction to today’s topicWhy pelvic floor evaluation (internal and external) plus orthopedic screening are essential before impact activity.The role of footwear, belly bands, and bras in supporting tissue during pregnancy and recovery. A 12–15 activity assessment including squats, planks, bridges, single-leg drills, lunges, and running mechanics.All about running: Training must reflect that to build strength and reduce injury risk.How parents wanting to play on trampolines or jog in emergencies benefit from impact prepWhy analyzing gait and videoing runs at the point symptoms can reveal key imbalancesHow training endurance, trunk strength, calf function, and multidirectional movement supports long-term goalsWhy true return-to-sport rehab must include endurance, footwear checks, impact tolerance, and functional drillsIn-person and virtual consultations to bring return-to-sport care to more peopleConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to another NorthStar Physical Therapy podcast!In this special awareness episode, I will highlight two important health observances that fall in September: Ovarian Cancer Awareness Month and Lymphoma Awareness Month. With my unique dual specialty in pelvic health and lymphatic health, I will explore with you how these conditions overlap, what symptoms to watch for, and why it’s critical to advocate for yourself in the healthcare system.I will also share  how pelvic floor and lymphedema therapy can help cancer patients not only survive but thrive — addressing quality-of-life concerns like bladder, bowel, and sexual function, along with swelling, pain, and fatigue from treatment.This is an empowering call to action: listen to your body, seek answers, and know that holistic, specialized care is available to support you!Let’s discuss:Introduction to today’s topicWhy awareness months matterOvarian cancer and pelvic healthRole of pelvic PT in cancer careThe lymphatic system explainedLymphoma and lymphatic dysfunctionThe unique overlapAdvocacy tipsConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to another NorthStar Physical Therapy podcast!In this episode, I break down the newer, more accurate terminology that's revolutionizing how we understand hormonal changes and pelvic health symptoms.Discover why "vaginal atrophy" and "geriatric vagina" are outdated, harmful terms, and learn about Genitourinary Syndrome of Menopause and Genitourinary Syndrome of Lactation. I explain how estrogen affects your entire pelvic region, why you might feel like you have chronic UTIs that keep testing negative, and what you can actually do about these very common symptoms.If you've been told your symptoms are just "normal aging," been prescribed unnecessary antibiotics for negative UTI tests, or feeling dismissed about hormonal changes, this episode will give you the knowledge and terminology to advocate for proper care.Let’s talk about:Understanding the new terminology: Genitourinary Syndrome of Menopause vs outdated termsWhy perimenopause symptoms can start 10 years before actual menopauseThe hormonal rollercoaster: estrogen and progesterone fluctuations explainedCommon urinary symptoms that aren't actually UTIsGenitourinary Syndrome of Lactation and postpartum hormonal changesWhy vaginal estrogen might be the solution you've been looking forThe importance of internal pelvic exams with qualified providersBreaking the cycle of unnecessary antibiotic prescriptionsCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I will reveal the powerful connection between lipedema, lymphedema, and pelvic health — a connection that most healthcare providers miss entirely.Discover why your pelvic floor muscles are literally acting as a lymphatic pump and how connective tissue dysfunction ties these conditions together. Dr. North explains why hypermobility, bladder issues, sexual dysfunction, and chronic pain might all be connected to the same underlying problem.If you've been dealing with lipedema, unexplained pelvic symptoms, or feeling like providers aren't seeing the "whole picture," this episode will give you the missing pieces to understand your body holistically.Let's talk about: The 6 core functions of your pelvic floor Understanding the real connective tissue dysfunction behind painful nodules and medical gaslightingThe hypermobility connection Why tight isn't always right The trampoline analogy Breaking down pain with penetration, orgasm difficulties, and why pelvic exams shouldn't hurtHow hypermobility affects tearing risk and delivery outcomesManual lymphatic drainage secrets Why I always check pelvic health when treating lipedema and lymphedema patientsThe surprising list of people who should get regular pelvic floor evaluations (spoiler: it's almost everyone)Check out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I break down everything you need to know about pregnancy and labor prep programs, and why they should be considered standard care for all pregnant individuals.From understanding pelvic floor function, to preparing for both vaginal and C-section deliveries, to evaluating movement, posture, and pain management — I will help you understand why tailored programs are essential and how virtual options can still offer support when done right.If you're pregnant, planning to be, or supporting someone through pregnancy, this episode will help you understand how a comprehensive, evidence-informed, individualized approach makes all the difference!Let’s talk about:Introduction to today’s topicThe importance of accessibilityWhat a comprehensive pregnancy program includesC-section is still birthVaginal birth prep AND C-section educationFull-body evaluation and functional movementLabor positioning and breathworkGetting partners involvedWhy strengthening AND flexibility matterCustomizing careThe role of pelvic floor PT before, during, and after pregnancyCheck out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this special collaboration episode, I am  joined by Dr. Amanda Skowron Romano, licensed clinical psychologist and founder of Peace of Mindfulness, to explore the deep connection between mental health, pelvic health, and the nervous system.Together, we unpack the value of integrated care—where pelvic floor therapy