Latest / The STA Clinician Podcast / STA210 'Musculoskeletal Health At Menopause: New Research’ with special guest Michelle Lyons

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STA210 'Musculoskeletal Health At Menopause: New Research’ with special guest Michelle Lyons · The STA Clinician Podcast

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You're listening to the Sports Therapy Association podcast, putting evidence
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back into soft tissue therapy.
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Music.
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And we're live. Hey people, how are you doing? Sorry about the slightly delayed
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start due to a little bit of a technical issue, but we're sorted now.
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Welcome to the Sports Therapy Association podcast, episode 210. and 10.
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My name is Matt Phillips, creator of runchatlive.com. And as always,
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this episode is being recorded live on the Sports Therapy Association YouTube
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channel and Facebook page.
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So if you are listening to the podcast, thank you very much.
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And if you'd like the opportunity of joining us live and being able to ask our
0:43
guests questions directly, and also just mingle with the other people in the
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live lounge, network with other therapists, then that's all you need to do.
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Head to the Sports Therapy Association YouTube channel or Facebook page at eight o'clock,
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generally on a tuesday but if all details make sure you're following uk uk underscore
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sta on whatever social media floats your boat so very shortly this episode entitled musculus,
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msk health at menopause i can never say that word i'd be a rubbish physio and
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i msk health at menopause new research i will be joined by special guest michelle
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lions women's health physiotherapist and creator of celebrate moolie ebrity
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i can say moolie ebrity but i can't say.
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Musculoskeletal there we go michelle lions will be the first speaker
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in the sta theater on day one of therapy expo this
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coming november the 27th and 28th and judging
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by last year's crowds anybody who
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was there i'm going to bring up the photo because it's just one of my favorite
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photos of all years let's bring this up so you can see it if you listen to the
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podcast you can't see photos but if you'd like stop the podcast now go to youtube
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or the sta.co.uk and you'll be able to see well at the moment on the screen
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i've got a game a variation of where's Wally. I call it Where's Michelle?
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It's such a beautiful photo. I can't remember who took this.
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I think it was Jake, but it just shows how busy it was for Michelle Lyons and deservedly so.
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So if you are heading to Therapy Expo this year, then I would strongly suggest,
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if you're interested in women's health.
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Then I would suggest you head straight for the STA theatre at nine o'clock on
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the Wednesday to make sure you get a comfy seat because within minutes it's
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going to be like this, standing room only, which is fine.
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And you can see all these people enjoying it and they stayed there and they
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didn't wander because that is how captivating Michelle really is.
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So you've got nine to two days. I'm giving you a notice now.
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I'll be doing it every week to make sure you have a ticket.
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Remember, if you're an STA member, there's an STA discount.
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If you're not an STA member then talk to
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your professional association and say hey how come
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you're not giving me a discount for the most beneficial and
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useful conference in the uk for my personal development
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and career and see what they say and if you
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are staying for two days and do sort out accommodation now uh the
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number of people who go out for one day and then they just think this is amazing oh
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i wish i was staying tonight and then they have a few drinks i think i'm
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going to stay tonight and then they realize there's nowhere to stay nowhere no
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room in the inn so if you're tempted i would say they do it because again you
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will i can't guarantee you're going to get a monetary reward in your business
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but it's probably the best way i can think in terms of cpd of improving your
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business honestly if you're not familiar with therapy expo then do have a listen
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to last week's episode 209.
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Which is available as always on podcast apps and youtube and at the sti.uk that
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was called getting ready for therapy expo 2024 with special guests molly benson
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content producer for therapy Expo.
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Also with me was Vernon Smead, the Business Development Manager for Therapy Expo.
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Also, we spoke to Anna Maria Mazzieri, who's the creator of the very popular
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Hands-On Hub Theatre at Therapy Expo.
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And also with us was the wonderful Gary Benson, founder of the STA.
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So it's there, people. Have a little listen. We're not going to,
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well, we're going to be talking about Therapy Expo today because like I say,
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Michelle Lyons will be presenting first thing on day one, wednesday
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27th of november so michelle's going
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to be giving us a q a session as i explained last
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week at therapy x with the sta theater now it's
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going to be very much focusing on your feedback and you said the intimacy of
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a q a session having that speaker come from a massive theater with kind of 100
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people you where you theory if you get there early enough could be sitting in
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a nice comfy seat with headphones if you want and being able to interact with
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the speaker that close that was something which a lot of you emailed in and
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said wonderful wonderful give us more so we listen Listen to you. We're doing that.
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And Michelle is going to do a Q&A session entitled Muscles and Tendons.
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Menstrual, Maternal, and Menopausal Influences. And...
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We have the good fortune of being joined by Michelle Lyons now,
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who is going to reveal some interesting new research around MSK Health at Menopause,
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as well as talking about what else she'll be offering at Therapy Expo this year.
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I'm going to say a quick hello to people who have joined us at the live labs,
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so you don't feel left out, taking risks now. I'm just going to bring your comments
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straight up onto the screen.
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Absolute Physio says, doing the laundry and going to try and catch some Michelle
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Lyons wisdom at the same time.
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That's the wonderful Gwonyer Donnelly, multitasking only that Donnelly can do.
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Thanks so much for joining us, Gwonyer. It's lovely to see you here virtually.
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Thank you very much for joining us. Nikki Mansfield is here as well doing the laundry.
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Evening, peeps. Really looking forward to this one. Always a mind blower,
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Michelle. Michelle, here we go.
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Her energy is as much as her content. How she manages to do so much in the same
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24 hours as we mortals is beyond me.
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I think there's a tear coming out of her eye at the moment now.
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Hey, evening, all. This is Sir Glenn Murphy, MBE. nice build-up nikki
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no pressure uh penny marie davis is here
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as well saying hello hi penny marie cecily hislop
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has joined there's loads of you joining us today such as the popularity hello from
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the world miss of bodmin moore i don't know what accents do then
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can't see anything so glad to be can't see anything so
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glad to be listening to this oh i see that's what bodmin moore is
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like um and also gary benson founder of the sta is here as well apologize for
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my tardy attendance automatic updates shut me down there we go such is life
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gary karma getting you for something you've done previously anyway so without
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further ado let's bring up my guest for tonight women's health physio and creator
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of celebrate mooliebrity.com michelle lyons.
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Music.
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You're listening to the sports therapy association podcast evidence back soft tissue therapy,
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hey how are you i'm very
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well how are you doing i am great thanks very much i'm not surprised after a
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nice relaxed preparation for tonight that's fine no stress whatsoever no no
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no none at all i'm absolutely thrilled that you're continuing tradition and
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attending this podcast from your car which i believe is the same time as you
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did last time so thank you for that.
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In a car park it sounds very dodgy i was on the road home there was just no
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way i was going to make it back Back at the time, so I pulled into Tesco and, yeah, live from Tesco.
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Or any other supermarket. We're not actually promoting Tesco,
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so it could be any other supermarket. It could be a Nasdaq. It could be, yeah, who knows.
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And where are you? Dublin, is it? Or where are you from?
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I'm in County Westmead, so it's about halfway between the east and the west
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coast of Ireland. Oh, right. There we go. Fantastic.
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Right. Well, thank you so much for giving up your time and stopping in the Tesco's
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for us. Do appreciate it.
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You were indeed in the car park in our last time I spoke to you,
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which was episode 163, which was a year ago, Michelle, August the 29th, 2023.
