Episode Description
In this episode, I’m joined by pelvic floor occupational therapist Paige Genova to talk about something that comes up constantly in the interstitial cystitis and overactive bladder space: why symptoms often continue even after the body has healed.
We break down how the nervous system and pelvic floor work together, how neuroplastic symptoms can develop after things like a UTI or stressful life events, and why focusing only on muscles or biomechanics can keep people feeling stuck. Paige shares how her Pelvicology framework blends brain and body work to help people move toward lasting relief.
We cover:
- The difference between pelvic floor PT and pelvic floor OT
- How fear and hypervigilance can amplify bladder sensations
- Why bladder diaries, trigger tracking, and over monitoring can sometimes backfire
- How to understand the role of neuroplasticity in IC, bladder pain, and OAB
- What it looks like to treat both tissue factors and the nervous system together
If you’ve ever wondered why your symptoms linger, started “out of nowhere,” or have not improved with traditional pelvic floor therapy alone, this episode will help you see your symptoms through a new lens.
Connect with Paige:
Work with Callie:
Join R2R Self-Study (men are welcome)
Connect with Callie: