Endo Year Reflection: #12

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The First Podcast
Endo Year Reflection: #12
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Send us a text with a question or thought on this episode ( We cannot replay from this link)

This episode celebrates the themes of resilience and community within the journey of living with endometriosis, as we reflect on powerful conversations from the past year. With insights from Dr. Ginger Garner and Dr. Bri Wyatt, we explore the importance of addressing the body as a whole, the unique connection between voice and pelvic health, and effective strategies for post-operative recovery. 

• Celebrating the power of reflection and community 
• Insights from Dr. Ginger Garner on voice as a diagnostic tool 
• Dr. Bri Wyatt’s holistic approach to functional medicine 
• Addressing the interconnectedness of bodily systems 
• Empowering listeners with practical strategies for recovery 
• Fostering open dialogue to strengthen our understanding of endometriosis

Support the show

Website endobattery.com

Instagram: EndoBattery

Speaker 1
0:02

Welcome

to

EndoBattery
,

where

I

share

my

journey

with

endometriosis

and

chronic

illness
,

while

learning

and

growing

along

the

way
.

This

podcast

is

not

a

substitute

for

medical

advice
,

but

a

supportive

space

to

provide

community

and

valuable

information

so

you

never

have

to

face

this

journey

alone
.

We

embrace

a

range

of

perspectives

that

may

not

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools
.

Join

me

as

I

share

stories

of

strength
,

resilience

and

hope
,

from

personal

experiences

to

expert

insights
.

I'm

your

host
,

alana
,

and

this

is

IndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Speaker 1
0:41

Welcome

back

to

IndoBattery
.

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table

as

we

reflect

on

this

past

year
.

First

and

foremost
,

happy

holidays
.

However

you

celebrate
,

or

even

if

you

don't
,

I

hope

this

time

of

year

offers

you

moments

of

rest
,

joy

and

reflection
.

As

we

close

out

the

year
,

I'm

excited

to

bring

you

the

EndoYear

Reflectionions

series
,

where

we

revisit

some

of

the

most

incredible

guests

and

conversations

we've

shared
.

My

hope

is

that

these

reflections

not

only

remind

you

of

the

insights

we've

gained
,

but

also

inspire

you

as

we

head

into

the

new

year

If

you're

searching

for

fresh

perspectives

on

navigating

endometriosis

and

exploring

how

pelvic

physical

therapy

and

functional

medicine

can

work

together
.

Speaker 1
1:24

Let's

revisit

two

standout

episodes
.

In

episode

81
,

I

sat

down

with

Dr

Ginger

Garner
,

a

doctor

of

physical

therapy
,

whose

insights

blew

me

away
.

Dr

Garner

connected

something

I

had

never

thought

about

before

our

voice

to

the

pelvic

floor
.

As

someone

with

a

background

in

singing
,

this

truly

hits

home
.

She

explained

how

trained

professionals

can

use

the

voice

as

a

diagnostic

tool

to

uncover

pelvic

floor

issues
,

but

honestly
,

I

can't

do

her

words

justice
.

Take

a

listen
.

Speaker 2
1:55

Because

you

weren't

trying

hard

enough
.

Speaker 2
1:58

Right
,

it

wasn't

you

know
,

it's

not

because

your

body

doesn't

know

how
,

or

you
,

because

there

is

that

mind-body

connection

where

you

know

exactly

where

you

want

to

hit

that

E

or

that

C

and

you

just

go

for

it
.

You

just

hit

the

note
,

you

know
.

And

then

when

you're

in

pain
,

so

so

much

happens

where

and

that's

true

with

activity

too

you

don't
,

you

can't

fully

do

the

activity

you

want
,

whether

it's

singing

or

weightlifting

or

whatever

it

is

that

you

love

to

do
,

you

know
,

biking

or

hiking

with

your

kids

or

whatnot
.

You

just

can't

quite

hit

the

note
,

you

can't

quite

get

there
.

