You’ve cleaned up your diet, you’re hitting workouts hard, and still—your belly feels distended, your pelvic floor is tight, and you’re exhausted.


It’s not a willpower issue. It’s a systems issue.


In this episode of Reclaiming Vitality, I’m joined by Dr. Karah Charette DPT —pelvic floor physical therapist and somatic movement expert from Bodyful Physical Therapy in Oakland, CA—to explore why so many high-performing women are stuck in a cycle of bloating, core dysfunction, and burnout.

For high-performing women, physical tension, persistent bloating, and core instability often is there even when you're doing “everything right.”

In my clinical practice, I’ve seen this pattern over and over: smart, driven women trying to push through discomfort, only to feel more stuck.


The truth is, your nervous system plays a bigger role in core and gut function than most people realize. In a recent conversation with Dr. Karah Charette, a pelvic floor physical therapist with a somatic lens, we explored why tightness isn’t strength, and how stress literally rewires your ability to feel at ease in your own body.


Together, we unravel:


  • What your body’s been trying to tell you (and why the usual advice isn’t working)
  • How nervous system dysregulation ties directly into pelvic floor tension
  • Why breath work and fascia release may be the missing link in your healing


Whether you’re dealing with stress incontinence, belly distension, or just a persistent sense of internal tension—this episode offers a radically refreshing (and science-backed) perspective.

Why Traditional Core Training backfires sometimes. 

Dr. Karah breaks down why traditional core training often backfires for women stuck in sympathetic overdrive—and how practices like diaphragmatic breathing, fascial release, and somatic tools offer a more effective and sustainable path.


We also talk about:


  • Abdomino-phrenic dyssynergia (and what that really means)
  • The role of the sacral plexus in regulating anxiety and stress
  • How to activate your deep core muscles without triggering more tension


Watch the full episode below to learn practical tools you can start using today to support pelvic-core health and reclaim ease in your body.

You’ve cleaned up your diet, you’re hitting workouts hard, and still—your belly feels distended, your pelvic floor is tight, and you’re exhausted.


It’s not a willpower issue. It’s a systems issue.


In this episode of Reclaiming Vitality, I’m joined by Dr. Karah Charette DPT —pelvic floor physical therapist and somatic movement expert from Bodyful Physical Therapy in Oakland, CA—to explore why so many high-performing women are stuck in a cycle of bloating, core dysfunction, and burnout.

For high-performing women, physical tension, persistent bloating, and core instability often is there even when you're doing “everything right.”

In my clinical practice, I’ve seen this pattern over and over: smart, driven women trying to push through discomfort, only to feel more stuck.


The truth is, your nervous system plays a bigger role in core and gut function than most people realize. In a recent conversation with Dr. Karah Charette, a pelvic floor physical therapist with a somatic lens, we explored why tightness isn’t strength, and how stress literally rewires your ability to feel at ease in your own body.


Together, we unravel:


  • What your body’s been trying to tell you (and why the usual advice isn’t working)
  • How nervous system dysregulation ties directly into pelvic floor tension
  • Why breath work and fascia release may be the missing link in your healing


Whether you’re dealing with stress incontinence, belly distension, or just a persistent sense of internal tension—this episode offers a radically refreshing (and science-backed) perspective.

Why Traditional Core Training backfires sometimes. 

Dr. Karah breaks down why traditional core training often backfires for women stuck in sympathetic overdrive—and how practices like diaphragmatic breathing, fascial release, and somatic tools offer a more effective and sustainable path.


We also talk about:


  • Abdomino-phrenic dyssynergia (and what that really means)
  • The role of the sacral plexus in regulating anxiety and stress
  • How to activate your deep core muscles without triggering more tension


Watch the full episode below to learn practical tools you can start using today to support pelvic-core health and reclaim ease in your body.

Your health won’t wait—why should you?

Let’s get to the root of what’s getting you stuck.

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