WEBVTT
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Welcome to the Essential Pelvic Health Podcast, where we break the silence on the topics that matter most to your well-being.
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This podcast is for all gender diversities, for individuals looking to better understand their bodies, and for medical and wellness professionals looking to better support their clients.
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I'm your host, Laura Rowan, proud pelvic health occupational therapist, helping clients and clinicians live their best lives through pelvic rehabilitation, education, and advocacy.
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Join us as we explore the ins and outs of bladder, bowel, and sexual health.
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No topic is too taboo.
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We'll also dive into the role of hormones, the nervous system, and of course the pelvic floor to empower you to self-advocate for the care you deserve.
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Together, let's unlock the secrets to a vibrant life so you can keep doing what you love and feel good doing it.
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Welcome to the podcast.
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Today we are diving into a specialized area of pelvic health that often feels like the final frontier for many clinicians: colorectal health.
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Joining us is a pelvic health expert to discuss the essential pelvic health colorectal manual assessment and treatment techniques course, often referred to as chromat.
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This is a tuna education course that I created.
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And we're going to talk about how it's changing the game for practitioners.
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Jessica Hammond is going to be the chromat instructor for the lab portion of the upcoming chromat lab October 10th in Pittsburgh.
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And Jessica, you took Cromat, the pelvic rehab course in 2021.
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Then later that year, you took the colorectal course and you've TA'd for the colorectal course.
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You've been an avid mentor, creative member, as well as a clinical contributor.
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And now you're going to be the lead instructor.
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Welcome.
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And please tell us a little bit about where you are, where you're working, and how you're supporting colorectal GI and bowel health for your community.
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Sure.
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Thanks for that introduction, Laura.
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I'm Jessica Hammond.
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I'm a public health occupational therapist.
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I've been an outoccupational therapist for over 20 years, and I've been working in pelvic floor therapy for well over seven.
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I work at a hospital.
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I do outpatient therapy.
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I have a full caseload of pelvic floor therapy.
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I see patients five days a week.
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When I first started out, I was kind of thrown into it with having to do a lot of colorectal assessments.
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And this course just fit perfectly in for me to help hone my skills.
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So I'm so thankful that Laura created this course because it's really helped me a lot.
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Yeah, when I created Pramat, I had a lot of follow-up questions, like when are you gonna put together a colorectal course?
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And I was like, well, let's do it.
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And uh it worked out great.
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And your questions in the mentor creative, like for the ongoing support, were definitely leading you in the direction of needing more information.
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Because you can certainly get started without that, these advanced techniques, but you kind of found out pretty quickly that you need you needed them to supplement, especially the specific referrals that you were getting.
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Oh yeah, that it was definitely intense for a while, but I was so thankful you created that course.
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Awesome.
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And then um, so to start us off, there are many colorectal courses out there.
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What have you taken in the past?
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And more importantly, what stands out about Cremat compared to the rest?
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Yeah, so obviously I've explored a lot of different uh courses, certifications, and and Cremat was really unique because it didn't just look at the anatomy just in isolation, it was integrating the whole system.
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Whereas other courses might focus on just like the local mechanics, the Cremat really provides that holistic lens and it really bridges the gap between the theory and that advanced clinical application that I really needed with the folks that I was seeing, because they were not just basic uh constipation.
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Uh, they were folks that had had major colorectal cancer or surgeries or ostomies and reversals.
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So I really needed that understanding, but it's definitely helped me with some of the other patients I'm seeing too, like the postpartum population, um, the folks that are really eager to get back to running, or um, even just the urinary incontinence folks.
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So yeah, it seems like everybody has some sort of colorectal thing going on, and having this course just key for sure.
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Yeah, and and that's I'm glad you you brought that up because just you know, the colorectal course doesn't just treat colorectal symptoms, and a lot of times our clients aren't coming to us for the colorectal symptoms, but they are secondary, and it's if we can treat that, then the other symptoms like bladder incontinence or painful intercourse can be cleaned up, or sometimes doing intravaginal treatments and interventions for someone with vulvadinia or or painful intercourse, they can't tolerate that.
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So you can do the intractal and then you can actually interact with the structures without irritating and inflaming things.
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Exactly.
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Yeah, that that was one of the biggest takeaways I got too, is just a better understanding of that and that that diversity, that ability to to affect the muscles in a different way.
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Yeah, different, different perspective.
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Perspective.
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Okay, so that sounds comprehensive.
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Could you walk us through specifically what is covered in that curriculum, right?
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Sure.
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And I can help you too because I yeah, yeah.
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I I I remember really liking um the intra rectal work, obviously, and and being able to try different positions.
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You weren't just lying on your back or lying on your belly, you know, we were able to get up and move and try different different positioning or different positioning of the patient.
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I really liked um the ability to work on some fascia mobilization techniques as well as working on the visceral fascia uh and and that visceral um piece.
