Guest Introduction

• Rachel Weilandich, a seasoned physical therapist with over 6 years in the field.
• Inspired by her own medical journey with scoliosis and multiple back surgeries.
• Combines her love for dance and understanding of the human body into her PT practice.
• Education: Undergraduate and Graduate degrees from St. Louis University.

Journey and Motivation

• Started in the corporate physical therapy world, felt constrained by insurance limitations.
• Noticed increasing frustration due to the need to see more patients to make ends meet, leading to compromised care.
• Founded Resilient Training and Rehab to provide one-on-one care without the constraints of insurance reimbursement.

Challenges in Traditional Healthcare

• Insurance deductibles rising, reimbursements decreasing.
• Increased patient load resulting in reduced quality of care.
• Need for a shift to more personalized, one-on-one therapy sessions.

Pelvic Floor Health

• Introduction to the pelvic floor: a crucial muscle group that supports the abdominal cavity and controls bladder and bowel functions.
• Common issues addressed: bladder problems, bowel issues, sexual dysfunction, and how pelvic floor health ties into other orthopedic conditions.

Bladder Health

• Importance of understanding and managing bladder health.
• Explanation of prolapse and the different grades.
• Training pelvic floor muscles can often negate the need for surgical interventions.
• Typical treatment timeline: 6 to 8 weeks of therapy with significant improvements seen early on.

Bad Habits Affecting Bladder Health

• Just-in-case peeing: a common but detrimental habit that retrains the brain to send incorrect signals.
• Proper hydration and water intake strategies to avoid urgency and frequency issues.
• Importance of balanced intake of irritants like caffeine, acidic foods, and how to manage them.

Pelvic Floor and Sexual Health

• Painful intercourse can be tied to both vaginal and C-section deliveries due to muscle spasms and scar tissue.
• Importance of engaging and strengthening the pelvic floor muscles postpartum.
• Regular, appropriate physical activity and possibly pelvic floor physical therapy during pregnancy to prevent issues.

Diastasis Recti

• Explained as the separation of the abdominal wall often occurring post-pregnancy.
• Importance of physical therapy and tools like abdominal binders to manage and improve the condition.

Breathing and Pressure Management

• Diaphragmatic breathing as a tool for stress and pelvic floor management.
• Encouragement to practice good breathing patterns to manage abdominal pressure and reduce urinary leakage.

Contact Information for Rachel Weilandich

• Social Media: Resilient Training and Rehab (Facebook, Instagram)
• Email: resilienttnr@gmail.com
• Phone/Text: 636-486-9907
• Services available in-person in Wentzville, Missouri, and virtually within Missouri.