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Do you ever have your clients use a pelvic wand during pregnancy to help reach the coccygeous? I have them do this in side-lying and has been successful for them, but curious on your take as well 🙂
Im on the fence about wand use and am not a big proponent of having someone do it. There is a reason the muscle is tight so I get to the root cause of the tension. But if you find success and it doesn’t cause any more trauma or tightness to the tissues then great. It can really help with proprioceptive awareness of the muscles which can be very useful for labor.
With the incompetent cervix, I had a client who had an incompetent cervix but had a cerclage placed to hold everything closed. We did do internal work but never at the level of the cervix just along the anterior PFM and a little laterally towards OI and levator ani. We had no issues with this but curious on your take of internal work with someone who has a cerclage placed to protect that incompetent cervix
IF they can have intercourse then we should be able to do intravaginal work if needed. That is my stance on intravaginal work with pregnancy. Yes our internal work on the pfm’s shouldn’t impact the cervix and as long as your client and you feel comfortable doing it then it should be fine. Some practitioners like to get the MD approval before doing so just in case. Follow your comfort level and intuition on whethere it is right to do so with your clients or not. If any doubt don’t do it!!!
My understanding is that the squat needs to be with knees facing front for the squat you’re referencing. A squat position with knees in abduction will open the inlet from side to side.
It sounds like you don’t do much internal work during pregnancy. You mentioned your general protocol is to strengthen the PF muscles during the first two trimesters and then releasing them in last trimester. So the strengthening and releasing is just via exercises and manual therapy? How do we know if they are properly engaging their PF muscles during exercises without assessing them via an internal eval? And when you say pain – I’ve found that some clients don’t realize they have internal PF tension until we do the internal eval on those tissues – are you just assessing them based on their subjective history and pelvic alignment/mobility? Thank you
Lauren, I don’t know why you assume I don’t do internal during pregnancy because I do. Sorry if my lecture didn’t make that clear enough. I just don’t do it in the first trimester. I definitely do it in second and third to see about tone and ability to lengthen their muscles for pushing. I feel it’s really important.
Do you ever have your clients use a pelvic wand during pregnancy to help reach the coccygeous? I have them do this in side-lying and has been successful for them, but curious on your take as well 🙂
Im on the fence about wand use and am not a big proponent of having someone do it. There is a reason the muscle is tight so I get to the root cause of the tension. But if you find success and it doesn’t cause any more trauma or tightness to the tissues then great. It can really help with proprioceptive awareness of the muscles which can be very useful for labor.
With the incompetent cervix, I had a client who had an incompetent cervix but had a cerclage placed to hold everything closed. We did do internal work but never at the level of the cervix just along the anterior PFM and a little laterally towards OI and levator ani. We had no issues with this but curious on your take of internal work with someone who has a cerclage placed to protect that incompetent cervix
IF they can have intercourse then we should be able to do intravaginal work if needed. That is my stance on intravaginal work with pregnancy. Yes our internal work on the pfm’s shouldn’t impact the cervix and as long as your client and you feel comfortable doing it then it should be fine. Some practitioners like to get the MD approval before doing so just in case. Follow your comfort level and intuition on whethere it is right to do so with your clients or not. If any doubt don’t do it!!!
My understanding is that the squat needs to be with knees facing front for the squat you’re referencing. A squat position with knees in abduction will open the inlet from side to side.
True, knee position will influence the pelvis. Keeping them to the front will help open the inlet. Thanks for clarifying this.
It sounds like you don’t do much internal work during pregnancy. You mentioned your general protocol is to strengthen the PF muscles during the first two trimesters and then releasing them in last trimester. So the strengthening and releasing is just via exercises and manual therapy? How do we know if they are properly engaging their PF muscles during exercises without assessing them via an internal eval? And when you say pain – I’ve found that some clients don’t realize they have internal PF tension until we do the internal eval on those tissues – are you just assessing them based on their subjective history and pelvic alignment/mobility? Thank you
Lauren, I don’t know why you assume I don’t do internal during pregnancy because I do. Sorry if my lecture didn’t make that clear enough. I just don’t do it in the first trimester. I definitely do it in second and third to see about tone and ability to lengthen their muscles for pushing. I feel it’s really important.