Aug. 5, 2026

96. Lift Heavy, Then Glide: A Smarter Recovery Plan for Women Over 40 | with Karen Kirkness

96. Lift Heavy, Then Glide: A Smarter Recovery Plan for Women Over 40 | with Karen Kirkness
96. Lift Heavy, Then Glide: A Smarter Recovery Plan for Women Over 40 | with Karen Kirkness
Everyday Ayurveda with Kate
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 REFERENCES

Caon, 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,

  1. 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,

  1. 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–

  1. 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.

  1. 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

Connect with Kate: https://www.healwithkate.org

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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