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Isn't that mad? It's absolutely ridiculous and it makes me feel very sad, but we won't get sad.
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But that was your you just returned from sydney for your involvement in the
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fifa women's health support and like i said that was a year ago that's crazy
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that is absolutely crazy it's time is just,
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it's it's gone bonkers i think for me certainly over the
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past couple of years since covid i think but you know it's busy but it's good
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and i think i hadn't realized when i was talking to you this time last year
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just what an experience therapy expo was going to be so now that i know i have
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some experience to base my enthusiasm on.
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It was just an incredible experience.
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I mean, the buzz was immense, but just the conversations and the collegiate
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sharing, because it was quite multidisciplinary.
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And it was so great for me to talk to folks from all sorts of different professions,
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really working in the field of sports therapy.
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You know, it wasn't just the a sports therapist, there was massage,
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there was physios, there was chiros, osteopaths and it was just it was it was
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such an exciting event to be a part of.
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There was a real buzz about it that I hadn't anticipated because you know generally
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conferences can be a little bit staid shall we say but Therapy Expo is yeah
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it's it's something that if I wasn't speaking at it I'd be planning on going
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to. It was a really high caliber event.
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That's really cool that's so nice coming from a physiotherapists as
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yourself and this year is quite exciting as well probably because
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of what you witnessed last year the msk conference which is
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within therapy expo is it used to
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be kind of a little bit of a secluded kind of traditional way
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of we're physiotherapy allied health professionals and you can do your
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massage stuff on the outside your touchy touchy
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stuff but now after a year of reflection after last year's
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event yeah the doors are open and people can go to and forth because
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finally it's about the client or
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the patient as opposed to you know what certificate you got
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on war which is must be music to your ears you know
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at the end of the day like we're all we're all in the business of helping
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people live well and live better and recover from any injuries or malfunctions
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that they're having and there's more than enough of that to go around so i think
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we're better when we work together and come out of our silos and i think that's
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really where some of the most interesting conversations were happening kind
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of just on the outskirts and in the coffee breaks as well.
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Fantastic. Yeah, no, it's going to be amazing to have you there this year again.
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And I'll tell you what, from chatting with Molly and Vernon last week,
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it's, I mean, even they're surprised and impressed.
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One thing that really shows is the exhibitors just want to be there.
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The exhibitors normally are kind of a bit, oh, which conference costs so much
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for exhibitors, but they're lining up.
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They're so excited and new people as well, because they've just heard that this
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is the place for kind of evidence informed therapists and people who actually
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want to make a difference.
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So very exciting. exciting so i'm sure you've
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been up to loads i want to quickly chat about you've got
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a new batch of episodes coming up for the podcast which i'll follow you on
10:15
social media which is great i don't know nikki's right i don't know how you
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managed to keep all this information out there and deliver it all as well
10:20
but yeah you got some new podcasts coming out a new batch i
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think the first one was a couple of days ago episode 46 labor and delivery prep
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with susannah harman tell us a little bit about that and what you've got in
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store for us if you would well look i'm i'm really lucky because Because I get
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to gallivant a lot and talk to lots of different people and our friends all
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over the place working in different aspects of women's health.
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Most people, when I ask them to come on the podcast, are very generous with
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their time and knowledge. So I've got some really exciting ones coming up.
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Susanna came on and talked about labor and delivery prep and,
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you know, just really empowering women.
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Particularly, I would, you know, I have a particular interest in athletes going
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into labor and delivery, but then also the recovery afterwards.
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So we're going to have some episodes on postnatal recovery. I've got a really
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fantastic hernia surgeon who came on to talk about hernias as a hidden cause of pelvic pain.
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What else have we got? Of course, we've got some menopausal health episodes
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coming up, just talking about the role of, again, of MSK in menopausal health,
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because it is actually, although everybody thinks hot flushes,
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night sweats when they think of menopause.
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Musculoskeletal dysfunction is actually the most common problem that we see at menopause.
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If you look at the literature, it's actually more common than the vasomotor
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symptoms. And it can be more common
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profound of a problem as well, to be honest, because people will have these
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issues where they're having, you know, problems with their tendons.
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Again, if they're exercising at a high level, joint pains, back pain,
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and they go and they get imaging and nothing is showing up on imaging.
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And unless you're actually asking people, you know, well, okay,
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so how are your periods been? Are they getting a bit irregular? Any changes with those?
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How's your sleep? How's how's your stress, how's your nutrition,
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that can often be the driving force.
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And it's not just an older women issue.
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I mean, we're talking about masters athletes particularly, so from your 35 on, let's say.
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But even before that, there was research that came out just even two weeks ago
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showing that it was looking at the loss of lean muscle mass as we age.
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And for men, it starts happening really significantly from about 55 years old.
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But for females it actually starts happening
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from the age of 31 so we know
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that estrogen you know it's anabolic it helps us build muscle
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but it's also anti-inflammatory and it really helps that
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act in myosin speed of contraction too so you
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can really just have this kind of perfect storm happening with perimenopause
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and a little bit of aging and the
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loss of muscle power and muscle muscle
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pain and it can really be a hidden
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driver of musculoskeletal dysfunction and one
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that I think you know working in conservative management we
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certainly need to be aware of and we need to be aware of the role that we can
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play because we see issues with gluteal tendinopathy with rotator cuff tendinopathy
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posterior tibial tendon issues and unless we're aware of what's actually driving
13:21
the problem, we're not going to be able to help fix the problem.
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So I'm passionately nerdy about the hormonal and the endocrinology of musculoskeletal
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dysfunction, because I think if you understand that, then you've got the secret
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boss for helping your female athlete.
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And again, an athlete is anybody who just exercises on purpose,
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but you can really help them.
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To troubleshoot and problem solve and get them back to physical activity,
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which we know is just the magic bullet for just about every issue of the body and mind.
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I mean, I'm listening to you, and obviously people comment on this all the time.
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I hope you don't grow tired of it. There's a passion there, which is incredible.
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I mean, the way you talk and deliver it and then seeing you, it must be interesting.
14:08
Do you manage to kind of find
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tangible evidence that you are managing to to
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get this evidence through that you are you're you're
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kind of revolutionizing a little bit maybe in terms of male
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audience because what you're talking about is something that not once upon a
14:23
time women's health was like women female therapists would kind of have a look
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at it but it's what you're saying means that let's not divide into women and
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men everybody who works with females in pain needs to be knowing this is it
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happening are you do you feel quite positive I do,
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you know, I do, because, look, I'm very lucky to be working with an organization
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like FIFA and I've recently been involved with Sport Ireland and the Irish Martial Arts Commission.
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And when you see organizations like
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FIFA for example kind of stepping up and shining
14:56
a light on the importance of female athlete health and funding research and
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publications and that we're you know we're in the middle of the next world cup
15:04
cycle now we're working on developing educational resources for players for
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coaches and for the medical team as well so I do feel that it's you know,
15:16
having an organization like FIFA sit up and take notice and drive the conversation
15:21
forward really helps bring it into the center because it's not a niche topic.
15:27
Like this is an issue that's going to affect 51% of people on the planet.
15:30
But I think it's fantastic. You know, I'm going to give a shout out to Ian Wright
15:34
because he's been a staunch advocate for women's football and for bringing kind
15:39
of, you know, equal rights into training facilities and prize money and all that sort of stuff.
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And he was at the Footballers' Conference in Sydney for the World Cup final
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last year and he spoke really eloquently about it.
