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Healing the Pelvic Floor: Decrease Muscle Tension

9/20/2018

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Healing Pelvic Pain
Pelvic pain of any kind: pubic symphysis pain, tailbone pain, pudendal neuralgia, bladder pain syndromes, pain postpartum, testicular pain, hamstring strain at pelvis insertion, and pelvic floor tension in general will benefit from increased blood flow and healthy tissue mobility.
I had a client recently say on the second visit, "Every time I do the body scan or check in with my breathing, I notice that I am holding the muscles of my pelvic floor.  How do I stop tensing the muscles all the time?"
Well, that is the million dollar question isn't it?  Yet, the first step in creating change, is to notice the "behavior" in the first place.  It is possible to stop tensing the muscles all the time.

First Comes Awareness, and then Change: 3 Key Steps to Decrease Tension

  1. BREATHE.  Breathing is the bridge between the autonomic nervous system, musculoskeletal system and the organs.  With every breath, there should be movement of the muscles of the core, which will also move the organs.  In this movement, the organs and connective tissues stay fluid, blood is circulating, delivering oxygen to the tissues and returning waste back to the heart.  To get a good visual of the movement during breathing watch this video (bonus if you speak french).  The inhale breath activates the sympathetic branch of the ANS, the exhale breath activates the parasympathetic branch.  Slow, rhythmic breathing with a longer exhale can bring in a state of calm which can reduce  tension patterns.
  2. REGULATE THE AUTONOMIC NERVOUS SYSTEM (ANS).  Typically this requires getting reconnected with the body: feeling your body and being IN your body.  Most of my clients benefit from downregulation techniques that can boost the  parasympathetic response which governs our health, growth, restoration and social engagement.  If you really want to dive into understanding the dynamics of our ANS,  learn more about the work of Stephen Porges, MD and The Polyvagal Theory. 
  3. MOVE. EXERCISE. DANCE. STRETCH. Some of my favorite movements and movers: Feldenkrais Method,  Anatomy in Motion,  The Melt Method, Nutritious Movement.  Below I share with you a simple  way to mobilize the tissues of the perineum with a soft rubber ball.

Soft Tissue Release of the Pelvic Floor

Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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How to Decrease Neck Pain

8/18/2016

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Neck pain is a big drag!  Neck stiffness is so annoying! How often have you tried stretching and neck strengthening exercises that send you into more pain and stiffness?  I have totally been there!  One of my favorite ways to relax the neck is to start getting movement into the shoulders, shoulder blades and thoracic spine.
3 Movements for a happy & healthy neck (before you begin, check your neck motion: rotate each direction and then bring your chin to your chest.  Notice how far you move and how it feels):
  • Sidelying Trunk Rotation and Shoulder Windmill
  • Shoulder Blade Movement on Hands and Knees
  • Shoulder Stretch
Now recheck your neck motion and notice if it feels different: is it easier, not so stiff, more motion?
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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Improve Breathing & Decrease Tension

1/13/2016

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I know that you have heard it before: "Breath is life". Tuning into the breath is my top strategy for change in the musculoskeletal and nervous systems. Focused breathing creates movement in the body: movement of organs, fascia, muscles and ribs.  Optimal breathing allows for the vital chemistry exchange to deliver nutrition to all of our cells for health and vitality.
Let's face it, life happens, and it's not always full of breath....  We hold, we limit and we restrict.
This movement sequence below is a great way to release the muscles surrounding the chest and to improve the expansion of the ribcage for better breathing.
Breathing better allows the oxygen to flow to our muscles and nervous system which can decrease tension and bring the body into ease.

Soft Tissue Release & Ribcage Mobility 

This movement sequence was inspired by my exploration with Jill Miller's Yoga Tune Up™/Roll Model and Yamuna Body Rolling.
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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Tension Between The Shoulder Blades

12/10/2015

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Help for tension in the shoulder blades
Just looking at the muscles in this picture on the left, you can see that there is a distinct connection between the head and the shoulder blade, and the shoulder blade to the arm.  You don't need to know the names or actions of the muscles to hypothesize that movement of the shoulder blades are key to healthy arms and a healthy neck.