And

then

you

often

end

up

in

this

kind

of

downhill

spiral

of

blaming

yourself
.

You

know
,

and

you

just

need

to

work

harder
,

I

just

need

to

practice

more
,

I

just

need

to

fill

in

the

blank
.

Speaker 2
2:42

And

so

when

someone

comes

in

I've

had

multiple

women

come

in

never

having

been

screened

for

endo

at

all

and

with

the

voice

to

pelvic

floor

connection

thing

really

dialing

in

and

saying

you

know
,

maybe

more

investigation
,

you

know
,

is

necessary

Because

you

can

have

some

of

those

similar

issues

when

you

have

voice
,

issues

that

actually

can

correlate

and

overlap

with

symptoms

of

endo

that

you

know
,

in

the

typical

mainstream

healthcare
,

right
,

right
,

that's

very

curative

in

nature

and

never

really

is

looking

for

endo

at

all
.

You

can

have

painful

breathing
,

painful

respiration

and

if

you

think

about

things

like

what

we

know

with

the

existence

of

thoracic

endometriosis
,

now

that

should

raise

red

flags
.

Speaker 2
3:31

Of

course
,

as

a

therapist
,

I

go

and

treat

the

things

I

would

normally

treat

and

if

that

pain

persists
,

it

sends

up

a

red

flag

for

me

that

I

have

treated

the

respiratory

diaphragm
,

I

have

done

the

visceral

mobilization

and

manipulation
,

I've

done

due

diligence
.

It's

still

there
,

right
.

And

then

you

begin

to

think

okay
,

let's

dive

a

little

bit

deeper
,

which

is

where

the

functional

medicine

approach

really

is

helpful
.

Speaker 1
3:52

It

doesn't

stop

there
.

Dr

Garner

also

shared

how

so

many

of

her

patients

come

in

with

diagnoses

that

don't

tell

the

full

story
.

Using

the

voice

as

key
,

she

identifies

areas

of

concern

that

might

have

otherwise

gone

unnoticed
.

Hearing

her

describe

her

approach

was

fascinating

and

eye-opening
.

Speaker 2
4:11

My

caseload

is

consistently

filled

with

women

with

endo

who

come

in

and

they

have

a

variety

of

symptoms
.

Quite

often

it

can

be

headache
,

jaw

pain
,

so

they

get

misdiagnosed

with

like

TMJD

which

they

could

actually

have
.

They

have

a

lot

of

orophacial

restriction

here
,

so

when

someone's

speaking

you

shouldn't

be

able

to

see
.

So

if

I

turn

my

head

you

can

see

this

muscle

standing

out
,

but

when

I

turn

back

and

I'm

just

breathing

and

talking

you

shouldn't

see

it
.

If

there's

resting

tension

in

this

whole

neck

and

orofacial

area
,

that's

a

red

flag
.

If

you

constantly

and

chronically

have

headaches

that

no

one

can

figure

out

what

they

are
,

that's

a

red

flag
.

Speaker 2
4:56

And

another

YouTube

video

I

have

that

is

maybe

helpful

is

a

respiratory

diaphragm

release
,

where

I

teach

you

how

to

get

up

under

the

rib

cage
,

not

to

just

poke

at

the

stomach

and

the

liver
,

but

to

trap

the

diaphragm

by

coming

around

underneath

your

rib

cage

to

make

sure

that

the

respiratory

diaphragm

is

actually

as

mobile

as

it

should

be
,

or

what

we

call

clinically

within

kind

of

functional

limits
.

And

if

that's

not

there
,

that's

a

red

flag
.

Because

coming

on

down
,

you

know

the

kind

of

the

snowball

effect

is

headaches
,

jaw

tightness
,

vocal

issues
,

painful

breathing
,

and

then

they'll

have

this

kind

of

diffuse

low

back

pain

where

sometimes

it

feels

like

a

corset

and

wraps

around
.

