Afleveringen

  • In this episode of "The Best of Both Worlds," hosts Dr. Matt Winter and Paul Macaulay are joined by guest Rachel Tang to dive deep into the importance of pelvic floor health for men. Contrary to common misconceptions, the pelvic floor plays a crucial role in male sexual function, influencing erection quality, ejaculation control, and overall sensation. We discuss common pelvic health issues such as erectile dysfunction, pain during urination, dribbling, constipation, and incomplete bowel movements.

    We also touch on the alarming statistics from Singapore, which reports the second-lowest sexual activity rate globally. The podcast emphasizes the significance of addressing early signs of erectile dysfunction, often linked to cardiovascular health issues, and the importance of regular comprehensive health checks.

    Learn about the role of pelvic floor exercises, the impact of intense core workouts, and how cyclists can manage nerve irritation. We also discuss how erectile dysfunction medications are often prescribed without proper medical evaluations and the misrepresentation of health advice regarding dietary choices.

    Rachel Tang shares valuable insights on managing and enhancing erections through pelvic floor exercises, understanding proper sexual positions, and recognizing and retraining bladder habits. The discussion underscores the holistic approach to health, stressing the importance of good sleep, proper nutrition, and regular exercise to maintain overall well-being.

  • Join hosts Matthew Winter and Paul Macaulay in this enlightening episode of the "Best of Both Worlds" podcast, where they dive deep into the vital topic of pelvic health. Special guest Rachel Tang, a physiotherapist specializing in pelvic health, shares her extensive knowledge on the importance of the pelvic floor for women, particularly in the context of pregnancy and postpartum recovery.

    Rachel explains the critical functions of the pelvic floor in controlling the bladder, vagina, and rectum, and addresses common but often untreated issues such as urinary problems and prolapse. Drawing comparisons to practices in France, she emphasizes the long-term benefits of targeted pelvic floor therapy post-pregnancy.

    The episode also covers the importance of regular bowel movements and proper hydration for pelvic health. Rachel provides insights into the role of nutrition and the balance of fiber, water, and fat intake in maintaining healthy bowel movements. She also highlights the pelvic floor's role in stabilizing the body, supporting organs, and its involvement in urinary and rectal control, as well as sexual function.

    In the latter part of the discussion, the focus shifts to the challenges and impacts of conditions like endometriosis. Rachel details how this condition, often dismissed as menstrual pain, leads to chronic pelvic pain and other complications. She highlights the crucial role of physiotherapy in managing pain and improving function, stressing the importance of proper diagnosis and comprehensive care.

    The hosts and Rachel discuss recognizing patterns in pain that may indicate pelvic floor issues and the importance of healthcare professionals' knowledge in better screening and directing patients to specialists. The episode concludes with a teaser for the next discussion focused on men's health issues, inviting listeners to stay tuned for more valuable insights.


    00:00:00 - Introduction
    00:03:03 - How are you out of 10?
    00:05:21 - Summarising the role of pelvic floor in women
    00:08:31 - A brief chat about constipation vs high frequency emptying
    00:12:41 - Water intake, nutrition and bowel health
    00:15:03 - Role of pelvic floor in weight bearing and movement control
    00:15:25 - Breathing in rehabilitating the pelvic control
    00:17:03 - Role of pelvic floor in pleasurable sex and arousal
    00:18:25 - Stress, libido and pelvic tension
    00:20:00 - Intercourse
    00:20:45 - Clitoris, G-spot and arousal
    00:22:00 - Orgasm and pelvic strength
    00:23:20 - Female athletes and sex - problems with the research
    00:24:05 - Psychological contributors to sexual performance
    00:25:55 - Female athletes and incontinence
    00:27:15 - Physical activity and pelvic floor dysfunction
    00:29:12 - Principles of rehabiliating pelvic floor
    00:31:05 - The problem with Kegels
    00:32:26 - How to lift your pelvic floor and avoid bowel dysfunction- a practical lesson
    00:34:03 - Relaxation and orgasm
    00:34:50 - Non medical clinics claiming to treat the pelvis
    00:38:00 - Key concepts for women - habits and exercise for the pelvic floor
    00:41:00 - The problem with the glut obsession
    00:43:10 - Banter - inappropriate observations - the problem with being a healthcare provider
    00:43:52 - Is there a link between jaw pain, chronic spinal pain and pelvic floor dysfunction?
    00:45:45 - Pregnancy and pelvic floor dysfunction
    00:47:45 - Matt has an emotional moment!
    00:48:09 - Hyper-mobility and pelvic dysfunction in pregnancy
    00:50:00 - GH plus PB measurement to predict complications in labor
    00:51:52 - Causes of pelvic pain during sexual intercourse
    00:55:25 - Vaginal lubrication, hormones, arousal and sex
    00:58:14 - Chronic Pelvic Pain Syndrome
    00:59:18 - Endometriosis and its role in chronic pelvic pain
    01:02:50 - Indicators of endometriosis and pelvic floor as a contributor to pain
    01:04:40

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  • This Best of Both Worlds Podcast episode, hosted by Matt Winter and Paul Macaulay, delves into the complex world of optimizing testosterone, featuring Dr. Neil Forrest as a guest. Paul shares his personal experiences with testosterone therapy since age 14. The conversation navigates through the variability of individual responses to low testosterone levels and the multifactorial causes of low testosterone.