and psychological support work hand-in-hand to address postpartum recovery, perimenopause, trauma, identity shifts, sexual health, and stress management.If you’ve ever wondered how your mental and emotional state influences your pelvic floor—or why healing your body involves more than just muscles—this episode is a must-listen.In this episode, you’ll also learn:Introduction to today’s topicAmanda reframes therapy as a tool for wellness, not just crisis, especially for new moms and those navigating life transitions.Why collaboration mattersUnderstanding the nervous systemThe pelvic floor & emotional holdingMindfulness & body literacyCommon emotional overlapsBreathwork practices that workTips for clients & providersMindfulness for the whole familyAmanda explains why finding the right therapist matters and offers free 15-minute consults to ensure good alignmentFinal thoughtsAbout Dr. Amanda Skowron Romano, PsyDDr. Amanda Skowron Romano is a licensed clinical psychologist who is passionate about breaking down the stigma of therapy and helping people understand that seeking therapy is about health and wellness. In addition to working with individual clients and couples, Dr. Skowron Romano provides workshops and presentations bringing mindfulness into corporations, schools, and healthcare settings. Dr. Skowron Romano has extensive specialized training in Mindfulness and Acceptance Based Interventions. She has conducted research on mindfulness and published articles about postpartum depression. Her passion is to work with a clinical focus on prevention and wellness. Reach out to her here: https://www.peaceofmindfulnessllc.com/ Check out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this eye-opening episode, I tackle one of the most misunderstood diagnoses in men’s health: prostatitis. While pelvic pain in men is often automatically labeled as prostatitis and treated with antibiotics, I will explain why this may be misdiagnosed, and how pelvic floor dysfunction, nerve tension, lymphatic congestion, or even constipation might be the real root cause.With compassion and clarity, let me walk you through how to properly evaluate and address male pelvic pain, why antibiotics aren't always the answer, and why pelvic floor physical therapy should be first-line care in these situations.What You'll Learn in This Episode:Introduction to today’s topicWhat is prostatitis, really?Why pelvic pain without infection should NOT be treated with antibioticsDifferentiating prostatitis from constipation, pelvic floor tension, and nerve entrapmentHow pelvic floor PT helpsErectile dysfunction, bladder hesitancy, and pain with sexEncouraging men to speak up, ask questions, and seek out a pelvic floor physical therapistLymphatic involvement in male pelvic painConclusion Check out the website for the services we perform or send me a message at Facebook or Instagram!If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In honor of Men’s Health Month and Father’s Day, let me shed some light on a topic that’s often overlooked: pelvic health for men. In this open and informative conversation, I break down what the male pelvic floor does, why it's important, and how issues like urinary urgency, constipation, erectile dysfunction, pelvic pain, and more can be treated — not just tolerated.This episode is a must-listen for anyone with male anatomy or those supporting someone who does. Whether you're navigating prostate concerns, recovering from surgery, or dealing with unexplained pain or function issues, I will help you understand how pelvic floor therapy can make a life-changing difference!What You'll Learn in This Episode:Introduction to today’s topicMen have pelvic floors too - Bladder, bowel, and sexual function are just as important in male anatomy.Common symptoms that need attentionTension vs. weaknessProstatitis and misdiagnosisRespectful, clear care for male clientsThe role of hip mobility and global body mechanicsErectile dysfunction and cardiovascular healthNormalizing pelvic health conversationsCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this heartfelt episode of North Star Physical Therapy Podcast, I take a meaningful pause from my usual medical-focused content to celebrate Pride Month and discuss the importance of inclusive healthcare. Everybody has a pelvis and everybody has a lymphatic system - all deserve optimal care regardless of their sexual orientation or gender identity.This episode highlights my passion for celebrating diversity while maintaining expertise in pelvic and lymphatic health. Tune in as I share real client stories and emphasize that respect and understanding are fundamental to healthcare!In this episode, you'll also learn:Why Pride Month matters in healthcare settingsThe importance of inclusive language in medical practicePre- and post-surgical pelvic floor therapy for gender-affirming proceduresHow to address sexual function concerns regardless of anatomy or orientationThe complexity and beauty of working with diverse client historiesWhy trauma-informed care includes asking about pronouns and preferred terminologyHow lifestyle factors affect pelvic health across all populationsDr. North's personal journey of learning from the LGBTQ+ communityCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

In this episode, Dr. Shirlea North discusses the important — and often overlooked — pelvic and lymphatic health considerations during the transition from menstruation through perimenopause to menopause.Dr. North dives into how hormonal changes, tissue health, lymphatic flow, and lifestyle factors all impact pelvic floor function and whole-body well-being during this transformative stage of life. This episode is a must-listen for anyone navigating the complex (and often confusing) journey of perimenopause and beyond.What You'll Learn in This Episode:Introduction to today’s topicWhat is perimenopause and when does it start?Genetics, lifestyle, and hormone changesPelvic floor tissue changes during perimenopauseThe importance of lymphatic healthManual lymphatic drainage and compression strategiesPelvic floor therapy during perimenopauseActive stress management techniquesHolistic view: Whole body, whole lifeBeing your own health advocate

