Getting the Diagnosis Correct Start with the physiology: “Why does standing up feel so terrible?” First, we need to start with the physiology. Why does standing up feel so terrible? When you stand, gravity rapidly shifts blood into the legs and splanchnic circulation. Normally, venous return is preserved through vasoconstriction, the skeletal-muscle pump, adequate circulating…
Reclaiming Birth: 10 Critical Questions to Ask Your Provider Every mother wants the healthiest start for her baby. Yet, many don’t realize that interviewing potential healthcare providers is one of the most important first steps toward achieving the birth they envision. Dr. Christiane Northrup urges women to “reclaim birth” by taking control of their choices…
Originally published September 23, 2009 Living Fully, Loving Deeply “The days pass slowly, but the years fly quickly by.” I have heard those words from so many parents over the years, and I never tire of them. Every time someone says it, I feel the truth of it land a little differently. The ordinary days…
Why I Write An author once said, “I write to know what I am thinking.” Arms pumping in agreement – I couldn’t agree more. I have to write to know what I’m thinking. Writing is the bridge that gives me access to my mind. While I fully understand that mind and body are not mutually…
When emotional stress is persistent, it does not remain abstract…only in your head. It can show up in the body—predictably, measurably, and at least initially, silently. In clinical practice, this stress commonly manifests as guarding, gripping, breath holding, overcompensation, or complete inhibition across what I refer to as the three diaphragms: the vocal diaphragm (laryngeal…
Note: Even if physical fitness is your jam, dysautonomia can be utterly disabling. Here’s what to consider if you have POTS or think you have borderline POTS or POTS-like symptoms. I recently hiked 9 miles during a snowstorm, with sub-zero temperatures, sustained winds of 20 mph with gusts up to 44 mph, with over 2,500…
Guest Post by Dr. Caroline Withall December 15th, 2025 – the day I made it to the top of the world That’s what it felt like to me, standing atop of the Hintertux glacier in Austria. It was a very emotional moment, over six years since I had been able to go up a mountain. …
Light Therapy Pelvic Wand to Support Female Pelvic Health Disorders and dysfunction related to female pelvic health, including pelvic pain, incontinence, prolapse, pain with intercourse, and vaginal infections are incredibly common, affecting up to 50% of the population at some point in their lives. The science on light and vibration-based therapy are emerging, and provide…
What does physical therapy look like, or what should it look like, at the 16 week post op mark after hip arthroscopy? This post is long, and there’s a good reason for that. What does 16 weeks post-op look like from an orthopedic pelvic PT perspective? Today I walked to the beach again this morning….
It’s Pelvic Health FAQ time! What are the most commonly asked pelvic health questions that we see used on Google to search for help? The wait is over…read on below… What are the common reasons to seek out Garner Pelvic Health for pelvic floor and orthopedic therapy? – Pain, incontinence, constipation, prolapse, painful sex, prenatal…
So many of you have asked over the years. How in the h** did you get back in shape after THREE BABIES. I quickly correct them – you mean THREE BABIES with very LARGE heads? And no pain meds? Well, I’m glad you ask. This post originally ran after I had recently given birth to…
A common question I get from patients is the role of nutrition in dysautonomia, hypermobility, and pelvic health. Individuals with dysautonomia and hypermobility syndromes (including Ehlers-Danlos Syndrome or EDS) often experience systemic symptoms affecting the gastrointestinal (GI), circulatory, musculoskeletal, and pelvic floor systems. Research highlights the critical role of nutrition in managing symptoms and improving…