Endometriosis and Vocal Health: Insights from Dr. Ginger Garner

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Endometriosis and Vocal Health: Insights from Dr. Ginger Garner
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What if the pain you’ve been living with for years was dismissed as normal? Join us as we sit down with Dr. Ginger Garner, a celebrated physical therapist and lifestyle medicine expert, who courageously shares her long-overdue diagnosis of endometriosis at age 50. Dr. Garner opens up about the impact of cultural conditioning, medical gaslighting, and limited access to care on her journey, and how integrative medicine became a beacon of hope, leading to the births of her three miracle children. Her evolution from orthopedics to pelvic health emphasizes the need to normalize discussions around pain and resilience.

Ever wondered how your pelvic floor impacts your voice? This episode provides an eye-opening exploration into the connection between vocalists’ pelvic health and their voice. Dr. Garner reveals how early voice training techniques like pelvic tilts can shape posture and breath control, and how pain from conditions such as endometriosis can alter a singer’s tone and inflection. We hear an engrossing account of a singer contending with the physical changes of pregnancy, highlighting how these shifts influence vocal performance and why this understanding is crucial for all singers.

The narrative takes a poignant turn as we delve into the story of a young mother navigating postpartum challenges without proper guidance. Despite her background in exercise physiology, she faced significant issues with urgency, frequency, and leakage post-childbirth, shedding light on the gaps in postpartum care within the U.S. healthcare system. Dr. Garner passionately discusses the importance of an integrative and trauma-informed approach to women’s health, advocating for better community support and medical care. This episode is a rallying call for empathy, education, and systemic change in how we address chronic pain and trauma in women’s health.

More about Ginger:

Dr. Ginger Garner is a doctor of physical therapy (PT, MPT, DPT), board certified in Lifestyle Medicine (DipACLM) and retired athletic trainer (ATC-ret) with post-doctoral training in functional and integrative medicine, dry needling, and rehabilitative ultrasound imaging. Ginger has spent 26 years teaching integrative and lifestyle medicine internationally, speaking at over 30 conferences worldwide. She is the author of multiple book chapters and 2 medical textbooks, Medical Therapeutic Yoga and Integrative and Lifestyle Medicine in Physical Therapy, from which she developed certifications for PT’s and OT’s in therapeutic yoga and lifestyle medicine. 

Based in Greensboro, NC, Dr. Garner runs Garner Pelvic Health and Living Well Institute, is the host of the Living Well Podcast, and is raising 3 sons. She is active in community service and holds leadership roles for American Physical Therapy Association (APTA) Academy of Pelvic Health, APTA North Carolina, and American College of Lifestyle Medicine. Additionally, she is a mentor and thought leader in areas like voice to pelvic floor connection, rehab ultrasound imaging, and trauma-informed practice. Visit Dr. Garner at her clinical practice, http://www.garnerpelvichealth.com, Institute, http://www.integrativelifestylemed.com, and on Instagram and YouTube @drgingergarner.com

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Website endobattery.com

Instagram: EndoBattery

Women's Health and Integrative Medicine

Speaker 1
0:03

Welcome

to

EndoBattery
,

where

I

share

about

my

endometriosis

and

adenomyosis

story

and

continue

learning

along

the

way
.

This

podcast

is

not

a

substitute

for

professional

medical

advice

or

diagnosis
,

but

a

place

to

equip

you

with

information

and

a

sense

of

community
,

ensuring

you

never

have

to

face

this

journey

alone
.

Join

me

as

I

navigate

the

ups

and

downs

and

share

stories

of

strength
,

resilience

and

hope
.

While

navigating

the

world

of

endometriosis

and

adenomyosis
,

from

personal

experience

to

expert

insights
,

I'm

your

host
,

alana
,

and

this

is

EndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

EndoBattery
,

grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table
.

Speaker 1
0:46

I'm

joined

by

my

guest
,

dr

Ginger

Garner
.

She's

a

doctor

of

physical

therapy

and

board

certified

in

lifestyle

medicine
.

She's

a

retired

athletic

trainer

with

the

postdoctoral

training

in

functional

and

integrative

medicine
,

dry

needling

and

rehabilitative

ultrasound

imaging
.

With

26

years

of

experience
,

dr

Garner

has

taught

integrative

and

lifestyle

medicine

internationally
,

spoken

at

over

30

conferences

and

authored

multiple

book

chapters

and

two

medical

textbooks
.

She

developed

certifications

in

therapeutic

yoga

and

lifestyle

medicine

for

PTs

and

OTs

based

on

her

books
.

Dr

Garner

runs

Garner

Pelvic

Health

and

Living

Well

Institute

in

Greensboro
,

north

Carolina
,

hosts

the

Living

Well

podcast

and

is

a

mother

of

three
.

She

holds

leadership

roles

in

the

American

Physical

Therapy

Association

and

the

American

College

of

Lifestyle

Medicine

and

is

a

mentor

in

areas

such

as

voice

to

pelvic

floor

connection

rehab
,

ultrasound

imaging

and

trauma-informed

practice
.

Please

help

me

in

welcoming

Ginger

Gardner
.

Thank

you
,

ginger
,

so

much

for

joining

me

today

and

I'm

excited

to

finally

see

you

again

after

we

met

at

the

summit

and

thank

you

so

much

for

taking

the

time

out

of

your

busy

schedule

to

join

me

at

the

table
.

Speaker 2
1:59

Thank

you
,

alana
,

thanks

for

having

me
.

I'm

just
,

I'm

excited

about

this

conversation
.

Speaker 1
2:04

I

am

as

well
,

because

you

have

a

unique

perspective

that

I

hadn't

thought

of

until

I

sat

down

with

you

at

the

summit

and

we

started

talking

about

it
.

But

before

we

get

to

what

you're

doing

professionally
,

can

you

just

invite

us

into

your

space

to

get

to

know

you

a

little

bit

better
?

Who

is

Ginger

Gardner
?

Us

into

your

space

to

get

to

know

you

a

little

bit

better
.

Speaker 2
2:27

Who

is

Ginger

Garner
?

