From bladder leaks to confidence and strength — this week’s episode of The Senior Scoop tackles one of the most misunderstood topics in senior wellness: pelvic health.
Hosts Deborah and Kelsey Samuel sit down with Natalie Hickenbotham, licensed physical therapist and pelvic floor specialist at Heart of Gold Physical Therapy, to discuss how awareness, movement, and small daily habits can make a life-changing difference.
Whether you’re a man or woman, this conversation will help you understand your body better and take simple steps toward comfort and control.
🏡 Key Topics Covered:
00:00 Welcome & introduction — why pelvic health matters for aging well
02:15 Understanding what the pelvic floor is and why it’s central to whole-body function
04:10 Patient story: how physical therapy helps where surgery used to be the only option
05:10 Behavioral strategies — how caffeine, alcohol, and hydration impact bladder health
07:25 Managing urgency and incontinence with mindful breathing and body awareness
09:15 Practicing pelvic contractions and how to engage your “core from the floor”
14:00 How ultrasound helps visualize pelvic floor movement and progress
15:35 Differences in pelvic structure and training for men vs. women
18:00 Pelvic therapy for prostate surgery recovery and why men need it too
24:40 Constipation, bowel health, and why posture on the toilet matters
28:00 The “teacher bladder” effect — how stress and rushing affect emptying
34:10 Vaginal estrogen and its crucial role in menopause and urinary health
36:00 Closing insights — empowering seniors to take control of their health
If you’ve ever thought pelvic issues are “just part of aging,” this episode will change that mindset. Natalie reminds us that control, comfort, and dignity are possible at every stage of life.
📌 Don’t forget to like, comment, and subscribe for more insightful health conversations.
💬 Share your thoughts in the comments — what’s one small habit you’d like to change for better wellness?
👩⚕️ To learn more about Natalie’s work, visit Heart of Gold Physical Therapy in Santa Barbara.
The Senior Scoop
The Senior Scoop is a podcast hosted by Deborah and Kelsey Samuel, created to support and inform seniors navigating major life transitions. Based in Santa Barbara, the show focuses on helping older adults understand and prepare for various aspects of aging — from downsizing and home maintenance to emotional well-being and planning for the future.
Each episode explores topics relevant to senior life, such as physical and mental health, financial planning, trusts and wills, pet care, and more. The hosts bring on local experts — including healthcare professionals, legal advisors, and home service providers — to offer insights, resources, and practical advice.
The Senior Scoop is a warm and informative resource designed to empower seniors and their families with trusted guidance and real-life tips from the Santa Barbara community.