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The Pelvic Underground
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Breathing: Rib Mobility

8/8/2020

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Breathing!
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Yes, it’s simple. Yes, it’s the foundation of basically every function of the human body. Yes, it’s harder than it looks. And, yes, it’s almost always overlooked because of its simplicity; we are already born “knowing” how to do it. Right?
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You’d think. But life circumstances often conspire to affect our breathing patterns in myriad ways. Not the least of which is pregnancy and the hormone bomb-drop of the early (i.e. first 12 months) postpartum period.
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The good news is we have a *lot* of control over how we breathe. And learning to recognize patterns and their triggers is very valuable information. Manipulating your breathing can prevent/stop/reroute just about any circumstance imaginable. Seriously.
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Today, play around with directing your breathing to different areas. Think of, or physically place your hand on, a spot and send it there. It starts out that simple. Can’t do it? Keep creating the intention and keep practicing. You just need to wake up a forgotten skill. Most likely. Barring extenuating circumstances, of course.
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Here, I’m playing around with one-sided lateral rib expansion. Fun little party trick! 🤓
I know, I know, there is some lingering upper ab gripping. I am, *we* are, a constant work in progress, should you choose to seek the path of self-improvement. It’s a fun one!
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Pelvic Floor Safe Walking Basics

8/8/2020

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Walking. Seems so innocuous, no? Notice how you walk throughout your day. Feet, arm swing, spine, hips/pelvis, breathing. The whole nine yards.

Here I first demonstrate the gait I see frequently, in women AND men. Lumbar (lower) spine rotates, thoracic (mid-upper back) spine stays still, arms going bananas in an attempt to create forward propulsion.

What we would like to see is some lovely cross body rotation (second demo), with shoulder rotating towards opposite hip as you step forward. A nice, relaxed, fluid motion. Of course, this can take some work to achieve, not the least of which is midback mobility (see my post on this from last August/September). But, in the meantime just notice what you feel and see. This is just a fun little test to see where you are at right now.

One of the things I see most often in women experiencing prolapse and diastasis recti is this lack of cross body rotation and general stiffness. And walking is the quickest way to spy this deficit. Complaints of low back pain are also often accompanied by the stiff upper body and overly-mobile lumbar spine.

The last part is a fun drill to do throughout the day to encourage more rotation. Exaggerate the rotation, and wiggle! Shake those sillies out!
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Habit Stack: Crawling

8/8/2020

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Habit stacking with crawling because...why not?! I have been doing a lot more crawling lately to mix it up, work on serratus strength, core stability, and to keep my brain guessing by introducing novel stimuli every so often. Plus, it’s fun! Double plus, you’re already down on the floor with the kids, so get after it!

My pelvis used to rotate and rock side to side no matter what I tried, but once I stopped my reductionist approach to...everything...and started looking at the whole picture things started falling into place. Enter: the sippy cup. I can keep it standing and as close to motionless as I’ve ever gotten. Hooray!

It’s been good for my brain and body to get creative during this quarantine madness. Play, have fun, mix it up.
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Quick Tip: Aligned Handwashing!

3/15/2020

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Since we are all upping the hand-washing big time these days due to #coronavirus how about a little #alignment #tutorial since you’re spending way more time (at least 20 seconds of lather 12,147 times per day) scrubbing the nasties off your hands 😝

A few tips to consider: avoid leaning on the counter and thrusting hips forward, stand tall from the crown of your head, keep knees unlocked and soft, try aligning sternum over pubic bone, avoid hunching upper back to reach the water and instead reach through with serratus muscle (bringing shoulder blades forward), shake your #groovethang and maybe even practice getting some good 360 breaths in here, too.

Happy handwashing!
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Where Do You Breathe?

1/4/2020

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Is your chest doing all the work? Belly? Can you see the muscles in front of your neck popping out with each breath? Are your sides moving with each breath? Do you feel your back expand at all?

How about the quality of your breathing? Is it fast, slow, or relaxed? Loud? Quiet? Audible to the person next to you? Are you breathing through your nose or your mouth? Mouth open or closed?

Fun challenge: how quiet can you make it and still breathe comfortably? Hint: you’ll have to slow it down quite a bit!

Just notice. Be curious. Note how you’re feeling right now and how that correlates to your breathing pattern. Trying manipulating it and slowing it down with a few very slow and deep breaths (in/out through the nose). Then speed it up and breathe in/out through your mouth and see how you feel. Your heart rate will likely change. Which feels better?

Breathing is the simplest and yet most essential task of daily life. Automatic yet we can manipulate it, re-train it for better or worse. It effects every single essential task of the body. There are optimal and sub-optimal ways of breathing. Everyone is different and everyone has their best way of breathing.

The pelvic floor (PF) responds to every single breath you take. Cool, huh? So if you’re stressed, your PF is going to be stressed. If you’re relaxed, your PF should be able to relax. Unfortunately, we are often way too stressed and it creates some pretty gnarly patterns down the line. So stop every now and then and take three nice and slow diaphragm lubricating breaths, let chest rise slightly, belly/back/sides expand like a balloon would, shoulders and neck relaxed. Close your eyes if you can/need to. In through the nose, out through the mouth. Exhale longer than your inhale. See if you can feel your PF descend down gently with your inhale, and if you have high kinesthetic awareness, try to feel your PF recoiling back up on the exhale. That is what happens but so many of us have lost that connection to our bodies. The more you practice noticing the better you’ll get at it.
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Quick Tip: Better Bridges for Better Glutes

11/21/2019

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Bridges! Probably the second most prescribed exercise in physical therapy clinics across the U.S. Second only to clams. So much going wrong with them basically every time I see someone do them. And they are a great exercise for hip extension and building those #glutesofglory so today’s post is a quick tip on using better form.

