I am CC, a physician specializing in pelvicrehabilitation. I would like to share my life and career in my Podcast. 我是CC，一名專精於骨盆復健的復健科醫師。我在這裡跟大家分享關於我的生活和工作上的大小事。
CC's Rehabilitation World (CC的復健天地)．Dr. Lin 骨盆健康中心
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I am CC, a physician specializing in pelvicrehabilitation. I would like to share my life and career in my Podcast. 我是CC，一名專精於骨盆復健的復健科醫師。我在這裡跟大家分享關於我的生活和工作上的大小事。
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2/7/2022
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Recent Episodes
July 26, 2026
台語系列 EP6: 骨盆器官脫垂(中) Ft. 婦產科 陳進典教授
<p>＜骨盆器官脫垂（中）：不是只有「骨盆底肌無力」這麼簡單＞</p><p>很多人聽到骨盆器官脫垂，第一個想到的就是：</p><p>「是不是骨盆底肌太弱？」「多做凱格爾運動就好了嗎？」</p><p>但女性骨盆內的支持系統，其實遠比我們想像中精密。</p><p>骨盆器官不是單靠一塊肌肉撐住，而是由韌帶、筋膜、肌肉、肌腱、神經控制，以及周圍組織之間的連結共同維持。</p><p>上一集，我們介紹了 DeLancey 教授的骨盆支持三層理論，以及第一層的懸吊系統。</p><p>這一集，陳進典教授與我繼續用台語，帶大家了解第二層與第三層。</p><p>第二層就像器官與周圍結構之間的「附著」與支撐。如果前方支持組織受損，膀胱可能向產道方向膨出；如果後方支持組織受損，直腸也可能向前膨出。</p><p>骨盆中的子宮、膀胱與直腸，也不是三棟互不相關的房子。</p><p>陳教授在影片中用「三間連在一起的透天厝」形容：中間的結構垮下來，前後兩邊也可能受到影響。因此，有些人並不只有單一部位脫垂，而是同時出現子宮、膀胱或直腸支持不足。</p><p>子宮拿掉之後，是不是就不會脫垂？</p><p>也不一定。</p><p>如果原本的支持系統已經受損，即使子宮切除，陰道頂端、直腸或小腸仍可能向下掉。因此，問題不只是「哪一個器官在不在」，而是整體的支持系統是否完整。</p><p>影片中，陳教授也用「船停在港口」作比喻。</p><p>筋膜與韌帶就像固定船隻的纜繩；肌肉與周圍支持組織則像承托船隻的海水。當支撐力量逐漸流失，船雖然還被纜繩拉著，仍然可能慢慢往下沉。</p><p>我則很喜歡用「擠牙膏」向病人解釋骨盆器官脫垂。</p><p>當腹部上方的壓力很大，力量又直接向下，而骨盆出口沒有適時縮小，器官就可能像牙膏一樣，被持續推向產道出口。</p><p>因此，骨盆復健不是只有一直收縮骨盆底肌。</p><p>我們還需要學習：</p><p>如何坐著站起來，而不是用力憋氣、把壓力往下推；如何咳嗽、提重物與運動；如何讓力量方向改變；如何在需要時讓骨盆出口適時縮小；以及如何重新建立大腦、神經與肌肉之間的連結。</p><p>尤其在產後，休息與營養很重要，但「適當運動」不是馬上恢復跑跳，更不是一直用力夾緊。</p><p>早期更重要的是溫和地恢復感覺、呼吸、循環與主動控制，讓受傷後暫時無法正常工作的肌肉與神經，慢慢重新加入身體的支持系統。</p><p>此外，肥胖、長期提重物、頻繁蹲姿、錯誤的起身方式、便祕用力，以及過度束緊腹部，都可能使壓力持續集中到骨盆出口。</p><p>婦女生產後，身體和生產前不完全一樣，沒有關係。</p><p>就像年齡增加後，眼睛可能出現老花；身體進入不同階段，也會有不同的變化。</p><p>我們真正要學習的，不是責怪身體怎麼變了，而是重新認識現在的身體，知道如何使用它、保護它，並與它和平共處。</p><p>🎥《骨盆器官脫垂（中）》影片連結放在留言區。</p><p>提醒：骨盆底肌不是越緊越好，也不是每一個人都適合自行反覆做凱格爾運動。若有下墜感、陰道異物感、漏尿、排尿排便困難或骨盆疼痛，建議先接受專業評估。</p><p>#骨盆器官脫垂 #骨盆底肌 #骨盆復健 #凱格爾運動 #膀胱脫垂 #直腸脫垂 #子宮脫垂 #產後恢復 #腹壓管理 #女性健康 #台語醫療衛教</p><p><br></p>
July 22, 2026
[Beyond Silence: Cross Culture Pelvic Health Conversation] EP1: Postpartum Pelvic Floor Recovery: Insights from IUGA 2026. Ft. PT JOY Jang 產後骨盆底恢復
<p></p><p>🎙️ <strong>Beyond Silence：跨文化骨盆健康對話EP1｜產後骨盆底恢復：最新研究告訴我們什麼？</strong></p><p>每次和 Joy 錄完節目，我們總是捨不得結束。</p><p>正式錄影告一段落後，兩個人還會繼續聊下去，從臨床經驗、研究證據，一路談到不同國家的文化與女性對身體的理解。每一次對話，都像是把彼此累積多年的觀察重新攤開來看，也總能激盪出新的想法。</p><p>Joy 來自韓國，目前在美國從事骨盆健康物理治療。這一集，她將分享參加 <strong>IUGA 2026</strong> 的重要收穫。IUGA 是全球婦女泌尿與骨盆底醫學的重要國際學術年會，聚集了來自世界各地的臨床工作者與研究者。</p><p>我們從最新研究出發，一起重新思考：</p><p>✔️ 產後骨盆底恢復，最新研究帶來了哪些新觀念？✔️ 超音波與 MRI，可以如何幫助我們理解產後身體的變化？✔️ 為什麼骨盆復健不只是訓練肌力？✔️ 飲食、運動與生活習慣，如何影響骨盆健康？✔️ 骨盆健康，是否應該從懷孕前就開始準備？</p><p>產後恢復，從來不只是「生產時有沒有受傷」，也不只是陰道生產或剖腹生產的差別。</p><p>女性在懷孕、生產與產後恢復的過程中，身體經歷了許多複雜的改變。漏尿、疼痛或其他產後不適，不應該只被一句「這很正常」輕輕帶過。</p><p>希望透過最新的實證醫學，以及不同文化與專業背景之間的對話，陪伴更多女性重新理解自己的身體，也讓骨盆健康不再是一個難以啟齒的話題。</p><p>能夠和一位有相同理念的骨盆復健專家深入對談，實在太過癮了。也希望 <strong>Beyond Silence</strong> 能一直持續下去，帶來更多跨文化、跨專業，也更貼近女性真實需要的骨盆健康對話。</p><p>歡迎留言分享你的想法，也別忘了訂閱頻道，和我們一起打破沉默，守護女性骨盆健康。