Trusting your body again after prolapse!

Pelvic organ prolapse is a nasty shock and will cause you to question everything you THOUGHT you knew about health and fitness while also encouraging hatred of your body.

If you don’t know me, I'm Sarah Smith, mom of three, physical and spiritual strength coach, pelvic floor specialist and PROLAPSE CONQUEROR!

I'm here to tell you with this short video series that TRUSTING your body again IS the way to conquer prolapse, BUT there's a method to earning that trust and I'm sharing my tried and true, three step process for TRUSTING your body again after prolapse!

This is Part 1 in a three part video series on how to trust your body again after being diagnosed with prolapse.

Start with Video 1 below!

To enroll in Better Than Kegels, and learn how to jumpstart your prolapse recovery training, click here!

You've been misled about prolapse. It's not a pelvic floor problem.


It’s not a pelvic floor problem.

Strengthening your pelvic floor, doing all the kegels and even having surgery isn’t going to fix your prolapse.


Why?
Because there are THREE root causes of prolapse

Three causes that will NOT be corrected by surgery.

And the important thing about these three causes is that addressing them will not only allow you to conquer prolapse, BUT will help you to address the other health issues you have as well.

I have helped thousands of women over-come their pelvic floor problems and I can tell you with certainty, I have never worked with a woman that has prolapse doesn’t ALSO have one or more of the following conditions:



Adrenal fatigue

Anxiety

Bloating and cramping after meals

Constipation

Chronic back, sacral, hip or pelvic pain

Diastasis recti

Digestives distress

Difficulty sleeping
Food intolerances

Frequent yeast or urinary tract infections

Hemorrhoids
Hormonal imbalances
Mouth breathing

Neck and shoulder tension

Poor posture

Routine injury
Short fuse

Sagging middle “mummy tummy”-my clients’ term not mine
Thyroid problems


Are these issues related to prolapse?
ABSOLUTELY.

And the beauty of it is that WHEN you address your prolapse in a holistic manner that targets the root causes behind the sinking of your organs, you will not ONLY conquer your prolapse, but you will make your body and mind stronger, healthier and more resilient than it has ever been before!



I’m here to tell you about the THREE root causes behind your prolapse or as I like to call them, the “Three M’s”.

Master the three M’s and NOT only will you conquer your prolapse, but you’ll be stronger, more balanced, vibrant and resilient too!

If you want to learn the THREE ROOT CAUSES of prolapse, take my FREE webinar now!





Is your prolapse a depletion problem?

prolapsedepletion.png
Copy of Peachpuff Brush Stroke Photography Logo.png

We all know that prolapse is associated with “weak” pelvic floors.
Most of you here have tried all the kegels.
Many of you have tried *breathing.
Some of you may have even worked on your **biomechanics/movement patterns in daily life and exercise.

If you HAVEN’T tried the ** strategies above those are HUGE rocks for overcoming prolapse, so file that away, we will come back to that!

But NOT many people know that prolapse is in fact a depletion issues.

When our bodies are lacking in energy, nourishment, emotional support and healing, they sink.

Yep they 100% do.

In fact, the Chinese, who have been treating prolapse since the Jin dynasty (266 AD to 420 AD) so I think they know a thing or two about it, focus PRIMARILY on treating spleen chi depletion in the body when prolapse symptoms arise.

They believe that a lifting of the energy lifts the organs and treats the underlying cause of the sinking of which we feel the musckoskeletal consequences.



And while that may sound a little “woowoo” to you, think about it.
Do your prolapse symptoms increase when you feel down, depressed, anxious, heavy from the world, slouch and sad?

I know mine does!

And so let’s talk a little bit more about the indicators that YOUR prolapse is an energy issue and NOT just a muscular one, i.e. you are struggling with depletion!


#1. You don’t sleep well.
If you’re sleeping less than 8 hours a night OR you sleep 8-9 hours a night but its disrupted, then that sleep deprivation could be contributing to your sinking feelings in your pelvic organs.
When we are well rested we are better able to detox appropriately, digest foods, repair tissues, recover from workouts etc., but we also carry our bodies differently.
We have a lifted spirit and a lifted body!




frustrated.jpg

#2. You feel like you’re going to crash late afternoon OR after a workout.

Feeling SUPER low energy in the afternoon especially after a workout is an indicator that your adrenals are struggling.
Your adrenal glands are located at your kidneys and when they are not happy it can be an indicator of poor kidney health, maybe not the kind that sends you to the doctor with urinary issues, but the kind that causes an increase in prolapse problems, including incontinence.
MANY of us type A ladies grow accustomed to using adrenaline to get things done in our lives.
You know that urge to start a new project, solve someone else’s problems, do a hard workout, add more stress to our lives because when we are busy we are more productive?
Yeah, that’s bad for your prolapse-and can also cause over-tightening of the pelvic floor which is not uncommon in women with prolapse!

Spleen chi deficiency and kidney chi deficiency are two forms of energy depletion arising in the body that will absolutely manifest in prolapse issues.

We push, push, push on our bodies and even though many of us have heard about “adrenal fatigue” we don’t really





iStock-913610088.jpg

#3 You have skin and food intolerance issues.

Yes, this is linked to gut health, but if you’ve read my articles here then you know that gut health and pelvic health are 100% linked, like if you struggle with one, you most likely struggle with the other.

But in this case I would say that your liver is the kingpin for issues.
A congested liver makes it difficult for the body to remove toxins and expired hormones.
The result?

Bad skin. Bad gut. Bad hormones. Bad feelings.

Spleen chi is directly impacted by the liver as well so if your liver in working overtime either because your 1. disrupted sleep interrupts your detox cycles, 2. your stress prevents adequate digestions which creates toxicity in the body OR 3. because your life style leads to intestinal permeability (over-exercising, consuming toxins, under-resting), your prolapse is a depletion issue.









#4 You have a short fuse.

Maybe not all of the time, but if often you find yourself snapping at your kids or hubs, losing it when a glass get’s broken or just feeling so much stress and tension in your body when something goes wrong, that can be a sign you’re emotionally and energetically deplete!

You may feel that perhaps your frustrations with your body are causing you to be ill at ease and that if you could just get your body back, you would be calmer and feel more like yourself, but the truth is that a spleen that is struggling, a liver that is congested and a body that is deplete may actually be the source of your issues!







#5 Your hormones are erratic

I don’t care if it’s strong mood swings, sadness, the need to sleep, painful periods, irregular periods, STRONG emotional responses to things at certain times in your cycle, or just other common indicators of hormone imbalances, your hormones acting wacky is a sign of depletion!

When our livers are congested, they become stagnant and negatively impact the health of the spleen, gut and gall bladder.
The energy imbalance that ensues can cause tight jaws, muscle aches, headaches, sciatica and so many other issues, but the important thing to know is that hormonal imbalances almost ALWAYS indicate a liver health issue and a liver health issues means energy in the body is blocked.

Without that energy flow we sink and our organs sink with us.








What to do about it?

One of my FAVORITE aspects about God’s design for the human body is that there are MANY ways to heal, many roads in to the root cause of pain, discomfort and sub-optimal functioning.

If you’ve made it this far in the article and you’ve said, “Yes, this is me,” to any or all of these indicators, then you need SMART programming.
You need more than just kegels and core-training exercises, you need to learn how to STOP sinking!






I have an entire program designed do help women address this issue called, Hold Up!
Hold Up!
is a digital course that will help you change the 5 habits behind your prolapse, address the depletion we talked about in this article and teach you how to USE EXERCISE to heal your body and CONQUER PROLAPSE.



***But before you’re ready for that program, I want you to try two things for me!

1. I want you to start practicing breathing with your diaphragm three times per day for 5-10 breaths minimum!

If you don’t know how to do that, please take my FREE digital course.
I will teach you how to breathe in the most effective way possible to start supporting and lifting your body.


What students are saying about my course:
”I feel like I’ve gotten more oxygen in these past 36 hours than I have in my whole life!” -Archi

”Makes so much sense. I have suffered from burning in the bladder for so many years. Tried so many diets, nothing has worked. Using the breath and focusing on relaxing my pelvic floor is the first time anything has worked to relieve the pain and make me regular in the mornings. Thank you Sarah, I’m so glad I have found you.” -Julie

”Single most powerful things I have done in my life!
Thanks to you and 2020 for calming my nervous system.”
-Sam


It works and it will get you some early wins to help LIFT your body and support your liver, gut, hormones and nervous system to help you feel less like you’re drowning.

2. I also want you to take Epsom salt baths 3x a week to help detox the body and calm your nervous system.
BONUS points if you practice your breath IN the bath tub!

STAY tuned for Hold Up! coming soon!

In the meantime, tune into Dirty Strength Radio™ for more support, love and free coaching!




I was afraid and paranoid because I was ignorant

Copy of %22I was broken.%22.png

When I look back now to my prolapse diagnosis and weird pelvic floor sensations I had after baby #3, I can see now that IGNORANCE was my biggest problem. 

I was afraid of my body and what it would do, because I was ignorant, ill-informed...in the dark...clueless. 


Everything was, 
"Is this gonna make it worse?"
or
"Am I just going to feel this way forever?"
"Do I have to just avoid putting any pressure on my pelvic floor permanently now?"
"Is it too risky to hold my baby?"
"Am I doomed to gain lots of weight and lose my fitness forever?"
"What happens next??!!" 




I thought like this because I didn't know better. 
I didn't have the information I needed to understand WHAT had happened to my body, WHY it had happened and HOW I could move past it. 