Quite often clients come to see me with "knots" between their shoulder blades, rock hard upper traps, or a sensation that someone is stabbing them in the back with a hot poker. When I assess the movement and ability for the shoulder blades to move over the ribcage, the motion is almost non- existent.
In the video on the right, I share with you one of my favorite ways to get motion to the shoulder blades and freedom to the entire upper extremity!
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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Healthy Nerves, Healthy Body

9/21/2015

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Central Nervous System
Do you know what it takes to have healthy nerves? 
Our nervous system is comprised of 3 parts:
  • The central nervous system: brain and spinal cord.
  • The peripheral nervous system: nerves that exit the spinal cord and go to the head, torso and extremities.
  • The autonomic nervous system: responsible for control of the bodily functions not consciously directed, such as breathing, digestion, etc.
The brain, spinal cord and nerves are protected and encased in connective tissue. There are 3 membranes that line the skull and vertebral canal and enclose the brain and spinal cord.  These layers are called the meninges: pia mater, arachnoid mater and dura mater.
Dura surrounding the brain
The falx cerebri and the tentorium cerebelli are folds of the dura mater that separate the hemispheres and the cerebellum.
Dural Tube
The dura mater surrounding the spinal cord. The dura mater is the outer most layer and is the strongest of the membranes.
The filum terminale
The end of the spinal cord comes to a cone and then a fine strand (the filum terminale) attaches to the coccyx.
The outermost membrane, the dura mater extends from the base of the skull to the sacrum and coccyx.  The dura is attached to the lining of the base of the skull and the upper cervical vertebra. Through the remainder of the vertebral canal, the dura does not attach to the vertebra until the end of the dural sac at the second sacral vertebrae. Extensions of the dura surround the nerve roots and continue into the connective tissue coverings of the spinal nerves.  So this tube that protects the brain, spinal cord and the spinal nerves is pretty important!  In order to have healthy dura and healthy nerves we need proper movement, hydration, nutrition and sleep to keep the connective tissue vital.  A lot of our days are full of stress, spent in static positions that lead to neck or sacral compression (sitting at the computer, driving in the car) or repetitive movements that can stress and dehydrate the tissues.  Try these movements to keep your nervous system healthy.

Exercises To Mobilize Your Nervous System

Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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Freedom From Pelvic Pain

7/6/2015

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Freedom From Pelvic Pain owner, David McCoid and Katy Bowman, creator of Restorative Exercise™
David McCoid, owner of Freedom From Pelvic Pain with Katy Bowman, creator of Restorative Exercise™.
Back in May I travelled to the Netherlands to be a teaching assistant for the Restorative Exercise™ Specialist (RES) Certification Week.  I was fortunate to meet so many amazing people from all over the world!  One person that made a big impression on me was David McCoid (pictured here on the left).  David certified as a RES back in April 2014 and was in the Netherlands for a few days to soak in the learning.
I got to chat with him on our commute one morning and was so blown away by his personal journey out of pelvic pain.  As a pelvic health specialist, his experience really lit up for me: David lived with pelvic pain for 14 years, he travelled to see specialists in Italy for prostate injections, and in the US for pelvic PT treatments with renown therapists, and finally had pudendal nerve surgery (3 different times!).
Eventually he found Restorative Exercise™ and he was able to move himself out of pain! I was so inspired by his story that I wanted share his experience.  David has asked me to delete his interview because he is not practicing the Katy Bowman method anymore.
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.

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Breathing and Core Stability

2/16/2015

7 Comments

 
Core stability
I just did a search on the internet for the best exercises for core stability.
Here are the top exercises that came up in the search:
  • Modified plank on knees
  • Plank
  • Side plank
  • Bridges
  • Bird-dog on hands and knees
  • Crunches
  • Obliques crunches
  • V sits
  • Plank with an exercise ball
  • Dying Bug
These exercises are great for building the global muscles of the core: abs and back muscles, but what about the intrinsic muscles of the core? In my practice, many people have come to me who have already been doing their "core exercises" and yet they still suffer from back pain, SI dysfunction and pelvic floor disorders, etc.  The key to true core stability is to develop motor control, timing and coordination of the intrinsic muscles first, and then develop the abs, obliques and back muscles once the inner stabilization system is firing and wiring together.

Intrinsic Core Muscles

Breathing and Core Stability
Burrell Education has incredible courses. Check them out!

Diaphragmatic breathing is a great way to reconnect the inner core muscles

The Rhythm of the Respiratory Cycle:

  • During inhalation, the diaphragm contracts while the pelvic floor and the deep abdominal muscles relax.
  • During exhalation, the diaphragm relaxes while the pelvic floor and deep abdominal muscles contract.

Establishing Core Stability Through Diaphragmatic Breathing

Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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Relieve Upper Back Tension

3/4/2014

16 Comments

 
Below is a video sequence to address spinal mobility and upper back tension.  Before you begin, lie on your back with your legs out straight.  Notice the contact of the back of your legs, your low back, lower ribs and shoulder blades to the floor. After you complete the sequence, lie on the floor again and notice the change of your muscles and your connection with the floor.  Enjoy!
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
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Understanding Pelvic Pain:  What is Vulvodynia?

