From The Ground Up with Dr. Becky Allen

The Pelvis Isn’t Frozen: Why Millimeters Matter

In this episode of From the Ground Up, Dr. Becky Allen addresses disagreement in online pelvic health discussions by clarifying key biomechanics terms and why they matter clinically. She explains that the pelvis is neither rigid nor wildly unstable, but moves in small, meaningful ways affecting pelvic floor function, pressure management, and force transfer. Dr. Becky distinguishes pelvis-on-femur motion (pelvis rotating over a relatively fixed femur in gait, squats, lunges, etc.) from innominate/ilium rotation and from sacral nutation/counternutation, describing how these related motions influence hip external rotators and pelvic floor length-tension. Ilium internal rotation is linked with pelvic outlet widening and posterior rotation/extension, while external rotation narrows the outlet with anterior rotation/flexion. She also clarifies that mobile pelvis models exaggerate motion for teaching, but millimeters of SI joint motion still affect symptoms such as leaking, heaviness/prolapse, pain, hip pinching, bowel mechanics, and birth mechanics. (00:00) - Biomechanics Drama Setup (03:06) - Key Terms and Definitions (04:02) - Pelvis on Femur Motion (06:38) - Pelvic Floor Effects in Gait (09:40) - Innominate and Ilium Basics (12:22) - Ilium IR and Outlet Opening (15:01) - Ilium ER and Outlet Closing (17:45) - Why Models Exaggerate Motion (19:48) - Sacrum Nutation Explained (24:30) - Why Millimeters Matter Clinically (26:26) - Wrap Up and Share Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/ "From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

Pelvic Health Clinicians: Can We Disagree Without Destroying Each Other?

In this episode of From the Ground Up, Dr. Becky Allen discusses how pelvic health professionals often mishandle disagreement online and argues the field must practice collaboration and nuance while holding strong clinical beliefs. She describes an Instagram post by a respected PT claiming iliums cannot rotate, prompting her to seek clarification via DM and then public comments, where the issue seemed to be exaggerated motion in movable pelvis models rather than absolute impossibility. Dr. Becky contrasts this with a prior incident where she criticized a “tight vs weak” pelvic floor quiz and was publicly labeled as having “mean girl energy,” highlighting the double standard of being told to DM versus comment. She emphasizes that challenging ideas is not attacking people, social media lacks nuance, and clinicians should ask clarifying questions, avoid defensiveness, and prioritize respectful dialogue to improve patient care. (00:00) - Spicy Episode Setup (00:33) - Why Online Disagreement Fails (01:46) - The Ilium Rotation Post (04:05) - Social Media Lacks Nuance (08:54) - Tight vs Weak Quiz Drama (12:49) - Challenge Ideas Not People (16:46) - Keyboard Courage Problem (17:56) - Practical Challenge And Wrap Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/ "From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

The 3 Things Joints Need for a Functional Pelvic Floor

In this episode of From the Ground Up, Dr. Becky Allen explains that joints—and the pelvic floor—need three essentials to function: adequate range of motion, control of that range (especially eccentric control while lengthening under load), and strength/power to recoil and move out of the loaded range (concentric propulsion). Applying this to pelvic health, Dr. Becky argues the pelvic floor is not simply “tight” or “weak,” but must lengthen, load, recoil, and manage pressure in coordination with the pelvis, ribcage, feet, hips, and the entire kinetic chain. Limited pelvic motion (internal/external rotation, expansion/compression) reduces pelvic floor options, contributing to symptoms such as heaviness, pressure, prolapse, leaking, tailbone/back/hip pain, and painful intercourse. Clinicians are encouraged to assess top-down and ground-up influences and to share and discuss these ideas to advance pelvic health practice. (00:00) - Pelvic Floor Big Picture (01:34) - Joint Range of Motion (03:50) - Control and Eccentrics (06:32) - Strength, Power, and Recoil out of Load (08:17) - Better Clinical Questions (10:11) - Zoom Out Kinetic Chain (14:38) - Symptoms and Root Causes (15:40) - Share and Keep Learning Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up [https://www.thepelvicpowerhouse.com/sign-me-up] Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup [https://www.thepelvicpowerhouse.com/fromthegroundup] * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown [https://www.thepelvicpowerhouse.com/fromthetopdown] Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live [https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live] Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ [https://www.instagram.com/drbeckypelvicpt/] Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness [https://www.instagram.com/genesisptwellness] Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 [https://apple.co/47eQP84] * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd [https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd] * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ [https://www.youtube.com/@FromTheGroundUp-u4n/] Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/ [https://www.thepelvicpowerhouse.com/] "From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

