{"podcast":{"title":"Hit Play Not Pause","slug":"hit-play-not-pause-1366847","podcast_index_feed_id":1366847,"rss_url":"https://feeds.captivate.fm/hit-play-not-pause/","website_url":"https://www.feistymenopause.com/","image_url":"https://artwork.captivate.fm/bda8ab9d-7e6f-4666-a4c0-b9a8589fae77/Hit-Play-Not-Pause-Podcast-Cover.jpg","author":"Hit Play Not Pause","episode_count":300,"summary":"Perimenopause and menopause hit active women differently. We have a different lifestyle and different goals. And we know our bodies. Whether you run and hike or do CrossFit and ski (or a little of everything!), you’ve had a way of eating and exercising that worked…until the menopause transition, when it all goes out the window as body composition changes, fatigue, body aches, sleepless nights, hot flashes, brain fog, mood swings, and low mojo blindside you out of the blue—despite doing everything right. Your doctor may (or may not) help with hormone replacement therapy. But what about all the active stuff you love? You’re already exercising and eating well. What you want is to feel and perform like you used to. That doesn’t mean fasting, swearing off carbs for life, or just slowing down. It means adjusting your nutrition, training, recovery, and mindset to work with your changing physiology as you hit this phase of life. And we’re here for it. At Hit Play Not Pause, we know the potential of women in their 40s, 50s, 60s, and beyond, because we talk to elite athletes and everyday active women who are still hitting personal bests along with world-renowned sports dietitians, researche…","last_synced_at":null,"page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847"},"episode":{"title":"Body Breaking Down in Midlife? A Performance PT Explains How to Build It Back Up with Casey Francis, DPT (Episode 270)","slug":"body-breaking-down-in-midlife-a-performance-pt-explains-how-to-build-it-back-up-with-casey-francis-dpt-episode-270","published_at":"2026-04-15T07:00:00+00:00","page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847/body-breaking-down-in-midlife-a-performance-pt-explains-how-to-build-it-back-up-with-casey-francis-dpt-episode-270","show_page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847","url":"https://www.feistymenopause.com/","audio_url":"https://pscrb.fm/rss/p/pdst.fm/e/pdcn.co/e/episodes.captivate.fm/episode/8855974d-5541-4357-8834-dcdfe87ffdba.mp3","summary":"If you're an active woman in perimenopause or menopause and it feels like your body is suddenly falling apart — new injuries, recurring pain, workouts that just aren't working the way they used to — this episode is for you. This week we sat down with Casey Francis, DPT, a performance physical therapist who works with midlife women to understand why they’re getting hurt, and importantly, what to do about it, including movement assessment, prehab, rehab, lifestyle and nutrition practices, and much more. Plus, we have a special guest appearance from our very own resident menopause specialist Dr. Carla DiGirolamo — who not only recommended Casey for this episode but is also one of her patients. Casey Francis, DPT is a performance physical therapist and founder of MVMT MTHD. A former Penn State swimmer and graduate of the University of Florida’s physical therapy program, Casey specializes in root-cause–driven care for active individuals and athletes. Her approach integrates movement analysis, progressive strength, and regenerative therapies to help people heal from injury, build resilient bodies, and sustain high-level performance. You can learn more about her and her work at mvmt-mthd.com Carla DiGirolamo, MD, PhD, is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in women’s performance and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Medical Society. She is a MedFit Care provider and provides weekly workouts and medical updates at her Substack Athletic Aging. She is an Endocrine Consultant for Wild Health and Women’s Health Director at Eternal Health. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimiza…","meta_description":"If you're an active woman in perimenopause or menopause and it feels like your body is suddenly falling apart — new injuries, recurring pain, workouts tha…","key_points":[],"chapters":[],"topics":[],"duration_seconds":4900,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/hit-play-not-pause-1366847/episodes/body-breaking-down-in-midlife-a-performance-pt-explains-how-to-build-it-back-up-with-casey-francis-dpt-episode-270/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/hit-play-not-pause-1366847/body-breaking-down-in-midlife-a-performance-pt-explains-how-to-build-it-back-up-with-casey-francis-dpt-episode-270.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}