Dr. Dan Ginader: Your Glutes Don't Fire and Your Kegels Are Wrong - What Midlife Women Need to Know | #157

**Dr. Vonda Wright** (0:00)
What is the one body part most women neglect in their training?

**Dr. Dan Ginader** (0:03)
Glutes.

**Dr. Vonda Wright** (0:04)
That's right!

**Dr. Dan Ginader** (0:05)
They think they're working their glutes, and they want to work their glutes, but a lot of them haven't quite figured out how to do it.

**Dr. Vonda Wright** (0:09)
Heat or ice for acute injury?

**Dr. Dan Ginader** (0:12)
Neither. What?

**Dr. Vonda Wright** (0:13)
Talk to me about that. This week on The Dr Vonda Show, I have Dr Dan Ginader, who is a doctor of physical therapy. When people feel a pain, their first in clinician is to sit down and rest, to which I say to my patients, listen, if you have a pain in one arm, you've got two legs, another arm, and a core that can still function.

**Dr. Dan Ginader** (0:34)
When people hear pelvic floor, they think, oh, I've just got to do my Kegels. And if you ask every pelvic floor physical therapist, they'll tell you that Kegels are the devil. I've had so many patients that when they learn how to relax the pelvic floor, all of a sudden everything else just becomes unblocked.

**Dr. Vonda Wright** (0:47)
What is the basics we have to do in your experience?

**Dr. Dan Ginader** (0:50)
First of all, everybody should be exercising, period.

**Dr. Vonda Wright** (0:53)
You haven't gotten the message at 30 You haven't gotten it at 40 You find yourself, it's usually at 70 They're like, oh my God, I'm just hearing this. Is it too late for me? What is your thoughts on that?

**Dr. Dan Ginader** (1:03)
There's no such thing as it being too late.

**Dr. Vonda Wright** (1:08)
All right, my friends. So this week on The Dr Vonda Show, I have a new guest that I just cold DMed, because sometimes I do that when I see experts out there that align or not align, but I think will add a lot of value to what you're thinking. And Dr. Dan Ginader, who is a doctor of physical therapy with a physical therapy studio in Manhattan at 27th and 6th, in case I have a lot of Manhattanites who listen to this. If you need things, he has developed the Mims Method of Physical Therapy and has a book called The Pain-Free Body, Simple Stretches and Exercises for Common Aches and Pains.
And I am excited to have you on today because I want you, first of all, to help me set the record straight on when people feel a pain, their first in clinician is to sit down and rest, to which I say to my patients, listen, if you have a pain in one arm, you've got two legs, another arm and a core that can still function to help you. So from the perspective of an expert in physical therapy, what is your perspective between just stop and rest and wait three weeks to atrophy versus find out why it hurts, get to the root cause, not all knee pain comes from the knee?

**Dr. Dan Ginader** (2:36)
Well, first of all, thanks for having me. I am in fact in Manhattan and I am the Clinic Director of Mims Method Physical Therapy. I am not the creator of Mims Method. Brittany Mims, the owner of the clinic, is the creator of Mims Method, but I am more than happy to be her right-hand person and Clinic Director of the Clinic. But to get to your question, I do think that a lot of people do think that, oh, I got hurt while I was doing something active. So clearly being active is the root of the problem. So to help, I have to become unactive again.
When in reality, you got hurt while doing something active, but you were hurt because you were probably doing something your body wasn't quite prepared to do.
And the reason it wasn't quite prepared to do that is probably because you're already spending quite a bit of time either resting or at the very least not focusing on the areas where you need strength and mobility. And so when you do get hurt, instead of taking a rest, which sometimes is warranted, and oftentimes you do have to at the very least take a break from the movement that caused the injury, instead of just jumping straight into the rest though, you should maybe ask yourself why you got hurt in the first place and then begin taking steps to address that so that ideally it never happens in the future.

**Dr. Vonda Wright** (3:46)
Sometimes people take the rest option because they're afraid of getting re-injured. You must hear this all the time. I hear this every day, you know, people, listen, if they're not living under a rock, they know that mobility is medicine. They know anti-inflammatory foods is good for muscle bones, tendons, ligaments, but they don't activate because of a fear of injury. How do you help people when they're sent to you work around that fear? Because often it's a mental game, even to get started when you're trying to rehab them from an injury.