Stop Ignoring the Foot: The Key to Leaking, Prolapse & Chronic Pain

In this episode of From the Ground Up, Dr. Becky Allen interviews Delaney Smith, founder of Minnemals barefoot shoes and a specialist in muscle activation techniques and gait analysis, about how overlooked foot dysfunction contributes to pain and pelvic health issues. Delaney describes realizing the widespread inability to dissociate toes (toe yoga) and how increased training in foot mechanics and gait analysis shaped her client assessments. They discuss how overly supportive, cushioned shoes and long-term orthotic use can restrict foot motion, reduce sensory feedback, reinforce weakness, and shift forces up the chain, including to the pelvis and pelvic floor. They address concerns about walking barefoot on concrete, emphasizing gradual adaptation and using cushioning as a tool rather than a constant. Delaney shares her typical clientele (especially women with hip pain post-childbirth), her approach to introducing footwear changes, and the mission behind Minnemals as a less intimidating minimal shoe option. (00:00) - Welcome and Guest Intro (02:05) - Why Feet Matter (04:40) - Feet and Pelvic Floor Link (06:20) - Delaney Smith Training and Methods (10:17) - Supportive Shoes Myth (14:27) - Barefoot on Concrete Debate (17:54) - Nurses, Teachers, and Bladder (23:06) - Cushion Kills Feedback (25:39) - Nervous System Drives Movement (28:20) - Stability Limits Range (29:12) - Selling New Ideas to Clients (31:43) - Reading Readiness and Trust (33:23) - Holding the Vision (37:11) - Minnemals Shoe Story (39:49) - Who Should Wear Minnemals Shoes (41:44) - Core Takeaway and Wrap Thanks to Delaney for coming on the show! Check out Minnemals barefoot shoes here: https://www.minnemals.com/ [https://www.minnemals.com/] Make sure to follow her on Instagram here: https://www.instagram.com/minnemals/ [https://www.instagram.com/minnemals/] If you’re in Minnesota, be sure to visit Delaney at Minnesota Muscle Activation [https://www.mnmuscleactivation.com/] Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up [https://www.thepelvicpowerhouse.com/sign-me-up] Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup [https://www.thepelvicpowerhouse.com/fromthegroundup] * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown [https://www.thepelvicpowerhouse.com/fromthetopdown] Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live [https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live] Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ [https://www.instagram.com/drbeckypelvicpt/] Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness [https://www.instagram.com/genesisptwellness] Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 [https://apple.co/47eQP84] * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd [https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd] * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ [https://www.youtube.com/@FromTheGroundUp-u4n/] Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/ [https://www.thepelvicpowerhouse.com/] "From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

Anterior Pelvic Tilt Isn’t the Problem… Here’s What Actually Is

In this episode, Dr. Becky Allen argues that posture should be assessed as a signal of a patient’s movement, balance, and breathing strategies rather than treated as the problem. She critiques common assumptions about anterior and posterior pelvic tilt (including “Lower Crossed Syndrome”) and explains that the nervous system drives posture, with the rib cage influencing pelvic orientation and pelvic floor function. Two common patterns are described: “Big Booty Judy” (anterior tilt with flared, inhaled rib cage and short, descended pelvic floor) and “Pancake Butt Paul” (often an underlying anterior tilt with compensatory glute clenching, forward pelvic translation, pump-handle down rib position, and even more pelvic floor pressure). Treatment follows an order: establish nervous system safety, restore rib cage compression/expansion, address pelvis (including shifting center of mass back and internal rotation), then integrate rotation and load, with example drills like wall sit reach-and-breathe, quadruped push-and-breathe, side-lying rib compression, TRX squats with a block, and front-foot-elevated split squats. Dr. Becky reiterates “best posture is your next posture” and promotes an upcoming fall course via an email list. (00:00) - Posture Is a Signal (03:11) - Two Posture Types (05:42) - Big Booty Judy Breakdown (07:18) - Pancake Butt Paul Explained (11:23) - What To Do With This (14:05) - Order of Operations (14:51) - Respect the Nervous System (16:05) - Address the Rib Cage Compression/Expansion (23:22) - Pelvis and Center of Mass (27:12) - Integrate Rotation and Load (28:45) - Key Takeaways and Wrap Up Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up [https://www.thepelvicpowerhouse.com/sign-me-up] Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup [https://www.thepelvicpowerhouse.com/fromthegroundup] * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown [https://www.thepelvicpowerhouse.com/fromthetopdown] Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live [https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live] Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ [https://www.instagram.com/drbeckypelvicpt/] Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness [https://www.instagram.com/genesisptwellness] Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 [https://apple.co/47eQP84] * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd [https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd] * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ [https://www.youtube.com/@FromTheGroundUp-u4n/] Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/ [https://www.thepelvicpowerhouse.com/] "From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.