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And that's, you know, we see more male allies coming in and stepping up and
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female athletes are stepping up as well.
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So I'm hopeful, like, you know, there's a lot been done. There's always more to do.
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But I finally feel like, you know, we just had parity of female and male athletes
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at the Olympics in Paris.
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So I think we're getting there. You know, we're not quite there yet.
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I mean, there's still some inequity in terms of, you know, tennis and golf and
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other sports like that. but we're moving in the right direction.
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And I think what's actually really heartening for nerdy people like me as well,
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that's actually being reflected in the literature and in the research that's
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out there as well, that we're starting to stick more of an emphasis on a female-centric approach.
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I mean, like, I will scream. If I see one more research paper that tells me
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that female athletes have six times more ACL injuries than male athletes,
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I will scream, because we know that.
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It's like, what are we going to do about it? You know, why?
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And it's not periods. It's not a deficiency in the female athlete.
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A lot of it is actually more gender-based than sex-based.
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You know, female athletes not having access to strength training in gyms or
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early age neuromuscular programming.
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And it's about making sure that
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our young female athletes have the sex specific
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resources they need to stay in the game so yes
17:15
access to strength training and programming and high level coaching but also
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acknowledging that you know honestly something as simple as the right sports
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bra can keep a young teenage female athlete in the game and last year the irish
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female rugby team switched over to navy shorts from white shorts.
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And that's literally been a game changer for those athletes.
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They're not worried about getting their period.
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Supporting athletes coming back to sport after having babies,
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supporting athletes in their 30s as they're moving into that perimenopausal zone as well.
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I'm just acknowledging the reality of biology in terms of how estrogen particularly
17:54
will affect tendons, will affect bones, will affect muscles,
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will affect joint pain. And if we know that, you know, we can deal with it.
18:04
Everything is figureoutable, but we have to have a strategy in place and acknowledging
18:08
it as the first step and then educating everybody, literally from the athletes
18:12
themselves through the support staff.
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So it's moving in the right direction and we're getting there,
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but we're not quite there yet.
18:21
It's it's amazing you reminded
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me the fact that it's only a year
18:27
ago that somebody decided hey let's not make them
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parade around in white shorts let's change it to a color this i mean
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is that do you think a reflection of finally it's
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not just a bunch of guys doing the research and therefore going
18:39
oh look acl blah blah it's actually female researchers getting
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involved and having therefore the life experience of what
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we should be looking at is that reflection of a bit of research going on i
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think so i think like being able to have like practical life experience
18:52
of the issues that these athletes are you're not
18:55
just looking at it from an abstract perspective you
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know i mean you have people like our esteemed friend and colleague gráinne donnelly
19:02
doing her phd and really driving that conversation forward but kelly mcnulty
19:08
kirsty elliott sale and and you know within within our fifa working group we've
19:12
got some amazing athletes i mean tony hackney is Is that the cream of the crop?
19:16
And he's right there as well, kind of leading the charge. So yes,
19:20
we've got great male researchers in the field, but we're starting to see more
19:24
and more female researchers coming in as well.
19:26
And I think that just brings a different perspective that maybe lends itself
19:31
to a slightly more practical and immediately applicable focus on the research.
19:37
Excellent. I've just heard Grainne O'Donnelly just put Laundrie down and go,
19:41
you know what, sorry, I'm going to do this later on.
19:43
I'm just going to sit down to listen to this properly now yeah people
19:46
um grenier if people wonder who grenier is then check out the athletic
19:49
female um grenier has been a guest on the
19:52
show before we'll put some of that into the notes um and also
19:55
with emma brockwell so yeah definitely names that people should be looking out
19:59
for i was watching i watched the olympics when i could with two young kids it's
20:03
tricky but and i was really i don't think i was looking for it but i really
20:07
noticed the presence presence and the coverage of not just the female athletes
20:11
but also I thought it was wonderful,
20:13
commentators when he had like the various commentators talking and chatting and it was.
20:18
I don't know what it was. They just came. I wasn't looking at women anymore,
20:21
put into a place to fit the quota.
20:24
I was actually engaging in there now and again, thinking I haven't thought of
20:27
these women for ages, actually engaging me and talking about it,
20:29
which I thought was a really nice thing because I have been guilty in the past.
20:31
I think everybody has, you see on screen, you think that's just been put in
20:34
there to tick a box, but they were so engaging and gave such good reports and such good insight.
20:39
Obviously you had great athletes in there as well. Jessica, listen to that.
20:42
But yeah, I thought it was great.
20:43
I'm hoping it was such a shame. I think one of the
20:46
things that annoyed me so much about like the boxing in controversy is that
20:49
everything got moved away from the celebrating women
20:52
in sport and and kind of political agendas got taken
20:55
over and stuff but i personally think it was a great year for
20:57
women in sport in the olympics and it was covered you know really well
21:00
and that's really important isn't it because people watch that feel empowered especially
21:04
young female athletes and that's that's good yeah yeah i mean you know i mean
21:08
there's a saying and it's a cliche for a reason but you can't be what you can't
21:12
see excellent so important for for the next generation of young young girls
21:17
coming through that they see women achieving at high levels.
21:21
What I loved particularly about this particular batch of Olympics was that there
21:26
was a large number of female athletes who'd come back postnatally.
21:30
They'd had their babies and they were back in sport again, whereas in years
21:34
gone by, that would not have been heard of.
21:37
And I also need to give a shout out to folks like Simone Biles,
21:41
who took a break for her mental health and was able to come back as well.
21:45
And I really see kind of, you know, female athletes not being afraid.
21:50
And again, these are obviously, you know, high level elite athletes,
21:54
but not being afraid to kind of break the norm and to, you know,
21:58
to look at changing the way the game has been played before.
22:02
And you know some of these athletes who are
22:05
coming back postnatally they're actually hitting their pbs after
22:08
they've had a baby which is kind of like one of these kind of myths that's
22:12
out there that once you have a baby that's it you're kind
22:14
of your high point in your career is done but actually
22:17
we're seeing the opposite manifesting in in real life in the olympics but also
22:22
in the literature as well so it's it's an exciting time i think to be working
22:26
in women's health particularly supporting the female athlete and just to get
22:30
that message out there that it doesn't matter you know if we're talking about
22:33
menstrual health or maternal health or menopausal health.
22:37
Physical activity is just it's non-negotiable and so what we have to do from a rehab perspective,
22:43
is to make sure that we're we're not feeding into the narrative of oh you're
22:48
getting older you know kind of aches and pains are normal in your 40s and your
22:52
50s and it's just a sign of aging I don't buy that and the research doesn't buy it either.
22:58
Yes, things are changing but we now know what actually works to circumvent those
23:05
changes particularly those degenerative changes in around the tendons of the
23:09
hip and the shoulder and the foot.
23:10
So it's onwards and upwards you know there's a lot of good things happening
23:14
out there because the research has to come first because we want to be evidence-based in our approach.
23:21
But the research is emerging now and particularly over the past two or three
23:25
years, you know, we see evidence looking, you know, we know women,
23:30
for example, are more prone to osteoarthritis in their hips and their knees than men.
23:35
But we actually now know that, you know, there are certain dietary strategies,
23:39
there are certain strength training strategies, as well as the psychosocial
23:43
metrics that actually have measurable benefits and good outcomes.
