Lynn Schulte | Unraveling 19 Years of Postpartum Hip Pain
Show Notes:
In today’s episode, Lynn shares an extremely complex clinical case with a client who was 19-years postpartum. The work done on this client unraveled layers of unresolved hip pain, bladder dysfunction, and abdominal rigidity that standard care had never been able to resolve.
With a history of forceps delivery, multiple C-sections, abdominoplasty, hysterectomy, roller-skate falls, and chronic sacral imbalance, this client presented with a highly complex pelvic history. But through skilled, methodical pelvic-health evaluation, both external and internal, Lynn identified the true driver of her long-standing symptoms: a significant right ischial splay combined with fascial tension patterns from surgical scar tissue that were pulling the bladder posteriorly and overstretching the anterior vaginal wall.
This episode highlights the level of clinical precision, palpatory skill, and whole-body listening required to treat postpartum clients with chronic symptoms. And most importantly – it shows how quickly clients can shift when the right structures are addressed and when the body is listened to.
After one comprehensive session, this client experienced:
• Pain-free criss-cross sitting for the first time in years
• Restored hip mobility
• Improved pelvic floor-TA coordination
• Reduced bladder urgency and leakage
• A softening and normalization of pelvic tissues that had been restricted for nearly two decades
Lynn also shares why it’s essential to treat what shows up in the body in that moment as that is what the body is ready to address. In this case, the physical system was fully ready to release, creating dramatic change without any need to dig for something more.
Episode Highlights ✨
- Long-term postpartum hip pain: what clinicians often overlook
- The crucial role of ischial splay in hip mobility and femoral rotation
- How abdominal wall surgeries influence bladder mechanics
- Assessing the anterior vaginal wall for tension patterns affecting continence
- Sacral shear + coccygeus tone in the common postpartum pattern
- When to stay physical—and when to explore deeper layers
- The clinical power of a single, well-targeted session
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Love Dr. Rachael! She is such a gem in the Metro Detroit area. She was my pelvic floor PT during my first pregnancy and postpartum and inspired me to pursue pelvic health certification (coming from an Ortho PT clinic). I’m now working through Holistic Treatment of the Pregnant and Postpartum Body.
Thank you so much for this presentation…I am an osteopath and also trained in SER (love love Upledger!)…the piece about ‘freeze’ related to transgenerational trauma was very informative and a reminder to look further…I have had a client who lost a baby and when I treated her she felt she needed to give birth to this child…and then went back several lives and saw that she had also lost a baby many lives prior! This relieved her of some stress…so every piece of the puzzle counts…keep the nuggets coming, so appreciative! Best, Judith
Great interview, Lynn and Susanne, for pushing us beyond “hands on, hands in”, confirming our need as therapists, for wide, grounded personal presence for our clients to feel safe and then willing to bring forth those physical/emotional/transgenerational, traumas/beliefs that lead to more complete healing and return to function. Appreciate the shout out, and listened delightfully to two of my favorite teachers and mentors. All of this was gold!