Sometimes

it's

central

low

back

pain
,

sometimes

it

can

like

a

corset

and

wraps

around
,

sometimes

it's

central

low

back

pain
,

sometimes

it

can

feel

like

sacroiliac

joint

pain

and

then

you

get

into

the

classic

pelvic

pain

that

everyone

associates

with

endo

but

doesn't

realize

maybe

that

endo

is

a

systemic

issue
,

that

you

can

have

kind

of

tip

to

toe-to-toe

pain
.

Speaker 2
6:01

So

when

they

start

having

that

back

pain

and

pain

that

wraps

around

to

the

front

of

the

abdominal

cavity

if

they're

exquisitely

point

tender

when

I

go

to

press

around

where

the

small

intestine

or

the

large

intestine

would

be
,

then

I

begin

to

rule

out

things

like

well
,

is

it

a

snarky

psoas

right

Back

to

the

hip

flexors
?

Is

it

an

overactive

internal

oblique
?

Just

psoas

right

Back

to

the

hip

flexors
?

Is

it

an

overactive

internal

oblique
?

Just

picking

some

things

out

that

are

typical

A

lot

of

times

when

someone's

been

in

pain

for

a

while
,

just

to

speak
,

they're

pushing

so

hard

to

get

sound

out

that

they

are

over-breathing

and

over-breathing

ends

up

overly

recruiting

the

internal

oblique
,

among

other

things
.

Not

just

that
,

but

you

can

see

that

on

imaging
,

and

that's

where

imaging

comes

in

and

is

really

handy

because

the

normal

ratios

you

would

see

in

the

abdominal

cavity

aren't

there
.

They

have

the

reactive

muscles
.

I

call

them

trauma

posturing

muscles
.

Speaker 2
7:00

Think

about

when

you're

in

pain
.

It

hurts

really

bad
.

We've

all

been

there
.

If

you've

had

endo

and

you're

just

kind

of

curled

up

in

a

ball
,

you

can't

really

stretch

out
.

It

hurts

to

breathe
,

it

hurts

to

stretch

out
,

it

hurts

to

walk
,

it

hurts

to

weight

bear
.

All

those

muscles

that

do

that
,

the

ones

in

the

front

of

the

neck
,

the

abdominals
,

the

hip

flexor
,

the

pelvic

floor
,

they

all

shorten

and

tighten
,

just

kind

of

like

what

you

were

describing

when

you

were

18
.

Speaker 2
7:24

It's

a

trauma

posture

and

if

no

one's

there

to

help

you

out

of

it
,

you

stay

in

it

and

your

voice

suffers

for

it
,

your

pelvic

floor

suffers
,

you

begin

to

over-breathe
,

the

respiratory

diaphragm

gets

shorter

and

tighter

and

shorter

and

tighter
,

and

then

that's

where

the

back

pain

comes

in
,

which

can

implicate

nerves

sometimes
.

Speaker 2
7:44

So

it's

not

unusual

to

have

someone

come

in

and

have

kind

of

like

a

sciatica

issue
.

But

it's

really

not

sciatica
,

it's

coming

from

other

things
.

So

those

are

some

of

the

things

kind

of

the

voice

to

pelvic

floor

connection

that

you

would

look

for
,

that

you

would

want

somebody

voice

to

pelvic

floor

informed
,

or

I

just

call

it

a

V

to

PF

approach
,

because

they

will

look

from

head

to

toe

at

all

of

those

things

and

make

sure

that

they've

cleared

the

voice
,

they've

cleared

the

respiratory

diaphragm

and

they've

cleared

the

pelvic

floor
.

And

you

know
,

and

in

terms

of

post-op

you

know
,

endosurgery

that's

I

swear

by
.

You

know
,

using

that

full

approach

because
,

again
,

we

all

need

our

voice

and

so

when

I

do

imaging

I

want

to

make

sure

that

they

can

speak
.