23:48
So it's to make sure that we're up to date with
23:51
what's happening out there you know there's a there's a
23:53
paper that's out there that it came out a couple of years ago
23:56
talking about how on average it takes about
23:59
17 years for the research to
24:02
trickle down into clinical practice and we have to rage against that we have
24:06
to like fight that and stay current and that's why i think you know podcasts
24:11
are are super important and having these conversations particularly when it's
24:15
It's multidisciplinary because literally this afternoon,
24:20
I was kind of putting together some notes for our chat today.
24:22
And there was a paper that was released today talking about how there's been
24:27
more research in sports science done in this decade than in the previous five decades combined.
24:32
Bind but there's never been as
24:35
much misinformation because serious scientists
24:39
think that if they are good communicators particularly
24:43
on social media they won't be taken seriously
24:46
in the research or science world and we're
24:49
starting to see now this dawning realization that actually
24:52
this is where folks are getting their information and if
24:55
they're not getting good information that is evidence-based
24:58
there's a lot of people out there you know
25:01
different influencers who don't have good knowledge to to disseminate that they
25:07
will fill that gap so we need to make sure that we're getting the good research
25:10
out there getting on social media doing podcasts going to conferences having
25:16
the conversations having the chat and and that's how we drive the field forward.
25:21
That's a real that's really i'd love to hear that
25:24
it's really positive because one of my bugs is and it really
25:27
depresses me quite a lot is the misinformation spread by
25:30
social media and i'm and i i get i feel
25:33
like it's the most dangerous thing for man's existence that's
25:36
out there because people are just fighting each other black and
25:39
white polar debates and and the politics is going
25:42
crazy they can persuade people so it's really nice to hear that if
25:45
if yeah if there is a group of scientists who are
25:49
avoiding social media because if they think it
25:52
won't it won't they won't be taken seriously if they start getting involved
25:55
then we can kind of change it a little bit and
25:57
it is the good thing about social media is once you get a it's like a snowball
26:00
once you get a positive informed ball rolling then more and more people will
26:05
see it so we can use social media in the same way spreading misinformation it
26:09
can spread good information so that's really cool that's a positive thought
26:12
and your podcast is one place people should be checking out so yeah people people,
26:16
if you haven't seen it yet or heard it yet, then you don't have to go to Spotify.
26:20
I'm sure it's available everywhere. And you can go to the website as well,
26:22
celebratemulieberty.com and there's links there.
26:25
But yeah, make that your September new kind of academic year.
26:30
That's the podcast you're going to sign up for. People can have a little listen.
26:33
46 episodes already there. And I love that. You've already done it.
26:36
You're so famous in my heart for just dropping these gems.
26:40
And you've done it now with You Can't Be What You Can't See,
26:43
which I've actually had to
26:44
look up because I thought that that's incredible and it's beautiful
26:47
as well by Marion Wright Edelman with regards
26:50
to the Children's Defence Month Fund but yeah what a great way
26:53
of encapsulating yeah brilliant I love that that's got a t-shirt in the making
26:57
and with the other 10 that you've given me which I need to print out um wonderful
27:02
thanks so much for that right so um we'll talk a little bit more about the research
27:05
in a bit I just want to let people know well first of all and I hope it doesn't
27:09
get boring for you but yeah celebrate Celebrate Muli Ebrity.
27:12
Give us, for people who aren't aware, Muli Ebrity. Just in a nutshell,
27:16
what is it and why did you choose it?
27:17
Do you know what? In 20 seconds or less, it's an old English word.
27:20
It means the art and state of being a woman. And I think it should be celebrated.
27:24
That's it. That's it. It's beautiful. Because when you say that,
27:28
it'll make people just remember it forever now.
27:29
And they'll be dropping it into their dinner parties and go,
27:32
of course, if we are going to talk about Moulin Auberty, and people go, what?
27:35
And it's all thanks to you. Yeah, it's a beautiful word. And once you think
27:38
of the meaning, it's one of those words, when you know the meaning,
27:40
it will just register in your brain. The wires fuse.
27:42
You think, yeah, I'm going to know that and use that forever.
27:45
We're going to have a generation of daughter's called muley eberty or something's
27:48
coming up so it's a beautiful word can you imagine that come here
27:51
muley eberty in the supermarket anyway yes
27:55
and we all be down to you so let's
27:58
actually just want to bring up an image because people do email me
28:01
saying it's so nice to have the images in youtube it keeps me engaged and stops
28:03
me from drifting off so i'm going to do that so yeah the
28:06
website celebrate muley eberty.com so much
28:10
information on there really is a wealth of information and obviously
28:13
details of loads of courses and things as well which we'll if we've
28:16
got time we'll talk about at the end of the show but yeah there's another one to visit
28:18
people and i hope we've made it quite clear it's not just a
28:21
guy thing come on now man it's not just a mad thing um it's something where
28:25
like like michelle said 52 of your patients are probably going to be women so
28:29
head along there and make yourself a better therapist therapy expo so let's
28:36
have a little let's change this you're coming back again this year which is
28:39
wonderful Wonderful. Thank you so much for that.
28:42
You've got a couple of sessions. Let me just change that and bring it up on the screen.
28:47
Hide that. Oh, I like this as well. It's brilliant.
28:50
If people go to Therapy Expo, I'm just going to show you some screenshots.
28:53
If this is the podcast, then again, go to YouTube or just go to Therapy Expo.
28:56
But I'm so thrilled that I'm on the same page as you.
28:58
Look at that. Look at the M's there, shining this year. It's the best letter there.
29:02
Not only have we got Michelle Lyons there and myself up there at the top,
29:05
you've got Martin Christensen is coming all the way from Norway to deliver a
29:09
couple of speeches, will we?
29:09
And And hopefully I'm going to contact him to try and get in the STA theatre as well.
29:13
I'm just going to call out a few people now who are going to be in the STA theatre
29:15
while we're up on the screen.
29:17
No offence to people I don't mention, but there's going to be loads of people there worth seeing.
29:21
But obviously I've said Michelle, Martin, hopefully Mike Grice is there.
29:24
People will know a lot from the show, from Movement Therapy Education.
29:27
Mike James, who's a wonderful speaker. I think everyone knows him now,
29:31
but he was like one of the speakers in the original One Chat Live 2019 episode.
29:35
I'm just going to show a few more to get hopefully wet people's appetites,
29:38
and then we'll move back to show if that's okay.
29:41
Alistair Beverley is going to be in the STA Theatre again, the Learning Disability Physio. Fantastic.
29:45
Absolutely amazing. Andrew McCauley is going to be with us.
29:48
Andy Hosgood is going to be with us. Anna-Maria Mazzieri is going to be with
29:52
us, as well as managing the hub around the corner.
29:54
Benoit Mathieu is not with us of anything, but again, that's a fantastic name.
29:57
Great to see him back at Therapy Expo. He's been on the website,
30:01
sorry, on the podcast talking talking about injuries of the groin, which you can check out.
30:06
Just a few more here. I thought I'd point out I'm only into the Cs now.
30:09
Chris Norris has been on the show before. He's going to be there. Chris Tiley.
30:12
I've never told to lift. So there's so many people there.
30:16
I'm not going to go on and on, but it's well worth hopefully you going to Therapy
30:19
Expo website and having a little check out about all the great people are going to be speaking.
30:23
And that's what makes the Expo so good. We mentioned this last week.
