In this episode, Dr. Laura and Dr. Beth welcome their guest, Dr. Kate Bacigalupo, PT, hypermobility specialist and co-founder of the Elements Collective, for a powerful conversation about the often-overlooked connection between scoliosis and hypermobility.

Dr. Kate shares how her career began with a single patient with Ehlers-Danlos syndrome (EDS), which has shaped her clinical focus for the past decade. Now she bridges the gap between connective tissue disorders, chronic pain, pelvic health, and scoliosis care.

Living with scoliosis or spinal fusion can sometimes feel isolating—especially when you grow up without knowing anyone else who shares your experience. In this episode, Dr. Laura and Dr. Beth talk about the importance of finding your community living with scoliosis and spinal fusion.

The conversation highlights the growing scoliosis community both online and in person—including local meetups and the upcoming BioniCon, a first-of-its-kind conference designed specifically for adults with scoliosis and spinal fusion.

Dr. Beth will be presenting on getting started with strength training for scoliosis and spinal fusion, and Dr. Laura will be presenting on the connection between scoliosis and the pelvic floor, along with a session on pregnancy with scoliosis and spinal fusion.

Join Dr. Laura and Dr. Beth as they discuss pelvic organ prolapse, what it is, and how to manage it with special guest expert Dr. Margo. Together, they discuss why symptoms like heaviness or back pain happen, the role of genetics, why lifting weights can actually be protective of developing prolapse and why proper pressure management and core coordination matter.

This week continues the series on scoliosis and the pelvic floor by diving deeper into how scoliosis can directly influence pelvic floor function—and what symptoms may signal that it’s time to seek help.

Building on last week's episode, Laura explains how scoliosis-related rotation, asymmetry, and postural shifts can create imbalances in the pelvic floor muscles (much like what we already recognize in the spine, ribs, & trunk). Because the pelvis is directly connected to the spine, scoliosis significantly affects how the pelvic floor contracts, relaxes, & coordinates.

Dr. Laura, a pelvic floor physical therapist with a decade of experience as well as advanced scoliosis training, breaks down what the pelvic floor actually is, what it does, and why everyone—regardless of gender, age, pregnancy history or fitness level.

From bladder and bowel control to breathing, core stability, sexual function, and lifting heavy weights, the pelvic floor plays a much bigger role in movement and daily life than most people realize.