Myranda Reimer Physiotherapy

Part 1 This past week I had a couple of people reach out to me. They shared their past experiences with pelvic floor physio. Frustrated, they were reaching out to see if there was anything else they could do about their symptoms! The gap in my experience - all their exercises were lying down, while their concerns were in upright, active positions!... Now, don't get me wrong exercises lying down can be a great place to start! And typically (but not always) pelvic floor muscles assessment is done lying down and is done in lying for a couple reasons. And sometimes that's all we need, awareness to the muscles and understanding where they are and how how are managing to help guide that change upright from a lying internal or external assessment. BUT that's not the only option, and not the only approach I take! You want to be active, let's look at those movements!! Bridging the gap between what our muscles are doing at rest and during exercise is a very important and doesn't come with entry to practice courses! Advanced training allows me to better understand the demands of the pelvic floor during everyday movements and exercises like lifting, carrying, running, jumping, you name it! Let's work together to connect the dots between lying down and the movements you love!

You don't have to leak urine like all the other mothers before you. You don't have to have pain or experience other symptoms that limit you. And spread the word to others because, it's never too late, there is hope for them too!! We don't have to settle for the experience of others, especially when it comes to pelvic health concerns! There has been a lot of progress in research and clinical approaches over the past decades that destroy the old myths. And also address stigma ...and stereotypes that are associated with living as a female, becoming a mother, or that symptoms only happen when we are older... We live in a time where info is more readily available (pick your sources wisely) and where there is more information to support commonly shared experiences, such as bladder leakage, prolapse and pelvic pain. We are in this together! It doesn't necessarily mean it's an easier journey, but to me it means that if we want to make change for ourselves, the options, the choices and the support are there! We just may need to choose the best time for ourselves, find a support who is willing to listen and provides the guidance that best suites us and then create a plan that is flexible! #thereissomuchhope

This and every day I am so grateful for my mother! It is a pleasure to work with so many mothers within my line of work. I learn so much by listening and providong support for mothers! There's no secret being a mother, any kind of mother brings about challenge and growth! I find so much strength in all mothers who have come before me, including my own momma ... Happy any kind of mother's day!

Welcome to my page and thank you for following along! I thought I'd share some fun facts about myself and want to hear some about you as well! 1. I grew up on a farm down by Swift Current. Our farm was north of Waldeck, the small town that I went to school in! I am still proudly a Waldeck Warrior and cherish all those legendary memories and friends! 2. I love jump rope and used to skip 10-15 minutes before every workout. Just something about the rope! And I want to start lear...ning some of those moves/dances people have been showing! Who's with me?! 3. From a young age I've used visualization and self affirmations to help me cope with anxiety and depression. Mental health is something I've had challenges with since a young age and I know I'm not alone. Let's band together to raise each other up! We are in this together! It would be great to learn some fun facts about you!!

Athleticism is a spectrum and I consider it a very important part of my job to help you understand and provide practical support to support women across this spectrum! Whether your goals are to keep up with your kids or run a marathon, you can!! Moving your body with confidence and strength doesn't have to end when motherhood begins. And reframing that our abilities and worth are independent of our physical appearance!! ... Our bodies are strong, resilient, capable and adaptable. Even though we go through change. Even though there may be pain or symptoms and although it may take time, take making adjustments and challenge us like never before, you can continue to be the athlete you always have been! All women are athletes in our given choice and ability and deserve education and resources to support the journey we want for our health, fitness and family! Share below the ways you are an athlete and how you love to move your everyday body!!

The pelvis is only one part to be considered when we experience pain or symptoms but for many it is the an area never explored as an option in addressing concerns! So many share only now hearing about the pelvic floor muscles or pelvic health physio after years of concerns. Better late than never, but we have to do better in regards to providing educational resources for pelvic health! The pelvic floor muscles are the bottom team memebers of the core and it can be rewarding t...o consider them during pregnancy, postnatal, or if your having low back or hip pain. It is never too late to learn more about your pelvic health, as long as you are in a place to start that new part of your journey! How has learning more about your pelvic health changed your life?

Reach out anytime to share and ask questions! I believe in the opportunity for all to have access to resources and supports that you want to learn more about or services you want as you continue on your journey! I am here to offer my ear to help provide that for you, just as I wish for myself and my family! And if you are looking for another kind of support, reach out and I can help direct you to a number of other professionals that can provide you with excellent support!