The courage I needed to live life again came from EDUCATION that empowered me and got me MOVING AGAIN.

Education helped demystify what the heck was going on with my body and why it wasn't wholly a bad thing, but a SIGN that I needed to change my habits.

Empowerment came from that education and understanding of how my female physiology functioned and how to accept/nurture it to live my life agin!

Movement helped me see that my body still was capable and competent, that I wasn't broken, that pressure in the vagina and organs falling out of my body didn't have to be my new normal....I had options and strategies. 


But I can at any moment quickly transport myself BACK to that place of fear when I forget all that I've learned about the pelvic floor, all that I know now about what it does, how to support and strengthen it, how to honor my body. 



When I was ignorant, I feared worsening prolapse, I feared surgery, I feared people finding out I had prolapse (I have to laugh at that one since now thousands of people know about it now.)

When I was ignorant, I didn't even understand really where my pelvic organs were, or how posture to poop, lift or vacuum was impacting my symptoms.....or how my Type A personality and rubbish breathing habits had been causing me trouble LONG before babies even came into the picture. 

When I was ignorant, I was afraid of all the unknowns because there were OH SO MANY!


Education is the key to moving forward.
It casts out the fear, because it removes ignorance. 

Once you're engaged in your body and get what it's doing, you can work WITH it.
You can trust yourself to move and even EXERCISE again. 
You can make INFORMED decisions about future pregnancies, physique goals, lifestyle and habits, interventions when necessary.


Kick ignorance to the curb and come and learn ALL ABOUT your pelvic floor, core and female physiology!!!

Your postpartum body and all the new sensations do NOT have to be scary.
In fact, they won't be, once you understand them and have the tools to deal with them. 


Conquering your fear and your actual pelvic floor issues starts with getting WOKE about your health.
Ignorance is the enemy.
Wisdom through education is the way forward!


Enroll in Hold Up! and use the code BODYLOVE for a discount today!

Exercise and education

Conquer your prolapse!

Detoxing your liver to support your pelvic floor

Copy of liver.png

It’s NOT uncommon for the women I work with to in addition to having pelvic organ prolapse or pelvic floor dysfunction, to ALSO struggle with poor gut health.


It’s SUPER important to address gut health if you want to experience pelvic healing, BUT you can’t TRULY heal the gut and restore health to your vital organs if you don’t ALSO address your liver.


Your liver’s job is to produce bile. Bile helps your enzymes break down fats so you can extra energy from them and prevent them from clogging the digestion process.
Livers also filter your blood and removes toxins (ahem, booze) and old expired hormones.
It also stores pieces of protein (amino acids) can synthesize fats, break down cholesterol and store sugar for energy to be used when necessary.


It’s a WONDER of an organ.

In Traditional Chinese Medicine , “stagnation of the flow of liver qi frequently disrupts emotional flow, producing feelings of frustration or anger. Conversely, these same emotions can lead to a dysfunction in the liver, resulting in an endless loop of cause and effect.” (link)

And did you know that the LIVER is a PRIMARY organ involved in your menstrual cycle?

When your liver isn’t functioning properly, emotional problems, rib pain or fullness, dizziness, headache, cramping, tendon problems, menstrual problems, jaundice, weak or blurry vision, and digestive disorders can ensue.

**Attn: pelvic floor peeps,

The liver stores blood when you’re resting and releases its to your tendons when you’re active.
When liver blood becomes limited due to congestion and stagnation in the liver, one can experience “tightness” in the tendons of the pelvic floor and throughout the body, neck, shoulders, etc.
So you can see why it’s worth devoting some attention, right?!!



Your liver is directly connected to your gut via the portal vein.

If we are suffering from gut dysbiosis, inflammation and toxin overload or toxic microorganism build up in the gut, that vein can directly transport these issues to the liver via that vein.


For example, lipid polysaccharides (toxin released in large numbers by bacteria in the gut) are one of the major culprits and that causes liver damage and inflammation in the body.


Poor liver health results in:

  • hormonal imbalance

  • gut health and digestion struggles

  • nutrient deficiency

  • muscle tightness and restricted blood flow

  • low energy

  • and more!


If you want to learn more about why gut health, nutrient deficiency and hormones impact the pelvic floor, then head here and here.


So what to do?

There are TONS of supplements and “cleanse diets” on the market to help “flush out” your liver and help you lose weight and I would caution you to be super discerning when they come across your path.

Many people rightfully find some of these approaches ridiculous.
After all, the liver detoxes, you don’t need to “detox” the liver.
Right??
Well, yes and no.


As I mentioned above, livers in bodies that have been struggling for a while DO in fact benefit from some support.

Individuals with adrenal fatigue, hormone imbalances, chronic gut health struggles or all three, DO in fact benefit from some liver support, when applied gently.


So today I’m sharing my THREE favorite ways for you to support your liver!


But first, who should consider trying these strategies?

  1. Individuals with prolapse and pelvic floor dysfunction

  2. Peeps with a history of under-eating

  3. Folks with current or a history of gut health issues

  4. Anyone struggling with exhaustion, depletion and lack of vitality

  5. Those that take or have taken a lot of prescription medications or routinely drink alcohol



liver2.jpg

Dandelion Root Tea

I’ve talked here before about the benefits of bitters for your liver and digestion ( read here!)

Sipping on dandelion root tea throughout your day is a gentle way to detoxify your liver because it gently stimulates your liver to produce bile to help remove toxins from the body and get digestion moving again.

I’ll warn you, it kind of tastes like dirt, but then again, so does coffee.



You can purchase bags of dandelion root tea, loose tea versions OR you can simply find dandelion in your yard and make your own which is the MOST effective form of any herbal tea, IF you’re up for the challenge!



Additionally, Dandelion root is used for the treatment of muscle aches, loss of appetite, upset stomach, intestinal gas, gallstones, joint pain, eczema and bruises. It also increases urine production and serves as a laxative to increase bowel movements.

Some people use dandelion to treat infections, especially viral infections and even cancer. It’s also used as a skin toner, blood tonic and digestive tonic. (Dr. Axe)





Milk Thistle

liver1.jpg

Milk thistle is a member of the daisy family and probably my FAVORITE liver supplement. I take milk thistle nightly in the form of a pill.

It’s incredibly mild so unless you decide to start taking 3 pills a day or more, you’re not going to experience much of anything, but may start to notice some changes in liver-function related symptoms of the body.

Sleep for example improved for me when I started taking milk thistle.
Wakefulness at night, particularly waking around 3 or 4 am is often related to your liver detoxing.

Milk thistle is SO pretty and such a cool looking plant, that I’ve decided to cultivate it in my garden in order to make my own extract. But a simple over the counter supplement made by a trustworthy supplier is certainly adequate for getting started on your liver support journey!
**discuss all supplements with your healthcare provider, I am not prescribing it or diagnosing conditions. This is purely educational information.





 

Liver

Interestingly enough, one of the BEST things you can do for your liver is to consume LIVER.
Yeah, I’m not really a fan of the smell, taste or consistency of it, but organ meats have LONG been contributing to the health of humans on this planet and I do think it’s a shame that many of us have lost our palate for them.

Fortunately there are FREEZE-dried pill options that don’t taste or smell at all!!
And that’s more my jam.

But IF you like liver, then I would say start there.

Fried chicken livers are quite popular as is beef.
Just be sure to choose organic and or pasture fed versions.
There’s no sense in you eating the liver from an animal that is chock full of antibiotics, pesticides and herbicide from their GMO feed.






 

Movement and breathing

Can movement help your liver?

100%!

6C541CD4-99DD-4F4A-87E3-6C9B6F8FB2D7.jpeg

Your lymphatic system is part of your circulatory system but unlike the the circulatory system if doesn't have a pump like the heart, it’s pump is YOU, you’re movement and your breath!!!

It’s job is to remove toxins from the blood and help them exit the body.

The lymphatic system of the liver is not super well understood, EXCEPT that we know lack of movement and stagnation is BAD for liver function.

When you take my Breath Like A Bad Ass, It’s Bettter Than Kegels, course OR Connect Your Core and Pelvic Floor ™ you will learn how your BREATH and movement practice creates a PUMP effect that moves and massages your vital organs in your abdominal cavity, liver included!





When we stop moving and breathing fully with the diaphragm, then the lymphatic system is stalled and can become stuck, contributing to congestion of the liver.
So if you want to keep your liver healthy and functional to improve sleep, pelvic health, digestion and detoxification, you BEST move your butt AND your diaphragm!

Learn to breathe, strength train AND care for your liver all in one digital course!

Check out HOLD UP!

Conquer prolapse by getting to the root cause of your problems in one simple, self-paced digital course!

DSC_7307-2 copy 2.jpg

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies. As someone with pelvic organ prolapse, Sarah understands the mental and physical challenges of over-coming this condition speaks frankly about the most progressive strategies for moving forward and finding your strength IN SPITE of prolapse and pelvic floor problems!

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.




Women need different programming than men

women have different training needs than men do!

On a basic level we have different sized Type 1 and 2 muscle fibers than men do, making us better adapted at using fat for fuel than men.

We recover faster within a workout from all-out effort training than men do.

We can do lots of low rep, high weight strength training and while we will add on some bulk in the form of muscle, we MOSTLY increase the power and efficiency of our muscles.


We lose weight more slowly than men and hold on to more fat (it's how we fuel physical exercise) than they do.

Women need longer recovery periods between training than men do, because we use stored glycogen more slowly than men do.

We perform differently over the course of a month when we menstruate.

Post-menopause we lose our ability too metabolize fructose.


