Ruth Macy, PT, DPT she/her
@drbbayruthie.bsky.social
Pelvic Health PT 🍑🤰🏋️♀️🏃♀️
Co-author of Your Postpartum Body
Queen of the Ketchup Haters, Knight of Snark
Co-author of Your Postpartum Body
Queen of the Ketchup Haters, Knight of Snark
Peek into the Pelvis:
The number one thing I see make a difference in leakage with running?
Being fully evaluated by a PT who looks at every factor of your running: load transfer, ROM, strength, impact tolerance, coordination of abs and PFM, posture, alignment, and PFM strength.
The number one thing I see make a difference in leakage with running?
Being fully evaluated by a PT who looks at every factor of your running: load transfer, ROM, strength, impact tolerance, coordination of abs and PFM, posture, alignment, and PFM strength.
November 6, 2025 at 12:29 PM
Peek into the Pelvis:
The number one thing I see make a difference in leakage with running?
Being fully evaluated by a PT who looks at every factor of your running: load transfer, ROM, strength, impact tolerance, coordination of abs and PFM, posture, alignment, and PFM strength.
The number one thing I see make a difference in leakage with running?
Being fully evaluated by a PT who looks at every factor of your running: load transfer, ROM, strength, impact tolerance, coordination of abs and PFM, posture, alignment, and PFM strength.
Peek into the Pelvis:
Leaking while running has a lot of contributors. Rarely do I see a "kegels-only" approach, help.
Let's talk about it:
Leaking while running has a lot of contributors. Rarely do I see a "kegels-only" approach, help.
Let's talk about it:
October 13, 2025 at 11:12 AM
Peek into the Pelvis:
Leaking while running has a lot of contributors. Rarely do I see a "kegels-only" approach, help.
Let's talk about it:
Leaking while running has a lot of contributors. Rarely do I see a "kegels-only" approach, help.
Let's talk about it:
Peek into the Pelvis:
So much of pelvic floor work is figuring out what you're bad at and making you practice it.
That's why we always say "get evaluated."
So much of pelvic floor work is figuring out what you're bad at and making you practice it.
That's why we always say "get evaluated."
October 9, 2025 at 12:33 PM
Peek into the Pelvis:
So much of pelvic floor work is figuring out what you're bad at and making you practice it.
That's why we always say "get evaluated."
So much of pelvic floor work is figuring out what you're bad at and making you practice it.
That's why we always say "get evaluated."
Peek into the Pelvis:
Estrogen used v@ginally is one of the best protections for bladder and pelvic floor health in a low E body.
With estrogen, you are like a whoopie pie: thick, soft, cushiony, moist.
Estrogen used v@ginally is one of the best protections for bladder and pelvic floor health in a low E body.
With estrogen, you are like a whoopie pie: thick, soft, cushiony, moist.
October 8, 2025 at 10:29 AM
Peek into the Pelvis:
Estrogen used v@ginally is one of the best protections for bladder and pelvic floor health in a low E body.
With estrogen, you are like a whoopie pie: thick, soft, cushiony, moist.
Estrogen used v@ginally is one of the best protections for bladder and pelvic floor health in a low E body.
With estrogen, you are like a whoopie pie: thick, soft, cushiony, moist.
Peek into the Pelvis:
We say 25 grams of fiber per day for most women and People AFAB, but when doesn't this work?
It doesn't work with endometriosis patients, bc a large stool can be mechanically hard to pass if there are implants on the colon/sigmoid/rectum.
We say 25 grams of fiber per day for most women and People AFAB, but when doesn't this work?
It doesn't work with endometriosis patients, bc a large stool can be mechanically hard to pass if there are implants on the colon/sigmoid/rectum.
October 7, 2025 at 10:59 AM
Peek into the Pelvis:
We say 25 grams of fiber per day for most women and People AFAB, but when doesn't this work?
It doesn't work with endometriosis patients, bc a large stool can be mechanically hard to pass if there are implants on the colon/sigmoid/rectum.
We say 25 grams of fiber per day for most women and People AFAB, but when doesn't this work?
It doesn't work with endometriosis patients, bc a large stool can be mechanically hard to pass if there are implants on the colon/sigmoid/rectum.
Peek into the Pelvis:
Letdown strategies to reduce pelvic floor tension can be both active, and passive.
Do both.
The more you train, or rather downtrain, the better you get.
Letdown strategies to reduce pelvic floor tension can be both active, and passive.
Do both.
The more you train, or rather downtrain, the better you get.