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Um one of the most important things I really found, and I think your a lot of your mentoring help with this is the the posterior chain assessment, just being able to understand how how restriction that whole posterior chain can really impact somebody's uh mobility and uh ability to lengthen and let those muscles go if there's a lot of tension in that posterior chain.
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Um and then really, really amazing.
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Sorry to interrupt, was the interrectal balloon training.
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I have used that uh a bunch of times in my treatment, and it really helps with some of my more um advanced um polorectal condition patients.
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Yes, and that's that's a that's a contribution from you directly.
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Um, and you know, even with Pramat, the pelvic rehab, the intro course, um, when I created both of these, it was what did I wish I had in the coursework when I started out, right?
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So, you know, there's a lot of influences.
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I took my initial training with Herman and Wallace.
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I have almost 20 plus years of pelvic, you know, like like experience that I'm bringing to this.
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And, you know, especially with like um with introductor work, like you said, we get taught a certain way in a certain position, but like let's make it dynamic, let's move, let's breathe with it, let's start to um really explore and get curious with the interventions outside of the um the traditional standard approach.
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So uh and Ramona Horton, going back to that um the fascial mobilization of the viscera.
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So that was a big piece I really wanted to incorporate because after I had taken my colorectal training, that's where I was really driven to.
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I was like, well, what's you know, I I learned at the exit point, the end point, but that whole GI system is from the mouth to the anus, right?
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Not to be too graphic, but there's a lot, especially through the abdomen, through that whole pathway.
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So how can we interact with that?
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Because you know, we know with like like fascial restrictions, it pulls everywhere, not just right where that scar tissue or that restriction is.
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So we have to look north, south, east, east, west, anterior, posterior, all over the place to be able to see where we can free things up and you know, look at the nerves, the vascular supply, all the things.
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So yeah, that's amazing.
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And we're starting to kind of add some bonus materials too, like that nervous system regulation, right?
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So, what can we do to help people really tune into what are their physiological responses?
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Like if they have um dysnergia, if their pelvic floor is not coordinated, or if they have tension that they're not able to connect to, well, why?
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What is what is going on with the nervous system?
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How can we create an environment and a sense of safety to be able to start to make a shift and make a change for them?
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Um, and then some um some uh bonus uh techniques from for like external anal sphincters, internal anal sphincters, and fissures and fistulas.
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So those end up being uh kind of kind of scary, right?
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But they don't have for sure.
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Yeah.
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And then for clinicians listening, when did you feel you were ready for this next step?
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What kinds of clients were you seeing that made you realize you needed this colorectal training?
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We kind of touched on that a little bit, but yeah, we touched on that, but I I definitely think that this can apply across the board.
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So it, you know, my caseload was strongly colorectal, being referred from colorectal surgeons, but I I can see how it how it impacts all the different um diagnoses that I see on a regular day.
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Because I, you know, while I still get referrals from colorectal surgery, I also get referrals from um the the OBGYNs and the urology groups and the um um oncology groups.
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So we're seeing this kind of across the board as something that's really important.
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And I I identified right in right away that I needed like a chromat course um just to really help me.
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And it it's been invaluable.
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Awesome.
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Awesome.
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And what what do you wish referring medical professionals and clients knew about the scope of this work, like all that we can do?
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Yeah, especially medical professionals and clients too.
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I think it's important that they understand the whole system and how it kind of all works together and that it's not it's not little independent silos working separately from each other, that the whole all the systems affect each other.
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I know a lot of times with specialty groups like colorectal surgery and urology, they don't necessarily see the impact of the other systems on their system.
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But as a pelvic floor therapist, we're able to kind of take that holistic look at all the systems and how they work together and having an understanding of the colorectal system is really important.
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Yeah, I agree.
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And you know, we were actually talking about this the other day, is because I have a client who's really trying to almost like pass the test to have a surgery.
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So they have um fissure, they have a fish gilla that's not healing, so they want to do this test, but the colorectal surgeon says your pelvic floor muscle like squeeze is not strong enough.
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And so the the message to the client is I need to strengthen, I need to do keekels, I need to strengthen my pelvic floor so I can have the surgery because the the surgeon is afraid that they will be incontinent afterwards.
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And so being able to get, you know, to understand that the surgeons may not quite understand the anatomy in the perspective that we do, and being able to have those conversations with them because really this client has like increased pelvic floor tension, which is restricting the structures, which is preventing healing.
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So, really, what we want to do is promote some expansion, some lengthening, some blood blood flow.
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And a lot of times that will bring back the strength, right?
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If their muscles are tight and you go to squeeze it, nothing's gonna happen, right?
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So being able to, we understand that as pelvic health therapists, but being able to have those conversations and help educate them and educate the client to self-advocate as well.