But I think the MOST important truth about fitness training for women is that biologically, exercise and physical ability ISN'T the body's priority.
Keeping us fertile and ready to make babies is.

And it doesn't matter if you aren't planning on becoming pregnant.
It doesn't even matter if you are past menopause.

There are biological implications to the fact that we are equipped to grow, birth and feed babies and THAT my friends means LOTS of different things for our fitness practices, but the one common theme that I have learned from studying hormones, pelvic floors, gut health and the nervous system is that all female bodies need to feel something in order to perform well and that something is

SAFETY.


If you want to ask your body to do things for you, you FIRST have to communicate to it that a it is safe.

When it doesn't feel safe, then it tells your body-"HEY, shut down the reproductive hormonal pathways and brace for stress."

The problem is that women of child-bearing age NEED all of these pathways like ovulation and menstruation to be in working order in order to respond well to exercise and training.
They are a non-negotiable, regardless of our reproductive plans and priorities.

Safety=performance
We need the body to feel safe, challenged, sure, but SAFE!

How do we do that?

Well I'll tell you how we DON'T do it.

We don't starve it.
We don't beat on it.
We don't let it sit around sedentary creating mechanical stress.
We don't fill it with alcohol and other toxins that it struggles to process.
We don't let it grow accustomed to sitting and then march it to the gym and tell it to perform like a movement-accustomed athlete.
We don't hate it.


There are LOTS of programs out there that unfortunately encourage women to do a number of these things, but mine are NOT amongst them.

In fact I see that the KEYS to helping the body feel safe in fitness and exercise are the following:

1. Calm the nervous system with effective diaphragmatic breathing BEFORE and after exercise and as often as possible.

2. Learn how the body functions well enough so that you can recognize red flags an respond to them appropriately and respectfully.

3. Value QUALITY of movement over quantity all of the time.

4. Rest and recover adequately

5. Build balanced strength and muscle



These are attributes can actions that I'd like to see you value and prioritize as well as you embark on fitness journeys today, next week, next year!

These and many other female-specific themes so happen to also shape my programming and my coaching style.



Today all the sales on my programs are ending.

So grab them NOW to get to work in a manner that repeats your unique and powerFULL female physiology!


Want to strength train?

DSC_7307-2 copy.jpg
DSC_7346-2.jpg

Kettlebells For Cool Kids™ is my kettlebell instruction course that teaches you everything you need to know about training with kettlebells in a manner that honors PROPER technique, your core and pelvic floor needs (hello! women are different and we need to talk about this.Vaginas, births and hormones are game changers) and respects your BUSY schedule.

You don't need to know ANYTHING about kettlebells to do this course, but you do have to have a CAN-DO attitude and a willingness to work on skill-based training that makes you feel bad-ass.

You get 3 workouts per week ALL of which are designed to teach you the skill of training with KB's.

Oh and DON'T forget all the 90's themed PLAYLISTS!!!!

**Kettlebells For Cool Kids is for women that have been CLEARED by their pelvic floor PT for exercise and understand how to manage pressure, have neutral alignment and can lift weight without symptoms.
If that is NOT you yet, then grab Connect™ FIRST and learn how to strength train with that program.

This program is ALSO majorly on sale right now through Monday (12/2) at midnight.
Learn more
here

1.png

Want to strength train, but FIRST attend to your core and pelvic floor needs?



Connect Your Core & Pelvic Floor™ is for the woman that has core and pelvic floor problems. Weakness or over-recruitment, we are addressing them BOTH.
Prolapse or leaking.
Movement is NOT off the table for you.
You just need to spend some time learning and understanding what it happening with your body now so you can work WITH it and confidently train it to be strong and powerful again OR for the first time.

You get instruction and education on re-building core and pelvic floor strength AS WELL was a movement and strength training program to get you started with your return to movement.

Learn more about Connect™ here. Enrollment AND major sale pricing go away Monday (12/2) at midnight.
Use the code HOLIDAYHEALTH
Connect Your Core and Pelvic Floor™


Not ready to grab my course but you’re hungry for MORE?

Get on my email newsletter list for lots of free goodies, info, support female fitness hacks!~


Keep in touch

Get free workouts

 About Sarah…

DSC_7372.jpg

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies!

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.

Can you trust him with this?

DSC_6927.jpg

I know for certain that my faith in Christ has been the reason why I have been able to move forward and conquer my pelvic health struggles.

And when I say conquer, I don’t mean that there was any miraculous healing or that I am totally free of pelvic health concerns.
Rather I mean that they don’t stress me out or control my mind, my identity, my thoughts or actions in the way that they used to.
For the most part, I move and live confident in my body’s ability to respond well.
I continue to be prudent in my movement and exercise-this means checking my ego, something God probably things is good for me anyways…

I do sometimes fear making prolapse worse.
But overall I don’t live in fear or anxiety of pelvic organ prolapse, because I know that God is in full control of my body and what happens to it and ultimately, I do trust him.


So while I understand that it’s my job to do whatever I physically can in my own flesh to be a wise and responsible steward of my body, I also know that God is in control and his grace covers all my actions.
It is his will that will be done.

Our bodies our like our homes, gifts from God and often a direct result of hard work and investments that we have made.
We wouldn’t not clean our floors, mow the lawn or wash the windows and wait for God to do all that.
But at the same time we know that things like appreciation in value, safety from fire or climatic events are ultimately in God’s control and we have to trust him that whatever happens, his love and grace for us will prevail.

Drawing security from things like homes or bodies strictly based on our own investments and work is flawed logic, because unprecedented things go wrong to perfectly healthy bodies and beautifully kept homes, no matter how responsible we were.


But that doesn’t mean that we should all start living like a bunch of hoarders that trash the place (literally with the house, or metaphorically with our bodies), it just means that we have to resist the temptation to put our faith and trust in creation and ALWAYS focus it on the Creator.

This is the one of the difficult parts of injury, illness and physical catastrophe.

Hope And Trust Pelvic Organ Prolapse.png

We don’t always know where the line of responsibility and control is.
What is on us and what is on him?
When diagnosed with pelvic organ prolapse (POP), initially I was ready to get to work and find solutions (i.e. I went to PT), but when that didn’t work, I began to give up, mourn, wallow, despair and think that this was going to be my new normal.

There were a few different events and people that crossed my path online that gave me HOPE and inspired me to at least TRY to move forward, but what REALLY helped me to move forward was remembering that God had a plan for my life and I didn’t need to be afraid.
He made my body and my body is smart.
It can in many ways heal itself.
It can be strong.
It doesn’t have to be perfect, pristine or young and unmarred forever to do amazing things.





Not to long ago, someone in my Instagram community reached out to me and asked,
“Where do you go for strength in the Bible when you need to understand why bad things happen to good people? Some days I wonder what he is trying to teach me in all of this.”





Phew!

WHAT A QUESTION! Right?

At that moment I felt such. HUGE responsibility to have a solid, authentic and inspiring answer.
As a Christian, I think that we are often prepared/terrified for the hard questions that will come from non-believers, but the truth is that as members of the body of Christ, we have to ALSO be ready to feed, nourish, love and hash things out with fellow members of the body of Christ.
We all need love, direction, encouragement and hope.
We all need fellow believers that in times of trouble, point us back to Jesus and His word!

And so here was my answer:

——————————————————

“Ahhhh! Such a great question. I struggle with this too! In fact, I just bought a book by Joni Eaereckson Tada (Spectacle of Glory, it’s great!) because I TOO am also working on this and figured, who better to teach me than a woman that became paralyzed in a diving accident and still praises God and does great work!

We live in a culture that tells us everything is for us and about us. Even Christians!
Certain leaders in the Christian world motivate women to take action, but also reinforce the idea that life here on earth is only about happiness and self fulfillment, but there is NOTHING in the Bible that supports that idea.

Our life here is a vapor.
God gives us enjoyment and fun.
He made beauty here and gave us friends, children, spouses, enjoyment health and experiences, but his purpose in making us is for us to worship and choose him, to become holy, even amidst trials and setbacks because life on earth ISN’T THE WHOLE STORY!

Jesus who was perfect suffered here, so we should expect to as well and know that our God will provide what we need to survive and grow.”



Verses that support this:

James 1:2-4 

Consider it pure joy, my brothers and sisters,[a] whenever you face trials of many kinds, because you know that the testing of your faith produces perseverance.Let perseverance finish its work so that you may be mature and complete, not lacking anything.

Psalm 57:2

I cry out to God Most High, to God, who vindicates me.

Jeremiah 32:19

19 great are your purposes and mighty are your deeds. Your eyes are open to the ways of all mankind; you reward each person according to their conduct and as their deeds deserve.

Job 42:2 

“I know that you can do all things;
    no purpose of yours can be thwarted.

Proverbs 16:4 

The Lord works out everything to its proper end—
    even the wicked for a day of disaster.


Proverbs 19:21 

21 Many are the plans in a person’s heart,
    but it is the Lord’s purpose that prevails.

Romans 8:28 

28 And we know that in all things God works for the good of those who love him, who[a] have been called according to his purpose.

Romans 12:2 

Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is—his good, pleasing and perfect will.



“But I STILL struggle with it all and when I do, I mourn and have pity parties.
Then I try to ask God for help and perspective.
I find ways to use my injury and all that it’s taught me to help others and grow my trust in Him.”


————————————————————

The Bible says that we can do ALL things in Christ that strengthens us!
This means that we can EVEN move past our injury or chronic illness.
This is not a guarantee that in this life, on this earth we will be able to reverse or completely health what has happened to us.