30:28
Molly was kind of saying that all the speakers seem to be people who obviously
30:31
it's a living but you can tell when they walk around the organizers they're
30:35
going geez these speakers are doing it out of love and wanting to change the
30:39
industry it's their living obviously but you can tell from there where they
30:43
engage and talk especially in the q a sessions that they're doing it for the
30:47
love which i suppose is the.
30:48
Best formula for health care there is isn't it make a living but
30:51
you're doing it because of altruism at the end of the day well you
30:54
know if you can nerd out and enjoy us and then conversations with
30:58
fellow nerds who are also like passionate about it
31:01
it's bliss it's absolutely bliss hey there
31:06
matt phillips here sorry to interrupt the podcast just 60
31:09
seconds to remind you that if you're looking for beard grooming
31:12
products there is a sports therapy association discount
31:16
code that will get you 15 off at
31:19
the brighton beard company website the brighton
31:22
brightonbeardcompany.co.uk yes i am
31:25
biased what with brighton being my hometown but the brighton
31:28
beard company really do offer an absolutely amazing selection
31:32
of luxurious beard balms and impeccably scented
31:35
oils all handmade in small batches with 100 natural ingredients their current
31:41
spring collection for example contains bergamot coriander thyme and lavender
31:46
giving you a fresh and energizing essence with both citrusy and peppery notes
31:50
making it the perfect gift for you,
31:53
a family member or any friend with facial hair.
31:56
Go to thebrightonbeardcompany.co.uk and get 15% off now by entering the discount code STA15.
32:06
Doesn't include already discounted bundles.
32:10
So yes, your involvement at Therapy Extra this year in the STA Theatre,
32:15
which like I say, is going to be opening up day one.
32:19
So head to the STA Therapy Update Theatre for that on the Wednesday.
32:21
Muscle and tendons, menstrual, maternal and menopausal influences,
32:24
a Q&A with Michelle Lyons. So you've already kind of touched on this.
32:27
I mean, you've got wonderful alliterations going in there, menstrual,
32:31
maternal and menopausal and muley ebriety, which is brilliant.
32:34
But Without giving too much away, what can people expect in this 25 minutes
32:38
if they come and join us for that presentation Q&A session?
32:41
People will be getting just some immediately applicable insights into identifying
32:48
the drivers of musculoskeletal dysfunction in the female patients that they're
32:53
seeing for these injuries.
32:57
Recognizing the signs, you know things like red
33:00
s things like premature ovarian insufficiency
33:03
but also maybe spotting things like pcos or
33:06
endo as well understanding the effects of different hormonal fluctuations on
33:11
ligaments tendons joints muscles and how that changes as we age as we go through
33:18
these different hormonal shifts and some top tips you know by getting back into
33:22
sport particulars has been a significant injury,
33:26
acknowledging the role of the hormonal cycle, but also with specifics for your
33:31
postnatal and your perimenopausal female athletes as well.
33:34
What to look for, what to do, what not to do, and really just putting yourself
33:40
forward as a therapist who's able to go with a little bit more depth,
33:46
a little bit more expertise.
33:47
It's not one size fits all.
33:50
It's about nuance. wants it's about being able to bring a bespoke approach to
33:53
the female athletes that you're serving fantastic wealth
33:57
of information and the fact it's going to be a q a session we talked about this
33:59
last week as well because you can learn from being
34:02
in a theater with somebody at the front and delivering that presentation you're
34:06
sitting there but we kind of feel that there's also a load of benefit of that
34:10
reflection get people having the courage to ask a question and other people
34:14
in the audience wanted to ask that question but they were scared so is it nice
34:18
for you as an educator to be able to have a Q&A session.
34:21
Oh, I love it because, you know, sometimes these questions will just come,
34:25
you know, totally left field and things that you haven't thought of.
34:29
But actually, now that it makes sense and you think about the research that's
34:31
out there and you can pull it all together and hopefully make it coherent.
34:35
Because I guarantee you, if one person is thinking of a question,
34:39
there's somebody else also thinking of that question as well.
34:41
Maybe they're a little bit nervous, but that is that is my jam.
34:45
Like just kind of really kind of looking at
34:48
it from a different angle and being able to pull it together what
34:51
do we know what do we need to consider because you know
34:54
at the end of the day like our job is just to help people live well and
34:57
it's to bring in all the different facets of people's expertise
35:00
for that and what do you think and have you ever tried this and i
35:03
wouldn't do that but i might do this and that's i think
35:06
where the magic happens that's great yeah i mean
35:09
that's the feedback we got was in terms of learning and
35:13
actually retaining information and waking up on the monday or
35:17
the friday and thinking what do i remember from that because it is a massively draining
35:20
two days a lot of the feedback we got was you know what a lot of information
35:23
from the q a sessions especially when i asked that question that i'm going to
35:26
hold on that forever because my neurons were just firing i was listening i was
35:29
absorbing as opposed to just kind of it's not to say don't go to the big theaters
35:33
because you yourself are going to be in theater c on on the Wednesday later on at 2.50,
35:38
but there's something special maybe about just mixing it together, having a bit of both.
35:42
You know, I think everybody learns in a slightly different way as well.
35:46
And I think it's just to have that different approaches and different ways of
35:50
sparking the conversation, sparking thought.
35:53
But if there is something that, you know, that maybe a talk in a theatre has
35:58
triggered for you, and then you can bring that along to the Q&A and get a different
36:01
from person's perspective even on it as well. I think it just really enriches the event.
36:06
Definitely. I've got one of the most polite questions I've ever had in 210 podcasts.
36:11
Here we go. Can we ask questions now? Said Penny Marie Davis. Of course, Penny.
36:15
You don't have to ask. Actually, this is probably the first episode I said,
36:18
and if anybody in the live land has questions, just fire them away.
36:20
I didn't say it and look what happens.
36:21
Penny, you put your question together and put it in the comments.
36:24
I'd be more than happy to answer, but thanks for checking. That's really nice of you.
36:28
So yeah, whilst Penny's putting her question together, Penny Marie,
36:30
yeah, Theatre C, challenging women's health inequalities within the therapy sector.
36:34
Sector tell us a little bit about that that's at 2 50 on
36:37
the wednesday as well what sort of information is going
36:40
to be within that i think you know some of the things that we've touched on
36:43
already like just simple things like having period supplies you know making
36:48
sure that people have the kit that they need for that sometimes it can and this
36:53
is from my own personal experience like when i started out when i graduated
36:56
first you know in the primordial mists of time many years ago,
37:00
I was working for a fairly high level men's football team.
37:04
And I was the only woman kind of in the mix.
37:07
And, you know, it's to be able to hold your own in that conversation and in
37:11
the ensuing conversations about making decisions about player welfare and about athlete welfare.
37:17
So have you got enough confidence to kind of hold your own, but also challenging
37:22
any of the inequities and biases that you might face as well and making sure
37:27
that you are so solid in your knowledge and in your research.
37:32
That it just cannot be questioned.
37:34
And because I think when you know yourself, what you're saying is true,
37:38
you just sit a little bit deeper in the saddle and you're able to hold your
37:42
own because it can be quite intimidating, I think, as a female therapist in
37:46
a very male-centric... And, you know...
37:50
It can be a little bit of a different atmosphere, let's say,
37:53
than a female-centric environment.
37:55
And it's just to be able to hold your own in your own way because you have such
37:59
value to bring to the table, the treatment table, but the decision-making table as well.
38:04
So it's about all the things, the clinical end of it, how you carry yourself
38:09
professionally in it, and just to have the confidence and the competence to
38:14
be an excellent therapist in that environment.