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So I think I'm even going to go with the client to the next appointment to be able to have this conversation with the professional.
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And so, I mean, I would love to see more of these professionals taking Cremat too.
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Yeah, I would love that as well.
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Yeah.
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So we've for Premat, we've had, you know, um OB nurse practitioners, we've had midwives, and there's such a great, like it's such a great dynamic of learning and like knowledge sharing in that environment.
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And to be able to, you know, to be able to like for them to understand how we are actually intervening and um implementing strategies to help improve their client's symptoms.
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So um, and then they just make better referrals.
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They're like, oh, this person, like they they start to identify, they start to see once you once you see it, you can't unsee it, right?
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Yeah, I love that.
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Uh if you had to pick like one, what is the number one tool or concept you gain from Cremat that you use on a daily basis?
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Oh, that that's somewhat tricky because I feel like I use a lot of them.
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Um, one of my uh most used tools, I guess, comes from um an understanding of the nervous system impact on the colorectal system and the GI system.
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Um, but in addition to that, I feel like the manual techniques obviously are important, ability to assess, assess coordination, um, relaxation, um utilizing techniques to help the move the bowels better.
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Uh, because I feel like everybody's almost everybody has some some degree of constipation, right?
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So um it's like I think Michelle Lyons said, assume constipated until proven otherwise, right?
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I believe that was her.
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Um so I feel like everybody's got some degree of colorectal stuff going on.
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So that was that was a big piece of it, just that nervous system understanding, but the and the functional like muscle assessment.
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Um, but I really liked um oh, let's add another one, right?
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Because you said just one.
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How about the visceral mobilization techniques?
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Because uh prior to taking your course, I I really didn't understand that piece of it.
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But um, once I got to try some of the techniques on on the um participants and and really see how they worked, I started utilizing them more in my sessions and really found that that was a missing link that um really helped people get get better faster.
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Awesome.
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Great, and yeah, you mentioned Michelle Lyons, she's a big influence on me.
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Um I'm happy to share the constipation video series that I share with all my clients.
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It's got four videos and it kind of breaks down routine, how bowels are habitual, um, how you can build a routine and support, you know, stimulating the brain and all those things, um, posture and alignment for muscle tension, gravity, those sorts of things, breathing, how to be able to create, you know, openness, like open the door, safe pressure through the open door rather than straining through the closed door.
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And then um some muscle energy techniques that I came up with that um I find really helpful when you are constipated.
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How do you avoid, you know, kind of like straining?
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And then all that is like wear and tear on our connective tissue, and then we might be you know le putting ourselves at risk for prolapse and um pain and fissures and all those other kinds of things.
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So um yeah, I I definitely love that stuff too.
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I give that stuff out every day.
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Yeah, I will I'll put that um that resource in the the notes so people can access that.
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Um and then for the fashion mobilization of the viscera, those came from Ramona Horn.
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She's she's the guru for that.
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And she she allowed me, she approved that I could include those techniques in Cremat.
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And then if you if you really gravitate towards that, I highly recommend you go on and take her courses.
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So um we get a little bit of a little taste of everything in it.
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Love that, yeah.
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And I love, you know, you gotta understand the mechanisms to understand the intervention.
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So the more you can understand, and it goes, you know, a lot a lot further beyond the anal canal and the rectal can, you know, system um for that interrectal, but the whole GI system and really looking up all through the abdominal space, even into the esophagus, and you know, where it starts with chewing, right?
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And you know, the motility and then the the outlet.
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Um so I think, you know, um, I think we kind of covered all the questions because the last question was what stands out from other coursework?
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Um yeah, and I I just feel like the the deeper dive into the whole GI anatomy and its integration into um or the the nervous system integration into the GI system, as well as like the the understanding of the postural and the the posterior pelv uh the posterior chain type stuff, as well as just like you know, just a deeper understanding of the holistic system of and how the GI impacts it.
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Yeah, and that, you know, just because it's manual techniques doesn't mean we're just doing manual, it's mind-body manual, it's being able to integrate that and kind of you know, be able to listen and um shift things and um bring that you know whole whole person, whole system, multi-system approach to to pelvic health.
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Um okay.
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And so if you blend, yeah, so you know, we blended like some Hermanna Walls principles, 20 years of experience.
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Um, we've got nuggets from Ramona Horton.
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Um, and for those who are ready to sign up, there are many options to register.
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So I know it can get confusing.
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So I like to just spell it out.
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So there is the whole online course that is eight CEUs or um uh 0.8 CEUs, um, eight hours of continued education, and um, these are self-paced modules, but that is the prerequisite for the lab add-on.
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So you can just take the online self-paced, um, and then you can later add on a lab if you want to, um, which is coming up in Pittsburgh with Jessica, and I'm gonna join her too.
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So you get both.
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And that's October 10th.