If

they

sing
,

they

can

sing

If

they

play

an

instrument

for

fun

or

maybe

that's

their

job
,

that

they

can

do

that

and

still

move

and

use

their

voice

and

it

not

adversely

impact

the

pelvic

floor

or

their

core

not

adversely

impact

the

pelvic

floor

or

their

core
.

Speaker 1
8:44

But

Dr

Garner

isn't

the

only

one

challenging

the

status

quo
.

In

episode

83
,

I

spoke

with

Dr

Bree

Wyatt
,

another

incredible

doctor

of

physical

therapy
,

who

integrates

functional

medicine

with

physical

therapy
.

How

do

these

approaches

work

together
,

you

ask
?

I'll

let

Dr

Wyatt

explain
.

Speaker 3
8:58

That's

probably

the

most

common

question

I

get

as

a

PT

is

how

do

I

structure

my

sessions
?

Is

one

of

them

a

functional

medicine

session
,

one

of

them's

a

pelvic

PT

session
?

And

the

answer

to

that

is

really

it's

all

intermixed

together
.

So

when

I

have

a

patient

in

front

of

me

and

I'm

going

over

just

their

overall

history
,

I'm

just

diving

deeper

into

it
.

I'm

not

just

asking

about

their

musculoskeletal

system
,

I'm

asking

about

their

stress
,

their

sleep
,

their

diet
.

You

know

what

are

the

different

supplements

they're

taking
,

what

medications

are

you

on
?

Do

you

get

outside
?

How

is

your

social

support

system
?

I

kind

of

weave

all

of

those

things

into

it
,

because

functional

medicine

is

a

very

full

body
,

multi-system

thing

where

you're

not

just

looking

at

the

musculoskeletal

system

anymore

and

only

the

musculoskeletal

system
.

You're

looking

at

that

entire

person

and

what

makes

that

person

who

they

are

today
.

And

so

when

a

patient

comes

in
,

I'm

going

to

still

do

an

external

internal

assessment

of

the

pelvic

floor

therapist
,

but

I

also

am

spending

some

time

feeling

the

digestive

system

because

I

do

visceral

mobilization

and

work

on

the

organs
.

I'm

feeling

the

reproductive

system
,

I'm

looking

at

their

nervous

system
,

but

then

I'm

also

diving

into

is

this

person

really

well

nourished
?

Are

they

getting

everything

they

need

to

in

their

diets
?

Have

they

grown

up

on

a

farm

next

to

a

bunch

of

pesticides

their

whole

life
?

Have

they

been

dealing

with

mold

in

their

home
?

You

know

things

like

that

Because

sometimes

I

find

with

my

patients

with

endo

sometimes

it

can

get

really

easy

to

just

say
,

oh
,

it's

because

of

the

endo
,

right
,

and

sometimes

I

find

someone

does

have

something

else

going

on
.

Speaker 3
10:47

But

because

endometriosis

can

present

so

many

different

ways
,

it's

really

easy

for

that

to

just

be

the

scapegoat
.

Um
,

but

I've

had

plenty

of

patients

come

in

who

also

are

dealing

with

molds
.

Where

they

come

in
,

they've

got

this

weird

rash

on

their

neck

and

I

asked

them

have

you

been

working

in

a
,

an

office

or

at

home
,

and

is

there

mold
?

Oh

yeah
,

there

was

a

big

water

leak

and

there

was

mold

in

my

office

and

you

know
,

this

just

started
.

I

don't

know

what

it

is

and

I

just

assumed

it

was

my

endo

flare

and

really

it's
.

It's

not

their

endo

flare
,

it's

just

their

body's

battling

something

else

which
,

quite

frankly
,

it's

like

tipping

the

scale
,

so

much

your

body's

already
,

you

know
,

dealing

with

endometriosis

on

a

regular

basis
.

So
,

to

answer

your

question
,

they

kind

of

blend

together

and

I

don't

plan

sessions
.

It's

you

come

in

that

day

and

I

just

kind

of

see

where

it

takes

me
,

because

if

I

have

a

plan

it

just

falls

apart
.