Labor & Delivery Physiotherapy Ask questions in-person or virtually and receive guidance for: Pain and comfort measures for yourself and with support of your partner... Positions for laboring and delivery Pelvic floor muscles and pushing Perineal tear education and massage Information about cesarean birth (1 in 3 babies are born this way in Canada!) Advocating your birth preferences to your care providers in regards to pain management and medical interventions (forceps, vacuum, episiotomy) What to expect the first weeks of postpartum This is not an exhaustive list, your questions are important! Support partners are always welcome and encouraged to join!These sessions are offered in-person and virtually and are billable through private insurance. Tag your friends and family below! What was helpful for you to know, or what do you wish you knew prior to your labor? #Saskatoon #YXE

We can't be separated into pieces!! Advancing research speaks to the importance of discussing ALL factors that influence our experiences. Within Healthcare, the approach that considers all factors is known as the Biopsychosocial Approach. Also known as holistic care. Bio = Biology = our Physical Body and all that comes along with it: Muscles, bones, connective tissue, hormones, organs, etc. Traditionally, this is where Physio placed all of our attention, but now a holistic ...approach is taught in school. After graduating, I actively pursued mentors that advocated and practiced a holistic approach because personally and professionally I witnessed the benefits. This is an important consideration when we present with pain or symptoms, but not where it should end... We simultaneously have a physical and mental experiences. Psycho = Mental/Mindset = Emotional. For too long this area of care has been set to the side, but the more we research the more we are learning how our mental influences our physical body! Again, this relationship goes both ways. For example, within pelvic health, research has found a relationship (not cause) between depression and urge incontinence. There are other examples that highlight the importance of consider each other as Intellectual beings living inside of physical bodies. As a physio, I am not a psychologist but appreciate the importance and continue to learn about the mind body connection and help link you with more qualified practitioners! Social = Connection to others = Support = Environment. In some cases the support we have either helps or hurts us. Now, more than ever we are learning the importance of staying connected to others, the impact of our environment on our mental health, which we know influences our physio health. I also chose the word connection because it also helps to acknowledge how strong of a connection we have between our mind and body, and our Central Nervous system seems to be the strong bond between our body and mind! What are yours thoughts on the most optimal approach to your health and wellness?

Language matters when we are looking for guidance for our health & wellness! When I hear the word can, I hear options! An oppurtunity to choose depending on what you think will be best for you and help you on your journey! Should statements put us in a pressurized box.... For example, some providers may take away choice by saying "you shouldn't do crunches in pregnancy". "You shouldn't run if you have prolapse or leakage". This is a bit different, but ever been told you shouldn't eat or wear certain things?! What about... "You may do crunches in pregnancy, but it may also be an option to try some other movements that provide the same stimulus as a crunch, but may not cause as much pressure. Would you like to go over some other options?" This is a convo I had with a lady on Tuesday. "If you are okay with some leaking when you run, let's keep some runs in your week! You told me how important running is to you!" Her body, her choice. We made a plan for day to day pelvic floor awareness and strengthening exercises along with her runs! Advice is about supporting autonomy; the right of self-government! This is the way when we work together

All births are equal! Abdominal births aka cesarean sections or belly births deserve just as much support for healing, rehabilitation for day to day and considerations for returning to exercise, as a vaginal births! And in many cases it is an oversight that the pelvic floor muscles might not need support either. This isn't always true... Regardless of laboring prior to a csection or choosing an abdominal birth, the pelvic floor muscles still experience changes during pregna...ncy and may need some rehab after. If you have questions about healing and returning to exercise after an abdominal birth, please reach out! Over the past years I have taken course specific to our abdomen, abdominal muscles and cesearean sections. Tag a friend below or share with some one you think may benefit! Please also share any tips or supports that helped you move forward after your abdominal birth!! #saskatoon #saskatchewan #yxe #yxelocal #pelvicfloor #pelvicfloorphysicaltherapy

Leaking might not be a strength issue! The oldest approach to leaking is contracting the pelvic floor muscles and suggested approaches the only reason for leaking is pelvic floor muscle weakness. It could be, but it is not the only reason! If you have gone the squeezing and holding route with no success, it might be time for a different approach!... Bladder leakage might occur for a number of reasons including weakness, increased tension/"tight" muscles, loading beyond current capacity, and pain to name a few. Thinking about the pelvoc floor muscles like a mini trampoline at the bottom of our pelvis can help us understand how we need strength but that strength with dynamic movement needs to be dynamic strength! We need the muscles to be able to contract and move up and down, just like how a trampoline absorbs us with dynamic tension as we landscape! Is the trampoline visual helpful?! If you like this approach, reach out to learn more! #Saskatoon #YXE #PelvicHealth #PelvicFloorMuscles