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Breeze Pelvic Health - Part 2: What’s Your Jaw Got To Do With It?

myverobeach.com Season 1 Episode 18

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Ever wondered if that nagging hip pain might be connected to something else? Or why healthcare often feels so disconnected from our real lives? Ashley from Breeze Pelvic Health joins us to transform how we think about our bodies and healthcare delivery.

Ashley takes us behind the scenes of her mobile pelvic floor physical therapy practice, where she literally carries a 50-pound treatment table to clients' homes to create safe, comfortable healing environments. This approach removes barriers for patients dealing with sensitive health issues, allowing them to receive specialized care without the anxiety of clinical settings. Her thoughtful consideration extends to maintaining appropriate boundaries too.

The conversation takes a fascinating turn when Ashley explains her "whole person approach" to treatment. Did you know jaw dysfunction often correlates with pelvic floor issues? Or that ankle injuries can impact pelvic health through shared nerve pathways? These surprising connections highlight why treating isolated symptoms often fails to provide lasting relief. Ashley's comprehensive perspective helps patients understand their bodies as integrated systems rather than disconnected parts.

Statistics reveal that pelvic floor dysfunction affects one in four women and one in six men, yet remains largely undiscussed. Ashley treats conditions ranging from urinary incontinence to sexual dysfunction, testicular pain, and postpartum recovery. Beyond her clinical practice, she's deeply committed to education, serving as a teaching assistant with Herman and Wallace and conducting community workshops in Vero Beach.

As a recent transplant from Orlando's hectic environment, Ashley shares her appreciation for Vero Beach's welcoming community and more relaxed pace. Her journey represents the intersection of innovative healthcare, entrepreneurship, and community connection. Whether you're experiencing symptoms yourself or simply curious about holistic approaches to wellness, this episode offers valuable insights into how our bodies work and how healthcare can better serve our needs.

Connect with Ashley at ashley@breezepelvichealth.com or visit BreezePelvicHealth.com to learn more about her services and approach to pelvic health.

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Speaker 1:

All right, well, welcome back to the Vero Beach podcast.

Speaker 2:

And we are back with Ashley and we're going to talk some more about Bree's pelvic health, and I think we're going to start off with asking what does a typical day look like for you right now?

Speaker 3:

Yeah, so, um, like we were talking about earlier is, my business is mobile right now, so I mostly going to people's houses and treating them there, and the big part of that is, you know, I I bring everything with me right now. So I have my giant backpack that I bring and I have my treatment table and that's literally 50 pounds. So I will, you know, lug that out of my car, walk up into someone's home and, um, my patient's perspective is I want them to be in a place where they are comfortable and where they feel safe. Their kids are there, that is fine. If their spouse is there, that's fine, but really I just want them to be able to feel safe and comfortable for the duration of the treatment.

Speaker 3:

You know, with physical therapy, the large part of physical therapy is we have to do some movement, we have to do some exercises, and so I have learned how to be resourceful with some of the exercises. I have some equipment that I bring in from my bag, so I have a lot of resistance bands. I also have a lot of, like you know, manual therapy tools, different things. I have my gloves and my lubricants that I bring in, different tools and like a yoga block and things like that. But I also, you know, will use some stuff that my client can provide. So you know, if we need like an elevated surface, like a table or a chair or a couch, yeah, so I've had to be resourceful with different exercise and things like that.

Speaker 1:

So what would you say has been the biggest thing that you had to adjust, to be resourceful with.

Speaker 3:

Answering that question like outside of an exercise perspective, actually, I feel like it's going to be a better avenue, but I have had to be resourceful in terms of a lot of the technology side of this and more of like the business aspect. So, for example, like I did a lot of learning on how to make my website and I've done like just different, like different short courses and talk to some people about how to make a website, and you know there's all kinds of free resources out there and, um, so I have made my own website by myself.

