The Physio Detective Consult Series

Erica's Consult

Core Subject Contained In This Consult: Stress Urinary Incontinence

With Antony Lo

The Physio Detective Consult Series

Erica's Consult

About this Consult:

Erica is having stress urinary incontinence during CrossFit classes, which she commenced 6 months ago. Specifically box jumps, running, heavy lifts and skipping. Erica is a mother of three children aged between 2 and 7 years old.

Erica experienced grade 4 tearing with her first birth vaginal birth, and mild tearing with the other two vaginal births.

She has a diagnosed grade 2 cystocele (bladder prolapse).

Erica had a three-finger wide diastasis and sacroiliac joint pain, which have decreased since starting CrossFit.

However, her umbilical hernia seems to be getting worse and she has strange lower abdominal cramping with heavy lifting.

Erica has found that she can improve her bladder leaking if she changes position during box jumping.

Erica finds that with running the bladder leaking fluctuates.

With double unders (skipping), Erica has uncontrollable leaking after 20 jumps no matter what position or pelvic floor muscle squeezing she does.

This occurs even if she has emptied her bladder immediately before a workout.

She’s been working with a Pelvic Health Physiotherapist to try to increase her pelvic floor muscle strength.

Erica feels a little embarrassed that she is weak, as a Women’s Health Physio herself.

She avoids CrossFit workouts that involve jumping and feels embarrassed. Erica wonders if people know that she’s leaking when she stops and goes to the bathroom during a class.

No matter how many pelvic floor and core exercises she does it doesn’t seem to change.

She’s even tried a pessary which didn’t influence her leaking.

What strategies help Erica change her symptoms during this skipping assessment?

How is Erica feeling about two years later, during and after her fourth pregnancy and birth?

Find out by purchasing this consult! 

Who Is This Consult For? 

Health and fitness professionals who have female clients, will benefit from watching this unique consultation. Whether you’re a personal trainer/coach, a physical therapist/physiotherapist, a nutritionist or anything in-between, the concepts explored in this enlightening consult can help you deliver better customised care to your clients. 

What Will I Learn By Watching This Consult?

By watching the consult, you’ll see the kind of questions to ask your clients. You’ll see modelled how to go through the assessment process and how to partner with your clients instead of telling them what to do. 

Most importantly, you’ll learn how to apply these principles in your own practice. It’s an awesome way to get a different learning experience, rather than just knowledge – like someone speaking over powerpoint slides. It’s like you’re there with Antony, watching him work with someone just like your clients and being able to reflect and ask questions about the consult. 

Each consultation is as unique as the clients themselves. No two people are the same, so no two consults are ever the same. And no consult is ever perfect – you’ll be learning from observing mistakes as well.

Topics covered in this Consult include:

  • Stress Urinary Incontinence
  • Impact Loading exercises
  • Pelvic Organ Prolapse
  • Lifting / CrossFit / HIIT

Concepts also covered in this Consult:

  • Do something different
  • Test retest (skipping, arm raise test)
  • Spread the load
  • Change in tension, pressure and strategy
  • External pelvic floor assessment 
  • Progress within minutes, not weeks

What is included in this Consult:

  • Recording of a live consult including captions, transcript and audio for your convenience
  • Update videos including captions, transcript and audio for your convenience
  • Reflection questions designed to help you to analyse and absorb the material on a deeper level
  • Recorded webinar of “most common questions asked about the consult”

This Consult is part of The Physio Detective Consult Series

The Physio Detective Consult series aims to give health and professionals access to real consultations so that they can see what happens from start to finish. These consultations portray real-life clients – real people, real problems, real solutions.

You’ll watch as the client presents their unique challenges and see how Antony collaborates with them to overcome these struggles.

This one-of-a-kind learning model will transform the way you work with your clients.

Consults can cover a range of topics such pelvic organ prolapse, stress urinary incontinence, pregnancy & postpartum up to 12 months, pain, lifting & CrossFit, running & impact loading exercises.

Your Instructor

Antony Lo

Australian Physiotherapy Association Titled Musculoskeletal Physiotherapist. Master in Manual Therapy (UWA) B.App.Sc (Physio)(USyd)
Antony is an experienced physiotherapist from Australia that works at the junction of Musculoskeletal, Sports and Pelvic Health treatment, rehabilitation, and performance enhancement. He has been practicing since 1997 and successfully built 2 private practices in Sydney before founding My PT Education in 2008. Antony completed his post-graduate Master in Manual Therapy (Musculoskeletal Physiotherapy) from the University of Western Australia and commenced his Specialisation training in Musculoskeletal Physiotherapy. He is a passionate educator whilst still being an active therapist. Antony co-hosts the Women's Health Podcast and is founder of #TheDiastasisProject. He has experience participating and coaching a range of sports and has been a consultant for a number of different types of elite sports athletes of all ages. Antony's passion is working in a way that combines his experience in coaching, education and being a Physiotherapist, combining the knowledge from the fields of Physiotherapy, Strength and Conditioning, and Women's Health Research to provide a practical, realistic holistic model of care balancing the biopsychosocial model of healthcare with the best of historical assessment and management approaches. He goes by @physiodetective and his catchphrase is "DO SOMETHING DIFFERENT". Antony has a wife and 3 beautiful children in the best city in the world - Sydney, Australia! Find out more about Antony by clicking "Explore - Our Teaching Staff"
Stress Urinary Incontinence

The Physio Detective Consult Series

Erica's Consult


Includes Consult, Updates & A Recorded Webinar of Most Common Questions