Everyone’s calling it a ‘tight pelvic floor’… but can we actually feel it? — with Gosia Starzec-Proserpio, PhD

In this episode, I’m joined by Gosia Starzec-Poserpio, a women’s health physiotherapist, researcher, and educator whose work focuses on pelvic pain and bridging the gap between research and clinical practice. Together, we unpack one of the most misunderstood topics in pelvic health: muscle tone. We discuss what “high tone” actually means, why symptoms don’t always match anatomy, and how pain, muscle function, and the nervous system interact to help bring more nuance and clarity to pelvic floor care.

We Talk About:

-the mental load of motherhood

-the truth about muscle tone

-when the symptoms don’t match the anatomy

-“high tone” and “tight pelvic floor”

-linking pain and increased tone

-nuance in the research

Time Stamps

0:00 introduction

3:56 quick fire questions

9:43 troubles breastfeeding

18:55 muscle tone explained

21:54 explaining the research

25:35 communicating with patients

33:51 comparing different measurement modalities

45:53 addressing personal biases

49:11 changes in clinical practice

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH GOSIA

IG: https://www.instagram.com/starzecproserpio_phd/

Linked In: www.linkedin.com/in/mstarzec

Website: https://www.instagram.com/starzecproserpio_phd/

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