Speaker 3:

Um, you know, with some like input from my family and friends and and so that has been that. That was initially like definitely the thing that took me the longest was just like making my website. So the photography on my website, the photographs those are all taken by my best friend's husband, who is a photographer, and you know he did all of the shots in one session and all the people in those shots are my best friend, his wife.

Speaker 3:

So, she's on my website and you know I also have some of their neighbors are also on on some of that too, yeah, and my boyfriend also. He's on my website and I have him on some marketing things. So you know, you just use what you have and that's, that's been fun.

Speaker 1:

I think that's a it takes us back to I think it was episode one with Audrey from the seahorse. Oh yeah, did you. Did you pay them off pizza Cause? That's what.

Speaker 3:

Oh yeah, um I uh. I bought them dinner, so it wasn't pizza. I think we went out for like tacos, or something People love tacos just as much.

Speaker 1:

I love that. As a new business owner, it's good that you learn how to be resourceful with what you have today. Okay, so I've got another question for you about with being mobile. Right now I know, like right now you're trying to figure out where you want to settle in and have an office, maybe at some point. What does being mobile really look like for you every day? I mean, you're you're talking about I see the big backpack. I really think you probably should start like a second business of like maybe it's like it's not a breeze and it's like a workout. You're having people carry your backpack up.

Speaker 3:

Deadlift my table into my car.

Speaker 1:

Yes, deadlift, bring it in. So you have. There you go. You have two businesses. Like you, are a serial entrepreneur already. Freeze and not a breeze. So what? What is it like like step into somebody's house? So before we get into that question, I do want to ask you like, what has your experience been like coming here? Because I think sometimes people might be afraid that we're walking to some back alley place.

Speaker 3:

We A breeze. Well said, well said. No, your home is lovely. There's lots of plants here and books, and you know lots of natural lighting. I feel safe. That's good. You have a dog Sweet little floof of a dog, a little floof named Paisley. It's been nice being here, so I appreciate thank you for you guys opening up your home to me to be able to talk about this stuff.

Speaker 1:

Now, everybody knows like, okay, they're not scary people.

Speaker 3:

No, they're just real people.

Speaker 1:

So tell us what it's like for you to pack up, carry all this and go to stranger's house Like. What does that process look like for you?

Speaker 3:

So differentiating different populations here. Like I'll go to my female patients' houses because I'm okay with that, but my male patients I really don't want to go to their house, just for my own safety perspective. So I do have a separate location for that it makes total sense.

Speaker 1:

Yeah, that makes sense, yeah.

Speaker 2:

I'm glad to hear that too, because you do have to keep things like that in mind, right? Yeah, I really appreciate that you offer that option of coming to people's homes, because I don't have a lot of anxiety, like with doctors and things like that. But if I had the option for them to come to me, I would totally take that. Yeah, because you know it's like sitting in a waiting room and then the whole time you're thinking like what's about to happen and at least when you're home you can just be comfortable.

Speaker 3:

Yeah, and it's like your environment that you can control and you can, you know, have someone there if you want, or you can not have someone there which you know typically would be hopefully allowed at any visit you go to or they come to you. But, but, yeah, it's, it's a, it's a different perspective and and the whole goal is just I want people to feel safe and feel comfortable when we're working together.

Speaker 2:

I think that's awesome. I think that'll probably take down a barrier too, because with it being, you know, more sensitive sort of therapy.

Speaker 1:

So I'm not surprised. If you knew Shauna and how much she uses Instacart, you wouldn't be surprised at all. But as you guys have been talking about the mobile aspect of it, and you're talking about, you know, figuring out where you want to be and have you ever thought of I know for Shauna and me like when we lived in Lake Wells we had a mobile dog groomer. Since we've moved here I've like our dog is getting pretty hairy and got some pretty long nails, so we're probably gonna get up with dog groomers now.

Speaker 2:

But I hope so Call me.