I feel very fortunate that my movement practice and lifestyle changes have helped me to come back from things like pelvic floor dysfunction, prolapse and major gut health problems.

I still have MAJOR considerations when it comes to my diet, lifestyle and exercise practice-that is, I still have to be careful and care for these injuries and health issues, but overall, I mostly live pretty normal, pain and symptom free life.



I know that not everyone that reads this will necessarily have that, but we have to have HOPE

We have to believe that God’s will prevails and whatever is happening in our lives is according to his purpose and will be the best thing longterm.
Life on earth is NOT our entire life, fellow Christians.
Which to me, actually makes me feel less pressure in some ways as I age and see my youth leaving my body, I remember that this body and this world are not my eternal home so I want to make the most of them while I can, but when they disappoint me, I look to him and remember, He is my home.
He is my security.
He is my future.

“Jesus commands my destiny.
No pow’r of hell, no scheme of man,
Can ever pluck me from His hand;
Till He returns or calls me home—
Here in the pow’r of Christ I’ll stand.”



I’ll leave you with one of my FAVORITE songs for reminding me of this:



“In Christ alone my hope is found;
He is my light, my strength, my song;
This cornerstone, this solid ground,
Firm through the fiercest drought and storm.
What heights of love, what depths of peace,
When fears are stilled, when strivings cease!
My comforter, my all in all—
Here in the love of Christ I stand.

In Christ alone, Who took on flesh,
Fullness of God in helpless babe!
This gift of love and righteousness,
Scorned by the ones He came to save.
Till on that cross as Jesus died,
The wrath of God was satisfied;
For ev’ry sin on Him was laid—
Here in the death of Christ I live.

There in the ground His body lay,
Light of the world by darkness slain;
Then bursting forth in glorious day,
Up from the grave He rose again!
And as He stands in victory,
Sin’s curse has lost its grip on me;
For I am His and He is mine—
Bought with the precious blood of Christ.

No guilt in life, no fear in death—
This is the pow’r of Christ in me;
From life’s first cry to final breath,
Jesus commands my destiny.
No pow’r of hell, no scheme of man,
Can ever pluck me from His hand;
Till He returns or calls me home—
Here in the pow’r of Christ I’ll stand.”

— IN CHRIST ALONE" WORDS AND MUSIC BY KEITH GETTY & STUART TOWNEND COPYRIGHT © 2002 THANKYOU


Contact me about speaking at your women’s group, church, gym, book club, etc,

DSC_2208-2.jpg

 About Sarah…

Screen Shot 2019-09-12 at 12.18.21 PM.png

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies!

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.









Did you know these were solvable symptoms of an over-recruited pelvic floor?

Have you ever wondered why intercourse often feels burny or painful?

Pelvic Floor Over-Recruitment Symptoms and Solutions.png

Or why you struggle to keep a tampon in or why it’s painful to insert?

What about spasms in your pelvis?
Painful feelings in and around the vagina?

Tailbone pain?

Constipation?

ALL of these symptoms can present together or alone and can be indicators of an “over-recruited” pelvic floor.


What does that mean?

Your pelvic floor muscles in organic pink. The magenta signify from top to bottom, your rectum, uterus and urethra attached to your bladder) Image used with permission from Pelvic Guru.

Your pelvic floor muscles in organic pink. The magenta signify from top to bottom, your rectum, uterus and urethra attached to your bladder) Image used with permission from Pelvic Guru.

Well, basically it means that the muscles of your pelvic floor are working too hard, too often or in an imbalanced manner.
This can be due to breathing habits, nervous system stress, inflammation in the body, movement mechanics, and other stressors.



In a sense, your pelvic floor is lifted, tight, tense and it needs to relax.

In fact, your pelvic floor needs to relax and recruit, move UP and DOWN like a trampoline, all day long everyday.

That’s called “moving through its full range of motion”.

When it can’t relax, insertion of anything (tampon, etc.) will be painful.

There is also a persistent tugging on the tailbone/sacrum that can start as pain during sitting and then radiate all the way down the lef.

Elimination is also difficult. The pelvic floor needs to relax in order for stool to exit the rectum.
Without that routine relaxation that makes regularity happen, stool hangs around, becomes dry and more difficult to excrete.




I know. I know. You’ve been told that a “tight” vagina is a good thing, “strong” pelvic floors are better for sex and for not peeing your pants.

But the truth is that supple, responsive, pelvic floors that move their their full ranges of motion (recruit AND relax) are what you want for good sex, strong bodies and insurance against incontinence.


Why it’s time to take action!

Let’s be real here.
If you are dealing with ANY of the above listed symptoms, your quality of life isn’t what it could be.


I’ve worked with MANY women that shy away from becoming intimate with their spouses because they just can’t seem to enjoy sex.
They often blame themselves or on occasion, their partner’s inability to make sex enjoyable.
But either way they are avoiding sex because let’s face it, it stinks.
Which puts that aspect of the relationship in an awkward place.
I mean enjoyable sex and sustainable intimate relationships HAVE to be based on a “give and take” system.
White knuckling it and tolerating sex just to get through it even though it’s really uncomfortable and not enjoyable is just one giant problematic elephant in the room.


I also have clients that find sex can be incredibly painful and uncomfortable due to constipation.
Gas, bloating, and discomfort that is associated with constipation or sluggish elimination causes us to lose confidence in our bodies and not wish to be touched in any way.


But EVEN if you can push all that suffering aside, the truth of the matter is that your ENTIRE body relies on a healthy pelvic floor.
The pelvic floor is the BASE of your torso.
It stabilizes that body all day long every day and impacts the health of everything from your neck to your ankles.
Think of your house or apartment.
If you found out that the foundation was over-stressed and incapable of it’s job of supporting everything above, would you feel confident and safe?
Would you continue to invest in the house by say remodeling your kitchen, when you knew at any time you could have MAJOR support and balance problems?


The longer pelvic floor problems persist the more likely it is that you will begin to experience problems up and downstream from them.
Shoulder injuries, foot pain, ankle and knee issues can ALL stem from a torso that’s struggling to move and stabilize well, which stems from a pelvic floor that ain’t going its job.


What to do if this is you?

Step 1. See a pelvic floor physical therapist.
This is a type of PT that specializes in muscles of the pelvic floor.
She will evaluate your hip and glute strength, check your posture to help you understand some possible reasons why your pelvic floor is working overtime.
She can also manually release those tight muscles to give you instant relief.
You can search for one local to you here.

No access to a PT?
Check out this program!


Step 2. Watch this video to learn more about why you may be over-recruiting your pelvic floor!




Step 3.
Take action and begin to change your breathing and movement mechanics.
The BEST way to start down-training and relaxing your pelvic floor is with your BREATH!

Breathing deeply with the diaphragm will:

Pelvic Floor Symptoms Tailbone Pain Painful Intercourse Constipation Solutions.png
  • calm your nervous system

  • begin to relax your pelvic floor while moving it through its full range of motion

  • increase your core strength so your pelvic floor isn’t doing all the work..

    I know that breathing seems soooo simple and you may thing that it’s not enough action to make big change and impact your pain/
    But you’ve GOT to TRY IT!:


    Set an alert on your phone and spend 3-5 minutes practicing your diaphragmatic breathing 3 times a day and take note of your symptoms.
    For you focusing on the INHALE/ RELAX part of the breathing cycle will be ESPECIALLY important.


    Don’t know how to breath with the diaphragm?
    Click here! To Grab my Breathing For Pelvic Health Jump Start Guide to start TODAY!!!


 About Sarah…

Screen Shot 2019-09-12 at 12.18.21 PM.png

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies!


Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.


Stop program hopping and do this instead!

Copy of Copy of Copy of Copy of Copy of Copy of Copy of Copy of Copy of Pelvic Health Help Sessions.png

We’ve been trained by fitness culture that we need to find the perfect program that works for our metabolisms, physiques, unique genetic makeup, personality type, you name it.

And while I TOTALLY believe that yes, we need to shop around for the training program and coaches or trainers that best meet us where we are now and are consistent with our values and goals, I have also learned that it’s MORE important that we understand ourselves and how we operate than it is that we program hop until we find the perfect Cinderella shoe-fitting exercise experience.

Like, “WHERE HAVE YOU BEEN ALL MY LIFE?” is in my experience, a rare sentiment when it comes to most programs. It happens, but not often.


When we take the time to know ourselves, how we operate, our habits, behaviors, work ethics…our truly personally meaningful goals, then we can make almost ANY training program work for us.
Because we modify.
We modify exercises, schedules, expectations, and workouts to BEST suit us.
 

  • If you’re an “all or nothing” personality, then you know you need structured movement plan for every day, because without the impetus to keep showing up, you quit.

  • If you’re a rebel, then you may find being told EXACTLY what to do, makes you feel limited, in which case, you need to learn to adjust your workouts in a manner that empowers you.

  • If you currently struggle with movement limitations or injuries, then there’s probably NO program that will work exactly for you without you having to make some decisions and modifications while you get to the bottom of your challenges.


The reality is that there is no such thing as a perfect fit and unless you are working 1:1 with a trainer (and even then) it’s difficult to find a program that is custom fit to you.

And what happens when it doesn't fit perfectly?
We quit. 

"I guess this wasn't the right program for me...."

Sure sometimes this is absolutely the case, but for my serial program quitters out there, I want to tell you THERE IS ANOTHER WAY!


Today I am giving you permission to STOP waiting for the exercise program that is the perfect compliment to you and START paying attention to how you work and making programs work for you.