Welcome to the NorthStar Physical Therapy Podcast — your go-to resource for understanding lymphedema, lipedema, pelvic health dysfunctions, and empowering you to take control of your health and advocate for yourself. In this episode, Dr. Shirlea North, pelvic floor and lymphatic health specialist, shares her expertise on the vital role pelvic floor and lymphatic therapy plays throughout the peripartum journey — from fertility to postpartum recovery. Whether you’re trying to conceive, currently pregnant, or navigating postpartum life, this episode explores how a whole-body approach to therapy can help manage symptoms, support healing, and empower you to take control of your health in ways not typically covered by standard care.What You'll Learn in This Episode:The importance of pelvic floor therapy before conception, during pregnancy, and postpartum.How lymphatic care supports healing and circulation during pregnancy.What to check for before trying to conceive, including scar tissue, soft tissue flexibility, and movement.Strategies to optimize labor and reduce injury through movement, mechanics, and breath.How early intervention can address pelvic congestion and venous insufficiency.Why postpartum recovery takes time, and how pelvic PT can guide functional movement and tissue healing.The benefits of virtual postpartum visits for early support, even before the six-week check-up.Why the postpartum journey is about more than pelvic floor exercises, including breastfeeding and lymphatic drainage.Tune in to learn how pelvic floor and lymphatic care should be part of your peripartum health strategy and how to take charge of your wellness from fertility to beyond birth.

Welcome to the NorthStar Physical Therapy Podcast — your go-to resource for understanding lymphedema, lipedema, pelvic health dysfunctions, and empowering you to take control of your health and advocate for yourself. In this episode, Dr. Shirlea North, PT, DPT, revisits the debate surrounding Kegels — a common but often misunderstood recommendation for pelvic floor health. Are Kegels really the answer for everyone? Dr. North explores when Kegels are beneficial, when they may cause harm, and alternative approaches to strengthen or relax the pelvic floor.If you’ve been told to do Kegels or you’re struggling with issues like urinary leakage, pelvic pain, or core instability, this episode will guide you through a more personalized approach to pelvic health.In this episode, you’ll also learn:What Kegels are and how they became a go-to solution The difference between a tight (hypertonic) and weak (hypotonic) pelvic floor Who should benefit from Kegels, and who should avoid them Alternatives to Kegels for pelvic health and functional strength The role of Kegels in postpartum recovery and prostatectomy rehabilitation The truth about machines that promise Kegel exercises without effort When to seek professional help from a pelvic floor therapistTune in to understand when Kegels are helpful and when they’re not, and learn the best strategies for your unique pelvic health needs.

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I will be sharing with you my guesting in the podcast “Empowered with Ash.” Together, we dive into why the pelvic and lymphatic systems are so interconnected and how addressing pelvic floor function can improve overall health, reduce pain, and even enhance fertility.I also share my holistic approach to treating patients, breaking down common myths about pelvic health, the importance of lymphatic drainage, and how proper care can help with postpartum recovery, perimenopause, and beyond. This episode is packed with valuable insights, humor, and actionable advice to help you advocate for your health. Make sure to listen to this episode and share with someone you know will love to hear about what we have to say! Let’s discuss:Introduction to today’s topicWhat is pelvic health and why does it matter?The keystone of the bodyCommon misconceptions about pelvic floor issuesHow pelvic floor therapy helps at every stage of lifeThe surprising connection between the pelvic floor and the lymphatic systemManual lymphatic drainage (MLD) and why it’s trendingThe truth about KegelsSexual health & pelvic therapyHow to be your own health advocateVirtual consultations available with Dr. NorthAshleigh is an online health and fitness coach who helps busy women repair their metabolism, lose fat, and build confidence through sustainable habits. She focuses on two main groups: women who’ve neglected themselves and want to become a priority again, and women who are working hard but not seeing results. Using a holistic health approach, she helps clients integrate workouts, nutrition, and mindset shifts in a way that fits their lifestyle. Her method emphasizes long-term sustainability and well-being, covering areas like movement, sleep, and mental health. She also shares strategies, education, and mindset tips through her podcast: https://podcasts.apple.com/us/podcast/the-empowered-with-ash-podcast/id1705070175 Check out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, we explore the powerful connection between lymphatic health and pelvic floor function. As a specialist in both areas, I explain how lymphatic congestion can contribute to pelvic floor dysfunction, bloating, urinary issues, and even pain with intercourse. I also discuss how pelvic floor muscles act as a natural "sump pump" to move lymphatic fluid and why a holistic approach is crucial for treating both conditions effectively.Hope that you find this episode helpful!Let’s discuss:Introduction to today’s topic - Exploring how lymphatic health and pelvic floor function are closely linkedAnatomy Basics: The lymphatic system and pelvic floor musclesThe pelvic floor as a "sump pump"Common causes of lymphatic congestionSymptoms of pelvic lymphatic congestionManual lymphatic drainage techniquesCollaboration between pelvic health and lymphatic specialistsKegels: Helpful or harmful?Genital lymphedema and post-surgical swellingConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode of the NorthStar Physical Therapy Podcast,I am joined by Dr. Kevin Ward, a chiropractor based in Fairfax, Virginia. Together, we discuss the powerful collaboration