Oh

my

gosh
,

I

always

start

out

with

kind

of

like

this
,

a

bit

of

sense

of

humor

about

all

of

it
,

because

I

learned

so

much

about

how

to

be

resilient
,

develop

resilience

through

music

and

I'm

thinking

in

particular

about

friends

that

influenced

me

so

deeply

that

taught

me

that

sometimes

you

sense

of

humor

about

it

because

it

was

painful
,

because

I

do

did

have

endometriosis

and

for

me

at

um
,

at

50
,

it's

a

new

diagnosis
.

It's

one

that

because

of

our

cultural

conditioning

and

our

social

expectations

and

our

busy

schedules

and

medical

gaslighting

and

well-meaning

people

that

have

low

health

literacy
,

you

end

up

and

also

good

care

that

prevents

a

proper

diagnosis

of

being

discovered
,

because

you're

doing

all

these

things

to

control

estrogen

and

inflammation

and

you

know

immune

function

and

gut

health
.

So

I

arrived

last

year

with

a

unique

situation

because

I'm

a

pelvic

PT

and

had

surgery

for

endo

last

year

with

the

wonderful

and

amazing

Dr

Ken

Cenervo

at

CEC

in

Atlanta
,

who

I'll

forever

be

grateful

for

for

cleaning

all

the

mess

up

from

all

these

years
.

Speaker 2
4:13

But

when

I

think

all

the

way

back
,

all

the

way

back

to

the

very

beginning
,

things

were

always

abnormal
,

things

were

always

not

quite

right
,

but

I

had

very

unique

circumstances

of

growing

up

in

an

area

that

was

incredibly

underserved
,

very

low

income
,

without

access

to

care
,

and

everything

around

you

is

normalized
.

Speaker 2
4:37

You

know
,

all

pain
,

all

dysfunction

is

normalized
,

where
,

because

of

the

circumstances
,

where

you

know
,

my

family

did

the

best

they

could

with

what

they

had
,

but

we

didn't

have

the

benefits

of

that
.

We

didn't

come

from
,

you

know
,

sitting

with

that

privilege

at

all
.

And

so
,

you

know
,

as

I

progressed

through

my

journey
,

I

went

through

a

10-year

journey

of

infertility
,

again

without

answers
,

journey

of

infertility
,

again

without

answers
,

um
,

through

fertility

treatments
,

all

all

kinds

of

things

that

probably

ultimately

made

things

worse
,

right
,

fortunately
.

And

then
,

through

some

absolute

miracle

I

will

credit

integrative

medicine

for

that

miracle

I

was

able

to

have

three

children

without

any

intervention

at

all
.

Wow
,

and

that
,

those
,

yeah
,

three

miracles

in

a

row
,

three

miracles

in

a

row

there
.

But

during

that

time
,

as

a

lot

of

us

do

who've

been

PTs

for

over

a

quarter

of

a

century

and

we

ended

up

in

pelvic

health
.

We

didn't

start

there
,

right

century

and

we

ended

up

in

pelvic

health
.

Speaker 2
5:45

We

didn't

start

there
.

When

I

started

there

there

was

no

pelvic

health

and

it's

funny
,

not

funny
,

right
.

There

was

no

pelvic

health
.

No

woman

was

getting

the

care

or

men

or

anyone

was

getting

the

care

that

they

needed

in

that

area
.

And

so

I

grew

up

in

orthopedics

right

Orthopedic

outpatient
,

pt
,

et

cetera
,

in

orthopedics
,

right

Orthopedic

outpatient
,

pt
,

et

cetera
.

So

you

know
,

as

you

progress

through

all

of

that

and

you

learn

that
,

the

stoicism

that

you

carried

for

pain
,

I

remember

getting

treatment

at

one

point

and

it

was

a

DO
,

it

was

an

osteopath

really

kind
,

looked

at

the

person

who

was

with

me

and

said

she's

really

stoic
.

And

the

person

was

like
,

well
,

she

did

have

three

kids

with

no

pain

meds
.

So

we

all

had

a

laugh
.

But

you

know
,

looking

back

on

that
,

it's

again
,

it's

another

funny
,

not

funny

because

you

normalize

such

incredible

pain

on

a

regular

basis

that

you

don't

even

think

about

it

anymore
,

you

know
.

Speaker 2
6:39

So
,

through

about
,

let's

say

I

would

say

about

halfway

through

my

career
,

pushing

26
,

27

years

so

far
,

that's

when

I

started

to

really

really

attend

to

the

pelvic

health

aspect

of

things
.

And

somewhere

along

the

way
,

I

do

remember

the

moment

in

time

where

I

was

teaching

at

an

integrative

medicine

conference
.

This

is

where

things

changed

for

me
.

I

was

teaching

at

an

integrative

medicine

conference
.

This

is

where

things

changed

for

me

because

I

was

always

a

performing

vocalist

through

various

channels
,

mostly

singing

jazz
.

That

was

my

kind

of

regular

gig
,

you

know

moonlighting

side

job
.

But

I

ended

up

teaching

integrative

medicine
.

Speaker 2
7:21

I

was

talking

about

pelvic

health

and

yoga

at

a

medical

yoga

conference

and

it

was

in

Copper

Mountain
,

and

the

jazz

festival

was

at

the

same

time

and

somebody

found

out

that

I

also

do

jazz
.

I

guess

they

looked

up

YouTube

or

something

like

that
,

and

so

then

they

invited

me

to

perform

at

the

jazz

festival

at

the

same

time

that

I

was

slated

to

speak

and

just

before

I

went

on

stage

and

it

was

improv

I'd

never

met

these

people

I

was

going

to

perform

with
.

We

were

just

up

there

winging

it
,

and

how

nerve

wracking

that

was
.

But

the

cool

thing

was

I

talked

about

pelvic

floor

stuff

and

yoga

and

then

I

went

directly

from

lecturing
,

got

on

the

stage

and

performed

jazz
,

and

it's

that

point

that

things

started

to

meld

together

for

me

and

I

realized

there's

a

connection

between

the

voice

and

the

pelvic

floor
.

Speaker 2
8:14

And

then

I

started

to

present

on

it
,

talk

about

it
,

do

lit

reviews

and

stuff

like

that
,

and

then

now

I

teach
,

continuing

education

on

it

and

have

taught

it

for

about

a

decade

now
.