    They discuss the physiological mechanisms of testosterone production, involving stages from the hypothalamus to hormone regulation. Lifestyle factors such as obesity, stress, and poor sleep are highlighted as influencers on testosterone levels. The discussion extends to the impact of testosterone on various aspects of life beyond se**** function, emphasizing its role in metabolic and cardiovascular health.

    Different forms of testosterone replacement therapy, including NEBIDO injections and testosterone gel, are explored, with attention to frequency and individualized approaches. The importance of screening testosterone levels based on reported symptoms and lifestyle factors is emphasized, alongside the need for professional guidance in treatment decisions.

    Moreover, the episode, hosted by Matt and Paul, tackles broader topics in healthcare, weaving humor and discussion to engage viewers. Themes of lifestyle medicine, stress management, and the balance between enjoyment and health risks are touched upon. The overarching message emphasizes awareness of symptoms, prioritization of health, and seeking informed advice when considering testosterone optimization.

  • Welcome to our health and performance podcast based in Singapore. Today we will discuss topics such as Testosterone, Erectile Dysfunction, use of viagra, sexual health education, libido, low libido and much more.

    We are joined today by our special guest Dr. Neil Forrest, Family Doctor and board-certified Lifestyle Physician based at Osler Health Singapore for part 1 of our 2 part series.

    In this thought-provoking episode, hosts Matt and Paul, alongside special guest Dr. Neil, explore the multifaceted nature of testosterone and its implications on human health. Here are some of the intriguing questions discussed:

    1. What exactly is testosterone?
    2. Is the decline in testosterone levels inevitable with age, or are there other factors at play?
    3. How does testosterone affect physical attributes such as muscle mass, strength, and overall performance? Is there a causal relationship?
    4. Are changes in mood indicative of reduced testosterone levels?
    5. Is testosterone a significant factor influencing sex drive?
    6. Can stress significantly lower testosterone levels, and what lifestyle changes can optimize testosterone levels?
    7. Is there a correlation between lower testosterone levels and increased susceptibility to musculoskeletal pain, similar to the link observed with estrogen decline in women?


    Tune in to gain valuable insights into testosterone and its impact on health and wellness, only on "The Best of Both Worlds" podcast!

    Part 2 will be released exactly 2 weeks from the release of this podcast.

  • Welcome to "Tongue Talk," Our latest episode on the Best of Both Worlds Health and Performance Podcast. Today we will be unraveling the secrets of oral health and performance!

    In this episode, join us as we delve deep into the fascinating world of dentistry with our special guest, Dr. Yue Weng Cheu. Discover the importance of the tongue in jaw development, posture, and even sleep.

    We'll explore how optimizing tongue health can enhance overall well-being and performance in various aspects of life. From discussing tongue ties to exploring the impact of mouth breathing on oral health and immune function, this episode promises to be enlightening and informative.

    Don't miss out on this opportunity to learn how to maximize your health through proper tongue care! So, grab your seat and get ready to elevate your understanding of oral health and performance with "Tongue Talk"!

    Timestamps:

    00:00:00 What’s coming up

    00:00:41 Introduction

    00:01:49 Guest Intro

    00:05:48 Is the Tongue the most important muscle in the body?

    00:08:38 Is there a structural connection between the tongue and the rest of the body?

    00:12:37 The Body’s response to closing the airways

    00:15:58 Tongues effect on sleep

    00:24:36 Ethnicity and sleep

    00:26:55 Sleep posture

    00:29:39 Environment and jaw development

    00:30:46 physiology and tools for measuring sleep dysfunction

    00:38:24 Splints for sleep apnea

    00:40:29 Sinus/nasal issues and sleep

    00:42:34 Nitric oxide, nasal breathing and health

    00:43:32 Lip taping

    00:48:22 Meewing, aesthetics and breathing

    00:51:46 Myofunctional therapy and jaw development

    00:53:40 Tongue tie

    00:57:10 Performance and the tongue

    01:00:29 Oral microbiome/health and links to systemic health and inflammation

    01:03:29 Oral health and dementia

    01:05:04 Gum disease

    01:06:30 3 things to optimise oral health

    01:10:47 Pet Peeve

    01:12:03 Magic wand section

    01:13:10 Finale!

