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Pelvic Floor + Postpartum Lower Body

Posted by Jesse Lillejord on
The pelvic floor + lower body are both affected postpartum. The feet are especially affected because of the relaxin that lingers in the body for up to 1 year! The muscles of the pelvic floor are found between the tailbone [ coccyx ] and the pubic bone. These muscles create supportive foundation for our organs as we go about life on two legs!
 

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The Chiropractic Role in the Pelvic Floor 

- adjusting the sacrum + pubic bone 
- adjusting the SI joint 
- studies show that adjusting the SI joint causes activation of the abdominal muscles - a strong core is a strong pelvic floor! [ 1 ]

 Although we do not do ANY internal pelvic floor work, we do work closely with the sacrum + pubic bone as well as the muscles attaching on the external surface. These muscles include:
- psoas [ hip flexor ] 
- adductors [ inner thigh muscles ] 
- piriformis + glutes [ butt muscles ] 

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Products for Tailbone Pain:  

Boppy Pillow 
Donut Pillow 
Lumbar / Low Back Pillow 

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Top 6 Pelvic Floor Conditions 

1. rib + diaphragm pain 
2. pubic symphysis dysfunction [ SPD ] 
3. tailbone + low back pain 
4. diastasis recti [ DR } 
5. incontinence / leaking 
6. painful sex 

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Our Favorite Postpartum Products :  

 

Diaphragm + Rib Wedge  [ for sleeping ! ]
Compression Tights 
Postpartum Girdle - for DR [ diastasis recti ]  

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Many of the pelvic floor muscles attach directly onto the front of the pelvis at the pubic symphysis. 

How to combat pubic symphysis pain [ SPD ] : 

- adjustments of the pubic bone + pelvis 
- ball + inner thigh [adductor ] squeeze 
- adductor stretching 
- adductor stripping [ you can use a baking roller! ] 
- pelvic mobility on the ball 
- star stretch 
- foam roll squat  
*** see video below for full demonstration of the above exercises *** 

 

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Products for SPD Pain:  

Exercise Ball
Sacroiliac [ SI ] Support Belt
Athletic Roller

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Spine + Pelvic Floor Stabilizers : 

- cross / crawl 
- planks 
- glute bridging 
*** see video below for full demonstration of the above exercises ***  
 

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Foot / heel pain is common postpartum because the relaxin that remains in the body [ for up to one year ] keeps the ligaments of the foot loose and "unstable". 
Plantar Fasciitis is one of the most common causes of heel pain. It can cause a stabbing pain that shows up early in the morning. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes.

Foot Pain + Plantar Fasciitis Exercises  : 

- calf massage 
- arch stripping + foot adjustments 
- tennis ball + frozen water ball foot massage 
- heel + calf stretch on the wall 
*** see video below for full demonstration of the above exercises ***  

Products to Combat Leg / Foot Pain : 

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References: 
[ 1 ] Marshall P, Murphy B. The Effect of Sacroiliac Joint Manipulation on Feed-Forward Activation Times of the Deep Abdominal Musculature. Journal of Manipulative and Physiological Therapeutics 2006;29(3):196-202
 *** As always don't hesitate to reach out with questions /// thoughts surrounding this topic! ***
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