96. Lift Heavy, Then Glide: A Smarter Recovery Plan for Women Over 40 | with Karen Kirkness
Dr. Karen Kirkness has spent decades in the yoga world and the last ten-plus years in anatomy labs earning a master's in clinical anatomy and a PhD in medical sciences. In this episode she and Kate go straight into fascia — not as packing material, but as a signaling system — and into hyaluronan, the molecule that makes your tissue juicy.
The surprise: more lubrication is not better. Fresh, long-chain hyaluronan tells your cells everything is regulated. But movement shears those chains into fragments, and fragments are inflammatory. Clearing them matters as much as making them. That's what a recovery day is actually for.
Karen breaks down what changes at perimenopause and after, why losing lean muscle and mitochondria puts the brakes on your body's own hydration, and what to do about it: vigorous training a few times a week, active recovery in between, and 'movement snacks' scattered through the day — the twist, the reach, the sprint to the stop sign.
Find Karen at spiralsyllabus.com and on Instagram at SpiralSyllabus or Karen Kirkness.
Questions for a follow-up episode? Email hello@ayurvedicliving.institute or leave a comment on your podcast platform.
Referenced in this episode
Links:
https://www.instagram.com/karenkirkness
https://www.instagram.com/spiralsyllabus
https://orcid.org/0000-0002-1649-7221
Latest paper: The Myofascial Rheostat: H
yaluronan Molecular Weight Dynamics and Purinergic Signalling as a Physiological Feedback System
https://www.spiralsyllabus.com/
Work with Karen: Experience Spiral Motion Autumn Program
KEY REFERENCESCaon, I., Bartolini, B., Moretto, P., Parnigoni, A., Caravà, E., Vitale, D. L., et al. (2020).
Sirtuin 1 reduces hyaluronan synthase 2 expression by inhibiting nuclear translocation
of NF-kB and expression of the long-noncoding RNA HAS2–AS1. J. Biol. Chem. 295,
3485–3496. doi: 10.1074/jbc.RA119.011982
Caon, I., Parnigoni, A., Viola, M., Karousou, E., Passi, A., and Vigetti, D. (2021). Cell
energy metabolism and hyaluronan synthesis. J. Histochem. Cytochem. 69, 35–47.
doi: 10.1369/0022155420929772
Kirkness, K. B., and Scarlata, S. (2025). Understanding fascial tissue on the molecular
level—how its unique properties enable adaptation or dysfunction. Int. J. Mol. Sci. 27,
- doi: 10.3390/ijms27010160
Kirkness, K.B., da Silva, Schleip,R, Cruvinel-Júnior R., and Scarlata, S. (2026). The Myofascial Rheostat: Hyaluronan Molecular Weight Dynamics and Purinergic Signalling as a Physiological Feedback System. Frontiers in Physiology 17 (June 2026). https://doi.org/10.3389/fphys.2026.1854585.
Raghavan, P. (2018). Emerging therapies for spastic movement disorder. Phys. Med.
Rehabil. Clin. N. Am. 29, 633–644. doi: 10.1016/j.pmr.2018.04.004
Raghavan, P. (2025). Muscle physiology in spasticity and muscle stiffness. Toxicon 259,
- doi: 10.1016/j.toxicon.2025.108350
Raghavan, P., Lu, Y., Mirchandani, M., and Stecco, A. (2016). Human recombinant
hyaluronidase injections for upper limb muscle stiffness in individuals with cerebral
injury: A case series. eBioMedicine 9, 306–313. doi: 10.1016/j.ebiom.2016.05.014
Rauhala, L., Jokela, T., Kärnä, R., Bart, G., Takabe, P., Oikari, S., et al. (2018).
Extracellular ATP activates hyaluronan synthase 2 (HAS2) in epidermal keratinocytes
via P2Y2, Ca2+ signaling, and MAPK pathways. Biochem. J. 475, 1755–1772.
doi: 10.1042/BCJ20180054
Slater, A. M., Barclay, S. J., Granfar, R. M. S., and Pratt, R. L. (2024). Fascia as a
regulatory system in health and disease. Front. Neurol. 15. doi: 10.3389/
fneur.2024.1458385
Stecco, C., Pratt, R., Nemetz, L. D., Schleip, R., Stecco, A., and Theise, N. D. (2025).
Towards a comprehensive definition of the human fascial system. J. Anat. 246, 1084–
- doi: 10.1111/joa.14212
Stecco, A., Stecco, C., and Raghavan, P. (2014). Peripheral mechanisms contributing to
spasticity and implications for treatment. Curr. Phys. Med. Rehabil. Rep. 2, 121–127.
doi: 10.1007/s40141-014-0052-3
Stecco, A., Stern, R., Fantoni, I., De Caro, R., and Stecco, C. (2016). Fascial disorders:
Implications for treatment. PM&R 8, 161–168. doi: 10.1016/j.pmrj.2015.06.006
Theise, N. D., Kohnehshahri, M. N., Chiriboga, L. A., Fyfe, B., Cao, W., Zee, S., Imam, R., Pichler-Sekulic, S., and Wells, R. G. (2025). Evidence of interstitial continuity within and beyond the human pancreas. Human Pathology 161, 105855. doi: 10.1016/j.humpath.2025.105855
Vigetti, D., Clerici, M., Deleonibus, S., Karousou, E., Viola, M., Moretto, P., et al. (2011).
Hyaluronan synthesis is inhibited by adenosine monophosphate-activated protein
kinase through the regulation of HAS2 activity in human aortic smooth muscle cells.
- Biol. Chem. 286, 7917–7924. doi: 10.1074/jbc.M110.193656
Vigetti, D., Deleonibus, S., Moretto, P., Bowen, T., Fischer, J. W., Grandoch, M., et al.
(2014). Natural antisense transcript for hyaluronan synthase 2 (HAS2-AS1) induces
transcription of HAS2 via protein
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00:00 - Sponsor: Dr. Tung's
00:25 - Episode Preview
03:14 - Podcast Intro
04:29 - Meet Dr. Karen Kirkness & Fascia
10:38 - Understanding Hyaluronan
23:58 - Movement & Balancing Activity and Rest
27:47 - Active Recovery & Off Days
34:13 - Movement Snacks & VILPA
37:34 - Menopause & Hormonal Changes
42:19 - Variety & Brain Health
45:44 - Cortisol, Stress & Rest
50:50 - The Five Filaments Method
54:36 - Where to Find Karen & Wrap-Up