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CLS Physiotherapy & Nutrition, St Lawrence Clinic, Spitfire Ground Street Lawrence, Canterbury (2026)

12/05/2026

Apparently the Price of Women’s Health Advocacy Is £4,000.

And I regret to inform you that my NHS salary combined with my PhD stipend won’t stretch that far.

06/05/2026

🎓 Thousands graduate. Only a handful get jobs.

Inspired by a post from and speaking in parliament about physiotherapy, I tried to investigate the state of physiotherapy for new graduates.

The only figure I could obtain was that there are around 3,000 new graduates per year. Although this is not from an official source, it aligns with statistics showing there are around 85–90 courses across the UK, each with about 30–35 students per intake.

When I checked NHS Jobs on 5th May, I counted six Band 5 jobs (new graduate level) advertised.

Despite soaring demand in the NHS and record numbers of new healthcare graduates, entry-level roles are vanishing. Recruitment freezes, delayed hiring, and unfilled vacancies are leaving skilled clinicians on the sidelines—while patients wait longer for care and overworked staff shoulder the blame for system-wide issues.

This isn’t just a physio problem. Midwifery, nursing, medicine, and paramedicine are all feeling the strain. The real shortage isn’t talent or willingness to work—it’s funded posts, sustainable workforce planning, and long-term investment in our healthcare system.

We can’t fix the NHS by training more professionals alone. The system needs to employ and retain them, too.

30/04/2026

Last week, M Powered and I recorded a podcast about pelvic floor dysfunction and exercise (out next week). It reminded me how often women share stories of misguided advice from healthcare providers when managing prolapse, prompting me to revisit the findings of the narrative review I wrote for my MSc dissertation.

Too many women are told to avoid lifting and impact, or to “just do pelvic floor exercise.” But the evidence doesn’t support these blanket restrictions. There’s no consistent proof that resistance training or high-impact movement worsens prolapse—or that it doesn’t. That means recommendations should be individualised. The best approach is to collaborate with each woman, testing different exercises and adjusting based on her symptoms—modifying, not banning, movement.

Current research doesn’t support blanket restrictions. Instead, symptom-guided exposure is key: gradually increase strength and tolerance over time. Avoidance actually reduces capacity and does not protect women long term.

Pelvic floor muscle training is important, with gold-standard evidence supporting its effectiveness—even if the anti-Kegel movement disagrees. But pelvic floor exercises shouldn’t happen in isolation. Clinicians should integrate pelvic floor function into whole-body movement, because the pelvic floor doesn’t work alone in real life, and rehab shouldn’t either.

Another issue is generic, unsupervised advice. Too many women are given leaflets or told to “do their exercises” with no plan for progression. But like any muscle, the pelvic floor needs overload, progression, and individualisation to actually improve.

Dismissive language has real consequences. Women often describe feeling dismissed, fearful, or limited by the advice they receive, which leads to reduced activity and confidence.

What women really need is specialist, supportive care, care that builds confidence in movement and recognises that strength training and impact can be part of the solution, not the problem.

Effective prolapse management keeps women active and confident.

28/04/2026

A large BMJ study of over 800,000 women has found that menopausal hormone therapy is not associated with increased mortality. This is important, because for many women, decisions around HRT are still shaped by fear originating from early interpretations of the Women’s Health Initiative. What this study adds is large-scale, real-world data with over 14 years of follow-up, showing no clear increase in all-cause, cardiovascular, or cancer-related mortality in women using HRT . There were even signals of reduced mortality in specific groups, such as women who had undergone bilateral oophorectomy.

But the response to this kind of evidence is becoming just as problematic. There is a growing amount of noise in the menopause space, with some so-called experts claiming that HRT dramatically reduces heart disease, prevents chronic illness, and is broadly protective for long-term health. That is not what this study shows. Cause-specific mortality differences were small, inconsistent, and should be interpreted with caution .

We’ve moved from a narrative of fear to, in some spaces, a narrative of overcorrection. From “HRT is dangerous” to “HRT protects against everything.” Neither reflects the reality of the evidence.

HRT is an effective treatment for menopausal symptoms and is safe for many women when appropriately prescribed. It may also have benefits in specific contexts. But it is not a replacement for other key components of long-term health, including strength training, cardiovascular fitness, and broader lifestyle and environmental factors.

If you want more information about the latest research into HRT we will cover this in our upcoming Menopause Masterclass.

This will take place online on 11th May at 7pm. All you need to do is comment below Masterclass or hit the link in bio to purchase a ticket.

Mikkelsen AP, Bergholt T, Lidegaard Ø, Scheller NM. Menopausal hormone therapy and long term mortality: nationwide, register based cohort study. BMJ. 2026 Feb 18;392:e085998. doi: 10.1136/bmj-2025-085998. PMID: 41708152; PMCID: PMC12915068.

26/04/2026

It doesn’t get more wholesome than this.