38:17
Marvellous. Sounds fantastic. Fantastic. One of the things about comparing in
38:20
the STA theatres, because of course I can't really make it to any of these theatres,
38:23
but I will get feedback, but it's, yeah, sounds absolutely amazing.
38:27
So that's going to be Theatre C.
38:28
You can see you've got the Q&A in the morning and then later on,
38:31
if you want to see Michelle Lyons, then it's 2.52 to 3.35 in Theatre C,
38:37
challenging women's health inequalities within the therapy sector.
38:41
Right then, do I have a quick read of Penny's question before I bring it up?
38:44
She was just bringing it up.
38:45
She was so polite. let's bring it straight up what can go wrong here we
38:48
go i have recently quite a few ladies with plantar fascia discomfort
38:51
some in both feet please can you offer me some direction to where i can source
38:54
information to help them and me to understand are orthotics the answer which
38:58
seems to be what most local physios offer a bit of an on the spot question but
39:04
it is well what i would say is a couple of different i would have questions
39:08
for your question you know what is the age profile
39:11
of these athletes. Are they menstruating regularly?
39:14
Oftentimes, in my experience, I find that plantar fascia problems are often
39:19
misdiagnosed as plantar fasciitis when it's actually a posterior tibial tendinopathy.
39:24
So I'd be really careful about the diagnosis that's going on in there.
39:28
Some good information coming out particularly about the role of cilius strengthening
39:33
and cilius endurance as well.
39:36
So, you know, in days gone by, it would be like, get in there,
39:39
you know, and we'd be kind of, you.
39:41
Going hell for leather with manual therapy and flaring things up.
39:46
But what we're actually seeing now in a lot of these inflammatory and potentially
39:49
degenerative conditions as well, we've got to look at what's happening in terms
39:54
of the inflammatory load. So has training changed recently?
39:57
What's nutrition like? What's sleep like? What's stress management like?
40:01
As well as all the hormonal influences and then looking
40:03
for those musculoskeletal masqueraders that
40:07
can often be the hidden drivers so i
40:10
would say don't rush towards orthotics rule out everything
40:13
else and and then we can have the conversation
40:16
but i would say first of all let's look
40:20
at what's going on physiologically hormonally and
40:23
then kind of build it out towards those lifestyle factors before
40:26
we um before we jump the gun excellent great
40:29
advice there penny fantastic are they runners penny i'm
40:32
just interested if you are talking about runners i'm assuming they're runners
40:36
just because i look after runners but yeah let us know who they are and that
40:40
would be useful maybe to continue the conversation and yeah like michelle says
40:43
just start off looking at the person that's just that's the answer look at the
40:46
person first of all what's going in their lives and everything and what's going
40:50
on physiologically systemically with them.
40:52
And watch out for quick fixes i think i mean orthotics might be able to i always
40:58
see orthotics as a little bit of a crutch like it can offload it could make
41:01
them hurt less for a while but you've You've got to remember it's a dose, isn't it?
41:05
You've got to explain to them that if pain needs to be calmed down, this might help.
41:10
Well, definitely, because it varies from person to person, but something worth trying out.
41:14
And then they'll listen to you. I love that therapeutic alliance,
41:17
which comes from if you do manage to offload their pain a little bit,
41:19
then they'll be, oh, tell me more, you know, kind of like a bit of a Yoda moment.
41:23
But it's not really the solution, probably. It could be.
41:27
Look, the goal is always to get them out of trouble and then to keep them out of trouble.
41:31
Trouble so yeah it's like if a heel raise or a
41:34
gentle orthotic gets them out of trouble that's
41:38
okay but again we want to make sure that's not the whole picture that
41:41
we are actually looking at of what's causing the problem in
41:44
the first place and going deeper fantastic great great
41:47
question penny thank you very much for taking us off to that angle we're looking
41:50
forward to the follow-up so i'm just gonna hide that for a second right so we've
41:55
covered therapy expo so yeah you've already kind of mentioned a little bit of
42:00
the exciting new research regarding musculoskeletal health and menopause.
42:03
I found that so interesting when you said new research.
42:05
I think, forgive me, I'm not quite sure, but I think it was you who last year
42:09
pointed out to me, if it's not, this is going to be terrible. I'm pretty sure it was.
42:14
A year before that conference, it was quite big about having apps to track periods and stuff.
42:20
And you suddenly appeared, I think it was just before your talk started,
42:24
you just left me thinking, oh my God, this is so true.
42:27
But it was like, you said, oh, some research is coming out suggesting that we
42:30
shouldn't overlie on apps because there's plenty of champions and elite athletes
42:34
and people setting records at times where they theory shouldn't be.
42:37
So that was a really nice example. I thought, wow, because I got quite caught up in that.
42:43
I was like, this is great. everybody get an app follow your menstrual cycle you'll
42:46
have one time you're going to be great one month but you should pull back and it's
42:48
not necessarily that straightforward is it not
42:52
at all because like how could you do that with a team sport you
42:55
know you have everybody at different phases of their cycle and
42:58
you know i'm going to quote kirsty elliott sale here who's
43:01
who's done quite a bit of research around this and she would say that you
43:05
know women have won olympic medals world cup world
43:08
championship at every stage of their
43:11
menstrual cycle what we do
43:14
know is that it's really important for every
43:17
woman to track their own cycle and to know what their own individual fluctuations
43:23
are throughout their cycle so if you know for example that during your during
43:30
your period just you know day one or day two that you're going to be kind of
43:33
crampy you You might have a little bit of diarrhea.
43:35
You know, then, you know, to maybe lay off the coffee because that's a bit of a bowel stimulant.
43:41
You might want to look into getting something like a TENS machine,
43:43
you know, to help you deal with the cramps.
43:45
If you know, if you're tracking, say, over three months and you know that you're
43:50
a little bit more prone to constipation or to back pain during the luteal phase
43:56
of your cycle, what measures can you take for that as well?
43:59
Well, if you know you're not going to sleep as well, if you know you're going
44:02
to be a little bit low energy at certain parts of your cycle versus a little
44:05
bit higher energy, how can you maximize your own energy?
44:10
Bespoke, you know, approach to working with your menstrual cycle instead of working against it.
44:16
What's been really interesting to me is kind of talking to different organizations
44:21
that are working with athletes at higher levels is that there's been a complete
44:27
U-turn in how female athletes now are being looked after.
44:31
A lot of the higher level athletes are being discouraged from going on the oral contraceptive pill.
44:37
Because we now recognize that the menstrual cycle is actually the fifth vital sign.
44:41
It's really given us a ton of information about how athletes are managing their training load.
44:46
You know, are they eating enough? Are they sleeping enough?
44:49
Versus how they're performing. Because if you've got low energy availability,
44:52
your period is often the first thing to disappear.
44:55
And so that's a big red flag that, you know, you could be on the path somewhere
44:59
between low energy availability and red S.
45:01
And so we're now seeing more of
45:04
an acknowledgement of the importance of the menstrual cycle and really
45:07
understanding that it is it's a superpower rather than
45:10
a hindrance and we can tap into that and
45:13
make it work for us but we also have to acknowledge you know then as we get
45:18
a little bit older and when I say older like I mean from our early 30s on that
45:24
we are going to have changes in terms of how hormones are produced and in terms
45:28
of how our muscles and tendons react to those changing levels as well.
