Forum / Let's Discuss! / Pelvic prolapse

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Amy600
On: April 06, 2017 05:43 AM
Hello, I am looking for suggestions with how to work with a client with POP( pelvic organ prolapse). On a daily basis, how would a client with POP want to think about her pelvic floor? I have instructed her on posture while standing, sitting , lying down, all 4's etc..thinking that if she's in correct alignment , the structures will have more support. She has the pessary but I am uncertain which one. She sees a pelvic specilaist who has given her exercises , similar to what we do in Pilates , with one difference and that is she is asked to squeeze her glutes on clam shell ,for example. This client does need more glute activation but I am confused about the correctness and specificity of the exercises I choose for my client. I am wondering how to teach my client how to activate the appropriate muscles, at the appropriate times, with the appropriate amount of activation. Any Dvd's, or Courses you can suggest? Thank you, Amy
JenniferGianni
On: April 11, 2017 18:48 PM
Hi Amy, Thanks for this question. I think there are a lot of instructors out there that need the same answers. The simplest and most impactful tool you can start to work with is positioning for this client. Start immediately to do her pelvic floor work in an inclined position. The best incline to start with would be forearms and knees. Even better would be to use the sling attached to the long yellow leg springs across the front of her pelvis. From here cue her into her deep system. You could also have her supine with a wedge under her pelvis or in a higher bridge position. This will decompress her pelvis and give her the ability to actually engage and to take gravity out of it for the moment. For more detail in this type of work Look at Marie Jose's video Simply Challenging on this site or my Healing Diastasis on this site. The Healing Diastasis will have lots of information that you will need for this client. Almost 70% of clients with a pelvic support issue also have a diastasis. My pre and post natal 3 day live course or my 2 day Diastasis live course would be great for you. Let me know if you have anymore questions. Love Jen [SIZE=14px][FONT=proxima-nova][COLOR=rgb(27, 36, 50)][/COLOR][/FONT][/SIZE]
Amy600
On: April 12, 2017 04:18 AM
[QUOTE="JenniferGianni, post: 735, member: 2"]Hi Amy, Thanks for this question. I think there are a lot of instructors out there that need the same answers. The simplest and most impactful tool you can start to work with is positioning for this client. Start immediately to do her pelvic floor work in an inclined position. The best incline to start with would be forearms and knees. Even better would be to use the sling attached to the long yellow leg springs across the front of her pelvis. From here cue her into her deep system. You could also have her supine with a wedge under her pelvis or in a higher bridge position. This will decompress her pelvis and give her the ability to actually engage and to take gravity out of it for the moment. For more detail in this type of work Look at Marie Jose's video Simply Challenging on this site or my Healing Diastasis on this site. The Healing Diastasis will have lots of information that you will need for this client. Almost 70% of clients with a pelvic support issue also have a diastasis. My pre and post natal 3 day live course or my 2 day Diastasis live course would be great for you. Let me know if you have anymore questions. Love Jen [/QUOTE] Thank you, Jen! I will try your suggestions:)
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