478 | Beyond Kegels: Building a Stronger Pelvic Floor for Running, Lifting & Everyday Life with Dr Caroline Packard
The Optimal BodyNovember 02, 2026
478
00:41:0938.09 MB

478 | Beyond Kegels: Building a Stronger Pelvic Floor for Running, Lifting & Everyday Life with Dr Caroline Packard

After pregnancy left marathon runner and Doctor of Physical Therapy Caroline Packard with persistent leakage and prolapse symptoms, standard Kegels didn’t get her back to running or lifting—so she built the pelvic-floor program she wished she’d had. In this episode, the doctor of physical therapy explains why visible prolapse doesn’t always mean symptoms or limits, how breath and whole-body strength can support pelvic-floor function, and what a gradual return to running can involve. She also shares practical ways to adjust lifting when symptoms appear, and why it’s not too late to make changes in your 60s or 70s. Doctor Dom and Doc Jen join Packard for a frank conversation about moving beyond symptom management.

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For full show notes and resources visit https://jen.health/podcast/478

What You'll Learn:

2:21 Caroline’s Pelvic Floor Journey

6:14 Prolapse, Symptoms, and Returning to Activity

8:35 What Pelvic Health Includes

10:16 Using Symptoms to Guide Exercise

12:18 Pelvic Floor Health in Young Athletes

14:12 When to Seek Help and Starting with Breath

17:04 Breathing and Pelvic Floor Coordination

19:47 Returning to Running

26:27 Strength Training with Pelvic Floor Symptoms

28:46 Leakage During Heavy Lifting

30:44 Breathing Strategies for Lifting

33:05 Pelvic Health After Menopause

35:39 Building Confidence Through Progression


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