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Um, and so we'll we'll get you the information for that, or you can just sign up for the whole thing.
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You can get the full combo with the online component, and you'll have that to access and to be able to go back to as much as you need to um as a resource along with um the live lab, and you get an early bird discount.
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So the early bird discount is$150 off.
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Um, and you get the free constipation toolkit, which is another additional six um continued education hours.
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Um, however, so we we had it set up to end August 1st, but we didn't get to do this interview until today.
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So I'm gonna extend it another week.
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So we've got till August 8th for that early bird on the full combo.
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Um, but it's it's all pretty reasonable.
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So if you wanted to do the online and that's what you have space for, and then next year you can add on the lab too, that's fine too.
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Um uh Jessica, thank you for being here and thank you for always supporting the mentees and every, you know, your clients, the just the whole community.
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Um and do you have any parting words that you'd like to share with the audience?
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I'm just so thankful for Laura, really, but um, Laura and the mentor creative and the essential public health team.
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But I I want to say that uh having a uh having the ability to assess the colorectal system is something that that every every therapist should really understand uh and be able to do because sometimes you're just missing you know half of the whole system, or if not more.
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Um and having a better understanding is really important.
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And and if you do take the class, start using your skills right away, don't wait.
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That would be my best advice.
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But I'd love to have you here in Pittsburgh.
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We have a great uh setting here.
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We're gonna be at the Menopause Wellness Center.
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Uh we have a lovely space, and um, we're real close to the airport and right off 79, so it's real easy to find and to get on and off the highway.
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So we'd love to have you.
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Thank you.
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Incredible, incredible.
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And also don't forget to look for us at the upcoming AOTA.
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Uh, we have an occupation-based pelvic health community practice, and we're gonna do an open house.
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So you don't have to be an AOTA member or a member of the pelvic health community yet, but I we would love to have you.
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Um, and Jessica and I are gonna present on colorectal health.
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We also, for a collaborative approach between OT and PT for pelvic health, um, we're gonna also have guest um speakers, uh, Lynn Schulte as well as Susan Clinton to be able to speak with us.
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And um, we have uh Lynn Susan and I have been approved to present at the APTA conference that's coming up in February 2027 on um obstetric um colorectal.
00:22:20.079 --> 00:22:22.000
So uh that's exciting.
00:22:22.160 --> 00:22:28.640
So they will kind of share some like um pearls of wisdom with us at with AOTA.
00:22:28.799 --> 00:22:32.240
Um, so I'd love to see you guys uh join us there too.
00:22:32.720 --> 00:22:33.359
Yay!
00:22:33.680 --> 00:22:35.680
Yeah, awesome, thank you.
00:22:35.920 --> 00:22:37.599
Oh, great, thank you.
00:00:02.080 --> 00:00:09.919
Welcome to the Essential Pelvic Health Podcast, where we break the silence on the topics that matter most to your well-being.
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This podcast is for all gender diversities, for individuals looking to better understand their bodies, and for medical and wellness professionals looking to better support their clients.
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I'm your host, Laura Rowan, proud pelvic health occupational therapist, helping clients and clinicians live their best lives through pelvic rehabilitation, education, and advocacy.
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Join us as we explore the ins and outs of bladder, bowel, and sexual health.
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No topic is too taboo.
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We'll also dive into the role of hormones, the nervous system, and of course the pelvic floor to empower you to self-advocate for the care you deserve.
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Together, let's unlock the secrets to a vibrant life so you can keep doing what you love and feel good doing it.
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Welcome to the podcast.
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Today we are diving into a specialized area of pelvic health that often feels like the final frontier for many clinicians: colorectal health.
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Joining us is a pelvic health expert to discuss the essential pelvic health colorectal manual assessment and treatment techniques course, often referred to as chromat.
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This is a tuna education course that I created.
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And we're going to talk about how it's changing the game for practitioners.
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Jessica Hammond is going to be the chromat instructor for the lab portion of the upcoming chromat lab October 10th in Pittsburgh.
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And Jessica, you took Cromat, the pelvic rehab course in 2021.
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Then later that year, you took the colorectal course and you've TA'd for the colorectal course.
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You've been an avid mentor, creative member, as well as a clinical contributor.
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And now you're going to be the lead instructor.
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Welcome.
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And please tell us a little bit about where you are, where you're working, and how you're supporting colorectal GI and bowel health for your community.
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Sure.
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Thanks for that introduction, Laura.
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I'm Jessica Hammond.
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I'm a public health occupational therapist.
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I've been an outoccupational therapist for over 20 years, and I've been working in pelvic floor therapy for well over seven.
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I work at a hospital.
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I do outpatient therapy.
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I have a full caseload of pelvic floor therapy.
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I see patients five days a week.
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When I first started out, I was kind of thrown into it with having to do a lot of colorectal assessments.