💕🍦🎭🐥

Nothing women’s health here, just my fav bits of my weekend x

23/04/2026

Most coaches would probably laugh if they walked into my NHS menopause strength class. A few kettlebells, some chairs, and a corner of a GP waiting room. But what they wouldn’t laugh at is the consistency, the participation rates, the enjoyment, and the overwhelmingly positive feedback from the women who attend. And one of the biggest reasons they keep coming back? They feel safe to lift there.

Resistance training is often framed as an individual behaviour, something driven by motivation, discipline, or knowledge. But participation is far more complex than that. It is shaped by a dynamic interaction of biological, psychological, social, and environmental factors. For women, particularly in midlife, engagement with strength training cannot be separated from this wider context.

Experiences of gym environments, perceptions of safety, and the historical positioning of exercise all influence whether women feel able to participate. It’s not just about what we prescribe, it’s about where it happens, how it feels, and whether someone feels safe enough to even begin.

If participation is influenced by environment, then the focus cannot remain solely on the individual. It has to extend to the spaces we create, the messages we communicate, and the way we support behaviour change.

On 11th May at 7pm, and I will be hosting a Menopause Masterclass where we’ll be covering many of the often overlooked areas of menopause, including body image, disordered eating, evidence-based exercise prescription, and what is actually required for long-term consistency with exercise.

Comment MASTERCLASS below or head to the link in my bio to book your place.

20/04/2026

We’ve had a women’s health strategy since 2022… so before we get excited about the 2026 update, it’s worth asking: what actually changed?

There have been some wins cheaper HRT, a few women’s health hubs, and more awareness around menopause. But scratch beneath the surface and the bigger issues are still there: long gynaecology waiting lists, fragmented care, understaffed services and persistent inequalities.

There isn’t a strategy problem, there’s an implementation and funding problem.

Because you can write all the glossy strategies and policies you like but if services aren’t properly resourced, nothing really changes for women.

14/04/2026

🚨 Want to help shape the future of menopause & exercise research?

I’m currently recruiting women for my PhD study exploring menopause and resistance training — and I’d love to hear from you.

This isn’t about how “fit” you are or whether you lift weights already.
 It’s about your experiences, thoughts, and perceptionsaround strength-based exercise during the menopause transition.
Because right now?
 We don’t have enough real-world insight from women themselves — and that’s exactly what needs to change.

🧠 The goal: build better, more realistic, evidence-based support for women navigating exercise in midlife.  ✅ You can take part if you: • Are aged 40–60 • Are in perimenopause or early post-menopause • Identify as female • Speak English • You do not need to be currently strength training 
📩 If that’s you (or someone you know), I’d love you to get involved. Link is in my bio to read more and register your interest.

And if this isn’t you, sharing this post genuinely helps research like this reach the women who need to be heard.

07/04/2026

Menopause is a marketing goldmine.

Specific workouts. New diets. Endless supplements. “Specialist” coaches.

And yet… most of it is just a repackaging of the basics with a nicer label (and a higher price tag) or complete and utter rubbish!

The reality?
Women don’t need fixing at this stage of life.
They need better information, less noise, and support that actually fits into their lives.

And that’s exactly why and I are running our Menopause Masterclass.

No hormone hacking, no complicated protocols, no selling women a completely new way of existing, no golden bullets.

Just honest, evidence-based conversations about:
– training (including why resistance training and cardiovascular exercise matters)
– nutrition (what actually matters vs what’s just marketing)
– body image and relationship with food
– and the real barriers to change (because it’s not laziness or lack of discipline)

🗓 11th May
⏰ 7pm
💻 Online

If you’re a woman navigating this stage of life or a coach/clinician who actually wants to understand it properly, this is for you.

Comment ‘IN’ below and I will send you the link or sign up via the link in bio.

31/03/2026

Last week my consultancy client and I had a conversation about anterior pelvic tilt that inspired this reel.

Anterior pelvic tilt is one of the most over-“corrected” postures in rehab and fitness.

It’s a common, normal resting position and not something that inherently needs to be “fixed.”

Even in people with low back pain, attributing symptoms to a single static posture is reductionist.

Pain is multifactorial, and the evidence does not support a consistent relationship between posture and pain.

Your pelvis is designed to move, between anterior/posterior tilt and rotation, and this variability is essential for load management and pelvic floor function.

The problem isn’t the position itself.
�It’s the inability to access and control movement outside of it.

Instead of chasing a “neutral” posture, we should be focusing on:
�• Full range of motion�• Movement variability�• Strength across multiple planes�• Load tolerance

Postures aren’t good or bad, they’re just positions.

PMID: 21658988.
PMID: 31092123.

CLS Physiotherapy & Nutrition

12/05/2026

06/05/2026

30/04/2026

28/04/2026

26/04/2026

23/04/2026

20/04/2026

14/04/2026

07/04/2026

31/03/2026

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