5/2/2013

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Do you experience burning, stinging or rawness in your vulvar area?  Maybe you feel itching, throbbing, or aching in the perineum and pelvis. You are not alone. These symptoms are typical of vulvodynia. 
Vulvodynia is a pain condition of the female genitals: clitoris, vestibule (vaginal opening), labia, and perineum.
There are two main subtypes of vulvodynia:
  • Generalized Vulvodynia is pain in different areas of the vulva.  Pain occurs spontaneously and can be relatively constant.  Activities that apply pressure to the vulva, such as prolonged sitting, wearing pants, riding a bicycle typically make the symptoms worse.
  • Vulvar Vestibulitis Syndrome (Provoked Vestibulodynia) is pain in the entrance to the vagina, (vestibule). Often a burning sensation, this type of vulvar pain comes on only after touch or pressure, such as during intercourse or placing a tampon. This type is further classified as Primary: pain experienced with first attempt of vaginal penetration, or Secondary: woman has experienced pain free penetration prior to the development of pain.
Generalized Vulvodynia
Generalized Vulvodynia
Vulvar Vestibulitis Syndrome
Vulvar Vestibulitis Syndrome

Self Care Strategies

Self-care and treatments for vulvodynia can help bring relief and recovery. Unfortunately, there is not a "one size fits all" treatment. Working with a trained healthcare provider who understands vulvodynia is crucial to getting out of pain. Here are a few suggestions to alleviate symptoms:

Avoid Irritants to the vulvar tissue
  • Use dermatologically approved detergent and don’t use fabric softener.
  • Use unscented toilet paper that’s soft and white.
  • Wear 100% white cotton underwear, menstrual pads, and tampons.
  • Avoid getting shampoo on the vulvar area.
  • Avoid perfumed creams or soaps (no Massengill or Summer's Eve cleaning products), pads or tampons, and contraceptive creams or spermicides.
  • Avoid hot tubs or pools with lots of chlorine.
  • Rinse the vulva with cool water after urination and intercourse.
  • Avoid foods that make urine more irritating. This may include foods such as greens, beans, berries, chocolate, or nuts.
  • Wear loose-fitting pants and skirts; don’t wear pantyhose.
  • Keep the vulva clean and dry.

Relieve pain and ease pressure
  • Use a water-soluble lubricant during sex.  Olive and coconut oil can also be used as a lubricant.
  • Avoid activities that put direct pressure on the vulva. This includes bicycling and horseback riding. Intense exercise that creates friction at the perineum.
  • Learn how to sit with a neutral pelvis, this decreases pressure on the coccyx and tailbone.  LImit sitting time to 20 minutes, then get up and move around.
  • Soak in lukewarm or cool sitz baths.
  • Apply heat, ice or a frozen gel pack wrapped inside a hand towel. 
  • Relaxation techniques and walking can improve blood flow, increase circulation and calm the nervous system.

Make an appointment with your local Pelvic Health Physical Therapist
  • www.womenshealthapta.org
  • www.hermanwallace.com
  • If you are in the Salt Lake City, UT area contact me:

Resources
  • www.nva.org
  • www.pelvicpain.org
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
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Change of Seasons

9/20/2012

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This Saturday, September 22 marks the beginning of Fall.  The change of seasons here in Salt Lake City is invigorating: brisk mornings and evenings require putting on layers, and the leaves are turning orange, yellow and red.  This change feels so synchronized, steady and effortless.
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If only changing habits and behaviours could be so elegant...  

A transition of seasons may appear effortless, because of the consistency in change month after month.  We can apply this concept of change to our own habits and behaviours: big changes most often happen from a sequence of small solutions strung together.

Using research from business, psychology, sociology and neuroscience, brothers Chip and Dan Heath have written a book called Switch: How to change things when change is hard.  This is a “how to” book that begins with a premise:

All change efforts have certain patterns that are similar
  • You must start acting differently
  • You must change your situation
  • You must change how you feel and what you think
  • You must get the emotional brain and the thinking brain to integrate

This Fall, ALIGN has teamed up with SoulSalt coaching to create a program for change.  We call our program Ultimate Freedom:  Finding your way out of pain.  We are seeking individuals who are in pain, and who are ready to move through it!  Ultimate Freedom is a 5 week intensive, that is offered in either a group or an individual format.

Utilizing principles of coaching, neuroscience, movement and neuromuscular education,  Ultimate Freedom will assist to restore you through a season of change, and a future of no pain!
Find out more about Ultimate Freedom
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Contact:  Susan McLaughlin, PT 801.859.4142
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