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And this course just fit perfectly in for me to help hone my skills.
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So I'm so thankful that Laura created this course because it's really helped me a lot.
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Yeah, when I created Pramat, I had a lot of follow-up questions, like when are you gonna put together a colorectal course?
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And I was like, well, let's do it.
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And uh it worked out great.
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And your questions in the mentor creative, like for the ongoing support, were definitely leading you in the direction of needing more information.
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Because you can certainly get started without that, these advanced techniques, but you kind of found out pretty quickly that you need you needed them to supplement, especially the specific referrals that you were getting.
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Oh yeah, that it was definitely intense for a while, but I was so thankful you created that course.
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Awesome.
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And then um, so to start us off, there are many colorectal courses out there.
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What have you taken in the past?
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And more importantly, what stands out about Cremat compared to the rest?
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Yeah, so obviously I've explored a lot of different uh courses, certifications, and and Cremat was really unique because it didn't just look at the anatomy just in isolation, it was integrating the whole system.
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Whereas other courses might focus on just like the local mechanics, the Cremat really provides that holistic lens and it really bridges the gap between the theory and that advanced clinical application that I really needed with the folks that I was seeing, because they were not just basic uh constipation.
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Uh, they were folks that had had major colorectal cancer or surgeries or ostomies and reversals.
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So I really needed that understanding, but it's definitely helped me with some of the other patients I'm seeing too, like the postpartum population, um, the folks that are really eager to get back to running, or um, even just the urinary incontinence folks.
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So yeah, it seems like everybody has some sort of colorectal thing going on, and having this course just key for sure.
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Yeah, and and that's I'm glad you you brought that up because just you know, the colorectal course doesn't just treat colorectal symptoms, and a lot of times our clients aren't coming to us for the colorectal symptoms, but they are secondary, and it's if we can treat that, then the other symptoms like bladder incontinence or painful intercourse can be cleaned up, or sometimes doing intravaginal treatments and interventions for someone with vulvadinia or or painful intercourse, they can't tolerate that.
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So you can do the intractal and then you can actually interact with the structures without irritating and inflaming things.
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Exactly.
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Yeah, that that was one of the biggest takeaways I got too, is just a better understanding of that and that that diversity, that ability to to affect the muscles in a different way.
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Yeah, different, different perspective.
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Perspective.
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Okay, so that sounds comprehensive.
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Could you walk us through specifically what is covered in that curriculum, right?
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Sure.
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And I can help you too because I yeah, yeah.
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I I I remember really liking um the intra rectal work, obviously, and and being able to try different positions.
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You weren't just lying on your back or lying on your belly, you know, we were able to get up and move and try different different positioning or different positioning of the patient.
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I really liked um the ability to work on some fascia mobilization techniques as well as working on the visceral fascia uh and and that visceral um piece.
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Um one of the most important things I really found, and I think your a lot of your mentoring help with this is the the posterior chain assessment, just being able to understand how how restriction that whole posterior chain can really impact somebody's uh mobility and uh ability to lengthen and let those muscles go if there's a lot of tension in that posterior chain.
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Um and then really, really amazing.
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Sorry to interrupt, was the interrectal balloon training.
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I have used that uh a bunch of times in my treatment, and it really helps with some of my more um advanced um polorectal condition patients.
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Yes, and that's that's a that's a contribution from you directly.
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Um, and you know, even with Pramat, the pelvic rehab, the intro course, um, when I created both of these, it was what did I wish I had in the coursework when I started out, right?
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So, you know, there's a lot of influences.
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I took my initial training with Herman and Wallace.
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I have almost 20 plus years of pelvic, you know, like like experience that I'm bringing to this.
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And, you know, especially with like um with introductor work, like you said, we get taught a certain way in a certain position, but like let's make it dynamic, let's move, let's breathe with it, let's start to um really explore and get curious with the interventions outside of the um the traditional standard approach.
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So uh and Ramona Horton, going back to that um the fascial mobilization of the viscera.
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So that was a big piece I really wanted to incorporate because after I had taken my colorectal training, that's where I was really driven to.
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I was like, well, what's you know, I I learned at the exit point, the end point, but that whole GI system is from the mouth to the anus, right?
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Not to be too graphic, but there's a lot, especially through the abdomen, through that whole pathway.
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So how can we interact with that?
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Because you know, we know with like like fascial restrictions, it pulls everywhere, not just right where that scar tissue or that restriction is.
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So we have to look north, south, east, east, west, anterior, posterior, all over the place to be able to see where we can free things up and you know, look at the nerves, the vascular supply, all the things.
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So yeah, that's amazing.
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And we're starting to kind of add some bonus materials too, like that nervous system regulation, right?
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So, what can we do to help people really tune into what are their physiological responses?
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Like if they have um dysnergia, if their pelvic floor is not coordinated, or if they have tension that they're not able to connect to, well, why?