October 6, 2025 at 10:42 AM
Peek into the Pelvis:
Letdown strategies to reduce pelvic floor tension can be both active, and passive.
Do both.
The more you train, or rather downtrain, the better you get.
Letdown strategies to reduce pelvic floor tension can be both active, and passive.
Do both.
The more you train, or rather downtrain, the better you get.
Peek into the Pelvis:
Hip internal rotation is associated with pelvic floor opening or lengthening. If you have a tight pelvic floor, this is a great thing to work on.
The most low-energy way to achieve that: rolling your legs in and out while lying down or in a recliner.
Hip internal rotation is associated with pelvic floor opening or lengthening. If you have a tight pelvic floor, this is a great thing to work on.
The most low-energy way to achieve that: rolling your legs in and out while lying down or in a recliner.
October 2, 2025 at 2:24 PM
Peek into the Pelvis:
Hip internal rotation is associated with pelvic floor opening or lengthening. If you have a tight pelvic floor, this is a great thing to work on.
The most low-energy way to achieve that: rolling your legs in and out while lying down or in a recliner.
Hip internal rotation is associated with pelvic floor opening or lengthening. If you have a tight pelvic floor, this is a great thing to work on.
The most low-energy way to achieve that: rolling your legs in and out while lying down or in a recliner.
Peek into the Pelvis:
Walk with swagger.
Swing your arms.
Swing your hips.
Be a silly goose.
It's good for your pelvic floor and will make you happy (endorphins).
(If you can't walk, wiggle and swing as able)
Walk with swagger.
Swing your arms.
Swing your hips.
Be a silly goose.
It's good for your pelvic floor and will make you happy (endorphins).
(If you can't walk, wiggle and swing as able)
October 1, 2025 at 11:10 AM
Peek into the Pelvis:
Walk with swagger.
Swing your arms.
Swing your hips.
Be a silly goose.
It's good for your pelvic floor and will make you happy (endorphins).
(If you can't walk, wiggle and swing as able)
Walk with swagger.
Swing your arms.
Swing your hips.
Be a silly goose.
It's good for your pelvic floor and will make you happy (endorphins).
(If you can't walk, wiggle and swing as able)
Peek into the Pelvis:
Lengthening your pelvic floor can happen in a few ways. My favs?
Inhaling into the perineum in sidelying or sitting on a ball.
You *allow* the pelvic floor to move in the same way you allow your belly to move when you breathe.
Try it and tell me what you notice.
Lengthening your pelvic floor can happen in a few ways. My favs?
Inhaling into the perineum in sidelying or sitting on a ball.
You *allow* the pelvic floor to move in the same way you allow your belly to move when you breathe.
Try it and tell me what you notice.
September 30, 2025 at 10:56 AM
Peek into the Pelvis:
Lengthening your pelvic floor can happen in a few ways. My favs?
Inhaling into the perineum in sidelying or sitting on a ball.
You *allow* the pelvic floor to move in the same way you allow your belly to move when you breathe.
Try it and tell me what you notice.
Lengthening your pelvic floor can happen in a few ways. My favs?
Inhaling into the perineum in sidelying or sitting on a ball.
You *allow* the pelvic floor to move in the same way you allow your belly to move when you breathe.
Try it and tell me what you notice.
Peek into the Pelvis:
Kegels shorten (tighten) the pelvic floor.
They help about 30% of pelvic health problems.
If they don't work for you, you might also need lengthening and coordination of the pelvic floor.
Kegels shorten (tighten) the pelvic floor.
They help about 30% of pelvic health problems.
If they don't work for you, you might also need lengthening and coordination of the pelvic floor.
September 29, 2025 at 10:51 AM
Peek into the Pelvis:
Kegels shorten (tighten) the pelvic floor.
They help about 30% of pelvic health problems.
If they don't work for you, you might also need lengthening and coordination of the pelvic floor.
Kegels shorten (tighten) the pelvic floor.
They help about 30% of pelvic health problems.
If they don't work for you, you might also need lengthening and coordination of the pelvic floor.
Peek into the Pelvis:
Capital-T Trauma and little-t trauma can leave you so disconnected from your body that you miss regular signals, like the urge to pee or poop
...until it’s an Emergency.
"Listen to your body" doesn't work when you've been ignoring it to feel safe.
Capital-T Trauma and little-t trauma can leave you so disconnected from your body that you miss regular signals, like the urge to pee or poop
...until it’s an Emergency.
"Listen to your body" doesn't work when you've been ignoring it to feel safe.