45:33
So the things that often work for us in our 20s will not work for us in our
45:38
30s and certainly not into our 40s.
45:40
And it's to be able to kind of, again, bring that sort of nuanced approach to
45:44
working with female athletes that I think is really important.
45:48
Particularly, you know, if you're working with somebody who's just got this
45:51
recurrent, you know, injury after injury and they're picking up colds and infections,
45:58
like what's going on with that?
46:00
And just, again, it's to really kind of bring home that message that women are
46:05
not small men, because men have a 24-hour hormonal cycle.
46:11
And so it resets every 24 hours, and it's fairly regular the whole way through.
46:15
But females are going to have, you know, 28 to 35 days, and it's going to change
46:20
and evolve depending on whether or not they're getting pregnant,
46:23
they're having babies, they're on the pill, they're on an IUD,
46:27
They're approaching perimenopause.
46:29
Maybe they're having an early menopause.
46:31
And so there's a lot more layers to consider, especially when it comes to muscles and tendons.
46:37
And I think we just have to be we have to be really on the ball that we don't
46:40
treat musculoskeletal health the same way in female athletes versus male.
46:45
Excellent. Yeah. I mean, that's a great example of staying on top of the research
46:49
and being informed, which brings us a little bit back to Penny Marie Davis's
46:53
question of where, I mean, obviously she should check out your website for a
46:57
start, goes without saying.
46:58
But she's just come back with the majority it's a mixed bag majority
47:01
45 to 55 and love exercise classes and pt
47:04
which straight away it said alarm bells in my head of
47:07
people jumping up down an old cold stone sort of church
47:10
halls and and and just having so
47:13
much energy well thinking about energy that's what i seem to
47:16
see in that population is i mean i've been in the sahara working
47:19
with ultra athletes and i've seen people female
47:23
runners beating male runners and and and it
47:26
makes me think is there kind of this because it must be a lot
47:29
of it is like 90% of mental is and the other 10% is
47:32
in your head it's kind of like it's amazing what happens that age to
47:35
women and they do shine later on in sport but sometimes
47:39
that that desire could be misplaced can't it you can
47:42
easily do too much easily I
47:44
mean there's some interesting research showing that female athletes will
47:48
excel at endurance events they get a little bit
47:50
older compared to male athletes because of the the
47:53
way we oxidize fuel we're able to to because the
47:56
male athlete is going to be more dependent on carb energy and
48:00
whereas the female athlete can tap into fat reserves a little bit more efficiently
48:04
so female endurance athletes will tend to outperform male endurance athletes.
48:09
And particularly in that master's category but what we have to be very careful.
48:15
Of is there's still a huge tendency.
48:18
For women, particularly, I would say, in their 40s and 50s to very much focus
48:24
on the cardio aspect of physical activity and not enough emphasis on strength training.
48:30
And that's the secret sauce for ideally avoiding these tendon issues,
48:36
but certainly in their resolution as well, whether we're talking about rotator
48:40
cuff or gluteal tendinopathy or the posterior tibial tendon,
48:44
which again, is often the masquerader for plantar fascia problems.
48:49
And I think what we have to really be careful of, you know, a lot of women are
48:53
still afraid maybe they're going to bulk up.
48:54
You know, you're really not, you know, particularly perimenopause,
48:58
trust me, you are not going to bulk up if you're doing strength training.
49:01
But we know that lifting heavy, fewer reps, heavier weights, really important.
49:06
But we also have to acknowledge that But for female athletes,
49:12
their pelvic health concerns are a barrier for one and two in participating in physical activity.
49:19
So we have to make sure that we're addressing pelvic health issues with these
49:24
athletes as well, whether or not they've had babies.
49:27
This is not just for your postnatal athlete, because the female pelvic floor is.
49:34
Is is really incredibly linked in with
49:37
obviously with everything that's going on hormonally but you
49:40
know we've got some interesting research looking at back pain in
49:43
women and the link between pelvic floor dysfunction and
49:46
back pain in women you know about 95 percent
49:49
of women with back pain will have some sort of pelvic floor dysfunction
49:52
and about 70 percent of
49:55
those will actually have over activity in the pelvic floor muscles so
49:59
we have to look at what's happening centrally as well you know
50:02
stress management energy availability sleep
50:05
all of those things and fear of aging
50:09
but certainly making sure that we're not afraid to screen for pelvic health
50:14
issues when it comes to physical activity and then knowing what to do with those
50:18
answers as well so again it's just it's another facet to think of because men
50:22
essentially men as long as they have their prostates in place,
50:26
it's very unlikely that male athletes are going to have urinary leakage.
50:32
Male athletes can have pelvic pain issues, particularly the cyclists and the
50:37
rowers and the equestrian athletes.
50:39
If they've got some compression of the pudendal nerve or artery or they've got
50:43
some overactivity of the pelvic floor muscles.
50:46
But generally from a bladder or bowel leakage issue, we're going to see more
50:49
of that being a problem in our female athletes.
50:52
So again, Again, are we screening for that?
50:55
Whether or not pelvic health exam or treatment is technically in your scope
51:01
of practice, there's some really great new tools out there.
51:04
There's one that's specifically for female athletes.
51:06
It's called the Pelvic Floor Dysfunction Sentinel, PFD Sentinel.
51:10
It was published last year by Sylvia Diageo in BJSM.
51:15
And it's just, it's a really simple checklist about, you know,
51:19
some things that might lead you to believe that there's an issue with the pelvic floor.
51:24
And all these things are super easily fixable.
51:27
But first of all, we have to, you know, in the same way that we're comfortable
51:30
talking about the ACL or the plantar fascia, let's bring pelvic health into the mix as well.
51:35
And we're talking about injuries for the female athletes, again,
51:39
whether they're amateur weekend warriors or elite level athletes.
51:44
Excellent. Loading information there for Penny and everybody.
51:47
The strength training is so important.
51:50
Hey, we don't know what relationship you have with your groups and your clients,
51:53
But I think for most of us, there's conversations which we're not having.
51:57
Even female therapists with female clients, it's not just a case of the men don't talk.
52:01
It's a lot of the female therapists aren't used to talking about it either or
52:04
just don't imagine they should be bringing it up.
52:06
So hopefully there's a lot of stuff there for you, Penny, to be cracking on
52:09
with, with your group, that lucky group you've now got with you looking after them.
52:12
The first thing, which is coming on the podcast and asking that question.
52:15
Hey, you're halfway there already.
52:16
You know, that's the best thing to do is just communicate and ask other people.
52:20
Right. Time is ticking on. 8.56. 26th. Let's have a little talk about courses.
52:24
What have you got going on on the website, Michelle, at CelebrateMouliébrity.com?
52:30
What should people know about? I mean, it's difficult to say all the courses,
52:32
but what's proving very popular at the moment, or do you recommend?
52:36
Yeah, so I mean, I do think that the female athlete is having a moment.
52:40
So, you know, I'm in the middle of updating because there's been such great
52:43
new research about female athletes and pelvic health and musculoskeletal health in general.
52:48
I'm in the throes of updating all the modules in that course right now,
52:52
whether we're talking about postnatal returning to exercise,
52:56
you know, we're changing some of our outlooks on the timeframes with that and
52:59
some of the exercise strategies that we need to employ.