between chiropractic care and pelvic floor physical therapy. We break down how these two specialties complement each other to provide optimal care for patients dealing with joint pain, pelvic dysfunction, and postpartum recovery.We share real-life patient examples, highlight the importance of alignment and stability, and debunk misconceptions about our respective fields.Let’s discuss:Introduction to today’s topicMeet Dr. Kevin WardThe role of chiropractic care in joint mobilityPelvic floor physical therapy for stabilizationCase Study: Treating pubic symphysis pain in pregnancyPostpartum recovery and spinal healthTailbone pain: External vs. internal treatment approachesThe importance of breathing and pressure managementDebunking the "Kegels fix everything" mythConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In this episode, I dive into the importance of proper sitting posture and how it impacts our daily lives. From work and driving to toileting, menstrual device usage, and even sexual positions, sitting plays a crucial role in our overall health. I explain how to adjust your posture for comfort and function, and why working with a pelvic floor physical therapist can be life-changing for those experiencing pain in seated positions.Let’s discuss:Introduction to today’s topicAnatomy BasicsWorkplace ergonomics and car seating adjustmentsSitting and toileting functionSitting and menstrual device usageSitting and sex: Managing pain and improving comfortPractical sitting adjustments for pain reliefVirtual consultations availableMy online guidance for individuals struggling with seated posture-related painConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For this episode, let’s talk about Intercourse and Dyspareunia. As Valentine’s Day is coming up, I would like you to normalize talking about sex. Sex is meant to be pleasurable, but for many, whether you are a man, woman, or identify as part of the LGBTQ community, it can be a source of pain and frustration. Dyspareunia, or painful intercourse, is more common than you might think, yet it’s often misunderstood or dismissed. In this episode, we’re breaking the silence on this important topic—exploring the causes, misconceptions, and solutions to help women reclaim comfort and confidence in their intimate lives. Whether you’ve experienced it firsthand or want to better understand it, this conversation is for you!Let’s discuss:Introduction to dyspareunia and its impact on quality of lifeBiomechanical factors contributing to pain during penetrationThe detailed questions pelvic floor therapists ask to identify root causesExamples of conditions that pelvic floor therapy can address, from sexual discomfort to medical examsThe role of pelvic angles and positions in alleviating painTools and products (like dilators and the O-nut) that can assist therapyConclusion: Encouragement for listeners to seek help and normalize the conversation about pain with penetrationCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For this episode, let’s dive into what the Abdominal Canister is and the types of breathing that would best support your abdominal canister. Learn how proper breathing techniques and pressure management impact pelvic health, posture, and overall functionality. I explain how this approach benefits a wide range of individuals, from postpartum moms to office workers, weightlifters, and those experiencing back or pelvic floor issues.If you found this episode helpful, please feel free to share it to someone who needs to know more about the Abdominal Canister!Let’s discuss:Introduction to today’s topicAnatomy Basics: The abdominal canister and its componentsThe role of 360-degree breathingPostpartum considerationsWhy posture mattersBreathing and movement coordinationPractical tips for daily integrationVirtual consultations available at NorthStar Physical Therapy ConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For the very first episode this 2025, I will be sharing with you all about Urinary Incontinence: what it is, the types, the causes, and other basic information that can help you understand more about this condition. Also, I will be sharing different treatment options you can consider as well as the role of Pelvic Floor Physical Therapy in relation to improving your symptoms. I wanted to talk about Urinary Incontinence because I want you to be able to pinpoint or at least have a guide on what are common and what are not when it comes to your health! Further, after this podcast, I hope you know that although some urinary incontinence symptoms are common, it does not mean that they are a normal part of aging. So please, talk to your provider and advocate for yourself this 2025!Let’s discuss:IntroductionDefining Urinary IncontinenceTypes of Urinary IncontinenceCauses of IncontinenceAddressing MisconceptionsLifestyle Modifications for TreatmentImportance of Comprehensive AssessmentsThe Role of Pelvic Floor Physical TherapyDiscussion on Antibiotics and Misdiagnosed UTIsConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This is a very special episode as we will be reflecting on the year 2024. I will let you in on what have been the developments this year as I do my best to deliver the best podcast and medical advice that can hopefully aid you one way or another!Wishing you all the happiest of holidays and a prosperous New Year! I am excited to bring more education to you through the NorthStar Physical Therapy podcast this 2025! Let’s discuss:IntroductionReflecting on Personal and Professional GrowthThe Expansion of North Star Physical TherapyServing the LGBTQ+ CommunityThe Importance of Self-CareReconnecting with FitnessLessons from ClientsReflection and SWOT AnalysisNavigating Loss and PerspectiveAdvice for 2025Closing ThoughtsCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For this episode, let’s talk about the pelvic muscle movers and stabilizers. Our muscles need to be strong and flexible. That’s why this episode is a great way for you to learn more about the pelvic muscle movers and stabilizers so you can empower yourself with the knowledge on how to make them stronger and more flexible. Also, this episode will help you understand the interconnectedness of these muscles with the other parts of our body that could cause pelvic floor-related symptoms. I hope you will learn a lot from this episode! Let’s discuss:Introduction to today’s topicAnatomy Basics: Overview of pelvic musclesSimilarities in male and female pelvic floorsImportance of pelvic muscle interconnectednessFascia and connective tissue: The body’s connective networkOrthopedic connections to the pelvic floorMuscle imbalances and their impactHolistic assessment approachPractical treatment insightsConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