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What is what is going on with the nervous system?
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How can we create an environment and a sense of safety to be able to start to make a shift and make a change for them?
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Um, and then some um some uh bonus uh techniques from for like external anal sphincters, internal anal sphincters, and fissures and fistulas.
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So those end up being uh kind of kind of scary, right?
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But they don't have for sure.
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Yeah.
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And then for clinicians listening, when did you feel you were ready for this next step?
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What kinds of clients were you seeing that made you realize you needed this colorectal training?
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We kind of touched on that a little bit, but yeah, we touched on that, but I I definitely think that this can apply across the board.
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So it, you know, my caseload was strongly colorectal, being referred from colorectal surgeons, but I I can see how it how it impacts all the different um diagnoses that I see on a regular day.
00:10:00.639 --> 00:10:13.200
Because I, you know, while I still get referrals from colorectal surgery, I also get referrals from um the the OBGYNs and the urology groups and the um um oncology groups.
00:10:13.360 --> 00:10:18.480
So we're seeing this kind of across the board as something that's really important.
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And I I identified right in right away that I needed like a chromat course um just to really help me.
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And it it's been invaluable.
00:10:29.519 --> 00:10:29.840
Awesome.
00:10:30.080 --> 00:10:30.480
Awesome.
00:10:30.720 --> 00:10:37.679
And what what do you wish referring medical professionals and clients knew about the scope of this work, like all that we can do?
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Yeah, especially medical professionals and clients too.
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I think it's important that they understand the whole system and how it kind of all works together and that it's not it's not little independent silos working separately from each other, that the whole all the systems affect each other.
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I know a lot of times with specialty groups like colorectal surgery and urology, they don't necessarily see the impact of the other systems on their system.
00:11:03.360 --> 00:11:13.600
But as a pelvic floor therapist, we're able to kind of take that holistic look at all the systems and how they work together and having an understanding of the colorectal system is really important.
00:11:14.080 --> 00:11:15.360
Yeah, I agree.
00:11:15.600 --> 00:11:25.120
And you know, we were actually talking about this the other day, is because I have a client who's really trying to almost like pass the test to have a surgery.
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So they have um fissure, they have a fish gilla that's not healing, so they want to do this test, but the colorectal surgeon says your pelvic floor muscle like squeeze is not strong enough.
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And so the the message to the client is I need to strengthen, I need to do keekels, I need to strengthen my pelvic floor so I can have the surgery because the the surgeon is afraid that they will be incontinent afterwards.
00:11:51.919 --> 00:12:11.519
And so being able to get, you know, to understand that the surgeons may not quite understand the anatomy in the perspective that we do, and being able to have those conversations with them because really this client has like increased pelvic floor tension, which is restricting the structures, which is preventing healing.
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So, really, what we want to do is promote some expansion, some lengthening, some blood blood flow.
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And a lot of times that will bring back the strength, right?
00:12:21.759 --> 00:12:25.440
If their muscles are tight and you go to squeeze it, nothing's gonna happen, right?
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So being able to, we understand that as pelvic health therapists, but being able to have those conversations and help educate them and educate the client to self-advocate as well.
00:12:38.639 --> 00:12:46.080
So I think I'm even going to go with the client to the next appointment to be able to have this conversation with the professional.
00:12:46.159 --> 00:12:51.600
And so, I mean, I would love to see more of these professionals taking Cremat too.
00:12:51.919 --> 00:12:53.919
Yeah, I would love that as well.
00:12:55.759 --> 00:12:56.000
Yeah.
00:12:56.159 --> 00:13:07.919
So we've for Premat, we've had, you know, um OB nurse practitioners, we've had midwives, and there's such a great, like it's such a great dynamic of learning and like knowledge sharing in that environment.
00:13:08.080 --> 00:13:19.039
And to be able to, you know, to be able to like for them to understand how we are actually intervening and um implementing strategies to help improve their client's symptoms.
00:13:19.200 --> 00:13:22.080
So um, and then they just make better referrals.
00:13:22.320 --> 00:13:28.000
They're like, oh, this person, like they they start to identify, they start to see once you once you see it, you can't unsee it, right?
00:13:28.480 --> 00:13:29.759
Yeah, I love that.
00:13:31.200 --> 00:13:38.879
Uh if you had to pick like one, what is the number one tool or concept you gain from Cremat that you use on a daily basis?
00:13:39.919 --> 00:13:44.000
Oh, that that's somewhat tricky because I feel like I use a lot of them.
00:13:44.240 --> 00:13:56.879
Um, one of my uh most used tools, I guess, comes from um an understanding of the nervous system impact on the colorectal system and the GI system.
00:13:57.600 --> 00:14:14.320
Um, but in addition to that, I feel like the manual techniques obviously are important, ability to assess, assess coordination, um, relaxation, um utilizing techniques to help the move the bowels better.