So

that's

kind

of

my

evolution

of

understanding

and

appreciating
,

moving

from

just

straight

up

ortho

and

into

kind

of

the

pain

space
,

the

integrative

and

lifestyle

medicine

space
,

and

then

ultimately

realizing

gosh
,

there

is

so

much

to

be

said

and

done

when

it

comes

to

integrative

care

for

endometriosis
.

But

then

also

this

other

concept
,

speaking

professionally

as

a

clinician
,

you

know
,

from

the

voice

to

pelvic

floor

side
.

So

you

know

that's

a

little

bit

about

my

personal

experience

with

it

because

quite

frankly
,

it

was

difficult

to

sing

sometimes

because

of

interference

of

pain

and

turns

out

all

these

things

that

were

happening

in

the

background

Right

cultures

of

medicine
,

like

yoga
,

like

Chinese

medicine
,

et

cetera
,

can

be

helpful
,

you

know

with

with

endo

and

pelvic

pain

and

and

also

how

much

it

helped

me

personally
.

Speaker 1
9:31

Well
,

it's

interesting

that

you

know

we

can

see

a

lot

of

our

picture

in

the
,

in

our

direction
.

Right

Like

it
,

it

is

our

map
.

A

lot

of

times
,

what

we

experience

is

what

pushes

us

to

ultimately

thrive

in

certain

spaces
,

because

we

become

passionate

about

it

and

we

are

seeing

correlations

and

it

helps

us

grow
,

not

only

as

people

or

patients
,

but

it's

helping

us

help

serve

others
,

which

I

think

is

life-giving

to

be

able

to

help

others

and

then

improve

their

quality

Voice and Pelvic Floor Connection

Speaker 1
10:02

of

life
.

And

something

that

I

love

that

you're

doing

is

the

pelvic

floor

and

the

voice
,

and

that's

interesting

to

me
.

We

started

talking

about

this

at

the

summit

and

both

of

us

it

struck

a

chord

because

I'm

a

vocalist

as

well

and

I

hadn't

really

put

those

pieces

together

for

myself
,

and

we

were

talking

about

you

know
,

you

think

about
,

as

vocalists
,

what

do

we

hear

when

we

first

start

singing
,

like

when

we're

starting

to

train

at

least

for

me
,

it's

if

you're

going

to

sit
,

you

sit

up

nice

and

tall

and

you

like
,

and

we

actually

did
.

Speaker 1
10:32

I'm

thinking

back

to

this

when

I

first

started

doing

voice

and

we

had

to

like

do

pelvic

tilts

in

voice
?

And

I

never

put

that

together
.

I

just

thought

it

was

because

you

wanted

to
,

like

you

know
,

loosen

up

a

little

bit
,

get

ready
,

get

that

diaphragm

filled

up
,

you

know

being

able

to

sing

and

project

out

far

as

you

possibly

can

while

maintaining

dynamics
.

So

all

of

this

kind

of

really

intrigued

me

when

you

started

talking

about

that
.

And

then

you

put

the

pain

piece

with

endometriosis

on

top

of

that

and

it's

just

I'm

seeing

so

much

of

my

story

and

what

you

were

talking

about

in

just

that

moment

Because

as

a

vocalist
,

you

need

to

be

able

to

sing

pain-free

or

it

comes

through

every

single

time

and

you

can

tell

in

inflections

and

you

can

tell

in

the

tone

that

someone's

singing

with

where

they're

at
.

Speaker 2
11:28

Yeah
,

you

can

see

you

can

hear
,

you

can

tell

so

much

about

a

person

just

by

listening

to

their

voice
.

We

did

a

presentation

on

that

one

time

at

our

national

PT

meeting

called

CSM

combined

sections
,

and

the

title

was

something

like

you

know
,

are

you

listening

to

your

patients
?

What

you

can

tell

you

know

about

their

pelvic

floor

by

listening

to

their

voice
,

and

that's

so

true
.

Speaker 1
11:51

Yeah
,

can

you

kind

of

take

us

through

some

of

what

you've

learned

with

that

connection

and

some

of

the

things

and

why

it's

so

important

to

understand

the

connection

between

your

voice

and

your

pelvic

floor

and

what

that

connection

is
?

Speaker 2
12:07

Yeah
,

I

think

one

of

the

easiest

ways

to

kind

of

feel

what's

meaningful

about

the

connection

is

to

talk

about

like

a

real

story
,

and

one

of

the

stories

that

is

coming

to

my

mind

is

well
,

of

course

I

can

share

one

personally

from

me
.

Speaker 2
12:24

Where

I

really

began

to

understand

the

voice

and

pelvic

floor

connection

is

when

I

was

pregnant

and

still

trying

to

sing

yes
,

yes
,

I

was

doing

some

fundraising

at

that

time

and

because

the

bigger

you

get
,

then

the

wider

your

rib

cage

gets
,

and

the

wider

your

rib

cage

gets
,

the

flatter

your

diaphragm

gets

and

your

diaphragm

needs

to

be

domed
.

And

that's

one

of

the

things

that

I

will

image

using

ultrasound

in

practice

in

my

clinic
.

And

so

as

you

get

more

and

more

pregnant
,

you

know
,

the

diaphragm

gets

a

little

flatter

and

so

it

does

get

harder

to

breathe
,

it

does

to

get

harder

to

sustain

your

phrase
.

But

I

remember

being

pretty

close

to

the

end

because

one

of

my

sons

I

have

three

of

them

was

really

good

at

kicking

me

in

the

respiratory

diaphragm

and

he

kicked

me

in

the

middle

of

like

a

phrase
.

Was

it

your

second
?

Speaker 1
13:18

I

can't

you

know
.

I

think

it

was
.

It's

always

the

second

one
.

They're

the

rogue

ones
.

Speaker 2
13:32

He

never

slept
.

He

kicked

me

all

night

long

and

I

actually

he

kicked

me

so

hard

I

stopped

singing

in

the

middle

of

a

word

in

front

of

an

audience

and

that

was

kind

of

embarrassing
.