You will have WAY more options in movement and exercise, feel empowered AND will become more consistent than you ever have before.


I trained for my RKC by following the recommended RKC training program, but my pelvic floor troubles and CRAZY schedule of a mom with 3 young kids prohibited me from following it exactly. 
So I used the framework but MODIFIED, MODIFIED, MODIFIED. 

Yes modifying a program also means that we have to modify our exceptions. 
I knew how long it took me to become prepared or even the manner in which I would be prepared would be different than someone that did the program EXACTLY as I did, BUT I also know that it was modify or do nothing. 
So I chose to modify. 


Afraid that you don't have the skills to do this because you're not a trainer?

I get that.
Here are some easy ways to modify a program or exercise even when you have no background in fitness. 
These are ALL strategies that I teach my clients to empower them to feel confident in movement EVEN when I'm not there to guide them!

  • Take more rest

  • Reduce the weight

  • Move more slowly

  • Use lighter weight and move faster

  • Substitute exercises-overhead work not agreeing with you? Find another way to work your arms

  • Reduce the effects of gravity-increse the incline of a plank or pushup, squat to a chair, rock on the floor instead of squatting, etc.

  • Use your pressure management breathing strategies to support your core and pelvic floor

  • Shorten your workouts so you can be sure to check in daily

  • Add natural movement practices to an "exercise" program like walking, crawling, rolling, getting up off the floor without using your hands

  • Carry heavy stuff



The options are ENDLESS once you feel EMPOWERED to make decisions and start funneling your energy into MODIFYING programs and exercises to meet you where you are.

Oh and by the way, great coaches are GREAT at offering you modifications.
So you get what you pay for when you buy an exercise program or course.
Keep that in mind!


Ok, so what can you do today to modify that DVD, PDF or past email with a free workout circuit from me to make it possible for you to get it done?

Need a modifiable kettlebell workout?
Download onehere!!!

Not into kettlebells? I got you. Click here for a 3 Day Exercise Formula that you can MODIFY!



xoxo,
Sarah

DSC_7217-2.jpg

Sarah Smith is a Functional Gut and Pelvic Health Educator and she’s on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS! 

She is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate, and published author with a Masters in Science. Sarah works online and in Raleigh, North Carolina. 

She loves her boys, her Savior, soil (good thing because her life is full of it), her bulldog, Bella, best friend and husband Jeremiah, coffee and not folding laundry.


If you want MORE information about YOUR pelvic floor and why you shouldn’t settle for incontinence, tailbone pain, discomfort and pain in intercourse, constipation, pelvic pressure and the feeling of organs in your vaginal canal DOWNLOAD THIS FREE GUIDE! 


Did you know that your tongue habits effect your pelvic floor?

The hypoglossal neurons that innverate the tongue are coordinated with the phrenic neurons that control the diaphragm. 

The hypoglossal neurons that innverate the tongue are coordinated with the phrenic neurons that control the diaphragm. 

What the heck does that mean?

It means your tongue, it’s position and activity throughout the day has the power to automatically or deliberately activate the diaphragm, signaling it to lower so you can breath better!

Struggling with to breath with the diaphragm, place your tongue on the roof of your mouth behind your teeth!
Then it can better tell the diaphragm, “Hey dude, contract so you can suck air into the lungs.”

Using our diaphragm to breath all day long ALSO tells the pelvic floor to move up and down through IT’S full range of motion.

What happens when we don’t breathing with the diaphragm?
Shallow breathing up into the neck and shoulders tells the nervous system to RAMP UP, making muscles twitchy leading to more pain and tense, stiff muscles, increased symptoms too!

This ALSO causes neck and shoulder pain and tightness.

SO if you have pelvic floor problems, and if you don’t, one of the BEST things you can start doing is practicing keeping your tongue the roof of your mouth throughout your day to become a more effective nasal/diaphragmatic breather.

By facilitating better breathing through the nose and with the diaphragm you help your pelvic floor move through it’s full range of motion so that it remains supple and responsive to better support your organs (ahem, prolapse peeps) and reduce tension and pressure in the pelvis (ahem, over-recruiters/Type A peeps).



It also calms the nervous system, which positively impacts digestion, mood, strength and symptoms, more on that later!

#themoreyouknow

Learn more! Click here.

DSC_7305-2.jpg

Sarah Smith is a Functional Gut and Pelvic Health Educator and she’s on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS!
Sarah is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate with a Masters in Soil and Agricultural Science. Sarah works online and in Raleigh, North Carolina.
She loves her boys, soil (good thing because her life is full of it), her bulldog, Bella, coffee and not folding laundry.

If you want MORE information about YOUR pelvic floor and why you shouldn’t settle for incontinence, tailbone pain, discomfort and pain in intercourse, constipation, pelvic pressure and the feeling of organs in your vaginal canal DOWNLOAD THIS FREE GUIDE!

No access to pelvic floor PT? Here's what you can do!

What can you do if you don’t have access to a pelvic floor physical therapist (PFPT)?

noaccesstoPT.png



I talk with women all over the world that suspect that they have pelvic floor and core problems, but have no access to a pelvic floor physical therapist.

I’m a HUGE proponent of everyone seeing a PFPT even if it means taking a road trip.
WHY?
Over-recruited and under-recruited pelvic floors can cause similar symptoms, but are different problems that to a certain extent require different rehabilitation programming, so it’s REALLY helpful to work with a PT because they can examine you, check your muscle recruitment and help you understand exactly where your pelvic floor and core are today.



BUT, sometimes that just isn’t in the cards.

So if we don’t have access to PT OR we only have limited access, does that mean we can’t do anything?



ABSOLUTELY NOT!

Whether you are in pelvic floor physical therapy or NOT here are some things that we ALL need to be working on


Breathing.

Get that tongue on your roof of your mouth and breath with your dang diaphragm.

Loosen your waistband and whip off that sports bra if need be to get a FULL BREATH!
Your core and pelvic floor will NEVER be as strong and powerful as they could be if you don’t learn how to RELAX those muscles and MOVE your diaphragm through it’s full range of motion.

Relaxed muscles can recruit better.



Body mechanics.

HOW you hold and move your body impacts the neurological signaling and muscle recruitment that happens AUTOMATICALLY in the body.
Basically, you are training your body how you want it to move and respond to movement all day long every day.
Just sitting holding your phone in your dominant arm with your back rounded and your head hanging throughout the day is like doing 100, maybe 1000 reps of that movement.

Whether you know it or not you are telling your body, MOVE LIKE THIS.

There are body mechanics and alignment habits that are MORE conducive to optimal recruitment of your deep core and pelvic floor muscles.
There are positions that help your incredibly important stabilizing muscle, the DIAPHRAGM move and communicate BEST with your abdominal and pelvic floor muscles.

And the best part?
We can work on these things ALL DAY LONG EVERYDAY!



How to get started?
Grab my “Connected and Fit” core and pelvic floor freebie here.

Copy of Sarah Smith Strength.png

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies!


Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.







Are you ready for the Overhead Press?

Are You Ready For Overhead Press .png

Did you know that pressing overhead isn’t appropriate for all bodies all of the time??

Alignment and recruitment mobility and stability of the shoulder joint JUST as important, if not MORE important than how “strong” you are.

You may be able to get the bell pressed up overhead, BUT can you do it using the best form and protect your shoulders from pain later?

If you press overhead and you don’t have the mobility to prevent flaring of the ribs or tilting of the pelvis, you can end up developing injuries or core and pelvic floor issues.

Pressing overhead is NOT a requirement for strength and fitness (unless you are doing an RKC or SFG kettlebell cert), so don’t feel like you’re weak or failing.

Kettlebells are AMAZING at highlighting the areas of our bodies that need a little extra attention and that’a a GOOD THING!

Check out my video below and then video yourself or press in front of a mirror and evaluate if YOU’RE ready to press overhead!

Train with kettlebells!
Take my 24 week kettlebell program designed to take you from beginner to expert in less than 6 months!

Check it out!

DSC_7305-2.jpg

Sarah Smith is a former athletic coach, personal trainer, level two Russian Kettlebell Instructor, postnatal fitness specialist and functional pelvic floor and gut health advocate with a Masters in Soil Science and Agricultural. 

She works online and in her garage gym in Raleigh, North Carolina. 

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University. She uses evidence-based strategies to help her clients grow strong, confident and capable in their bodies-even when struggling with pelvic floor dysfunction, pelvic organ prolapse, gut health complications and other injuries or health conditions. 

She is a mom to three boys and one English Bulldog. She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.







Three Damaging Pelvic Floor Rehab Myths

With increased awareness around pelvic floor problems, we are seeing more and more information on social media and even in the mainstream media about solutions to pelvic organ prolapse, incontinence and other dysfunctions of the pelvis.

For the most part this is a GREAT thing!
The more commonly discussed the topic, the more likely it is that women will feel less shame and embarrassment around the topic, but also that they will find SOLUTIONS!

3 Damaging Myths.png

But, as is often the case, drifting amongst lots of helpful and positive information is some misleading concepts and myths that will work AGAINST YOU as you try to rehab your pelvic floor.

Let’s check out some of the most popular ones in circulation!

Myth #1 Focus On The Floor!

I LOVE me some pelvic floor talk, but I have concerns. In insisting that the pelvic floor be considered, we have to be mindful of the message we are communicating.

We can’t ignore or forget it’s part of the whole, because...

IT’S PART OF THE WHOLE.

And we have to treat it as such.

In my personal experience and my experience working with clients I have observed that truly “strong” pelvic floors are the ones that work well and know their place.

They do their job, and ONLY their job.