00:14:14.480 --> 00:14:20.720
Uh, because I feel like everybody's almost everybody has some some degree of constipation, right?
00:14:20.960 --> 00:14:27.600
So um it's like I think Michelle Lyons said, assume constipated until proven otherwise, right?
00:14:27.679 --> 00:14:28.879
I believe that was her.
00:14:28.960 --> 00:14:33.519
Um so I feel like everybody's got some degree of colorectal stuff going on.
00:14:33.840 --> 00:14:43.120
So that was that was a big piece of it, just that nervous system understanding, but the and the functional like muscle assessment.
00:14:43.200 --> 00:14:47.039
Um, but I really liked um oh, let's add another one, right?
00:14:47.200 --> 00:14:48.399
Because you said just one.
00:14:48.879 --> 00:14:51.840
How about the visceral mobilization techniques?
00:14:52.000 --> 00:14:56.879
Because uh prior to taking your course, I I really didn't understand that piece of it.
00:14:57.200 --> 00:15:14.000
But um, once I got to try some of the techniques on on the um participants and and really see how they worked, I started utilizing them more in my sessions and really found that that was a missing link that um really helped people get get better faster.
00:15:14.480 --> 00:15:15.039
Awesome.
00:15:15.279 --> 00:15:19.679
Great, and yeah, you mentioned Michelle Lyons, she's a big influence on me.
00:15:19.759 --> 00:15:23.840
Um I'm happy to share the constipation video series that I share with all my clients.
00:15:24.000 --> 00:15:49.840
It's got four videos and it kind of breaks down routine, how bowels are habitual, um, how you can build a routine and support, you know, stimulating the brain and all those things, um, posture and alignment for muscle tension, gravity, those sorts of things, breathing, how to be able to create, you know, openness, like open the door, safe pressure through the open door rather than straining through the closed door.
00:15:50.159 --> 00:15:57.600
And then um some muscle energy techniques that I came up with that um I find really helpful when you are constipated.
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How do you avoid, you know, kind of like straining?
00:16:01.600 --> 00:16:12.159
And then all that is like wear and tear on our connective tissue, and then we might be you know le putting ourselves at risk for prolapse and um pain and fissures and all those other kinds of things.
00:16:12.320 --> 00:16:16.960
So um yeah, I I definitely love that stuff too.
00:16:17.279 --> 00:16:19.039
I give that stuff out every day.
00:16:19.279 --> 00:16:25.679
Yeah, I will I'll put that um that resource in the the notes so people can access that.
00:16:25.919 --> 00:16:30.799
Um and then for the fashion mobilization of the viscera, those came from Ramona Horn.
00:16:31.120 --> 00:16:32.960
She's she's the guru for that.
00:16:33.279 --> 00:16:39.679
And she she allowed me, she approved that I could include those techniques in Cremat.
00:16:39.840 --> 00:16:45.120
And then if you if you really gravitate towards that, I highly recommend you go on and take her courses.
00:16:45.279 --> 00:16:49.679
So um we get a little bit of a little taste of everything in it.
00:16:50.159 --> 00:16:51.679
Love that, yeah.
00:16:51.840 --> 00:16:55.600
And I love, you know, you gotta understand the mechanisms to understand the intervention.
00:16:55.679 --> 00:17:16.240
So the more you can understand, and it goes, you know, a lot a lot further beyond the anal canal and the rectal can, you know, system um for that interrectal, but the whole GI system and really looking up all through the abdominal space, even into the esophagus, and you know, where it starts with chewing, right?
00:17:16.799 --> 00:17:20.559
And you know, the motility and then the the outlet.
00:17:20.960 --> 00:17:30.640
Um so I think, you know, um, I think we kind of covered all the questions because the last question was what stands out from other coursework?
00:17:31.039 --> 00:17:59.680
Um yeah, and I I just feel like the the deeper dive into the whole GI anatomy and its integration into um or the the nervous system integration into the GI system, as well as like the the understanding of the postural and the the posterior pelv uh the posterior chain type stuff, as well as just like you know, just a deeper understanding of the holistic system of and how the GI impacts it.
00:18:00.160 --> 00:18:21.519
Yeah, and that, you know, just because it's manual techniques doesn't mean we're just doing manual, it's mind-body manual, it's being able to integrate that and kind of you know, be able to listen and um shift things and um bring that you know whole whole person, whole system, multi-system approach to to pelvic health.
00:18:21.759 --> 00:18:23.839
Um okay.
00:18:24.319 --> 00:18:31.599
And so if you blend, yeah, so you know, we blended like some Hermanna Walls principles, 20 years of experience.
00:18:31.759 --> 00:18:34.640
Um, we've got nuggets from Ramona Horton.