But

one

of

the

audience

members

came

up

after

and

thought

I

had

just

run

out

of

breath

because

I

was

pregnant

and

I

was

like
,

yeah
,

yeah
,

that's

what

happened
.

Not
,

he

kicked

me

in

the

diaphragm

in

the

middle

and

I

really

couldn't

do

anything
.

It

just

cut

my
,

cut

my

breath

Postpartum and Pelvic Health Care

Speaker 2
13:51

off
.

You

know

entirely

and

my

note

off

entirely
,

but

one

of

the

cases

that

I'm

thinking

about
,

someone

had

come

in

and

they

were

this

person

who

was

a

female
,

was

really

struggling

with

urgency

having

to

go

all

the

time
,

frequency

so

going

all

the

time
.

Speaker 2
14:08

The

sound

of

running

water

was

like

that

was
.

She

was

leaking

before

she

could

get

to

the

bathroom
.

And

this

is

a

young

woman

with

three

kids

and

of

course
,

the

standard

for

you

may

be

shocked
.

You

know
,

as

listeners

to

find

out
,

that

the

standard

for

postpartum

care

for

rehab

in

the

United

States

is

nothing
.

We

have

no

standards

of

care

for

postpartum

and

so

A

it

wasn't

her

fault
.

She

didn't

even

receive

a

referral

In

fact
.

No
,

you

know

who

should

have

referred

her

said

why

do

you

need

pelvic

PT
?

We

don't

refer

for

that
.

You

just

had

a

baby
,

there's

nothing

wrong

with

you
.

So

they

come

in

with

that

shame

that

they've

done

something

wrong
,

that

they

didn't

do

something

right
,

you

know
.

So

if

you're

listening

and

you've

had

a

baby

and

or

you

have

endo

and

you've

not

been

referred

to

pelvic

PT
,

not

your

fault
.

Have

endo

and

you've

not

been

referred

to

pelvic

PT
,

not

your

fault
.

Speaker 2
15:06

Someone

is

not

giving

you

good

care
.

So

that's

what

happened

with

her
.

So

she

came

in

with

these

issues
.

On

top

of

that

was

prolapse
,

pelvic

organ

prolapse
.

So

you

know
,

we

also

know

that

with

endo

there
,

can

you

know
,

sometimes

it

goes

hand

in

hand

with

hypermobility
.

That

means

not

just

joint

hypermobility

but

tissue

issues
.

So

tissue

stretch

and

hypermobility
,

that

means

not

just

joint

hypermobility

but

tissue

issues
.

So

tissue

stretch

and

hypermobility
,

and

that's
.

I

had

the

same

thing
.

So

it

wasn't

just

a

joint
.

You

know

that

was

bendy
.

It's

not

just

if

you're

watching

on

YouTube
,

it's

not

just

the

ability

to

pull

your

thumb

back

and

touch

your

arm

right

or

have

your

knee

or

your

elbow

hyperextended

it's

so

much

more

than

that
.

Speaker 2
15:42

And

so

she

was

having

those

issues

really

smart

person

with

a

master's

in

exercise

physiology
,

right
,

so

super

knowledgeable

and

so

she

came

and

sat

down

and

told

me

about

the

heaviness

and

the

dragging

and

the

frequency

and

the

leakage

and

kind

of

like

classic

postpartum

stuff

that's

never

been

attended

to
.

So

on

top

of

that
,

she

sat

down

and

started

to

talk

and

she

had

a

lot

of

hoarseness

and

her

voice

was

scratchy
.

I

could

tell

that

like

my

voice

a

little

today

is

pitched

a

little

lower

because

I've

been

talking

a

lot

this

week
,

particularly

in

maybe

less

than

healthy

vocal

practices

yeah
,

this

week

particularly
,

and

maybe

less

than

healthy

vocal

practices
,

yeah
.

So

I

could

tell

that

she

was

hoarse

and

I

was

like

let

me

just

ask

you

one

more

question

do

you

have

any

vocal

issues
?

Do

you

get

worse

or

did

you

get

laryngitis
?

And

she's

like
,

yes
,

I

lose

my

voice

every

week
,

like

on

a

regular

basis
.

Interesting
,

I

can't

get

through

my

job
,

wow
.

So
,

yeah
,

so

it

turns

out
.

Speaker 2
16:43

So

what

I

did

was

I

went

ahead

and

imaged

her
.

I

did

a

transabdominal
,

so

just

through

the

belly
,

ultrasound

imaging
,

and

I

asked

her

to

say

some

things

and

as

soon

as

she

started

talking

if

her

bladder

is

like

the

shape

of

my

hand
,

so

imagine

a

piece

of

toast

right
,

a

piece

of

bread

and

every

time

she

spoke

her

bladder

would

bounce

with

every

word
.

If

I'm

speaking

now
,

imagine

with

every

word

your

bladder

is

translating

down
,

which

is

really

not

what

it's

supposed

to

do
.

It's

supposed

to

just

stay

steady
.

Maybe

if

you

sang

really

loud

and

powerful

with

very

good

technique
,

maybe

sometimes

it

would

go

down
,

but

for

the

most

part

it

should

do

nothing
.

Or

if

you

want

real

vocal

power
,

it

can

come

up
.

On

imaging

the

bladder

base

would

come

up
,

but

that's

not

what

happened
.

She

was
,

I

call

it
,

oblique

speak

and

psoas

speak
.

Speaker 1
17:42

And
.

Speaker 2
17:43

I

have

a

couple

of

YouTube

videos

where

you

could

just

like

Google

Ginger

Garner
,

psoas

speaking
,

and

it'll

come

up
.

Because

that's

what

was

happening

Every

time

she

said

a

word
,

her

hip

flexors

were

contracting
.

So

if

you're

out

there

and

you

have

chronic

hip

flexor

tightness

tightness

in

the

abdominal

region

that

just

seems

to

never

go

away

that

could

be

what's

happening
.

Speaker 1
18:04

It's

voicing

yeah
,

that's

fascinating
.

How

do

you

address

those

issues
?

How

do

you

address

it

to

the

point

where

people

can
,

yeah
,

gain

better

control

of

those

things
,

or

or

maybe

that

loosen
?