I

never

know

what
.

Speaker 1
11:46

I

love

about

Dr

Wyatt's

approach

is

her

ability

to

step

back

and

see

the

bigger

picture
.

Not

everything

is

directly

related

to

endometriosis
.

She

shared

how

functional

medicine

can

address

other

underlying

issues

that

influence

overall

health
.

One

question

she

gets

asked

often

is

can

a

functional

medicine

approach

help

with

excision

surgery

recovery
?

Her

answer

is

both

practical

and

empowering
.

Listen

as

she

breaks

down

her

method
.

Speaker 3
12:12

The

tricky

thing

about

post-operative

patients

is

they

don't

feel

well
,

they're

tired
,

they

just

went

through

a

big

procedure
.

So

I

think

the

most

important

thing

is

just

trying

to

get

nutrition

into

those

patients
,

which

sometimes

that's

getting

a

really

good
,

high

quality

like

bone

broth

or

you

know
,

getting

some

really

good

sources

of

protein

that

are

really

easy

for

someone

to

digest

and

to

eat
,

because

most

people
,

you

know

they

don't

feel

like

eating

a

big

piece

of

meat

post

operatively
.

So

you

really

do
.

I

think
,

personally
,

the

biggest

thing

to

do

is

to

plan

to

have

those

things

on

hand
,

knowing

that

you're

going

to

come

out

of

surgery

probably

not

feeling

like

you

want

to

eat

three

full

meals

a

day
,

but

trying

to

then

say
,

okay
,

what
?

What

do

I

typically

reach

for

when

I'm

feeling

a

little

bit

more

run

down

and

my

body's

recovering
?

Speaker 3
13:07

For

a

lot

of

people
,

that

may

be

more

of

their

like

brothy

foods
,

their
,

their

shakes
,

their

smoothies
.

So

trying

to

have

things

on

hand

where

you

can

sneak

in

some

protein
,

some

omega

threes
,

things

like

that

into

foods

that

are

easier

to

eat
.

I

know

one

of

my

favorites

I

have

a

fish

oil

in

my

office

that

I

sell

that

is

really

super

delicious

and

you

can

just

mix

it

into

like

Greek

yogurt
,

and

so

you're

getting

your

omegas

that

are

good

for

inflammation
,

but

then

you're

also

getting

your

protein
.

With

the

Greek

yogurt

it's

still

like

more

of

a

liquid

consistency

which

is

really

easy

to

get

down
,

and

so

there's

a

lot

of

strategy

involved

to

getting

good

nutrition

into

patients

post-operatively
.

So

really

I

think

planning

is

the

biggest

thing

Finding

some

foods
,

trying

them

out

before

surgery
,

make

sure

you

like

them

and

then

that

way

you

have

it

ready

to

go

at

home

and

hopefully

it

makes

you

a

little

bit

more

successful

in

your

recovery
.

Speaker 1
14:04

These

episodes

are

why

I

love

hosting

this

podcast
.

I

get

to

learn

alongside

you
,

discovering

new

ways

to

approach

endo

care

and

recovery
,

from

thinking

outside

the

box

to

gaining

a

fresh

perspective
.

These

conversations

renew

my

passion

for

advocacy

and

help

me

navigate

my

own

health

journey
.

I

hope

they

do

the

same

for

you
.

If

you

want

to

hear

the

full

episodes
,

you

can

stream

episodes

81

and

83

from

your

favorite

podcast

platform
.

Don't

forget

to

subscribe

so

you

never

miss

an

opportunity

to

add

new

tools

to

your

tool

belt
.

Thank

you

for

joining

me

for

this

endo

year

reflection
.

Looking

back

with

you

has

been

such

a

joy

and

a

powerful

reminder

of

the

strength

we

find

in

curiosity
,

determination

and

community
.

Together
,

we're

building

movement

that's

making

real

waves

for

change
.

Until

next

time
,

continue

advocating

for

you

and

for

those

that

you

love
.

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