Feet closer to bum = more glutes, further from bum = more hamstrings. Make sure to get a great 360 inhale first then exhale and use your lower abs to tilt pelvis posterior, pushing low back into the floor. Hold a nice brace at the end of your exhale and inhale again, still maintaining a gentle abdominal brace. On the exhale, tighten your brace slightly and push the ground away from you, contracting those glutes.

Remember 1.0: pubis in same plane as lower ribs, and ribs knit down with a nice abdominal brace. Breathing 360 under a brace is a skill and you may need to practice this. A lot. No breath-holding here, please!

Remember 2.0: don’t make your back work to create the movement. Keeping good core control will help keep the paraspinals soft so you can focus on using those glutes appropriately.

Remember 2.1: breathe throughout the entire exercise. NO BREATH-HOLDING!

Try it out and see what you think!
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Self-Myofascial Release: Deep Hip Rotators

11/2/2019

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It’s a special Halloween edition of The Pelvic Underground. I even dressed up for the occasion!

Here’s something scary...tight glutes and pelvic floor! One of my recent favorite self-myofascial release tricks.

This one targets pelvic floor from behind and specifically deep hip rotators. It is delicious for getting a femur (the “thigh” bone) that sits too far forward in the socket to rest back and center.

Got a tight pelvic floor, hip impingement, or a labral tear? Try this out!

First, lie on the floor with knees bent and feel what you feel, particularly how much floor you can feel with your bum. Is one knee higher than the other? If so, do that side first and most.

Next, find your midline between #glutesofglory and then feel for your tailbone, place the ball an inch or so above and to the right or left of the tailbone. Don’t rest *on* the bony areas, find flesh. Then rest in that spot, breathe into it and feel yourself #relax into this. It should NOT hurt. Then move across your glutes doing this same thing until you reach the back of your “hip bone” (posterior portion of the greater trochanter). Remove the ball and now see how it feels. How much more floor can you feel? Does it feel like a wide open space now? That’s your femur resting into position 😎 Are your knees level now? Excellent!

Happy (belated) Halloween!
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#Motherhood

10/22/2019

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Sometimes (a lot of the time) this is parenthood and you do what works . My arm was tired. I stir with my right and don’t want to exacerbate a muscle imbalance I have worked hard to re-balance since becoming a mom so I kick up a leg and my cute toddler can rest on my thigh and my arm gets a rest. Bonus: I can work on relaxing my hip flexors, engaging my #glutesofglory , core stability, and breathing into my glutes to get them to lengthen on the left.

Of my two kids, he is more of a Velcro baby still, and he loves to watch me cook. So it shall be 😎

​{Last night’s dinner was a vegan Moroccan carrot red lentil soup. So yummy, so chunky, so easy.}
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Hypertonic Pelvic Floor Stretches

10/9/2019

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It’s hump day so how about some more stretches for a tight pelvic floor? Sure!

Now, I say "hypertonic" because that is unfortunately the verbiage used most commonly, but it implies something neurological in nature and generally that is not the case. What we should actually be saying is a "tight/weak pelvic floor." Because, anything that is tight is also weak, just as anything that is loose is also weak. But loose is also a terrible way to describe a hypotonic pelvic floor (which is less common). I digress...

Back to a tight pelvic floor! Happy baby pose is another favorite of mine. Bottom photo is the typical way it is performed. Hold your legs so they feel relaxed and shins (anterior tibialis) are relaxed as well. Breathe deeply and slowly into your belly/back/sides (360 breathing!) for up to two minutes. Note: don’t send your breath down *past* your bum, but aim *for* your bum. Breathing so far down actually puts too much pressure down and out. No need to go crazypants on us here.

Top photo is a modification in a more prone position. I bolster under my bum so that my hip flexors can relax and my back stays long and relaxed. Too much rounding of the back and your canister (i.e. your core) isn’t aligned appropriately. Breathe deeply and slowly into your belly/back/sides and down to your bum. Really try to feel your rib cage expanding in your back and imagine that pelvic floor expanding more and more with each breath.

Ahhhhhhh 🧘‍♀️🧘‍♀️🧘‍♀️
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Tales of Lost ROM: Midback Rotation

10/4/2019

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Midback rotation! One of my favorites. I always thought of myself as being pretty mobile, and then a PT I was working with asked me to rotate my thoracic spine (mid and upper back). Um, barely anything. I cheated 💥big time💥with my lumbar spine (low back)...which is a no-no. 

As I watch other humans in nature moving and doing (I can’t help it!), I see a lot to be desired in the midback rotation department, especially us mamas. When you walk, do you feel your hips swishing like the agitator in a top load washing machine? Do your arms swing? If so (yay!) does your upper body (ribs and up) move any? Take a video of yourself walking and see what you see! (Little insider info: swishing hips might look sexy, but they are really not good for you in the long run.)

I will save walking mechanics for another post (it’s a lot!) but for now, here is a great little mobility exercise you can do before you even get out of bed in the morning. Hold your top knee down and don’t let yourself cheat by allowing the pelvis to rotate. How far down can you get your top elbow at first? Breathe into those top ribs and on each exhale sink a little farther into the stretch. Do a few breath cycles and then roll forward. Repeat a few more times and then switch sides.

Note: bend at the elbow and hold your hand behind your head for the most accurate rotation. A straight arm allows you to cheat with your shoulder complex and make it seem like you have a lot more range than you actually do have.

Is one side harder? How much can you get your elbow down towards the floor without forcing but by using breath work to ease it down? Any pain or discomfort? This should be a very gentle and easy exercise. Listen to your body and only do what you can do comfortably and pain free.
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    Paige

    Runner, lifter of children, PTA, CPT, PCES, pelvic health zealot

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