I

don't

know
.

Speaker 2
18:23

Yeah
,

well
,

the

word

you

used
,

control
,

is

key
.

Speaker 2
18:26

I

think

it's

retraining

their

nervous

system
.

I

call

it

resetting
.

I'll

often

say

push

the

button
,

push

the

reset

button
,

and

when

someone

comes

in
,

I'm

like
,

okay
,

this

is

what

we're

going

to

do
.

These

are

the

patterns

that

we've

noticed
,

which

I

will

usually

identify

either

with

my

hands
,

manual

therapy

or

with

imaging
,

because

imaging

doesn't

lie
,

it's

just

right

there

and

they

can

see

it
,

and

I'll

say

you

know
,

let's

press

the

reset

button
,

because

we

just

need

to

retrain

what

your

muscles

are

doing
.

You

didn't

do

anything

wrong
.

You

didn't

deliberately

choose

to

Voice and Pelvic Health Connection

Speaker 2
18:56

do

this
.

Speaker 2
18:56

Your

body

takes

the

path

of

least

resistance

and

we

use

our

voices

every

day
.

Every

single

one

of

us

depend

on

our

voice
.

It's

critical
,

it's

it's

how

we
,

you

know
,

make

a

living
,

it's

how

we

connect
,

it's

how

we

communicate
,

it's

how

we

create

change
,

and

so

that's

why

it's

easy

to

go

to

the

voice

as

a

pelvic

floor

treatment

which

is

really

applicable

for

endometriosis
,

because

there's

often

so

much

trauma

surrounding

your

delay

in

care
,

your

delay

in

diagnosis
,

not

having

access

to

really

good

excision

surgeons
,

really

good

pelvic

PTs

and

OTs

that

specialize
.

So

there's

a

lot

of

trauma

around

that

and

you

can

imagine

that
.

Also

a

lot

of

pain
.

Usually

the

last

thing

someone

with

endo

wants

is

to

have

another

exam
,

right
?

Yes
,

another

pelvic

exam
,

checking

more

stuff

and

poking

around

in

an

area

that

is

already

so

incredibly

point
,

tender

and

can

be

with

the

bladder
,

the

bowel
.

It's

not

just

about

the

pelvic

floor
,

right
?

So

I

look

at

the

voice

as

an

alternate

way

to

start

pelvic

health

care

and

treatment

for

endo
,

because

this

is

easily

accessible
.

Speaker 2
20:16

The

voice

is

where

we

either

feel

empowered

or

disempowered
.

So

oftentimes

there's

a

lot

of

gentleness
,

compassion
,

empathy
,

care

and

concern

that

I

will

put

into

the

language

that

I

use
,

because

I

think

treating

the

vocal

area

can

be

just

as

sensitive

as

treating

the

pelvic

area
,

but

it

is

more

accessible

in

terms

of

if

someone

has

a

psoas's

snarky

further
.

So
,

as

speaking

and

I

think

every

woman

with

endo

comes

in

have

with

trauma

from

the

system
,

because

rarely

do

they

get

the

care

that

they

need

on

time

and

appropriately
.

So

every

person

that

I

see

I

use

a

trauma

form

informed

approach
.

So

let's

say

they

come

in
,

I'm

using

a

trauma

informed

approach
.

I'm

let's

say

they

come

in
,

I'm

using

a

trauma

informed

approach
.

I'm

using

integrative

medicine

with

a

functional

medicine

approach
.

I

might

start

orofacial

releases
.

I

have

a

YouTube

video

Orofacial

Release

Part

One
.

I'll

be

quickly

doing

that
,

yeah
,

so

check

it

out

that

I

will

teach

basic

orofacial

release

because

of

the

fascial

and

neural

connections

to

the

diaphragm
,

the

psoas
,

the

hip

flexors

and

the

pelvic

floor
.

Speaker 1
21:32

Oh

my

goodness
,

that

is

fascinating

yeah

it

works

so

well
.

Speaker 2
21:39

Once

you

try

that

and

you

get

into

the

flow

of

practicing

it
,

then

I

know
,

even

now
,

as

I'm

speaking

right

now
,

because

I've

had

endo
,

I

just

had

surgery

a

few

months

ago
.

I'm

really

aware

of
,

you

know
,

my

pelvic

floor
.

Is

it

totally
,

100%
,

swimmingly

wonderful
?

No
,

right
,

yeah
,

it's

only

been

like

a

few

months
.

It'll

take

a

year
,

right
,

right
,

right
,

just

like

with

any

other

major

surgery
.

So

every

time

I

speak
,

I'm

aware

if

I'm

singing
,

which

is

currently

in

the

car

I

don't

currently

perform

anywhere
,

just

singing

in

the

car

I'm

aware
.

Am

I

creating

downward

pressure

gradient
?

Am

I

pulling

in

too

much

abdominals

or

too

much

hip

flexor
?

And

if

so
,

is

it
?

Is

it

creating
,

you

know
,

stress

on

the

voice
?

Speaker 1
22:26

Because

if

there's

stress

in

your

voice
,

there's

stress

on

your

pelvic

floor

Interesting

and

I'm

like

sitting

here

thinking

about

just

my

journey

and

my

story

and

like

seeing

so

much

of

this

becomes

so

relevant

to

what

I

have

gone

through

personally
.

Again
,

I

haven't

sang

in

a

really

long

time

and

I

don't

perform

anymore
,

but

I

remember

when

I
,

prior

to

being

diagnosed

I

was

probably

18

at

the

time

and

I

remember

just

being

in

so

much

pain

and

I

had

to

go

up

and

sing

on

stage

and

I

I

couldn't

hit

the

notes

I

wanted

to

hit

and

I

couldn't

project

the

way

I

wanted

to

project

and

I

couldn't
.

I

just

and

it

physically

was

not

happening
,

like

my

mind

connection

was

there
.

I

knew

the

notes

I

needed

to

make

but

but

I

couldn't

get

them

out

and

I

know

that

I

have

hit

these

notes
.

I

don't

know

how

many

times

I've

sang

this

song
,

I

don't

know

how

many

times
,

but

after

I

got

up

there
,

I

just

could

not

get

it

out

and

I

just

put

that

into
.