Speaker 1:

Yeah, please, please. We had a dog groomer that came to us. What was her name? Over in Lake Wells, mary, mary. She was great.

Speaker 3:

Paisley, it was so convenient. So have you ever thought about maybe having like a van? Yeah, so like in the early days of Breeze, I was kind of considering like having a van. But you know, then thinking about it a little bit more, as we've kind of mentioned, like there is a vulnerable side to this type of physical therapy and and if I'm you know driving this big van that says Breeze Public Health on the side up into your driveway and then the neighbors are like oh, what's going?

Speaker 1:

on over there what's going on at Shauna's house. It's like a big spotlight. Honk the horn three times and I'll let you know when I'm out there.

Speaker 3:

I'll honk the horn.

Speaker 1:

Okay, well, on your website, your website has a statement you mentioned on there about a whole person approach. What does that mean? And, in the way, when it comes to treating people, yeah, I love that.

Speaker 3:

So I think a lot of times you know, whenever you're a new pelvic floor physical therapist or even a new therapist, you kind of think about, you know, just addressing whatever is in front of you, and so you get this patient in the door and they say, yes, I'm like having urinary incontinence, and so you just zoom into the pelvic floor. Or another example would be OK, I'm having some shoulder pain with throwing a ball or whatever, right and um, you know, a therapist would just zoom into the shoulder and think what's going on with the shoulder? Um, but it's really important for for therapists to be able to address areas outside of just the area that you're having some problems with. So, specifically for pelvic health, um, actually a lot of my patients and this is a study thing where a lot of times people will have jaw pain or jaw dysfunction with pelvic floor dysfunction, and so I'll have people who come in with, like, jaw surgeries of some sort.

Speaker 3:

A lot of times, too, we'll see dysfunction in people's ankle, so sometimes people can, like, sprain their ankle or have an ankle surgery. The nerves to the ankle on the lower leg will be the same nerves that will travel towards the pelvic floor, and so a lot of times, if we're not able to address the other areas that can kind of share the same nerve paths, then we are really doing the patient a disservice because you know we're really trying to lead them to symptom resolution, not just, you know, hey, here's a fix for three months. I hope you do well, you know, really just trying to to make sure that they stay healthy.

Speaker 1:

That's very interesting. Like I never would have thought like a jaw issue would have been a sign of something. Yeah, I could be wrong there.

Speaker 2:

And it is surprising because we do know that everything's connected, but still it's so surprising when to hear that even what you're saying about the ankle and how the nerves being connected, it makes a difference. It makes sense, but it still is surprising.

Speaker 3:

Yeah, yeah, um, and our body like it. It really works as one system and we can't just, you know, ignore half of the body or the upper part of the lower part. If we're just looking at one, you know we really have to address the person as a whole. Another factor to that too is, you know, with running I know we've kind of talked about hips and pelvic floors and that relationship as well. A lot of times there's a pelvic floor muscle that's also a hip muscle.

Speaker 2:

Yes.

Speaker 3:

Yes, and that one is. It can be the driver of a lot of dysfunction for people is that that hip muscle that is also a pelvic floor muscle. I love treating that area and kind of thinking okay, let's like look outside of your pelvis, let's even just go to its next door neighbor as the hip and see what we can find there. There's so much that you can learn about with people if you just look outside of their pelvis.

Speaker 2:

So, um, I've been reading a lot about how, like your hip flexibility has a lot to do with your longevity, you know, for your balance and everything, yeah, so is doing like hip flexor, um openers and stretches and stuff like that. Is that good for your?

Speaker 3:

pelvic floor. Absolutely, um, and actually one of the things that I really like to teach people about is hip rotation.

Speaker 2:

Like um, like hula, like moves. Is that what you mean? Um?

Speaker 3:

not exactly, I think. I mean I would not. If someone was doing hula hooping, then I would say go, good job. But but I guess more of like twisting your knees in and out, I don't know, a common exercise that people are doing.