In this special episode, this is the first of hopefully many workshops on Optimal Aging within Women's Health, held at The Hive in Clifton.In this session, three clinicians, all physical therapists with specialized expertise in different fields of physical therapy, collaborating for your optimal health, shares insights and actionable steps.We have:Lisa Clarkson from Dancing Tree Physical Therapy brings her expertise in functional medicine, focusing on the body's ability to heal and thrive through nutrition and lifestyle changes.Jennifer Youngen from Custom Care Physical Therapy specializes in orthopedic care for older athletes, helping individuals maintain mobility and strength as they age.Lastly, I, Dr. Shirlea North from NorthStar Physical Therapy, specializes in pelvic health and lymphatic health, empowering women to improve their overall well-being through focused care.In this workshop, you’ll hear an introduction to each specialty and gain actionable insights into what women can do NOW to optimize their health.We welcome your feedback and look forward to bringing you more workshops in the new year!Stay tuned for upcoming sessions, and don’t forget to share this knowledge with others who may benefit!

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This episode let’s take some time talking about vaginal estrogen, moisturizers, and lubes. This topic may be taboo to many, but it’s a very important one that we need to shed some light on. Lubrication is not just for penetrative sex because it is likewise essential for reducing irritation, preventing infections, and more. Further, the tissues in our vaginal area need to be protected just like when we put lotion on our skin and moisturizer on our face! Also, for the listeners out there who are in there perimenopausal and postmenopausal stages, we will be talking about vaginal estrogen and the changes that could happen and what you can do to adapt to these changes. So please, listen to this episode to educate yourself and protect yourself as you age!  Let’s discuss:Introduction to today’s topicAnatomy Basics: Explanation of vulvar and vaginal tissuesImportance of knowing correct anatomical terms for better healthcare communicationWhy lubrication is essential for reducing irritation, preventing infections, and improving comfort during penetration or perineal massageTypes of lubricants: Water-based, silicone-based, oil-based, and natural options like coconut oilType of lubricants to avoidVaginal MoisturizerVaginal EstrogenWhy vaginal estrogen is crucial for perimenopausal and postmenopausal tissue health and symptoms it addressesReassurance about safetyAdvocacy for open conversations with healthcare providers to normalize its useConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This episode is all about the critical role of pelvic floor physical therapy before and after prostatectomies. I want to discuss this important topic because when you have the male organ, there is a likelihood that as you age, that organ may not be operating optimally. I will be sharing with you the pre-operative therapy you may consider in order to improve the post-op outcomes. Please listen to this episode so that you empower yourself with options on how you can take better care of yourself post-op! Let’s discuss:Introduction to today’s topicWhy Prostate Health MattersCommon symptoms that might indicate prostate or pelvic floor issuesHow pelvic floor physical therapists assess urinary function, hydration, posture, and more to provide holistic carePreparing for Prostate Surgery: The benefits of pre-operative therapy to improve post-op outcomes.Post-Surgery Recovery: A look at the 4-week post-op timeline for catheter removal and the gradual return of urinary function, plus tips on managing expectationsHighlighting the partnership between pelvic floor therapists and urologists/surgeons for effective, holistic healingConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This episode is all about Men’s Pelvic Health. Men’s pelvic health is often overlooked, yet it plays a vital role in overall well-being. In this episode, we dive into the basics of pelvic health for men and addressing common concerns like pelvic pain, incontinence, and sexual health. Despite its importance, many men feel uncomfortable bringing it up with their healthcare providers. Listen as we break the stigma, offering practical insights and encouraging men to have honest conversations with their doctors. No topic is too embarrassing when it comes to your health!Let’s discuss:Introduction to today’s topic: Men’s pelvic healthCommon urinary symptoms men experienceBowel symptomsSexual health: Addressing hypersensitivity, difficulty with arousal, erectile dysfunction, and premature ejaculationDiscussion on the impact of pelvic floor dysfunction in penetrative and receptive sexual activitiesConnections between pelvic health, cardiovascular health, and overall wellnessDiastasis recti in menHernias and their connection with pelvic floor healthThe importance of optimizing hip, spine, and rib mobility for pelvic floor healthConclusion: Encouragement for men to speak openly about their pelvic healthCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This episode is all about your Bowel Movements and how knowing more about this does your body good! We will go over the stool consistency and the motility and transit time as well as the connection between your hormonal health and gut health. I will also be throwing in some tips for better bowel movement. There is no shame in observing your bowels because the little observations that you make already tell a lot about your nutritional wellbeing and hormonal