In this third installment of the pelvic floor series, Dr. Laura and Dr. Beth welcome pelvic health specialist Dr. Margo Kwiatkowski for an in-depth conversation about pelvic organ prolapse: What it isWhy it happensMost crucially, why it doesn’t have to mean the end of lifting, movement, or feeling strong in your body.Dr. Margo shares her personal story of being diagnosed with prolapse after the birth of her first child. Though she was already a pelvic floor physical therapist, she craved connection & community with others managing this diagnosis. As a young mom in search of support, she found mostly discouraging information geared toward much older women. That gap led her to create education and resources specifically for younger, active women navigating postpartum recovery. Together, they discuss: What pelvic organ prolapse actually is (and what it feels like)Why symptoms like heaviness, leaking, or back pain can occurThe difference between being diagnosed with prolapse and having symptomsWhy lifting weights does not cause prolapse — and may actually be protectiveHow proper pressure management and core coordination matter more than avoiding heavy loadsThe “retirement account” analogy for pelvic health and menopauseThe role of genetics, hypermobility, and vaginal delivery as risk factorsThe possible connection between scoliosis and pelvic floor dysfunctionHow fear of movement can worsen symptoms over timeOne major takeaway of this discussion is the use of pessaries as a treatment option— supportive medical-grade silicone devices that can act like a “sports bra for the pelvic floor.” Dr. Margo explains how pessaries can reduce symptoms, improve muscle activation, and allow women to return to lifting and exercise with more confidence — without replacing the need for strength training and rehab. Dr. Margo shares her own experience managing scoliosis, working with Dr. Laura and how improving spinal alignment and rotational balance has positively impacted her pelvic floor function and lifting performance. In summary, prolapse is common and manageable. Most importantly, having a pelvic organ prolapse does not mean you have to stop lifting, moving, or living fully. With the right tools, education, and support, women can build strength, confidence, and long-term resilience. About Our Guest Dr. Margo Kwiatkowski is a pelvic floor physical therapist based in Ventura, California and founder of P4Moms. She specializes in helping postpartum women manage pelvic organ prolapse, return to lifting, and feel strong and confident in their bodies again. Find her at: Website: P4Moms.comInstagram: @postpartum_pop_ptIf you or someone you know has scoliosis, has had a baby, or struggles with pelvic floor symptoms, do not miss this one! If you’re curious about working virtually with a scoliosis-trained pro, connect with Dr. Laura or Dr. Beth: Dr. Laura's websiteDr. Beth’s website Join the conversation: Have questions about scoliosis-specific PT or want help finding a trained therapist? Reach out to Dr. Laura or Dr. Beth And don’t forget to follow, rate, and share ScoliPod to help more people discover evidence-based scoliosis care. Finally, don't forget to subscribe to ScoliPod on your favorite pod catcher so you never miss an episode! Support the show