Speaker 2:

I was trying to imagine what it would be like to rotate your hips in and out. I just couldn't think of anything else?

Speaker 1:

I think that's actually pretty interesting because, Shauna, when I went through physical therapy, I had a problem with my left foot and it was even to the point where I was on crutches. I was having a hard time standing. We went to the doctor. They wanted to give me a shot in my ankle. All these different things to the doctor they wanted to give me a shot, like in my ankle, all these different things.

Speaker 2:

Cortisone, I think yeah.

Speaker 1:

And I'm like I don't want to do that, I just don't, I don't want to jump right to that Plus.

Speaker 3:

I knew that's going to hurt and he said it might not help.

Speaker 1:

I'm like then we might not want to do it, not right now, no, it's too early. I went to physical therapy for six weeks and they worked out my left leg the entire time and it was probably the second time I was there. They had me kind of like lay on the table on my left side and he had me put both my legs up Well, one leg up like a scissors. You know, kind of like your legs are scissors. He said I'm going to push down, don't let me push down your leg, and had no problem. Then when he flipped me to the other side he did that. I couldn't stop him and he realized then he's like the reason why your foot's having a problem is because of your hip. To even hear you're kind of stepping into that area that there could be a hip problem, that could be a sign. It's kind of mind blowing to me.

Speaker 3:

Yeah, yeah. Another thing, too that I think a lot of times people don't pay attention to is the tailbone Backstory is.

Speaker 1:

Backstory, because you're talking about the tailbone.

Speaker 3:

Yeah, yes, yes, yes, yeah. We love puns. I love it. That's a good one, Right there with you.

Speaker 3:

I was working in Colorado Springs for two years before moving back to Florida. I'm from Florida. I was working with a lot of military population, so a lot of army and a lot of air force. I was helping a lot of male patients, so a lot of times with the Army and I don't think they instruct people to do this whenever they're jumping out of airplanes, but I think a lot of the guys I was getting were people with tailbone injuries that was causing dysfunction in their pelvic floor. So, for example, like testicular pain, penile pain all of that stuff can play a role too.

Speaker 1:

That just made me think of that song about the tailbones connected to your hip bone. Is that what it's called?

Speaker 2:

I don't think that's in that song.

Speaker 3:

It's not really exactly attached either.

Speaker 1:

All right, tailbone somehow connected, related to the pelvic floor.

Speaker 2:

That's the new song. So what do you do?

Speaker 3:

outside of breeze. I do a lot of things outside of breeze. Um, I, I like the profession of physical therapy and I like kind of like the niche of pelvic floor physical therapy. So I'd like to have opportunities to participate in the profession outside of just my own thing. So I'm doing two things right now. One of them is kind of intermittent.

Speaker 3:

I do a lot of teaching assisting, so like TA-ing, with an organization called Herman and Wallace teaching assisting, so like TA-ing, with an organization called Herman and Wallace, and Herman and Wallace is kind of one of the main pelvic floor education programs, institutes for PTs and rehab therapists who are learning more about how to be a pelvic floor therapist, and so I will help teach and teaching assist for Herman and Wallace, and so I try to do that a few times a year.

Speaker 3:

I love that because I think that's a really cool way to give back and help educate more therapists and really just kind of be a resource for them. Another thing that I'm doing with Breeze too is I'm doing workshops in the community as well. So right now I have two actually planned in July with Resistance Cycle and Strength Studio in Vero, and the owner of that studio and I are kind of partnering up and doing a couple workshops with her clients there, and so that'll be a very fun kind of outlet for Breeze too. I've also gotten involved with different business groups, and something that I have found to be really fun for me is, you know, even I just go to Run Club, the Walking Tree Breweries, run Club. You know I like to run and that has been a fun outlet for me but also just a good way to get in the community and meet people.