</p><p><br /></p><p><br /></p><p>🎙️ <strong>Beyond Silence: Cross-Cultural Conversations on Pelvic HealthEP1 | Postpartum Pelvic Floor Recovery: What Does the Latest Evidence Tell Us?</strong></p><p>Every time Joy and I finish recording an episode, the conversation continues long after the cameras stop.</p><p>We talk about clinical practice, research, culture, and the different ways women learn to understand their bodies. Each conversation opens up new questions and brings together perspectives shaped by different countries, healthcare systems, and professional experiences.</p><p>Joy is a pelvic health physical therapist from South Korea who is currently practicing in the United States. In this episode, she shares key insights from <strong>IUGA 2026</strong>, one of the world’s leading international conferences in urogynecology and female pelvic floor health.</p><p>Together, we explore:</p><p>✔️ The latest evidence on postpartum pelvic floor recovery✔️ The role of ultrasound and MRI in assessment✔️ Why rehabilitation is about more than strengthening muscles✔️ How nutrition, exercise, and lifestyle influence pelvic health✔️ Why pelvic health may need to begin before pregnancy</p><p>Postpartum recovery is not simply about whether the pelvic floor was injured during childbirth. It is also not defined only by vaginal birth versus cesarean delivery.</p><p>Pregnancy, childbirth, healing, movement, lifestyle, and many other factors shape a woman’s recovery. Urinary leakage, pelvic pain, and postpartum discomfort should not be dismissed with the phrase, “It is just normal after having a baby.”</p><p>Through evidence-based practice and cross-cultural dialogue, we hope to help more women better understand their bodies and feel empowered to seek appropriate care.</p><p>Speaking with a pelvic rehabilitation professional who shares the same vision is always deeply rewarding. Even after recording ends, Joy and I often continue talking, exchanging ideas, and discovering new possibilities.</p><p>We hope <strong>Beyond Silence</strong> will continue to grow into an ongoing conversation across cultures, professions, and lived experiences—and help bring pelvic health out of silence.</p><p>If you enjoyed this episode, please like, subscribe, and share it with someone who may benefit.</p><p>#BeyondSilence #PelvicHealth #PostpartumRecovery #PelvicFloor #IUGA2026 #EvidenceBasedPractice #WomensHealth #PhysicalTherapy #Rehabilitation #骨盆健康 #骨盆復健 #產後復健 #女性健康 #IUGA #CrossCulturePelvicHealthConversation</p><p><br /></p>
July 19, 2026
EP84: 攝護腺肥大 ft. 泌尿科 趙梓辰醫師
<p>「攝護腺(又叫前列腺)肥大，一定要開刀嗎？」</p><p>這大概是門診最常被問到的問題之一。這次很高興邀請到 臺大醫院泌尿科 趙梓辰醫師，一起聊聊攝護腺肥大的正確觀念。</p><p>許多男性在 50 歲之後，開始出現排尿變慢、頻尿、夜尿、急尿、解不乾淨等症狀，但很多人都以為：「年紀大了，正常啦！」事實上，許多症狀是可以改善的。</p><p>這集當中，我們聊了: </p><p>V當初選科的心路歷程，我們不約而同的都用了<刪去法>!!</p><p>V為什麼攝護腺會肥大？ </p><p>V攝護腺肥大和攝護腺癌有什麼不同？ </p><p>V什麼情況需要吃藥？</p><p>V什麼情況需要手術？ </p><p>V日常生活有哪些方法可以改善排尿症狀？</p><p>另外，我也分享了骨盆復健常見的一個臨床觀察。</p><p>有些攝護腺手術後仍持續漏尿的患者，非常努力做凱格爾運動，希望趕快恢復，結果反而因為骨盆底肌過度緊繃，讓症狀再次惡化。健康的骨盆底肌，不只是有力量，更需要有延展性、協調性，以及適時放鬆的能力。</p><p>希望這集影片，能幫助更多男性朋友及家人，用更正確的方式照顧自己的泌尿健康。</p>
93 total episodes available
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