Meet Candice

Candice Langford
Pain to pleasure course

Candice Langford is a physiotherapist based in the Cayman Islands, focused solely on pelvic health. She grew up on the east coast of South Africa, completed two Bachelor of Science degrees at the University of Cape Town, continued to grow in the field of pelvic health and was eventually invited to Grand Cayman to practice her special interest of pelvic and sexual health physiotherapy.

With a diverse background in science, she gained; an inquisitive perspective to physiotherapy management, lateral thinking approach to complex patients and eagerness to study further. Candice grasped every opportunity to study with internationally acclaimed game changers in the pelvic health industry, where she grew her passion for treating complex pain cases as a pelvic and sexual health physiotherapist. With an intention to hold a safe space for her patients and to maintain trauma informed care, a course in trauma counselling complimented her existing knowledge base. 

From a creative and community approach, Candice feels passionate about sharing, educating and empowering, she therefore created an online platform called Nurture (website: nurturepelvicheath.com IG: @Nurtureyourvagina and Podcast: Nurture Pod), which has grown as she encourages curiosity and normalising the narrative around “taboo’ topics to increase access to appropriate care. Here you will hear her talking about all the P’s, and chanting her slogan; “Pee, Poo, Pleasure, Pain, Periods, Pregnancy, Postpartum, Peri & Post – Menopause, Prolapse and of course the Pelvic Floor”.

Candice’s is a proud member of the My Sexual Health Team, run by the president of World Association of Sexual Health (WAS), Dr Elna Rudolph. She has presented to this team on the topic of CBD & Sexual health and created an online course outlining her approach to complex sexual pain management for vaginismus patients, titled “Pain to Pleasure”. 

Public speaking, hosting events and community collaboration, in a variety of industries have all played an important role in Candice desire to empower through education and breakdown  barriers to comprehensive care. 

Candice’s educational background is broad yet relevant to the multifaceted lives that we live, she intends on continuing to expand her knowledge base bio-psycho-socially to continue to best serve her patients and community. 

In physio practice, Candice assess and treats symptoms and concerns relating to pelvic & sexual health for patients of all ages, spanning through various life stages from puberty, pregnancy, postpartum and through the menopause transition.
“I commit myself to offering a collaborative approach to care with my patients as we work together to reach your unique goals”. – Candice Langford 

Candice Langford graphic

What is pelvic health physio 

A niche field of physiotherapy encompassing evaluation, treatment and education for individuals with concerns relating to the pelvic region, through the various life stages. 

Do i need a pelvic Physio?

Your pelvic region is deeply integrated into your daily activities and undoubtedly to your holistic health and quality of life. Pelvic function is essential through all life phases, from; potty training to menstrual periods, child bearing years and through the menopausal transition.
Much like any other muscle, the pelvic floor muscles may present as weak, tight, over-stretched or painful for many reasons and at any life stage leading to dysfunction. These muscles are often thought to be the sole focus of physio but ‘everything is connected’ and we often need to assess and treat surrounding tissues, joints and nerves.
Your current symptoms may stem from: pregnancy, child birth, surgery, injury, chronic constipation, lifting activities, high impact exercise, lifestyle factors, ageing, surgery, chronic conditions, hormone therapies… These factors are all assessed and considered during your appointment.

What is the pelvic floor

The pelvic floor is a sling of muscles found at the base of your trunk, this muscular group, along with surrounding tissues contributes to function. The system needs to be able to activate to maintain continence & control pressure but also relax to allow for urination, bowel movements and penetration.

The pelvic floor function is integrated into and reliant on surrounding structures in order to achieve full function, and vice versa. We will therefore also consider surrounding; joints, nerves, vessels, organs & connective tissues in order to help you achieve your unique goals.

Holding Pelvic Skeleton
pelvic health tips
pelvic health tips

Common Pelvic Floor Presentations

Weakness / Low Tone

A lack of muscular tone, genetics or injury may result in a laxity within the pelvis. This can lead to a variety of symptoms, some of which include;

  • leaking (urine, gas, stool)
  • This may be an involuntary loss of urine without warning, Urinary incontinenec (UI) or when you have an urge to urinate (UUI) or with an increase in pressure/stress (SUI) such as a sneeze, cough, laugh, jump.
  • Pelvic Organ Prolapse (POP) occurs when the organs descend into the vaginal canal, 
  • Pelvic physio and Strengthening programs can be developed to reduce or resolve symptoms as you progress to adequate strength, function and control during your unique activities.
Tight / Overactive 

Muscles can become short & tight or ‘overactive’ from; excessive exercise, stress/anxiety, active clenching, subconscious clenching or even posture. Imagine squeezing your hand in a fist and your fingers become painful, stiff and difficult to function, the same applies to your pelvic region. This ‘high tone’ can present as:

  • Pain – typically during penetration (intercourse / tampon insertion / gynae exam), but also during activities such as prolonged standing or strength exercise.
  • Pain may also radiate to the thighs, hips, back, abdomen, vulva, coccyx.
  • Tension – A sensation of an inability to ‘let go’, making it difficult to pass urine/stool or allow for penetration.
  • Bladder function – Urinary frequency (going to the loo too often), Urgency (rushing to the toilet), Incomplete void, Difficult void (pushing urine out).
  • Constipation – Straining to empty bowels, delayed emptying, repeated wiping. Can present with pain and haemorrhoids.

Note: Tight is not the same as ‘strong’. A majority of concerns first require release work prior to strengthening!

Disconnect

A sense of disconnect form the pelvic region may stem from a multitude of factors from life experiences, exposure, beliefs, body image to lack of knowledge. 

This can make behaviours and symptoms difficult to identify and acknowledge, referred to as a lack of awareness. 

Patients might present with; unresolved pain, overfilling the bladder, incontinence, constipation, penetrative pain, subconscious tension, tactile avoidance, body dysmorphia. 

Physio can facilitate increased awareness, coordination and control in and around the pelvis.

Adhesions 

Adhesions may restrict tissue mobility (muscle, fascia, nerve) therefore impacting function and often sensation. This may be from injury or intervention (ie. abdominal surgery, cesarean, episiotomy, perineal tear, endometriosis, child birth, radiation.

Sensitisation or Desensitisation

Your symptoms may be heightened or diminished based on a number of biopsychosocial factors. Note: Altered symptoms are not ‘in your head’, your symptoms are valid and real! Do you allow anyone to make you believe otherwise. 

Combination

It is most common for patients to present with a combination of symptom. This may be areas of tension with areas of laxity, tight and weak musculature, areas of numbness alongside areas of hypersensitivity. 

Common Pelvic Floor Presentations

my why...

My pillars of purpose on social media and through the Nurture Pelvic Health platform.

Educating about Sexual Pain

As a Pelvic health practitioner, my passion lies in helping individuals gain access to information and management of concerns relating to pain and penetrative disorders.The heart behind “Pain to Pleasure“.

Move Africa

Eradicate Period Poverty

Period poverty should not be a reality, this issue is important and modifiable! I strive to work toward the goal of increasing access to sustainable resources for menstruators.Ft. Move Africa 

Woman Declining

Gender Based Violence

GBV a heart breaking and prevalent global concern, so much so that it is often easier to avoid the topic. I aim to continue to create awareness and work with like minded brands to alleviate the GBV burden on society.Partner: Sprint for Her SA #sprintforher

2021 Top 200

SASHA Membership

MSH Membership 

Registration

HPCSA Registered

SASP registered

SASP Registered

CPAM registered

CPAM Registered