September 27, 2025 at 11:56 AM
Peek into the Pelvis:
Capital-T Trauma and little-t trauma can leave you so disconnected from your body that you miss regular signals, like the urge to pee or poop
...until it’s an Emergency.
"Listen to your body" doesn't work when you've been ignoring it to feel safe.
Capital-T Trauma and little-t trauma can leave you so disconnected from your body that you miss regular signals, like the urge to pee or poop
...until it’s an Emergency.
"Listen to your body" doesn't work when you've been ignoring it to feel safe.
Today's Peek into the Pelvis:
Ladies and People AFAB:
Hormonal changes can cause dryness. It can feel like irritation, sandpaper, chafe, rubbing. Applying a moisturizer right before bed soaks into the tissues over night.
⤵️
Ladies and People AFAB:
Hormonal changes can cause dryness. It can feel like irritation, sandpaper, chafe, rubbing. Applying a moisturizer right before bed soaks into the tissues over night.
⤵️
September 26, 2025 at 10:46 AM
Today's Peek into the Pelvis:
Ladies and People AFAB:
Hormonal changes can cause dryness. It can feel like irritation, sandpaper, chafe, rubbing. Applying a moisturizer right before bed soaks into the tissues over night.
⤵️
Ladies and People AFAB:
Hormonal changes can cause dryness. It can feel like irritation, sandpaper, chafe, rubbing. Applying a moisturizer right before bed soaks into the tissues over night.
⤵️
Pelvic Health Tip of the Day:
Feeling pelvic floor heaviness after activity? During periods of high stress? But then it goes away after rest and recovery?
You might have Low Energy Availability.
Bottom line?
You need to eat. You need to sleep.
Pelvic floor is a TATTLE TALE
Feeling pelvic floor heaviness after activity? During periods of high stress? But then it goes away after rest and recovery?
You might have Low Energy Availability.
Bottom line?
You need to eat. You need to sleep.
Pelvic floor is a TATTLE TALE
September 25, 2025 at 3:44 PM
Pelvic Health Tip of the Day:
Feeling pelvic floor heaviness after activity? During periods of high stress? But then it goes away after rest and recovery?
You might have Low Energy Availability.
Bottom line?
You need to eat. You need to sleep.
Pelvic floor is a TATTLE TALE
Feeling pelvic floor heaviness after activity? During periods of high stress? But then it goes away after rest and recovery?
You might have Low Energy Availability.
Bottom line?
You need to eat. You need to sleep.
Pelvic floor is a TATTLE TALE
Not to brag but, while this cough from the Flu A is coming from the bottom of my soul, it hasn't made me pee my pants!
It's the little things.
It's the little things.
February 18, 2025 at 5:02 PM
Not to brag but, while this cough from the Flu A is coming from the bottom of my soul, it hasn't made me pee my pants!
It's the little things.
It's the little things.
Overhead at my gyn office:
"Doing kegels isn't enough, you have to work on the brain body connection so that urge doesn't take over."
She then proceeds to teach them the "stop, think, breathe, Kegel!"
Yes, gyn friend. I've taught you so well. Making me proud 🥲
"Doing kegels isn't enough, you have to work on the brain body connection so that urge doesn't take over."
She then proceeds to teach them the "stop, think, breathe, Kegel!"
Yes, gyn friend. I've taught you so well. Making me proud 🥲
February 13, 2025 at 4:51 PM
Overhead at my gyn office:
"Doing kegels isn't enough, you have to work on the brain body connection so that urge doesn't take over."
She then proceeds to teach them the "stop, think, breathe, Kegel!"
Yes, gyn friend. I've taught you so well. Making me proud 🥲
"Doing kegels isn't enough, you have to work on the brain body connection so that urge doesn't take over."
She then proceeds to teach them the "stop, think, breathe, Kegel!"
Yes, gyn friend. I've taught you so well. Making me proud 🥲
Just spitballing here, but if corporations don't pay taxes to the US, they shouldn't be able to spend money related to the govt, eg lobbying, payments to candidates, and PACs.
Only tax payers should have that right.
They can be "people," but shouldn't be given rights only afforded to taxpayers.
Only tax payers should have that right.
They can be "people," but shouldn't be given rights only afforded to taxpayers.
February 8, 2025 at 5:55 PM
Just spitballing here, but if corporations don't pay taxes to the US, they shouldn't be able to spend money related to the govt, eg lobbying, payments to candidates, and PACs.
Only tax payers should have that right.
They can be "people," but shouldn't be given rights only afforded to taxpayers.
Only tax payers should have that right.
They can be "people," but shouldn't be given rights only afforded to taxpayers.
