Pelvic Health and Alignment

Turns out that walking is a pretty big deal and is vital for the function of our pelvic floor muscles. Using your own two legs to get around also has unique and widespread benefits throughout the body compared to other forms of exercise such as cycling, swimming, running and even the elliptical or stair climber.  Walking promotes: Bone Mineral Density (preventing osteoporosis)   by repetitively  loading the bones of the lower body and spine in a vertical manner with vibrations from the heel striking the ground Cardiovascular Health by recruiting every single muscle in the body from the small muscles in your feet to your core, shoulders and ribs for optimum innervation and circulation.  Weight Management  as your body is able to burn more fat at moderate, rather than high intensities and heart rates Musculoskeletal Health with a natural frequency and loading to help nourish, rather than burn through the cartilage in the knees and hips and of...

Congratulations on your new baby and welcome to a whole new world that revolves around that one tiny bundle of joy! In the wonderful mayhem of new motherhood, it can be easy to forget about you  and the amazing feat that your body recently performed.  In the interest of your immediate and longterm pelvic health, here are some helpful tips for after you've had your baby: Early Post-Natal 0 - 10 days Rest and get sleep when your baby does! Cooling ice to perineum can help with healing and discomfort. This should be used with layer of cloth between skin and cold for a maximum of 10-12mins on and at least 20mins off before re-applying. (You can also use a wet pad that has been put in the fridge/freezer). Gentle  pelvic floor contractions can help decrease perineal swelling. These do not have to be super-strong and are safe to do even if you have stitches. Even if you don’t initially feel the contraction, still try to visualise the muscles working. Ensure yo...

Exciting news! About a year ago, I discovered something that has now changed the way that I treat and educate my patients, as well as the way that I personally move and live.  Having seen with my own eyes the increase in young women (including teenagers) with pelvic health issues, as well as reading the literature and worrying statistics about the rapid increase of pelvic floor dysfunction (PFD), I became very interested in the "Why". W hy does it seem to be more common in Westernised cultures (regardless of access to some of the best health care systems in the world), why  is something as natural as childbirth so difficult, and  why are we seeing PFD in younger and younger populations.  Katy Bowman's awesome blog and her early work with Pelvic Floor Dysfunction got me hooked and helped open my eyes to the bigger picture of the human body and its environment. For a long time, treatment for pelvic floor issues (such as incontinence, prolapse and prepar...

Historically, pelvic floor treatment has focused solely on the pelvic floor muscles. We now know that in order to have an optimally functioning pelvic floor, we have to look at the bigger picture - the entire body starting from the feet up.  The feet are particularly important because whatever happens at ground level determines the forces and load affecting the body all the way up to your neck. Many women that I have seen for pelvic floor dysfunction also have a foot problem of some kind, the most common being bunions. The two conditions, although not physically close, have some similar contributing factors and continue to feed into one another due to tension patterns running from the feet, the back of the legs and up to the pelvis. The biomechanics that contribute to foot issues, also contribute to changes in positioning and muscle action at the pelvis.  Bunions Bones respond to   load   or   pressure . The more pressure applied to a particular part of...

Recently, I have been keeping busy completing a Whole Body Alignment course with Katy Bowman and developing a pre-natal education program which I'm happy to share with you now! Introducing...  Body & Birth Physiotherapy Education, Alignment and Preparation for your Pregnancy and Beyond Pregnancy is an exciting and important time in a woman's life. It is also a time where your body is going through many changes and you have an opportunity to prepare yourself for the amazing feat that is childbirth.  Your body comes with all the equipment it needs to carry and deliver a baby, however the way that we use our bodies in this modern world has led to some of that equipment being ill prepared. This increases the risk of post-natal pelvic floor dysfunction, perineal tearing and the need for an emergency C-section.  Julie, my colleague, and I are both Pelvic Health Physiotherapists and often see post-natal problems that could have been prevented. Therefore, we...

I realise that I've been going on and on about shortened pelvic floor muscles, but what are they really?  Muscles have a very specific length that allows them to function optimally according to a length-tension (strength) relationship.  Length-Tension Relationship* This demonstrates that a muscle that is too short or too long has a decreased ability to contract compared to when it is within it's ideal range. A tight muscle is not necessarily a strong muscle, instead it is unable to function and respond appropriately to required demands because it is never able to contract through its full range.  Shortened pelvic floor muscles can manifest in many different ways: Stress urinary incontinence - leaking with cough/sneezing, laughing, running and jumping Pelvic pain - tailbone , pubic bone, SIJ or lower back pain Pain with sex Decreased sensation or difficulty achieving orgasm with sex Constipation Higher risk of perineal tearing with a vagina...

If you've never experienced difficulty with bowel movements before, then good for you and keep doing what you're doing! However, if you are like many of us who have had experienced constipation then you know it can be quite uncomfortable and more than a little annoying. Constipation can also become hazardous to the pelvic organs and muscles when we begin to strain and hold our breath in an effort to get the stool out. This puts an enormous amount of pressure on the pelvic structures and over time, this repetitive straining can lead to prolapse of the pelvic organs, weakness of the pelvic floor muscles and also hypertonicity (tightness) of the muscles. Constipation is medically defined as less than 3 bowel movements per week and is usually due to one of two reasons; either the stool itself is very solid and difficult to pass, or there is a problem with the emptying process. Solid stools can be due to a number of things: Dehydration - as your food is digested and m...