Prolapse, Levator Avulsions & Pessaries: What’s Actually Happening (Part 2) — with MELISSA DAVIDSON, PT
In Part 2 of this conversation, I’m joined again by Melissa Davidson, specialist physiotherapist in pelvic health, clinical educator, and PhD, to continue unpacking the complexity of prolapse, levator avulsions, and pessary use. This episode goes deeper into clinical decision-making, patient education, and the evolving landscape of pelvic health care. We discuss how to better explain these concepts to patients, the importance of accurate diagnosis, and how to balance expanding access with maintaining high-quality care.
We also explore the nuances of pessary use, including different types, potential complications, and the growing availability of over-the-counter options. This conversation highlights the importance of clinician training, understanding “high tone,” and recognizing the role mental health plays in pelvic floor conditions.
We Talk About:
-Different types of pessaries
-Advancing care options in pelvic health
-Breaking down what levator avulsions are
-Potential complications of pessary use
-The importance of provider training and education
-What “high tone” actually means
-Mental health and psychological support
Time Stamps
1:00 avulsions explained
7:05 proper diagnoses of pelvic floor issues
14:00 over-the-counter pessaries
20:55 cutting through the marketing
29:33 expanding access while preserving quality care
33:33 what we don’t know
40:26 how the research changes clinical practice
CONNECT WITH CARRIE
IG: https://www.instagram.com/carriepagliano/
Website: https://carriepagliano.com
CONNECT WITH MELISSA
Instagram: https://www.instagram.com/drmelissapelvicphysio/
Website: https://www.drmelissadavidson.com/
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