health. So, I hope you listen to this episode and you learn a lot from it!Let’s discuss:Introduction to today’s topicNormal Bowel Movements and the importance of itStool Consistency Stool consistency reflecting Hydration and DietMotility and Transit TimeBowel Movements and its correlation with Hormonal RegulationImportance of Physical Activity in bowel motility Behavioral Patterns and how it affects bowel habits Interconnectedness of Symptoms and how a pelvic floor physical therapist can helpKey TakeawaysConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!This episode is all about Pelvic Floor Physical Therapy, Breast Cancer, and the relation of the two. October is Breast Cancer Awareness Month, so this topic is just timely to talk about!You might wonder what is the relationship between our pelvic floor and breast cancer that’s why I encourage you to listen to this episode. Arm yourselves with the right information that you could use for your own consumption or share with someone who needs to know more about them! Let’s discuss:Introduction to today’s topicBreast Cancer Awareness Month and why you should do regular self-breast examsPelvic Floor Connection to Breast Cancer and why is Pelvic floor physical therapy essential for those going through or recovering from breast cancer treatmentCommon Breast Cancer TreatmentsSystemic Effects of Treatment that can potentially lead to pelvic floor dysfunctionSexual Dysfunction StatisticsThe Impact of Chemotherapy in the pelvic area Surgical Implications that can affect the pelvic floor Psychological and Emotional Effects and how Pelvic floor therapy also addresses these impacts Pelvic Floor Therapy InterventionsConclusion Check out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!In relation to Pain Awareness Month, let’s talk about the menstrual cycle that women go through every single month and what a giant pain that is! As a pelvic floor physical therapist, I often talk about the menstrual cycle with my clients because it does play a role to how our body responds to things and I can prescribe exercises and activities to alleviate the pain felt during this time of the month. Listen to this episode and empower yourself understanding your cycle and the phases that your body goes through. It is normal to feel pain during our menstrual cycles, but certain changes can be done to help us cope better. Be an advocate for yourself! Let’s discuss:Introduction to today’s topicDiscussion on the challenges faced by individuals with a uterus during their menstrual cyclePelvic floor physical therapy's role in managing pain related to the menstrual cycleImportance of tracking the menstrual cycleThe normal cycle length of menstruationPhases of the Menstrual Cycle, symptoms for each cycle, and what you ought to do during each phaseExercise Prescription Based on Menstrual CycleThe need for collaboration with other providersReal-life stories on the unpredictability of the menstrual cycleSeasonal Health ConsiderationConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!September is Healthy Aging Month so for today’s episode, we will be talking about some aging myths regarding our pelvis. These myths and facts are very important to learn about because as we age, our pelvic functions are also changing. We will be focusing on the common symptoms in relation to our urinary function, bowel function, and sexual function as we age that are not at all normal! Please listen to this episode and share this with someone you know who needs to hear and learn about these. Be an advocate for yourself! Let’s discuss:Introduction to today’s topicMain function of the PelvisUrinary function: What’s normal and what’s not as we ageBowel function: What’s normal and what’s not as we ageSexual function and sexual activities as we age and what’s not normalRole of stress and stress management in pelvic functionSymptoms that need to be addressed by a pelvic floor physical therapistConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For today’s episode, let’s talk about what happens when you see a Certified Lymphedema Therapist for lymphedema or lipedema. CLTs are comprehensive and holistic providers. We take a step back and we look at everything so that we can better help you manage or treat your lymphedema or lipedema. I am also a Physical Therapist so I also look at lymphedema and lipedema in the eyes of a Physical Therapist. In this episode let’s dive into the benefits of working with a CLT, the key parts of treating lymphedema or lipedema, the “Village Approach” and so much more! I hope that this episode will help you understand how a CLT can best serve you and your interests. Please, reach out to us if you are looking to work with a CLT! Let’s discuss:Introduction to today's topic: What happens when one sees a certified lymphedema therapist or CLT for lymphedema or lipedemaThe comprehensive and holistic approach of CLTsImportance of CertificationInternational Influence: The stand of the United States on lymphedema and lipedema care compared to other countriesGetting personalized treatment when seeing a CLTThe Physical Therapy component of lymphedema or lipedemaCLTs on educating patientsThe key parts of treating lymphedema or lipedemaCLTs as problem solversWhat you get when working with a CLTSpecial Considerations for LipedemaThe "Village" ApproachConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For today’s episode, let’s talk about Pelvic Congestion Syndrome, otherwise known as Pelvic Venous Insufficiency. Let’s dive into what it is and who helps treat it! As a lymphedema therapist, and a pelvic floor physical therapist, I often see patients who have this condition and help them get the help that they need to manage and later on treat the symptoms that go with this condition. In this episode, I will also share with you the providers you can work with and the treatment options you can choose from. I hope that this episode will help you understand where that pain is coming from. Know that you don’t have to live with it because we can help you. Please, reach out to us if you feel like you have the symptoms outlined in this podcast! Let’s discuss:Introduction to today's topic: Pelvic Congestion Syndrome (PCS), also known as pelvic