Speaker 1
23:26

Well
,

I'm

in

pain

right

now
,

but

now

there's

a

correlation

between

those

things

and

I

remember

having

to

sit

down

because

I

was

in

so

much

pain

and

we

didn't

really

know

at

that

time

I

thought

it

was

just

kidney

stone
.

Well
,

actually
,

what

they

thought

it

was

was

cancer

at

the

time

and

I

was

18

and

they

were

like
,

well
,

it

could

be

cervical

cancer
,

it

could

be

ovarian

cancer

Cause

they

really

didn't

know
.

And

I

remember

feeling

not

only

depressed

and

you

could

tell

within

my

voice
,

but

I

the

tension

I

was

holding

in

my

body
.

I

just

remember

thinking

back

to

that

moment

and

I

don't

think

about

this

moment

often

because

particularly

pleasant
,

but

just

looking

at

that

correlation

and

how

my

body
,

how

tight

it

was
,

and

how

I

felt

less

than

adequate

with

my

mobility

and

my

voice

making

so

much

more

sense
.

Speaker 2
24:15

Yeah
,

it

wasn't

because

you

weren't

trying

hard

enough
.

Speaker 1
24:20

It

wasn't
.

Speaker 2
24:21

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

blank
.

And

so

when

someone

comes

in

I've

had

multiple

women

come

in

never

having

been

screened

for

endo

at

all

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

that's

very

curative

in

nature

and

never

really

is

looking

for

endo

at

all
.

Speaker 2
25:37

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
.

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
,

let's

dive

a

little

bit

deeper
,

which

is

where

the

functional

medicine

approach

really

is

helpful
.

Speaker 1
26:14

Yeah
,

what

are

some

things

that

people

should

be

looking

for

when

they're

thinking

about

that

connection

in

pelvic

floor
?

What

should

they

be

feeling
?

That

maybe

should

indicate

that

something's

off

or

that

they're

doing

okay
?

Because

I

think

for

me

I

can
,

now

that

I'm

aware

of

you
,

know

some

of

those

connections
.

I'm

going

to

be

really

paying

attention

to

this
,

I'm

going

to

be

really

trying

to

hone

in
,

and

that's

probably

just

me
,

but

I

think

there's

others

that

might

be

intrigued

to

learn
.

What

should

we

be

aware

of

me
?

Speaker 2
26:44

but

I

think

there's

others

that

might

be

intrigued

to

learn
.

What

should

we

be

aware

of
?

Yeah
,

that's

a

great

question
.

Here's

a

very

common

scenario
.

Speaker 2
26:53

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

orofacial

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
27:32

If

when

you're

trying

to

take

your

fingers

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

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

pain

and

head

to

toe

pain
.

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
?

Speaker 2
28:57

Is

it

an

overactive

internal

oblique
?

Just

picking

some

things

out

that

are

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
29:38

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

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
.

It's

a

trauma

posture
.

It's

kind

of

like

what

you

were

describing

when

you

were

18
.

Speaker 2
30:04

Yeah
,

it's

a

trauma

posture
,

yeah
,

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
30:22

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
.

Speaker 1
31:19

Interesting
.

I'm

Holistic Approach to Women's Health

Speaker 1
31:20

.

You

know

I'm

sitting

here

thinking

as

you're

describing

this
.

So

when

I

was

probably

just

starting

my

menstrual

cycle
,

I

started

having

a

really

hard

time

breathing

and

they

finally

put

me

in

therapy

for

vocal

cord

dysfunction
.

Speaker 1
31:34

Oh
,

my

gosh

with

my

pain

and

headaches

were

common

all

the

time
,

even

still

sometimes
.

I'll

get

that

where

I'm

like

I

can

tell

I'll

do

a

release

on

this

nerve

right

here
,

the

vagal

nerve

right

there
,

right

along

the

neck

line
,

there's

that

muscle

that

you're

talking

about
.

Right
,

I'll

go

in

there

and

kind

of

massage

it
,

because

I

can

tell

I'm

really

tight

in

my

voice
,

my

head

is

killing

me
,

I'm

having

a

harder

time

getting

a

deep

breath

in

and

I'm

in

that

pain

posture
,

I'm

curled

up

right
,

and

so

that

is

just

more

validation

to

what

you

do
,

because

I'm

seeing

my

own

story

in

everything

you

just

said
,

and

that's

from

years
.

That's

from
,

I

mean
,

I

was

probably

gosh

10

or

11

when

this

started

and

they

could

not

figure

it

out
.

So

who

knows
?

But

wow
,

that

is
.

Speaker 2
32:33

Yeah
,

you

know
,

when

you

think

about

the

10

or

11

year

old
,

and

the

first

time

I

started

having

pain

was

I

was

a

teenager
,

I

was

about

15
,

16
.

And

you

think

about

those

parts

that

15-year-old

that

10-year-old
.

That

part

was

experience
,

that

pain

and

trauma

that

nobody

had

an

answer

for

for

a

lot

of

decades

you

know
,

after

that
,

and

that

part

still

needs

a

voice

too
.

Speaker 1
33:03

Yeah
,

they

do
,

and

it's

hard

to

find

that

voice

when

we're

trying

to

find

our

voice

in

the

world
.

Speaker 2
33:09

Right
,

so

you

have

yourself
,

as

we're

sitting

here

now

right
.

Speaker 2
33:12

Yeah
,

our

adult

self

no-transcript
,

that

little

girl
,

that

little

teenager
,

just

like

you

have

that
.

That

part

too

needs

to

be

reassured
.

You

know

like

they

need

their

it's
.

I'm

really

describing

internal

family

systems
.

You

know

IFS

therapy
,

but

that's

why

it's

so

important
,

I

think
,

to

have

a

therapist

that

is

aware

of

that
.

You

know

your

providers

need

to

be

psych-informed
,

right
,

because

it's

not

a

psychosomatic

issue
.

The

pain

is

very

real
,

but

if

you're

not

acknowledging

those

pieces

and

parts

that

were

stuck

in

those

trauma

postures
,

then

they're

still

there
.

