Inside the Box

Kat, Tash & Caitlin

A podcast for women and professionals alike, hosted by mums and Women's Health Physiotherapists, Kat, Tash, and Caitlin. Established and driven by our desires to share our passion for educating and empowering women to better understand their bodies, in particular - what's inside their 'box'. Amongst ourselves, real-life patients and leading industry experts, we’ll unpack a variety of topics including pelvic floor dysfunction, pregnancy, exercise, birth, postpartum, sexual pain, endometriosis, leakage, prolapse and beyond.

  1. 3d ago

    Dry Nights: The Evidence Behind Bedwetting Treatment with Dawn Sandalcidi

    Bedwetting is one of the most common concerns families bring to a paediatric health appointment - and one of the most misunderstood. In this episode, Kat and Caitlin sit down with Dawn Sandalcidi, paediatric pelvic health physiotherapist, to dig into the evidence behind nocturnal enuresis: what’s driving it, how to assess it properly, and what actually works. Whether you’re a clinician seeing kids in your practice or a parent who’s been lifting a half-asleep child to the toilet at midnight for the past two years, this one’s for you. In this episode we cover: How common is bedwetting, and when does it stop being “normal”?What’s actually causing it?How do you assess a child with bedwetting?Where does physio fit in?What does evidence-based treatment actually look like?Bedwetting alarms: the what, when, and how longDesmopressin: when does medication fit in?Should parents be lifting their child overnight?The myths and mistakes Dawn sees most often From fluid restriction to punishment-adjacent responses to starting treatment before a child is ready, Dawn shares the patterns she encounters regularly and what she wishes families (and clinicians) understood earlier. This section alone is worth sharing with every parent who walks through your door with a bedwetting history. Resources mentioned: • ERIC (Education and Resources for Improving Childhood Continence) — eric.org.uk • Bladder and Bowel Australia — bladderbowel.gov.au • International Children’s Continence Society (ICCS) guidelines on nocturnal enuresis About Dawn Sandalcidi @kidsbowelbladder Dawn is a paediatric pelvic health physiotherapist and a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She is a national and international speaker in the field, and she has learned so much from sharing experiences with her colleagues around the globe.

    40 min
  2. Apr 28

    More than a feeling: Vaginal laxity, the research and what it means for your patients with Taryn Hallam

    Welcome back, and what a way to kick off Season 4!  Taryn Hallam first joined us back in 2022 to talk birth choices, an episode that went on to become our most downloaded of all time. Now she’s back to open Season 4, bringing the research on a topic that deserves far more clinical airtime than it gets: vaginal laxity. It’s a condition that affects more women than most clinicians realise, and yet it remains under-asked, under-assessed, and under-discussed in clinical practice. Taryn has done the work of pulling together what the evidence actually says and making it accessible for clinicians who want to do better by their patients. In this episode we cover: •What vaginal laxity actually is, why it happens, and how common it really is in clinical populations •The distinction between somatic and psychogenic sexual disorders and why it matters for how we assess and communicate with patients •The relationship between vaginal laxity and pelvic floor changes, including levator hiatal size and levator ani avulsion •The important nuance in the data: 98% of women with vaginal laxity had a vaginal birth, yet 89% of vaginally parous women had no laxity at all. So what does that actually mean when a patient asks whether her birth caused this? •Why the direct correlation between levator hiatal area and laxity sits at just ~23%, and what that tells us about the limits of a purely structural model •Vaginal laxity as a symptom, something experienced rather than objectively measured, and how that should reshape clinical conversations •The role of sensory signalling and processing, both peripherally and centrally, in how laxity is experienced •Why lubrication matters, and the interesting finding that laxity appears more prevalent in pre-menopausal women •Why PFMT seems to help, even though the research tells us it can’t reduce a distended levator  •Neuromodulation and TTNS: could the mechanism be normalising sensory processing through sacral nerve roots rather than producing structural change? Whether you’re a clinician or a woman who has experienced symptoms of vaginal laxity yourself, or you’re simply curious about the topic, you’ll find plenty here that’s relevant. Subscribe, leave us a review, and share this episode with a colleague who needs it in their ears.

    45 min
  3. 12/23/2025

    Season 3 Finale : “Can I Say This Out Loud?” From Bladder Myths to Birth Prep

    We’re closing out 2025 and wrapping up Season 4 with one of our favourite formats – the “Can I Say This Out Loud?” episode, inspired by the iconic Dolly Doctor. This is the space where nothing is too awkward, too specific or too “Is it just me?” to bring into the light. In this finale, we dive into the real questions sent in by our Inside the Box community, covering everything from pelvic health curiosities to the myths that just won’t quit. Here’s a snippet of what we unpack:  • Vaginal trainers and vaginal weights – gimmick or genuinely useful? We break down where the science stands, who they may help, and when they’re not the answer.  • Peeing in the shower – harmless, helpful or something to rethink? We explore the physiology, the myths and what matters most for bladder health.  • Preparing for birth – both caesarean and vaginal. From pelvic floor considerations to practical planning, we talk through what to focus on, what to let go of and what supports women best as they approach birth in all its forms. As always, we bring evidence, experience and a healthy dose of honesty to the questions many people are thinking but rarely ask out loud. Thanks for being with us for another season. Your curiosity, conversations and courage to ask the “slightly awkward but deeply important” questions are what make this community what it is. We’ll see you in the new year for Season 4.

    37 min
  4. 11/12/2025

    Putting the Puzzle Together in Paediatric Continence with Dawn Sandalcidi

    In this episode, we are joined by Dawn Sandalcidi, a renowned paediatric pelvic health physiotherapist, to explore the often-complex world of bladder and bowel dysfunction in children. Dawn brings her decades of experience, clinical insight, and trademark enthusiasm to unpack what can be one of the trickiest, yet most rewarding areas of pelvic health. Key Topics Covered include: Putting the puzzle together in paediatric continence - Dawn shares how no two children are the same and why understanding the bigger picture of bladder, bowel, and behavioural patterns is key to successful outcomes.Making therapy fun - Practical ways to engage children in physiotherapy, from playful cues to visual learning tools and reward systems that make progress feel achievable.Constipation in children – assessment, diagnosis and treatment We unpack how common constipation really is, what warning signs parents should look for, and the step-by-step approach to effective treatment and maintenance.The importance of maintenance - Why resolving constipation isn’t the end of the story. Dawn explains the relapse risk and the importance of long-term management for healthy habits.What to expect as a parent and how to prepare for appointments, what the assessment process looks like, and how to manage expectations through what can be an emotional journeyNavigating toilet phobia and refusal - Gentle strategies to reduce anxiety and help children feel empowered, not pressured, when it comes to toileting.Positioning and the pelvic floor in little people. Simple adjustments that make a big difference. Dawn breaks down why toilet posture, stool supports, and relaxed pelvic floors are essential for success.Follow Dawn @kidsbowelbladder

    36 min

Ratings & Reviews

5
out of 5
2 Ratings

About

A podcast for women and professionals alike, hosted by mums and Women's Health Physiotherapists, Kat, Tash, and Caitlin. Established and driven by our desires to share our passion for educating and empowering women to better understand their bodies, in particular - what's inside their 'box'. Amongst ourselves, real-life patients and leading industry experts, we’ll unpack a variety of topics including pelvic floor dysfunction, pregnancy, exercise, birth, postpartum, sexual pain, endometriosis, leakage, prolapse and beyond.

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