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…
How Pelvic Health Supports Vocal Power and Performance Have you ever considered how your pelvic floor might be influencing your voice? Singers historically have focused on breath control, posture, and vocal technique, but there is a critical role that the pelvic floor plays in vocal health. The pelvic floor is more than just a set…
Changes in the Voice and Pelvic Floor are Related during Menopause Menopause is an incredibly transformative phase in a woman’s life. But it doesn’t have to mark the “beginning of the end of life.” On the contrary, it can signal the beginning of an era of freedom. Menopause is also where women often end up…
Caring for individuals who have experienced trauma demands a specialized approach that transcends traditional pelvic health assessments and interventions. Treating trauma and the voice in pelvic physical therapy, though it may sound bold, should be integral and not separate topics. With approximately one-third of women encountering intimate partner violence and rape reporting rates to formal…
There is something insidious and harmful that has been happening in the healthcare field, and until recently – it was unchecked. It’s only recently that we have even had an appropriate and agreed upon term to help identify it: medical gaslighting.. Medical gaslighting is used to describe a situation in which patients have been made…