They are surrounded and supported by strength.

They know how to relax.

They know when to work and how hard.

An anxious body, a dysbiotic microbiome, a pressure management system that is out of sync, or an imbalanced nervous system will all wreak havoc on a pelvic floor no matter how many kegels we do.

Let’s remember to #zoomout and acknowledge that pelvic floors have their own unique jobs that we want them to do well. They are supported and operated by our endocrine, neurological and microbiological (gut) systems, they have to work well with others and they can’t work alone.

Gosh, so much we can learn from these pelvic floors, eh??!!

 

Myth #2 Pilates and Yoga Are the ONLY Safe Forms of Exercise

For whatever reason, Pilates and gentle yoga have earned the reputation as the safe and ideal forms of exercise for postpartum moms and anyone struggling with prolapse or incontinence.

Like “Do your kegels, and then go do your Pilates and all your problems will resolve!”🤔🙄

If Pilates and yoga are your jam and you can find ways to do them that support your unique rehab process, i.e. they help you re-establish reflexive core stability, breath with the diaphragm, coordinate your PF with your diaphragm and recruit your pelvic floor optimally, then YAY!

But don’t kid yourself in thinking that these modalities are guaranteed to solve all of your pelvic health problems, because they ain’t.

And if you’re like me and you don’t want to be limited to those forms of movement and exercise, that is absolutely ok too!

You see, I’m all about that iron, particularly the kettlebell! To me it represents functional whole body strength and they are fun as heck to train with.

Besides that, there are countless exercises you can do with the kettlebell to build your body and support your core and pelvic floor.

Kettlebells come in many different weights, so you control volume and intensity of your movement. And with a handle that lends itself to all sorts of cool carries to help you train not just for sport, but for utility, because, hello, we have to carry stuff! Carrying kids, groceries, even just my body used to  increase my POP symptoms, until I started TRAINING how to be strong and manage pressure WITH kettlebells!

I’m not saying kettlebells are the End All Be All of fixing your pelvic health problems. They are no more of a panacea than #kegels are.

But they are an incredible tool that when applied well, can re-build strength in movement for clients of ALL ages and fitness capabilities.

And this can be said for MANY other forms of training besides yoga and Pilates.

Let’s stop limiting people to what has been deemed “safe” and let’s find things that inspire and address weaknesses!

 
Copy of Copy of Untitled Design.png

Myth #3 Tight and Tense= Strong

We put emphasis on the need for pelvic floors (and vaginas) to be “strong” but many women hear “tight” and “forceful” and so they practice squeezing and contracting.

•••

But the reality is that the optimal heath of the pelvic floor is SO MUCH MORE complex and wonderful than that.

Exclusively focusing on what we perceive to be “strength” can be insufficient for optimizing pelvic health and often times causes harm.

The pelvic floor has jobs to do and a range of motion to move through.

•••

If you define “strength” as the ability to do your assigned job well, then sure, let’s make our pelvic floors STRONG.

BUT if you think a “strong” pelvic floor is one that is tight, lifted, contracted, tense and/or rigid, then read this graphic a few times.

 
fullsizeoutput_14.jpeg

Sarah Smith is a former athletic coach, personal trainer, level two Russian Kettlebell Instructor, postnatal fitness specialist and functional pelvic floor and gut health advocate with a Masters in Soil Science and Agricultural. 

She works online and in her garage gym in Raleigh, North Carolina. 

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University. She uses evidence-based strategies to help her clients grow strong, confident and capable in their bodies-even when struggling with pelvic floor dysfunction, pelvic organ prolapse, gut health complications and other injuries or health conditions. 

She is a mom to three boys and one English Bulldog. She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move, in a non-creepy way.





Three ways the gut impacts the health of your pelvic floor.

✅Tissue regeneration-your cells are dying and regrowing all of the time.
Without adequate nutrient uptake, they don’t have the necessary building blocks to build the best new tissue possible, the muscle tissue that makes up your pelvic floor, core AND your biceps!

Nutrition matters, we know that, but a diversely populated gut microbiome that is adept at processing your food and helping you extract the nutrition from it while keeping food particles from getting into the the blood stream via leaky holes in your intestines is also key!

✅Inflammation-can occur for LOTS of reasons.

It can be a response to those food particles and other toxins leaking out of the gut into your blood stream where they are attached by the immune system leading to a chronic state of inflammation..

It can also become a consistent state that occurs because one of the chief jobs of your gut bugs is to help clear oxidative stress-a normal outcome of chemical reactions taking place in the body...

But if they ain’t there or they aren’t healthy and numerous, they can’t clear the stress and BOOM we got inflammation 🔥🔥🔥

And this inflammation doesn’t just stay in the gut my friends, it can be in the brain, the joints, the pelvic tissues...

✅Elimination

You know, like how and how often you poop?

THIS is mediated by the bugs in your gut as well!

They have NUMEROUS jobs that help to make your stool the right consistency for it to EXIT consistently.
You need fiber to poop well not just because it adds bulk to your stool, but because the microbes that are process and package your poop up to exit the body LIVE on fiber.
But when you have a compromised gut microbiome, eating foods high in fiber leads to bloating, cramping and LOTS of discomfort.


Without the bugs and their food source we can find ourselves in vicious cycles of diarrhea AND constipation or just constipation/dry, hard, difficult to eliminate stools

Constipation is a HUGE problem for both folks with #pelvicfloordysfunction and #pelvicorganprolapse.
In fact in my experience, my clients with an over recruited #pelvicfloor, aka #pfd, both constipation and inflammation are an issue.

Any of my clients with #prolapse, particularly, rectoceol, are WAY more symptomatic when they are constipated due to that extra pressure and straining or the presence of old expired estrogen and toxins that are being resorbed instead of exiting in their stool.

The gut is SOOOO important for our health and the health of our pelvic floors, don’t leave it behind when working to improve your pelvic health!

Listen to my podcast on how your GUT work and what you can do to care for it by clicking here AND use the search function to read the other articles here on gut health and pelvic health!

Do you leak when you lift? Are you afraid you're making your prolapse worse? Here's a simple strategy!

Manage Pressure with Breath Deadlift.png

Hey there!

I LOVE teaching women how to lift heavy things, but I ESPECIALLY love teaching them to LEVERAGE their breath and power to accomplish any physically challenging task.

You see, your breathing cycle is more than just about getting oxygen into your lungs (to oxygenate your tissues) and getting carbon dioxide (expired air) out, it’s part of your body’s natural ability to MANAGE PRESSURE.

Do you struggle to manage pressure?
Here are some clues that you might:

  • You leak when you exercise (sneeze, cough or laugh too)

  • You see bulging or doming in your core when you exert yourself

  • You hold your breath and brace to feel strong when lifting something

  • You feel pressure in your vagina after a long day or exercise session

  • You have chronic low back pain and feel loose in your core


While learning to manage pressure is a concept that is covered IN DEPTH in my upcoming course, Connect Your Core and Pelvic Floor, today I am showing you some breathing cues to help you perform deadlifts AND kettlebell swings withOUT bearing down on your organs to brace yourself and feel strong in movement.


Check it!

Training with kettlebells can either help OR harm your core and pelvic floor. It all comes down to how you manage pressure and move your body. Check out this video on how to breath during the deadlift AND kettlebell swing!

To PRE-REGISTER for my Connect Your Core And Pelvic Floor course and have access to DISCOUNT pricing, complete the form below!

Copy of Copy of Copy of Copy of Copy of Sarah Smith Strength.png




Office chair options for pelvic health

Think about sitting in terms of reps.
If you sit one way all day long everyday, that’s THOUSANDS of “reps” you are doing.
Thousands of reinforcements to the nervous and musculoskeletal system to move and stay in this one position.
If we want to maintain health of our muscles and nerves to remain capable and balanced, we need to be moving our respective parts (including the pelvis ) through their FULL range of motion.

Read more

Zooming out from our health problems to get perspective, answers and real solutions!

Zooming Out from Health Problems.png

I'm sort of on a roll this week with blogs posts and emails, but I have so many things that I want to share with you, that I sort of can't even help it!

Today I want to chat briefly with you about perspective. 

In the West, our healthcare system is largely one based on treating symptoms. 
We experience a problem in a specific part of the body and both we and our healthcare providers often problem solve as if the problem originated in said part.
Consequently, the treatment is solely focused on this one area. 



For example, if you go to the doctor with persistent knee pain, they will typically recommend you:
take an anti-inflammatory,
wear a knee brace, 
receive steroid shots to the knee
and if all else fails, get knee surgery. 


But ALL of theses solutions are about STOPPING the uncomfortable symptoms that are coming from the knee, which is in actuality a RESPONSE to other issues taking place in the body. 


Anything from the hips, to the ankle, toes, pelvic floor or head position....
diet, stress management, shoes, movement habits and lifestyle...
is IN FACT OFTEN behind the knee pain, but we are often so ZOOMED in on the location of problem and consumed with stopping the symptoms that we fail to realize that the knee's current state is not because of the knee at ALL, but due to many other factors. 




I see this same problem a LOT with the pelvic floor. 
I receive emails and DM's all of the time from people that had prolapse corrective surgery and how find themselves having symptoms again. 


This is because the surgery only took care of the symptoms of a larger problem of strength, stability, pressure management, lifestyle and tissue health. 
 

  • Surgery doesn't change the health of your gut microbiome, which determines the health of your pelvic tissue and hormones.
     

  • Surgery doesn't stop constipation, change your breathing habits or how you regulate intra-abdominal pressure. 
     