Speaker 1:

So so many things all right, so I'm not gonna. I I'm hesitant to ask this, but I'm gonna go ahead and ask it because, if there's any guys that are tuned in, I think we all want to know what are some of the things like when it comes to men, that that we need to be aware of or that you help with males.

Speaker 3:

I see a lot of male patients for testicular pain, penile pain, um, I see a lot for hernias, um tailbone pain, um, and there's even some of the same things that males can experience, that females can experience as well urinary incontinence, um pain with urination, um, sometimes guys will have sexual dysfunction. Pelvic floor physical therapy can assist with um erectile dysfunction as well, um, and so there's, there's so much that you can do with male populations and I think a lot, of a lot of males. They, they talk about this stuff even less than females do, cause, you know, a lot of times, whenever we're in our group of female friends, we can kind of laugh and joke around and say, ha ha, don't make me laugh, I'm going to pee, and that'll be something that you know ladies will talk about, um, you and your guy friends aren't going to sit around talking about that.

Speaker 1:

Hey guys, don't make me laugh, I'm going to pee. That'd probably be the last time. Brian's not welcome here anymore. But is that pretty? Is it more common than what we realize?

Speaker 3:

Yes, it's way more common, so I was learning a little bit. One in six males will have pelvic floor dysfunction, and then one in four females will have pelvic floor dysfunction.

Speaker 1:

Well, there you go, guys. I asked the question. So yes he's raising awareness when it comes down to like if anybody wanted to reach out to you, either about having you come out and do a class or you know for your services what's the best way from the reach out to you.

Speaker 3:

Yeah, so my email is the easiest way to get ahold of me. It's just Ashley A-S-H-L-E-Y at BreezePelvicHealthcom, but my website also has all my contact information as well, which is BreezePelvicHealthcom.

Speaker 1:

Awesome, and we'll make sure we put those in the show notes. So, ashley, you know, I know that we're only going to have two episodes, because you're new here, to Vero too, and we love that you're here and that you've been tuned into the podcast. Yeah, we love that so far. What do you love most about Vero?

Speaker 3:

Just before living in Vero, I was living in Orlando and yeah, orlando was chaotic, loud and noisy and crowded and you know I'm very happy to not live there anymore. Contrasting Vero with Orlando, vero has just honestly been just like a. I feel like I'm sort of living in vacation. You know, I can go to the beach anytime I want. It's great. But also, like, the local community here has been fantastic. I have met so many people who are, you know, really willing to share resources and information and you know, even meeting you guys has been fantastic for the community and even what you guys are doing with the podcast is super cool and not a lot of communities have that.

Speaker 1:

We've been surprised with the support and we've just got to meet some amazing people already Adding you to the list. You know, it's been great getting to know you more.

Speaker 2:

It's just such a fun town. Like we hadn't ever planned on doing this exactly, but then when we got here and started going to all of the great restaurants and meeting business owners, it was it felt like a natural next step to us, because it's just such a fun place, yeah.

Speaker 1:

So I'm just curious has there been any places that you visited like that we've shared on Instagram or we've talked about on the podcast?

Speaker 3:

not yet, but I, you know, I don't even drink whiskey or bourbon and you know, listening to the um story you did with ray from the indian river distillery, like I, it made me want to go to his place and it is a cool place, yeah, and and you know now, I follow Seahorse Lane on Instagram. Yeah, it doesn't just be fun reels and stuff. Yes, yeah, she's so cute.

Speaker 2:

I bought some really cute things there. I really like it there. Yeah, so many cute things.

Speaker 1:

Well, that's awesome. That's what this is all about, so we're glad that we're getting to meet you as one of our neighbors and also raise awareness and spread the word about what you're doing. And help you meet other neighbors in the area as well. Thank you so much, ashley, for being a part of the podcast. We're super excited you're here. Well, everybody, if you guys have enjoyed the podcast, make sure you click that review. It helps other people locally find your local podcast. Yes, and with that, thanks for listening neighbor.

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