Inside the Box

Running and Prolapse with Carrie Pagliano

Kat, Tash & Caitlin Season 4 Episode 7

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0:00 | 37:44

In this episode we sit down with renowned physio Dr Carrie Pagliano to talk about one of the topics we get asked about most: running, lifting and exercise when you have a diagnosed prolapse.

Carrie brings decades of clinical expertise to a conversation that goes well beyond “just do your pelvic floor exercises.” We talk about the very real fear so many people feel around returning to activity after a prolapse diagnosis, and why that fear is so often bigger than the anatomy actually warrants.

We dig into what it looks like to piece the picture together for an individual, looking at the whole body and the many factors that contribute to symptoms rather than fixating on the prolapse alone. Carrie also unpacks the disconnect that can exist between symptoms and anatomy, why what you feel doesn’t always match what’s happening structurally, and how to manage that gap with your patients (or yourself) without it derailing progress.

We cover a practical framework for graded exposure to activity when someone is symptomatic, how to build back load and intensity without triggering a flare, and where internal pelvic floor devices fit into the picture. What’s actually out there, and what’s genuinely useful versus what’s just noise.

And we finish on the theme running through the whole episode: saying yes to running, weight lifting and the activities people love, because a person is not just a pelvic floor.

Whether you’re a clinician working with this population or someone navigating your own prolapse journey, this one will change how you think about “return to activity.”

Where to find Carrie: @carriepagliano
Listen to her podcast: ActiveMum Podcast