  • Surgery doesn't sustainably lift your tissues or teach you how to move in a way that activates your pelvic floor as needed. 


And so because surgery is often just a big ol' expensive bandaid, we find ourselves back in the same ol' pickle. 

**There are absolutely instances when trauma merits surgery and or situations where we need surgical intervention to stop or slow damage to the body. But even with surgery, it's imperative that we not see it as a solution, but as something that is staving off problems...and the problems will return if we don't change how we live!



THIS is why I advocate that we all take a step BACK from our health problems and try to better understand the many other aspects of health in our body, to which our problems can be related. 


When I hurt my shoulder, I tried stretching it and resting it...but I never got any healing or was able to move past the chronic pain until I sought out someone that understand how my shoulder was responding to my ENTIRE body's movement mechanics. Shoutout to Kate Galliett!



And when I developed prolapse, my breakthrough moment that lead to progress and healing was when I began to understand that my prolapse was only sort of about the pelvic floor, but was MORE about how I was carrying my body around all day long every day...
how I was breathing....
how my body was struggling with major gut dysbiois and this was resulting in malnourished tissues and elimination struggles
and lastly
how my stress and failure to take care of my body was increasing my stress response and worsening symptoms. 


And so today, whether it's pelvic health, knee pain, food struggles or motivation to move and train your body, I want to encourage you to zoom out!
Whatever narrative you've created about your pain or condition, I want you to put it on the shelf today. 


Instead of "I have a bad back", consider that your back pain is a message to you that something or things in the body aren't functioning optimally. 

What is it connected to or impacted by in the body?
Your hips, abdominal muscles, glutes, shoulders, feet....

How often do you "train" your back to be strong and able to do the things you need it to do?
Even standing or sitting up straight takes energy and work!

Do you simply stretch it, or do you build it and its capabilities?

Is back surgery or pain reliever going solve the root cause of your problem?

If you stick your finger in the back pain "hole in the dike" will the water start coming out another area of the body? 
Chances are pretty great that it will. 



Instead of, "I have always been a fat kid" or "I can't help but binge at night", "I don't like moving or exercise," 

Stop blaming yourself or your body and find all the tiny or big threads that are attached to these actions and tendencies and see where they lead you?
What is this behavior a RESPONSE to?
What is it telling you about yourself and your life and what's ONE little thing you can do today to try to address the LARGER issue?

And most importantly, where can you find someone that can HELP you get perspective and zoom out??!!


For ease of understanding and discussion, we have split up the body into lots of little pieces and given those pieces names. 
But make no mistake, EVERYTHING is connected. 
Zooming out from your problems is going to give you PERSPECTIVE and OPPORTUNITY to find LOTS of different solutions and areas of impact in t he body to calm your pain and give you LASTING healing. 


Which reminds me, you are invited to join my seminar on mindset strategies I employed to finally get some healing from my pelvic health struggles!
If you're struggling now, still battling the same level of symptoms you had when you were diagnosed or WORSE, then you're going to want to attend. 
It wasn't until I got my MIND right around my prolapse, that I was able to find solutions, strategies that worked and healing!
Come join us!

SIGN UP HERE



xoxo,
Sarah Smith 

IMG_0267.jpg

Sarah Smith is on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS!
She is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate with a Masters in Soil and Agricultural Science.
Sarah works online and in Raleigh, North Carolina. 
She is a Believer, wife to her best friend, Jeremiah, a mom to three boys and one English Bulldog.
She loves soil, coffee and not folding laundry. 
Come follow her on
Instagram or Facebook.

From bitters to breathing, here are FIVE things I bet you're not doing to help your gut and pelvic health struggles

Body_Cavities_Frontal_view_labeled.jpg
5 ways to Improve Gut Health.png

The gut (pink area #3) and the pelvis (green, #4) are CLOSELY related neighbors.
When once is in suboptimal condition, often the other suffers!

These two important parts of the body are so tightly linked to one another as well as OTHER systems in the body.

Therefore it’s in our best interest to “zoom out” , stop hyper-focusing on our pelvic floor struggles, begin to look for other problems that we can address in the body to improve the health and function of our pelvic tissues.



Today I’m giving you FIVE action steps you can take to improve gut and pelvic health and restore balance to the body!





Let’s start with adding more bitters to your diet


Photos from Country Living Magazine

Photos from Country Living Magazine

What are bitters?
Bitter greens like chicorydandelionarugularadicchio, endive and burdock.
Licorice, gentian root, artichoke leaf, mugwort, black walnut leaf, sarsaparilla and there are manyY more!

What do they do?
We are STILL learning about the many benefits of bitters, but the quickest explanation is that because they have a strong and pungent taste, like a poison, but do not have an poisons properties, the brain signals to the digestive tract to GET TO WORK!
The liver begins to detoxify and digestive juices start flowing to help the body process what’s coming down the pipe.
Bitters are “cooling” so they help to reduce inflammation which can results in anything from a reduction in stress to pain!


Why are the beneficial?
Consuming bitters stimulates the release of gastrin, a digestive hormone that signals to the body to secrete saliva, hydrochloric acid, pepsin (a digestive enzyme that breaks down food), and intrinsic factor (responsible for vitamin B12 absorption).

The liver and the gallbladder produce and secrete bile in response to bitters, ALSO helping with the digestive process.

If you’ve read my other blogs on the gut/pelvic floor connection, then you KNOW that digestion is DIRECTLY related to the health of the pelvic floor.
Tissue health confers structural stability and responsiveness to neural signaling and requires adequate nutrient absorption and nourishment.
The better we digest and absorb nutrition from our diet, the better our tissues and muscle health.
When we are malnourished, we see muscle wasting and a lack of regeneration of tissue.



Additionally, sluggish, inefficient digestion causes constipation or a viscous cycle of diarrhea and constipation.
Straining in the bathroom applies lots of pressure to the pelvic floor.
Anyone struggling with rectocele OR an over-recruited pelvic floor, knows how important, easy, routine elimination is for their pelvic health and comfort.



Bitters stimulate the liver and therefore help it to better do its job!

Because bitters are a “cooling” chemical, which means they can fight inflammation that is causing your pelvic or abdominal pain. (reference)



For more reading about the benefits of bitters click here and here.




How to incorporate bitters?
First! Always ask your healthcare provider/functional medicine doctor before starting any supplements.

1.Drink dandelion root tea daily. This is a SUPER mild and low dose of bitters that you can easily incorporate into your diet. There is such things as too much of a good thing, so read the box to see how many cups per day are recommended and START slow!

2. Eat more bitter greens! Arugula, radicchio, chicory, and artichoke leaf can all be easily added to a salad and grown in your own yard or container garden on a balcony!






Moving on to training the parasympathetic nervous system…

Market Watch .com

Market Watch .com

I can not stress enough how important it is to train your body to spend LESS time being stressed.
I have ALL of my clients train activating the parasympathetic nervous systems throughout their days and in their workouts!

Many of us, especially those with Type A personalities like me!, are living our lives in a chronically stressed state.
We have shallow breathing patterns.
We tense our bellies.
We clench our jaws.
We go, go, go until we crash.

You and I, we need to train ourselves to spend MORe time in the parasympathetic mode of our nervous system, rest and digest, vs. FIGHT OR FLIGHT!


Why is this important?
When we are in the sympathetic mode of the nervous system (fight or flight) our body chemistry changes. We create more acid, cortisol, and adrenaline.
This makes our muscles tense and twitchy. We are over-stimulated and often times have difficulty being present or mindful of our decision.
Blood flow is diverted away from the intestines to the heart, muscles and brain so that we can ReSPOND quickly, but health of the gut, digestion and nutrient absorption suffers.

When we chronically produce adrenaline and cortisol, over time the body becomes LESS sensitive to them and we then have to resort to stimulants like caffeine, sugar, lots of exercise and taking on more and more projects to feel good and energized.

Why does this impact pelvic health?
Well it impacts your pelvic health in any number of ways.

  1. Digestion and elimination is compromised which again causes lack of nourishment to the tissues and elimination struggles like constipation.

  2. The health of the gut microbiome suffers too because the loss of blood flow and constant stress kills your good bugs. Your good gut bugs reduce stress and inflammation in your pelvic tissues and hormone regulation. Without them you can experience and increase in pelvic pain or symptoms of prolapse.

  3. Fight or flight mode means shallow, short breaths and the diaphragm is NOT moving through its full range of motion. This impedes adequate relaxation and recruitment of the pelvic floor, pelvic position and core stability (check out my handout here) which will increase or worsen you symptoms, stall your rehab!




What can you do?

In extreme cases, some individuals (and this is becoming more and more common) need vagal nerve therapy. The vagus nerve is what tells the body whether it should be in the parasympathetic or sympathetic state of the nervous system.
When it comes disregulated from trauma, surgery or chronic stress, sometimes it needs to be “reset” so that the body can re-learn how to move smoothly in between the two modes of the autonomic nervous system.

But let’s say you don’t have signs of vagus nerve dysfunction, here are THREE more things you can do YOURSELF to stimulate the parasympathetic mode of the nervous system.

3. Stomach massage

Massaging your own belly and manually moving around abdominal contents can help to relieve stress, and tension and relax the body.
Massage in a counter-clockwise direction and don’t every push on anything painful.
Working with a bodywork specialist and having them demonstrate how you can self-massage is a GREAT idea!
Click here for more info!
Bonus, if you’ve been struggling with digestion or constipation this should help!
If you are experiencing an increase in prolapse symptoms or over-recruitment, this can help to relax the tension in the belly and pelvic floor and take pressure off of your pelvic organs too!




