Dysautonomia & Pelvic Health: Episode 99 with Dr Carina Siracusa

Welcome to today's episode, with my friend & colleague, Dr Carina Siracusa

In today's  conversation, we focused on discussing dysautonomia and its implications for pelvic health, as well as the role of the autonomic system, the overlap of issues including POTS, MCAS & hEDS…and of course we talked about bowel health (shocker!) and the chapter we wrote on GI dysfunction in female athletes for Grainne Donnelly’s new book ‘Sports Medicine & the Pelvic Floor’ which is coming out in early 2026 (available for pre-order now!)

In this conversation:

• ​we explored how dysautonomia manifests in pelvic floor dysfunction, bladder and bowel issues, and its connection to conditions like POTS and EDS.
• ​The conversation covered diagnostic approaches, medical management strategies, and the importance of considering the autonomic nervous system in pelvic health treatment.
• ​We also discussed the broader role of physiotherapy in addressing both physical and mental health aspects, emphasising the need for therapists to recognise when to refer patients to other specialists while maintaining their scope of practice.
• ​The discussion highlighted the evolving nature of physical therapy practice and the profession's growing recognition of the importance of mental health and lifestyle factors in patient care…and much more!

You can find Carina on Instagram as @carinadpt and of course you can find me there too as @michellelyons_physio

If you’re listening to this before the end of December, a reminder that my winter sale is still on for a few more days - you can use the code PF75 for a €75 discount on any of my online courses - all the details are at CelebrateMuliebrity.com 🥳🥳🥳

Wishing you all the happiest of festive seasons! Mx and of course, Onwards and Upwards for 2026!! #celebratemuliebrity