Your

psoas

still

remembers

that
,

right
.

You

know

the

respiratory

diaphragm

remembers

that

and

um
,

and

I

think

there's

value

in

addressing

that

in

an

integrative

way

so

you

can

fully

heal
.

Speaker 1
34:25

Yeah
,

oh
,

I

remember

actually

the

first

time

I

ever

went

to

pelvic

floor

PT

this

is

post

excision

and

I

hadn't

really

heard

about

pelvic
.

Speaker 1
34:34

I

didn't

even

know

what

a

pelvic

floor

was

for
,

like

probably

till

I

went
,

but

I

had

no

idea

that

all

of

these

connections

played

a

part

in

my

whole

being

Right
.

This

isn't

just

like

a

pelvic

thing
,

it's

a

whole

body

thing
.

And

so

I
,

after

my

excision
,

I

went

to

my

pelvic

floor

physical

therapist

and

she

goes

do

you

have

a

good

counselor

or

a

good

therapist
?

I

was

one

of

the

first

questions

she

asked

me

and

it

wasn't

because

she

wanted

to

invalidate

what

I've

been

through

or

what

I'm

going

through
,

but

what

she

told

me

and

I

was

like

it

made

such

an

impact

on

me
.

She

said
,

because

you

for

years

have

been

keeping

this

in

and

you

are

so

tight
,

she

goes
,

part

of

the

release

is

talking

this

through

with

someone

that

can

really

help

you

release

some

of

that

tension

and

heal
,

and

that's

part

of

the

healing

journey
.

And

so

she

refers

all

her

patients

out

for

help

in

that

way

because

the

impact

of

that

on

our

bodies

is

significant
.

Speaker 2
35:33

Yeah
,

it's

something

that

on

our

bodies

is

significant
.

Yeah
,

it's

something

that's

not

even

been

measured
.

Yeah
,

you

know
,

or

researched

you

think

about
.

Most

people

who

have

a

medical

condition

get

care

for

it

right

away
,

but

we

go

through

usually

typically

decades

of

medical

gaslighting

and

misdiagnosis
.

I

had

multiple

surgeries

that

they

always

found

something

wrong

and

it

was

valid
,

but

it

wasn't

the

driver
,

it

was

always

a

secondary

fallout

piece

of

the

puzzle
.

It

was

something

that

happened

as

a

result

of

the

endometriosis
.

It

wasn't

the

primary
,

the

root

cause
.

What

you

said
,

too
,

is

I

just

want

to

restate

that

for

everyone

that

if

you

go

to

your

pelvic

PT

or

your

endosurgeon

and

they

suggest

seeing

someone

for

mental

health
,

it

isn't

because

they're

trying

to

invalidate

you

or

they

don't

believe

your

pain
.

It's

that

your

pain

is

that

important

that

it

takes

a

team

to

address

it
.

Speaker 1
36:31

And

that's

where

that

multidisciplinary

approach

is

key

in

any

care
.

But

I

think

what

you're

doing

adds

a

whole

new

level

of

understanding
,

gives

even

those

physical

therapists

another

tool

to

look

at

in

the

tool

belt

of

figuring

out

the

mapping

of

pain

and

the

correlation

of

pain

and

kind

of

helping

the

patient

decipher

what

to

do

next
.

I

think

this

is

huge
.

I

mean
,

it's

such

a

great
,

tangible

way

of

us

looking

at

our

whole

body

and

how

that

connection

plays

a

big

part

in

our

overall

wellbeing
.

I'm

just

so

fascinated

by

this

and

for

those

of

us

that

are

really

fascinated

because

I

think

a

lot

of

us

are

going

to

be

very

fascinated

by

what

you've

talked

about

what

are

some

resources

that

you

have
?

You've

talked

about

your

YouTube

pages
.

You

also

have

a

podcast
.

Speaker 2
37:26

What

other

things

are

you

doing
?

Well
,

I

always

try

to

have

free

resources

out

there
.

So
,

from

the

free

side

of

things
,

you

can

go

to

garnerpelvichealthcom

and

you

can

sign

up

for

a

voice

to

pelvic

floor

course
.

That's

free

and

it's

very

yoga

driven

because

it's

really

all

about

breathing
.

In

that

case

that

I

mentioned

earlier
,

we

were

able

to

change

her

urgency
,

frequency
,

leakage

and

prolapse

just

by

changing

a

breathing

technique
.

Interesting
,

yeah
,

it's

like

didn't

require

a

single

Kegel
,

yeah
,

In

fact

usually

it

doesn't
?

Speaker 2
38:05

Yeah
,

uh-huh
,

you

know

there's

a

place

for

them
,

but

not

typically

alone

or

isolated
,

and

usually

not

often
.

But

I

do

have

a

free

course
,

a

free

voice

to

pelvic

floor

course

at

GarnerPelvicHealthcom
.

People

who

are

really

interested

or

looking

for

resources
.

I

do

first

consults

free

at

GarnerPelvicHealthcom

too
.

If

you

want

to

subscribe

to

my

YouTube

channel
,

I

have

a

voice

to

pelvic

floor
,

which

I

also

call

three

diaphragm
,

the

three

diaphragm

approach
.

I

like

it
.

I

have

a

voice

to

pelvic

floor

playlist
.

It

has
,

oh
,

50

or

so

videos

for

voice

to

pelvic

floor
.

Wow
,

that's

at

Dr

Ginger

Garner

and

I

would

love

to

interact

with

you

guys

on

Instagram

at

Dr

Ginger

Garner
.

Speaker 1
38:54

Yes
,

and

I

mean

you

come

out

with

so

much

great

content

Like

I

don't

actually

know

how

you

do

it

all
.

I

don't

know

how

you

do

everything
.

You're

like

superwoman
.

Speaker 2
39:03

Oh

gosh
,

yeah
,

I

don't

have

a

cape
,

I

don't
.

Speaker 1
39:09

We

need

to

get

you

one
,

because

I

don't

know

how

you

do

it

all
.

Speaker 2
39:13

Oh
,

I

have

music
,

music

helps

and

yoga

helps

and

you

know

all

of

those

things
.