venous insufficiency.Chronic pain condition related to blood flow in the pelvic veinsDr. North on PCS painSigns, Symptoms and Risk Factors of PCSRole of Pelvic floor physical therapists for PCSDiagnostic tools: Ultrasound, MRI, CT scans, pelvic venography Treatment options for PCSImportance of a multidisciplinary approach involving pelvic floor physical therapists, lymphedema therapists, vein specialists, and endocrinologistsDr. North on holistic treatment for patientsConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For today’s episode, let’s talk about very hot topics regarding men’s pelvic health. These topics are interstitial cystitis, chronic bladder pain syndrome, and chronic prostatitis. Do these symptoms always stem from bladder issues? Let’s break it down and understand how we can check for the root cause better! I will also share with you the pelvic floor physical therapy’s role in order to help men overcome and manage these symptoms. I hope that this episode helps men understand more about their pelvic floor health so that they do not just live with it. Let a Pelvic Floor Physical therapist help you by empowering yourself with the necessary information so you can start championing for your own health!  Let’s discuss:Introduction to today’s topic Recent increase in awareness of men’s pelvic healthCommon symptoms associated with interstitial cystitis and chronic pelvic painDiscussion on the misconception that these symptoms are always due to bladder issuesExplanation of how only a small percentage of patients actually have bladder problemsImportance of keeping a bladder and bowel diaryEvaluation of dietary habits and potential irritantsComprehensive approach to assessing the pelvic floor, including muscles, nerves, and jointsTechniques for urge suppression and relaxationAddressing chronic feedback loops in the nervous systemManual therapy techniques for scar tissue and other physical issuesWorking with mental health professionals to manage stress and traumaImportance of a multidisciplinary approach to careEmphasis on individualized care plans and the journey to recoveryConclusion Check out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode will be all about perimenopause and menopause and what is the role of Physical Therapists to help women undergoing such stage in their lives. We will also be talking about functional medicine, checking out your pelvis, and the importance of your hormonal health. There are so many changes happening in a woman’s body during these stages and I am here to share with you how you can better manage them. I hope that this episode helps you understand more about what you can do for your health in this stage of your life while working with a Physical Therapist!Let’s discuss:Introduction to today’s topicWhen do hormonal changes happen in a woman’s lifeThe average menopausal age and factors that affect menopause ageWhen do women start getting menopause symptoms according to statistics Cycle tracking: What is it and how does a PT help in this The role of functional medicine during perimenopause and menopause Checking out the pelvis: Another big role of PT during perimenopause and menopauseImportance of checking your hormonal health with a PT to better navigate the perimenopause and menopause stageConclusion Check out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode will answer the question many of you might be wondering about: to Kegel or not to Kegel. A lot of people do not know what a Kegel is that’s why I want to educate you about what it is, how you might be overdoing it, and when a Kegel is appropriate to help with a pelvic floor symptom. I hope that this episode helps you understand more about what you can do for your health when you are experiencing pelvic floor symptoms and realize that Kegel training isn’t always the answer for all the problems down there!Let’s discuss:Introduction to today’s topicWhat is a Kegel?Overdoing Kegels: How I notice this with a lot of people Myths and truths about Kegel trainingWhat we should do as physical therapists during the assessment of the pelvic floorHow and when Kegels become helpful and beneficial Kegel during urinating: Why you shouldn’t do it and the only time you should do itConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!I am so excited to share this episode with you because I got to bring in a very good colleague of mine, Casey White from White HART Massage. We will be diving into physical therapy and manual therapy and how these two practices intertwine and help each other. Casey and I will also discuss with you some of the instances that I refer patients to her, and when she refers patients to me. We are a community and we work together hand-in-hand so that we can help you get better faster! We hope that you learn a lot from this episode so that you can be an advocate for yourself and understand better what avenues you can take so you can keep being your best self, and living your best life! Let’s discuss:Introduction to today’s guest and today’s topicWho is Casey and how did she get into massage therapy How can a massage therapist become a licensed massage therapist Casey on continuing education to keep her license and to keep her skills sharp The collaboration between massage therapists and physical therapistsThe importance of collaboration and communication between physical therapists and massage therapistsSituations that Casey refers to physical therapistsThings that set Casey apart from other massage therapistsImportance of talking to your providers/practitioners ConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!For today’s episode, we will be talking about Diastasis Recti. Let’s shed light on the reason why Diastasis Recti should not be solely associated with pregnant women or be regarded as a postpartum condition. Anyone can have it and when I say everyone, men aren’t an exception in experiencing this condition. I will also be sharing with you what Diastasis Recti really is, when it becomes a problem, the associated symptoms, how to treat it, and how I assess my patients who have this condition. Know that Diastasis Recti is definitely something we can work on together so that you continue to live your best life! Let’s