00:18:34.880 --> 00:18:40.240
Um, and for those who are ready to sign up, there are many options to register.
00:18:40.319 --> 00:18:41.519
So I know it can get confusing.
00:18:41.599 --> 00:18:42.960
So I like to just spell it out.
00:18:43.119 --> 00:18:59.920
So there is the whole online course that is eight CEUs or um uh 0.8 CEUs, um, eight hours of continued education, and um, these are self-paced modules, but that is the prerequisite for the lab add-on.
00:19:00.160 --> 00:19:12.319
So you can just take the online self-paced, um, and then you can later add on a lab if you want to, um, which is coming up in Pittsburgh with Jessica, and I'm gonna join her too.
00:19:12.400 --> 00:19:13.119
So you get both.
00:19:15.519 --> 00:19:17.279
And that's October 10th.
00:19:17.440 --> 00:19:22.240
Um, and so we'll we'll get you the information for that, or you can just sign up for the whole thing.
00:19:22.319 --> 00:19:37.200
You can get the full combo with the online component, and you'll have that to access and to be able to go back to as much as you need to um as a resource along with um the live lab, and you get an early bird discount.
00:19:37.279 --> 00:19:40.079
So the early bird discount is$150 off.
00:19:40.480 --> 00:19:47.359
Um, and you get the free constipation toolkit, which is another additional six um continued education hours.
00:19:47.599 --> 00:19:54.400
Um, however, so we we had it set up to end August 1st, but we didn't get to do this interview until today.
00:19:54.480 --> 00:19:55.920
So I'm gonna extend it another week.
00:19:56.000 --> 00:20:00.319
So we've got till August 8th for that early bird on the full combo.
00:20:00.400 --> 00:20:02.400
Um, but it's it's all pretty reasonable.
00:20:02.480 --> 00:20:10.240
So if you wanted to do the online and that's what you have space for, and then next year you can add on the lab too, that's fine too.
00:20:10.559 --> 00:20:22.640
Um uh Jessica, thank you for being here and thank you for always supporting the mentees and every, you know, your clients, the just the whole community.
00:20:22.880 --> 00:20:28.240
Um and do you have any parting words that you'd like to share with the audience?
00:20:29.039 --> 00:20:36.319
I'm just so thankful for Laura, really, but um, Laura and the mentor creative and the essential public health team.
00:20:36.480 --> 00:20:56.319
But I I want to say that uh having a uh having the ability to assess the colorectal system is something that that every every therapist should really understand uh and be able to do because sometimes you're just missing you know half of the whole system, or if not more.
00:20:56.480 --> 00:20:59.279
Um and having a better understanding is really important.
00:20:59.440 --> 00:21:03.920
And and if you do take the class, start using your skills right away, don't wait.
00:21:04.880 --> 00:21:06.240
That would be my best advice.
00:21:06.400 --> 00:21:08.400
But I'd love to have you here in Pittsburgh.
00:21:08.480 --> 00:21:10.319
We have a great uh setting here.
00:21:10.400 --> 00:21:12.960
We're gonna be at the Menopause Wellness Center.
00:21:13.200 --> 00:21:25.039
Uh we have a lovely space, and um, we're real close to the airport and right off 79, so it's real easy to find and to get on and off the highway.
00:21:25.119 --> 00:21:26.400
So we'd love to have you.
00:21:26.559 --> 00:21:27.200
Thank you.
00:21:27.519 --> 00:21:29.039
Incredible, incredible.
00:21:29.200 --> 00:21:33.759
And also don't forget to look for us at the upcoming AOTA.
00:21:34.000 --> 00:21:38.480
Uh, we have an occupation-based pelvic health community practice, and we're gonna do an open house.
00:21:38.559 --> 00:21:45.440
So you don't have to be an AOTA member or a member of the pelvic health community yet, but I we would love to have you.
00:21:45.839 --> 00:21:50.400
Um, and Jessica and I are gonna present on colorectal health.
00:21:50.559 --> 00:22:04.720
We also, for a collaborative approach between OT and PT for pelvic health, um, we're gonna also have guest um speakers, uh, Lynn Schulte as well as Susan Clinton to be able to speak with us.
00:22:04.880 --> 00:22:19.920
And um, we have uh Lynn Susan and I have been approved to present at the APTA conference that's coming up in February 2027 on um obstetric um colorectal.
00:22:20.079 --> 00:22:22.000
So uh that's exciting.
00:22:22.160 --> 00:22:28.640
So they will kind of share some like um pearls of wisdom with us at with AOTA.
00:22:28.799 --> 00:22:32.240
Um, so I'd love to see you guys uh join us there too.
00:22:32.720 --> 00:22:33.359
Yay!
00:22:33.680 --> 00:22:35.680
Yeah, awesome, thank you.
00:22:35.920 --> 00:22:37.599
Oh, great, thank you.
