I’m just feeling the tension externally. If the muscle is stuck open your finger will slip inside slightly but you are not intentionally going internally on the EAS.
Where does external palpation of EAS fall on the spectrum of professionals? Meaning, I’m not a certified women’s health/pelvic floor PT (yet), so obviously will not be doing internal work… maybe it’s up to pt comfort and informed consent?
Sorry, to further clarify, I am a licensed PT, just not certified in women’s health/pelvic floor (yet).
Working with the EAS is best done intravaginally and externally on EAS so having skills to know how to address it from the intravaginal perspective is helpful. The knots that are in that muscle after birth are important to release for better pelvic floor muscles function. I haven’t thought about how to treat this externally only. I’ll have to look into this more.
When thinking of treating the bones. Do you need to treat the ilium/ischium first to correct inflate/outflare; prior to treating the sacrum?
Do you mind sharing where you purchased your pelvic model? I like how you are able to move the sacrum and would love to have one to use for demonstrations as well as practicing manual mobilizations.
When someone is stuck in sacral flexi in would you say that visually assessing them as they stand, that there is less curvature to the low back and a pinching in of the lower gluteal muscles? Or is it opposite with a very curved lumbar …?
It could be either. If they are overcompensating for the sacral flexion then the gluts will be engaged and tucked under trying to create stability for them. Or they may look like they have an excessive lumbar curve. I only assess with mobility though and treat immobility, don’t assume anything with the body.
When palpating the EAS are you just feeling for tension externally, or are you inserting your finger slightly into the rectum to feel for the tension?
I’m just feeling the tension externally. If the muscle is stuck open your finger will slip inside slightly but you are not intentionally going internally on the EAS.
Where does external palpation of EAS fall on the spectrum of professionals? Meaning, I’m not a certified women’s health/pelvic floor PT (yet), so obviously will not be doing internal work… maybe it’s up to pt comfort and informed consent?
If you do not have a license to touch your client I can’t guide you to do it.
Sorry, to further clarify, I am a licensed PT, just not certified in women’s health/pelvic floor (yet).
Working with the EAS is best done intravaginally and externally on EAS so having skills to know how to address it from the intravaginal perspective is helpful. The knots that are in that muscle after birth are important to release for better pelvic floor muscles function. I haven’t thought about how to treat this externally only. I’ll have to look into this more.
When thinking of treating the bones. Do you need to treat the ilium/ischium first to correct inflate/outflare; prior to treating the sacrum?
I always treat the sacrum first to get it in midline and happy and then treat ilium/ischiums around it.
I always treat the sacrum first to get it in midline and happy and then treat the ilium/ischium around it.
Do you mind sharing where you purchased your pelvic model? I like how you are able to move the sacrum and would love to have one to use for demonstrations as well as practicing manual mobilizations.
Childbirth Graphics and it’s the Flexible Female Pelvis Model.
When someone is stuck in sacral flexi in would you say that visually assessing them as they stand, that there is less curvature to the low back and a pinching in of the lower gluteal muscles? Or is it opposite with a very curved lumbar …?
It could be either. If they are overcompensating for the sacral flexion then the gluts will be engaged and tucked under trying to create stability for them. Or they may look like they have an excessive lumbar curve. I only assess with mobility though and treat immobility, don’t assume anything with the body.