discuss:Introduction to today’s topicBusting myths: Who really experiences Diastasis Recti? Is it just pregnant and postpartum women? What is Diastasis RectiWhen does Diastasis Recti actually become a problemHow to treat Diastasis RectiHow I assess and treat my patients who have Diastasis RectiConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode will be about how Physical Therapy can help with Pelvic Organ Prolapse (POP). I will share with you what POP is, its types, the best providers who can help you with this, and how physical therapy plays a role in helping you heal from POP. So many people suffer from POP and they may think that it is normal or common with aging, but know that although it is common, it is never normal and it can be treated! Don’t live your life being limited by POP so listen to this episode so you can learn more about how to deal with it! Let’s discuss:Some exciting announcements!Introduction to today’s topicWhat is Pelvic Organ Prolapse (POP) and the different types of prolapse What I am able to do and not do as a pelvic floor physical therapist and how I do the assessments How POP can sometimes be over diagnosed for normal movement and how do I assess this as a Pelvic Floor Physical TherapistWhen is POP really a POPWhen is it appropriate for Pelvic Floor Physical Therapists to refer or co-manage patients with POPA visualization of how POP happensDevices that you can use to support your POPHow can physical therapists work on the conservative aspect of POPWhen will you need a pessary or surgeryConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode will be a bit different as I am sharing with you an episode where I was a guest. The podcast is called Babywearing & Breastfeeding: Nurturing Miracles by Meagan Pa, a lactation consultant. We will be talking a lot about pelvic floor physical therapy, its importance, postpartum care, and so much more in this episode so I hope you give this a listen so you can learn a thing or two about your body! Let’s discuss:Introduction for Dr. Shirlea North: What led her to become a physical therapistThe Pelvic Floor: What is it and why is it important especially for women during pregnancyDr. Shirlea North on KegelsWhy would you want to figure out your pelvic floor status and how it impacts birth according to Megan Dr. Shirlea North on preparing the tissues by getting into different positions and stretching them, does pregnancy hormones help the tissues, and if it’s enough for the pelvic floor musclesAccessing the pelvic floor muscles internally versus externallyDr. Shirlea North on postpartum: Works that need to be done to strengthen the pelvic muscles againMegan on tests that moms can take postpartum and how to take care of yourself while taking care of your babyPre-birth and postpartum pelvic floor care for moms who gave birth via C-section versus moms who gave birth vaginallyDr. Shirlea North on whether women still deal with incontinence issues when they gave birth via C-sectionDr. Shirlea North on diet: Does it affect the pelvic floor as well?Dr. Shirlea North on pain with sex postpartum: What’s normal and what’s not through looking at the biomechanical aspectDr. Shirlea on ways to pay her for her services on pelvic health and the difference in terms of patient care between cash-based practice and insurance-based practiceDr. Shirlea North on how she does virtual visits/evaluationConclusion and where can you find Dr. Shirlea NorthKnow more about Megan here: https://holisticlactation.com/ Check out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode will depart a little bit from the usual pelvic and lymphatic health that I talk about in this podcast. I will be sharing with you all about cash-based vs insurance-based Physical Therapy as this is a question I get asked about a lot! I get asked by new clients and even returning clients that’s why I wanted to share this topic with you in this episode so that you gain some insight regarding this matter. That way, you are able to understand the pros and cons of both of these ways to access Physical Therapy and make an informed decision in which route to take!  Let’s discuss:Introduction to today’s topicInsurance-based: What is it, how it works, aspects you need to consider, and things you need to know about your insurance Things you need to know and what to expect when you go to an Insurance-based Physical Therapy ClinicCash-based: What is it, how it works, and things you need to know about cashThings you need to know and what to expect when you go to a Cash-based Physical Therapy ClinicWhat I tell my potential clients when they ask me if I accept insuranceGetting to know other providers around me to best serve clients Behind-the-scenes stuff in an insurance-based clinic versus what happens in a cash-based clinicConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!Today’s episode is all about constipation. This is a topic we don’t always want to talk about but it is very important to know more about it. I will share with you some quick fixes to help you if you are suffering from constipation. Please listen to this episode so that you can help yourself have better bowel movement! Should you continue to have difficulties even after trying out the quick fixes I have outlined for you, you can always reach out to me so we can schedule you for an appointment and we can assess what is happening to your bowel movement!  Let’s discuss:Introduction to today’s topicWhat is constipationThings you need to consider in terms of constipation: Bowel frequencyThings you need to consider in terms of constipation: Bowel consistencyThings you need to consider in terms of constipation: Hydration, intake, and medicationsThings you need to consider in terms of constipation: Dietary and fiberThings you need to consider in terms of constipation: Your anatomy and toilet position  Things you need to consider in terms of constipation: Breathe!Things you need to consider in terms of constipation: Bowel massagesThings you need to consider in terms of constipation: MobilityConclusionCheck out the website for the services we perform or send me a message at Facebook or Instagram! If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! See you in 2 weeks!