  • Dive deep into the fascinating world of women's health in our third podcast episode featuring the esteemed Dr. Tash Mirando! Join Matt Winter and Paul Macaulay as we embark on an insightful journey into lifestyle medicine and preventative health, with a special focus on understanding the complexities of estrogen and its profound impact on well-being.

    In this episode, we explore essential questions such as:

    What exactly is estrogen, and why is it crucial?Unveiling the surprising symptoms of estrogen imbalances.Delving into conditions like Relative Energy Deficiency in Sport (RED-S) and their effects on estrogen levels.Discovering key lifestyle adjustments for managing estrogen-related concerns.Debunking myths surrounding phytoestrogens and their influence on estrogen-sensitive cancers.Exploring the role of cruciferous vegetables and their potential anti-estrogen effects.Shedding light on menopause and the role of estrogen depletion in tissue integrity and pain modulation.Understanding hormone replacement therapy (HRT) and its benefits amidst past concerns about breast cancer and cardiovascular risks.Examining the interplay between other sex hormones like progesterone and their impact on pain and function.Unraveling the concept of Andropause and its implications on testosterone levels.Exploring the symptoms of low testosterone or high estrogen levels in men and their effects on pain, function, and performance.



    Meet our esteemed guest, Dr. Tash Mirando, a renowned family physician with a passion for women's health and menopause support, accredited by the International Board of Lifestyle Medicine. Join us for an enriching discussion where Dr. Tash empowers patients to embrace holistic approaches to optimal health and vitality. Tune in for an enlightening conversation that will revolutionize your understanding of women's health and estrogen's pivotal role in it! Don't miss out - subscribe now! 🌟 #WomensHealth #Estrogen #PodcastEpisode #LifestyleMedicine #HealthAndWellness

  • 🔍 Explore the intricate world of pain with Dr. Matt Winter and Paul The Podiatrist on another insightful episode of The Best of Both Worlds podcast! From classic definitions to cutting-edge solutions, this episode delves into the complexities of pain perception, challenging traditional beliefs and offering practical insights for optimal health and performance.

    👀 Here's what we'll cover:

    1. Defining Pain: Unravel the 2020 IASP definition of pain, emphasizing its sensory and emotional aspects. Understand why pain often precedes actual tissue damage, serving as a crucial warning signal.2. Physiology of Pain: Gain a brief overview of the physiological mechanisms underlying pain perception. Discover why pain is fundamentally about protection and how our bodies respond to potential threats.3. The Boot Nail Guy: Dive into a fascinating story from Leicester Royal Infirmary, challenging the assumption that structural damage always correlates with pain.4. Sensitization and Pain Production: Explore the concept of sensitization, where the nervous system becomes more proficient at producing pain over time.5. Understand the role of neurotags and their influence on prolonged pain experiences.6. Safety First Approach (A-Essss): Learn about the SAFETY A-E approach to managing pain, emphasizing the importance of creating a sense of safety. Delve into language, placebo trials, and the power of reassurance.7. Collaborative Care and Lifestyle Factors: Explore collaborative, conditioning, and change-oriented approaches to managing pain. Dive into studies on nutrition, gut health, exercise, education, sleep, stress management, and substance use.8. Pet Peeves and Magic Wand Moments: Hear the hosts' pet peeves about surgery presentations and glut strengthening myths. Discover their magic wand solutions for dealing with pain.

    🎙️ Join us in this engaging conversation that challenges conventional wisdom and provides actionable strategies for optimizing your health and well-being. Don't forget to hit the like button, share your thoughts in the comments, and stay tuned for more exciting episodes!

  • Join Matthew Winter, Doctor of Physical Therapy, functional medicine practitioner, and medical educator, along with Paul Macaulay, senior Podiatrist and TikTok sensation as 'Paul the Podiatrist' (@paulthepodiatrist), in this engaging episode.

    Listen in as they dive into a range of topics:

    Explore the findings of the recent Cigna Vitality study - Are Singaporeans truly the least happy people in the world, and how does this impact pain and overall outcomes?Dreaming of collaborative healthcare - Matthew and Paul share their experiences and visions to address challenges in the healthcare system.Reflect on their experiences as healthcare professionals and the benefits of working together.Uncover the significant factors influencing healthcare - pulling the big levers for positive change.Understand the subjective aspect of assessment - why it's the most crucial part.Discover the pet peeves within their professions - the quirks and challenges they face.Explore the intersection of performance and healthcare - what's the connection?In the 'Not Like That' magic wand segment, Matthew, Paul, or a special guest declare their one wish for their patient group to optimize outcomes and performance.

    Tune in for a thought-provoking and entertaining discussion that delves into the intricacies of healthcare and performance optimization. Don't miss out on the insights and unique perspectives from these seasoned healthcare professionals.