53:02
Of course, menopausal health is my particular passion, but just really looking
53:08
at, again, making sure that we're giving women evidence-based advice and information,
53:13
whether we're trying to prevent injuries or we're recovering from the the importance
53:17
of sleep hygiene you know we're coming into October which is traditionally breast
53:22
cancer awareness month and that's kind of that's the other hat that I wear so.
53:27
I'm look I'm multi-passionate I'm deeply deeply nerdy this is this is what I
53:31
do for fun I'm reading I'm updating courses I'm going to conferences I'm chatting
53:36
about the stuff that I'm reading this is my life it's kind of sad really but
53:40
I like it not sad at all it's not
53:42
sad at all and definitely not for us amazing and
53:45
and it is it's it was wrong of me to point
53:48
to any courses it's up to you therapists to go and have a look at everything
53:51
that's there and see what fits in with your clients with your current knowledge
53:54
there will be something there i'm sure and just seeing where the holes are in
53:58
your knowledge and how they can help your audience so yeah definitely worth
54:01
having a look at www.celebratemuliebrity.com all links will obviously go in
54:06
the show notes also instagram michelle lines underscore muliebrity that's where
54:11
people are following there, still active on there?
54:13
Yeah, that's where I, you know, generally if I come across something interesting,
54:16
I'm going to whack it up on Instagram.
54:19
Again, you know, if the people who are listening here now or who may be watching
54:22
it down the line have questions, because if you're anything like me,
54:25
I come up with these really insightful questions at about, you know, 2am the following day.
54:30
Like, feel free to reach out on Instagram or better yet, come along to Therapy
54:34
Expo and have a chat there.
54:35
That would be lovely if you can make it to Birmingham yeah that'd be
54:38
great and also I've started to say it's a
54:41
little bit more people are starting to leave comments on YouTube
54:44
videos which is great I spent a whole time answering a load today if
54:47
you've got questions let YouTube be the kind of like pages where you can ask
54:52
those questions because YouTube is great being part of Google it's there forever
54:56
and it comes up really quickly in Google search results so if you have any questions
54:59
about this put something in YouTube I do monitor it and I can easily give Give
55:03
a little elbow to Michelle and say,
55:04
hey, next time you're in a Tesco, please have a little look at YouTube.
55:07
Someone's got some questions there.
55:08
Thank you very much. But yeah, YouTube is probably a great place,
55:11
whereas Facebook just disappears.
55:13
But yeah, use the comments in YouTube and we can keep that going for reference
55:16
and scroll back and look at our knowledge together has improved over the years. That'd be great.
55:21
Also, there's the Facebook group as well, which link will go into the show notes as well.
55:26
So there we go. Nine o'clock. Thank you so much, Michelle. show.
55:29
I love watching how the sun has come down now behind you in the car. It's dark there.
55:34
Is there anybody else left in the car park or is it just you now sitting in the center?
55:37
Oh, there's a few hardy souls still in there doing their shopping.
55:41
Excellent. Well, thanks so much for giving us your time once again,
55:43
and really look forward to seeing you in person.
55:47
How fantastic, in 91 days, which is absolutely fantastic to think about.
55:51
Can be fab. Thank you for everyone joining us live in the Live Lounge.
55:56
And if you listen to the podcast and you do want to join live then just head
55:58
along to like i say sports therapy association youtube channel eight o'clock
56:01
next tuesday for example i'll let you know what we're doing next tuesday next
56:05
tuesday is going to be a real special one they're all special but next tuesday
56:08
in particular i'm very excited and let's bring up an image for you guys who
56:11
like the images my guests.
56:15
Are going to be there we go armed force veterans rich
56:18
davis and rich potter okay now these guys the
56:22
episode is going to be called the limb itless okay the
56:25
limb hyphen itless and you probably hopefully sense
56:29
what's going to happen now the limitless expedition conquering the himalayas
56:32
and like i said with the special guests armed forces veterans rich davis and
56:35
rich potter they're going to be coming to us with their sports therapist carla
56:38
bickerstaff and jenny lane who've been on the show before because together these
56:42
people have been preparing for a fantastic challenge.
56:47
They are going to be rewriting the limits of what's
56:49
possible for amputees because both I should say are bologna amputees
56:53
as a result of complex traumas leading to the complex regional
56:55
pain syndrome and they are going to be embarking
56:59
on a groundbreaking journey I think leaving in about four or
57:02
five weeks basically conquering the snowman trek
57:05
which is the most challenging trek in Bhutan a Buddhist kingdom
57:08
on the Himalayas eastern edge it really is
57:11
if you look into it and I'm going to be giving details we can see here there's
57:13
a just giving page which shows exactly what these guys are
57:16
up to it's known as the toughest trek in the world and often referred to as
57:20
the Everest of trekking crosses 11 mountain passes at altitudes of over 5,500
57:24
meters and these guys are going to stay above 4,000 meters for most of the trek
57:29
with their guides from Breathe Bhutan they're going to cover a distance of just
57:32
over 200 miles in less than 40 days and they're doing it.
57:36
Their mission is twofold, as it explains on the Just Giving page.
57:39
One is simply to inspire others by showing the incredible capabilities of amputees.
57:44
And then secondly, they are raising funds for two incredible charities,
57:47
the Royal British Legion, and also Blesma, B-L-E-S-M-A, which is the Limbless
57:52
Veterans Charity, which offers support,
57:53
advice and camaraderie to limbless and injured veterans and service personnel
57:58
as they rebuild their lives.
58:00
So, so excited to have these guys along and
58:03
like i say they're going to be with um two sports therapists
58:06
massage therapists who have been working with them carla bickerstaff
58:09
and jenny lane who were so kind to introduce me to and the two riches and that's
58:14
going to be next week and it really is going to be one probably to actually
58:16
come and watch it on youtube because i know from chatting with these guys i
58:20
mean you thought michelle lyons was passionate well she is you can't talk michelle
58:23
but this is going to equal it i'm sure and like i say they're leaving in four
58:27
and a half five weeks or something.
58:28
And it'd be great as well to inspire you to give some money to such a worthwhile cause as well.
58:33
So if you are listening to the podcast, which I will try and get out before
58:36
this next show, then do try and come along live wherever you are in the world
58:40
and join in as I talk to the two riches before they set off for this fantastic,
58:44
limitless expedition conquering the Himalayas.
58:48
But for now, just once again, thank you so much, Michelle Lyons of CelebrateMuliaBudget.com.
58:55
Thank you much for joining us thanks matt lovely to be here.
58:59
Amazing. Such information. I can't wait to listen back to this episode myself.
59:01
And thanks, everyone, for joining us. Cecily Hissop says, great chat.
59:04
Thank you both. Don't thank me. It was all about Michelle tonight.
59:07
And also Nikki Mansfield says, oh, now I feel bad for not thanking Matt.
59:12
Thanks, Matthew. Oh, Matthew.
59:13
Sounds like my mum's having a go at me. And Gornier has managed to keep Gornier's
59:17
interest while she's folding the sheets. I said, happy to you both.
59:21
Thanks. Wonderful. Pleasure to
59:23
have you along, Gornier. We have to get you back on the show as well soon.
59:25
We'd love to hear what you're up to. right people if you
59:28
can join us next tuesday wonderful if not make sure you do subscribe to the
59:31
podcast and leave a review it just helps a great word of our amazing guests
59:35
like michelle reach higher in google which is the secret to disseminating this
59:39
information just please leave your reviews and leave your ratings and that will
59:43
really help our industry take everyone and hopefully we'll see you soon bye.
59:49
Music.