But

it's

just

it's

driven

by

a

bunch

of

passion

that

I

want

other

women

to

get

care

quicker

and

have

it

be

comprehensive

and

if

they

can

avoid

medical

gaslighting
,

that

would

be

a

profound

and

amazing

thing
.

To

end

medical

gaslighting
.

I

forgot

to

mention

my

podcast
,

because

that's

what

it's

about
.

Yeah
,

the

last

way

that

you

can

interact

with

me

is

Living

Well

Podcast

that's

anywhere

you

get

your

podcasts

and

it

is

about

ending

medical

gaslighting

in

women's

and

pelvic

health
.

Oh
,

it's

so

fascinating
,

yeah
,

oh
,

and

season

four
,

which

is

coming

up

in

the

fall
.

I'm

getting

ready

to

do

season

three
,

which

is

all

going

to

be

about

self-care

and

guided

self-care

activities
,

so

all

kinds

of

fun

stuff

for

voice

to

pelvic

floor
.

So

subscribe

to

that
.

But

then

my

next

season

in

the

fall
,

is

going

to

be

completely

dedicated

to

endometriosis
.

Speaker 1
40:16

Oh
,

that's

going

to

be

incredible
.

That's

going

to

be

incredible
,

and

you

have

some

books

as

well
.

Speaker 2
40:21

I

do
.

One

is

medical

therapeutic

yoga
,

and

these

are

both

for

healthcare

providers
.

So

I

tell

people

they're

great

for

learning

yoga

and

integrative

lifestyle

medicine

and

they're

also

great

for

propping

up

an

uneven

coffee

table
.

They're

medical

textbooks

and

they're

dry
.

Oh

no
,

oh
,

man
.

So

I

have

integrative

and

lifestyle

medicine

and

PT

that

I

co

edited

and

wrote

with

Dr

Joe

Tata

and

then

and

medical

therapeutic

yoga
,

which

is

all

about

keeping

yoga

safe

for

gosh
,

really

women

and

people

with

hypermobility
.

When

it

comes

down

to

it
,

there

are

a

lot

of
.

You

know

there's

a

big

spectrum

of

hypermobility
,

which

includes

endometriosis
.

Speaker 2
41:06

So

that

was

one

of

my

big

issues

is
,

you

know
,

and

yoga

is

like

hip

openers
.

It's

like

ditching

the

phrase

hip

openers

and

focusing

on

stability

bio
,

psycho
,

social

stability

in

yoga
,

instead

of

using

yoga

just

for

some

kind

of

alphabet
,

cheerleading
,

stretchy

mobility

kind

of

thing
.

Speaker 1
41:27

See
,

I'm

learning

so

much

about

this

and

it'd

be

interesting

and

maybe

you

know

more

and

we

can

talk

to

them

this

another

time

but

the

hypermobility

piece

to

your

vocal

cords

and

pelvic

floor
,

because

that

would

be

fascinating

to

someone

who

has

EDS

to

learn

more

about

that
.

Speaker 2
41:44

Maybe

we

can

do

a

part

two
.

Let's

do

a

part

two

sometime
.

There's

so

much

to

be

said

about

that

because
,

like

I

mentioned
,

I

have

hypermobility

and

endo

and

all

the

things
,

and

so

when

I

started

to

experience

it

in

my

own

body
,

I

knew

that

the

yoga

that

was

calibrated

and

and

built

for

men

and

boys

was

not

going

to

fit

me

at

all
.

And

it

was

the

catalyst

to

to

write

medical
,

therapeutic

yoga
,

because

the

way

that

I

recalibrated

it
,

it

saved

me

from

not

just

being

hypermobile

and

getting

hurt
.

It

also

prevented

me

from

needing

surgery

to

surgically

stabilize

my

C-spine
.

So

it

saved

me
.

It

saved

my

life

in

many

ways
.

Speaker 1
42:26

Yeah
,

oh
,

ginger
,

you're

amazing
.

You're

just
.

I'm

such

a

wealth

of

knowledge

and

I'm

so

thankful

that

we

were

able

to

cross

paths

and

just

talk

more

about

this
,

and

I'm

so

impressed

by

everything

you're

doing
.

You're

just

amazing
.

So

I

want

to

learn

more
.

And

if

you

want

to

learn

more
,

go

ahead

and

follow

Ginger

on

all

her

different

platforms

and

continue

to

just

thrive

in

that

space
,

because

I

know

that

she

will

just

impact

your

life

with

the

knowledge

that

she

has
.

And

so

thank

you

so

much

for

joining

me

today

and

thank

you

for

taking

the

time
,

and

you're

just

so

pleasant

to

be

around

and

just

I

love

learning

from

you
.

Speaker 2
43:03

Thank

you
,

alana
,

thank

you

for

what

you're

doing

to

your
.

The

advocacy

work

that

you're

doing

is

is

mind

blowing

to

me
,

and

it's

it

and

it

makes

me

wish

I

could

do

all

that

stuff

Community Advocacy and Support

Speaker 2
43:15

too
.

But

you

know

what

it

takes

a

village
,

and

I'm

so

glad

that

you're

out

there

doing

it
,

because

we

can't

do

it

all
.

No
,

we

can't

do

it

all

but

we

can

help

each

other
,

do

it

all
,

that's

right
.

Speaker 1
43:25

That's

right
.

Speaker 1
43:26

It

does

take

a

village
.

That's

why

we

started
,

when

we

started

the

nonprofit

it's

called

Indo

Village

for

this

region

for

support

and

advocacy

and

education
,

and

we

did

it

because

it

takes

a

village
.

It

takes

a

village

to

create

that

change

and

that

push

forward
,

and
,

and

all

of

us
,

all

of

you

out

there
,

are

part

of

this

change

and

you

can

be

part

of

this

village

to

sit

down

at

the

table

with

us
,

have

these

discussions

and

see

where

you

can

lend

your

gifts
,

skills

and

abilities

to

help

our

community

heal

and

thrive
,

and

I

just

I

think

you

can

make

such

a

huge

impact

for

so

many

different

people
.

So
,

but
,

thank

you

again

and

until

next

time
,

everyone

continue

advocating

for

you

and

for

those

that

you

love
.

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