Sometimes resistance is the stuff you do everyday.
February 7, 2025 at 11:43 PM
Sometimes resistance is the stuff you do everyday.
Things I taught people as a pelvic floor PT today:
How to use breathing to help a BM
How to use breathing to expand and the improve rib ROM
How to Kegel targeting the posterior part only
How to Kegel targeting tje anterior part only
How to Kegel to reduce prolapse
How to use breathing to help a BM
How to use breathing to expand and the improve rib ROM
How to Kegel targeting the posterior part only
How to Kegel targeting tje anterior part only
How to Kegel to reduce prolapse
February 7, 2025 at 11:25 PM
Things I taught people as a pelvic floor PT today:
How to use breathing to help a BM
How to use breathing to expand and the improve rib ROM
How to Kegel targeting the posterior part only
How to Kegel targeting tje anterior part only
How to Kegel to reduce prolapse
How to use breathing to help a BM
How to use breathing to expand and the improve rib ROM
How to Kegel targeting the posterior part only
How to Kegel targeting tje anterior part only
How to Kegel to reduce prolapse
"The hike itself was rigorous, even for one trained in advanced walking."
From Ricken Hale's long anticipated new book, The You You Are, actually perfectly describes hiking Katahdin!
Thoreau inspired, indeed.
#severance
From Ricken Hale's long anticipated new book, The You You Are, actually perfectly describes hiking Katahdin!
Thoreau inspired, indeed.
#severance
February 6, 2025 at 10:10 PM
"The hike itself was rigorous, even for one trained in advanced walking."
From Ricken Hale's long anticipated new book, The You You Are, actually perfectly describes hiking Katahdin!
Thoreau inspired, indeed.
#severance
From Ricken Hale's long anticipated new book, The You You Are, actually perfectly describes hiking Katahdin!
Thoreau inspired, indeed.
#severance
Colin Farrell is all green flags, still, right?
Cause every time I go to watch a movie, there's so many red flag actors that I just cannot enjoy the movie.
Someone please confirm that Colin is still a green flag, please?
Cause every time I go to watch a movie, there's so many red flag actors that I just cannot enjoy the movie.
Someone please confirm that Colin is still a green flag, please?
February 6, 2025 at 5:34 PM
Colin Farrell is all green flags, still, right?
Cause every time I go to watch a movie, there's so many red flag actors that I just cannot enjoy the movie.
Someone please confirm that Colin is still a green flag, please?
Cause every time I go to watch a movie, there's so many red flag actors that I just cannot enjoy the movie.
Someone please confirm that Colin is still a green flag, please?
Are there people who have not been rabidly consuming the news?
January 26, 2025 at 6:15 PM
Are there people who have not been rabidly consuming the news?
My Library didn't have my book, #YourPostpartumBody.
Bc we actually care about postpartum humans in my world.
I'm gonna donate it, 'cause we all need women's health and postpartum care info in 2025, the year of JD Vance
wanting “more babies in the United States of America.”
Bc we actually care about postpartum humans in my world.
I'm gonna donate it, 'cause we all need women's health and postpartum care info in 2025, the year of JD Vance
wanting “more babies in the United States of America.”
January 25, 2025 at 11:40 PM
My Library didn't have my book, #YourPostpartumBody.
Bc we actually care about postpartum humans in my world.
I'm gonna donate it, 'cause we all need women's health and postpartum care info in 2025, the year of JD Vance
wanting “more babies in the United States of America.”
Bc we actually care about postpartum humans in my world.
I'm gonna donate it, 'cause we all need women's health and postpartum care info in 2025, the year of JD Vance
wanting “more babies in the United States of America.”
Who loves Wallace and Gromit?
Did you see the new movie?
Discuss with me!
Did you see the new movie?
Discuss with me!
January 25, 2025 at 11:25 PM
Who loves Wallace and Gromit?
Did you see the new movie?
Discuss with me!
Did you see the new movie?
Discuss with me!
Wakes up.
Opens social media.
Thinks "what fresh hell is this?"
Continues scrolling entirely too long because I can't look away from the death of democracy.
Opens social media.
Thinks "what fresh hell is this?"
Continues scrolling entirely too long because I can't look away from the death of democracy.
January 25, 2025 at 1:56 PM
Wakes up.
Opens social media.
Thinks "what fresh hell is this?"
Continues scrolling entirely too long because I can't look away from the death of democracy.
Opens social media.
Thinks "what fresh hell is this?"
Continues scrolling entirely too long because I can't look away from the death of democracy.