4. Diaphragmatic breathing practice.
Breathing with the diaphragm (tongue on the roof of your mouth, inhaling through the nose) is a sure way to calm the body and get into Rest and Digest mode!

If you are prone to stress, it’s a good idea to do some diaphragmatic breathing right when you wake up, before you go to sleep, before your workouts, and periodically throughout your day. Set an alert on your phone!!

When I feel symptoms of pelvic floor tightness or prolapse OR feel like my digestion is suffering, breathing has ALWAYS helped to decrease the symptoms and calm more mind and body.

If you’re never practiced it, start here and here.




5. Start ROCKING daily!

Screen Shot 2019-04-12 at 9.53.27 AM.png


Rocking on all fours creates space in the pelvic and abdominal cavities. It calms and soothes the body and it’s how you learned posture and alignment in the first place as a baby!
Rocking can be a TOTAL game changer, if you do it consistently.
It will calm you AND set you up for future diaphragmatic breathing success, because of how well it aligns your body and facilitates the movement of the diaphragm.

Get started with it here!

If you’re ready to get serious about your pelvic floor problems.
If you’re trying to avoid surgery but are tired of this subpar existence that has you sitting on the sidelines and struggling to feel POWERFUL in your body.

Then you have to check out Hold Up! The strategies I teach in this course address the root causes behind your prolapse and will help you find HEALING while conquering your prolapse!

Come and
learn more!



IMG_0345.jpg














Sarah Smith
is on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS!
She is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate with a Masters in Soil and Agricultural Science.
Sarah works online and in Raleigh, North Carolina. 
She is a Believer, wife to her best friend, Jeremiah, a mom to three boys and one English Bulldog.
She loves soil, coffee and not folding laundry. 
Come follow her on Instagram or Facebook.





The first steps to healing after prolapse?

For months after my pelvic organ prolapse diagnosis I was distraught, frustrated, depressed and angry.

I was afraid to move, lift, sneeze, squat, bend over, pick up my kids….


I felt lost with absolutely NO direction for how I should go about my days.
Sure my physical therapy had provided me with exercises, but how do I MOVE? How do I LIVE??


There were months of wrestling with all this, up late at night searching on Google, reading forums and articles on prolapse in which all of the information was so doom and gloom….providing no hope whatsoever…
One evening, I was on my computer in middle of night searching furiously for answers or a glimmer of something positive and stumbled upon a forum in which a Crossfitter was posting about prolapse.


She was explaining how she too had prolapse, but had figured out strategies that allowed her to continue training.

I stopped dead in my online tracks.

Someone with prolapse was STILL TRAINING?
Not only that, but they were doing CROSSFIT?

But I had been told not to lift anything, not to walk downhill???
What the heck?!


I immediately felt hopeful, relieved even.
This sparked a desire to become innovative, so that I could get back to lifting!
I started to consider that prolapse, although not really a solvable problem, it was something I could tackle and work with, around or through.



I went to bed that night with feelings of peace and determination, knowing that tomorrow, I was going to start doing things differently.
And so I did.
I stopped researching prolapse and got to work researching the pelvic floor, it’s function in life and fitness.

I realized that if I could better understand how it was supposed to work, then I could try to solve my prolapse problem and at least decrease my symptoms and get back to what I loved, which was lifting.


That lightbulb/hopeful moment for me was in 2016 and it sparked a cascade of mental and physical events.

  • Five months later I earned my Russian Kettlebell Certification.

  • Six months after that, I found boldness around this issue and a passion to help other women feel less alone and started speaking out about pelvic organ prolapse and pelvic health struggles publicly online and in my business.

  • And in another 6 months I earned my Level 2 Russian Kettlebell Certification, an incredibly challenging and physically demanding two kettlebell certification




There was a lot of physical work, healing, rehab, re-learning of movement that went into rehabbing my pelvic organ prolapse and earning my kettlebell certifications, but the single most IMPORTANT change I made in my life was changing how I thought about my prolapse and my body.

Even now, when I have bad days, symptom flare-ups, regrets and frustrations about what COULD HAVE BEEN, it is the MENTAL work that makes ALL of the difference in my life.

And so I’m sharing the FIRST TWO steps from my FREE seminar, Kettlebells Over Kegels: mindset shifts for conquering pelvic organ prolapse.

This seminar is about how I shifted my movement and mental strategies from a place of FEAR and FOCUS on prolapse to a place of PERSISTENCE, DETERMINATION STRENGTH and a SYSTEMATIC understanding of my prolapse in the context of my whole body!

This is the system that worked for me.

Step 1: Stop looking back.

Anyone with prolapse can tell you that anxiety about prolapse intensifies symptoms.
Our fear and feelings of regret ABSOLUTELY fuel these anxious feelings and not only limit or stall our rehab process, but can even make things feel WORSE!!!


You don’t ACTUALLY know what caused your prolapse.
Sure tearing during birth, long labors, gut health and elimination struggles, interventions like forceps and and vacuum suction, high BMI, diabetes and insulin resistance, poor tissue health and hormone struggles are risk factors for prolapse, but what caused those things to happen to us?
Movement mechanics before and during pregnancy?
And inability to relax the pelvic floor before and during labor?
Antibiotics, pathogens, stress or nutrition habits that recked our gut microbiome?
Lack of support during our birthing process??

We could drive ourselves MAD trying to tease out the ACTUAL cause and the reality is that there was most likely a cascade of events and risk factors that got us where we are now.
And we can’t go back.
We can’t reverse time or prolapse.
BUT we CAN absolutely move PAST it and work WITH it!

Looking back and fixating on what was or what should have been, prevents us from moving forward.
It limits our growth because our goal, the direction we are trying to move in, it’s in the past.
It’s an impossible destination.

I think you’re getting that now.

It was when I STOPPED obsessing over mistakes, anger about ALL the things no one ever told me and ALL the things I shouldn’t have done or could have done, that I began to make progress.

I started to funnel all that energy into creating and working towards are new goal: getting back into to movement with prolapse and reducing my symptoms as much as is possible, taking it one day at a time.

I decided that I could blaze a NEW trail, not just for myself but for ALL WOMEN struggling with prolapse!

Because at the end of the day we know two things:

  1. There is NOT enough research on prolapse, the causes and or what ultimately happens to women with the right support,training and therapy.


  2. We, the women of 2019 that have pelvic organ prolapse, we are writing history. We are defining the future of prolapse for ourselves and for others.


    We HAVE to believe that.
    We HAVE to live that as best we can.
    We have to surround ourselves with others that share this belief, so that when we feel like we are floundering, they can ground us.




Step 2. Zoom out, Stop hyper focusing on the pelvic floor and begin to understand the system in which it operates.



For me, laying on a table, kegeling with a machine attached to my body, hyper-focusing on forcing my pelvic floor, all by itself to return to its previous state was NOT working.
In fact, it was making things WORSE.
In the days after my PT, I would experience more symptoms and feel more depressed about my progress, than ever.
This is NOT because PT was bad, but because what I did in physical therapy wasn’t making up for how I was living my life outside of the PT office.

The pelvic floor, just like EVERY OTHER PART OF THE BODY, does NOT work in isolation from itself.
And if you’re like me, even before prolapse, it wasn’t working so great, by itself or with the other parts of my body.

This is why I named this seminar “Kettlebells over Kegels” because to me kettlebells are symbols of:

  1. Functionality

  2. Whole body communication and recruitment

  3. Strong and mindful movement




And THAT’s the approach that informed MY HEALING!
Understanding and working towards improving the functionality of my pelvic floor required that I understand it in the context of my whole body and that I become mindful about how it responded to and supported my daily movements, both in and out of the gym!

Kegels aren’t bad, they’re just like isometrics in exercise.
They have a place and a benefit for teaching your body where you want it to go, but they are only one strategy and they should only be used to teach a particular part of the body what you want it to do in the context of the whole entire system.
They are only one part of the story and for some people, they have no business being in the story at all.


Kegels are ONLY helpful for women that have difficult recruiting their pelvic floor, but not every women with prolapse has that exact problem.
Some women have been kegeling their whole life and still have prolapse.
Some women have SUPER active parts of their pelvic floors while others are weaker and non-responsive and a Kegel alone is not going to help that. It can even make things worse.


Zooming out was an empowering (although a little overwhelming) experience because it helped me to see all of the OPTIONS I had for restoring health and function to my pelvic floor.


If you’ve been spending all of the time since your diagnosis zoomed in on the pelvic floor, trying to force it to comply with your desired for healing and reduction in symptoms, try taking a step back and thinking about ALL the other pieces of health that connect to your pelvic floor.


  • Diet, nutrition practices, digestion and elimination (pooping)

  • Stress, anxiety, depression

  • Breathing habits

  • Hormone struggles

  • Daily movement practices

  • Alignment habits


All of these pieces of your health impact your prolapse and vice versa!
If you’ve hit a wall with your prolapse therapy, try looking at these issues either on your own or with a professional to see if there’s some work that you can do to improve the overall function of your WHOLE SYSTEM.
Everything is connected!

To continue learning about mindset shifts for conquering your pelvic organ prolapse, pre-register for my online seminar here.

DSC_2131-2.jpg

Sarah Smith is on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS!
She is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate with a Masters in Soil and Agricultural Science.
Sarah works online and in Raleigh, North Carolina. 

She is a Believer, wife to her best friend, Jeremiah, a mom to three boys and one English Bulldog.
She loves soil, coffee and not folding laundry. 
Come follow her on
Instagram or Facebook.