When it comes to diastasis recti, a missing piece is the back.
We're often focused on the front....because, well, that's where the diastasis is! We'll engage the transversus abdominus and strengthen the core muscles.
Many times we'll focus on the front until and unless things aren't going well, before finally looking for other contributing factors.
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The diastasis is often a result of a problem in the system, and originating in the back.
We can even ask patients to do things (ie: stack the ribcage over the pelvis) they may lack the ability to do! At the initial evaluation we always want to check the obliques, paraspinal muscles and fascia of the back. Often we'll focus our initial work here and see what a difference it makes prior to highly focusing on strengthening the abdominal muscles.
In this 'sode we discuss the order of operations, why we always look at the back at the initial evaluation, and this missing piece for treating diastasis recti.
As Jesse said in the full 'sode of the podcast on this topic...
"Start with the back and let that influence the front". -Jesse Cozean, Pelvic PT Rising Podcast
"A Missing Piece" Series
In this series, we're taking a single aspect of a condition or symptom we feel is often overlooked, dismissed or 'just checked'. If you're already doing this consistently, then great! If you're doing it periodically, it might be something to prioritize higher. And if you're not doing it at all, it's another tool in your toolbox.
Not Your Mama's Kegels Course
If you're interested in learning about why a standing assessment is critical and how to actually perform them in the clinic, make sure to check out the Not Your Mama's Kegels: Essential Pelvic Strengthening (www.pelvicptrising.com/kegels) course!
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Nicole Cozean, PT, DPT, WCS
Jesse Cozean, MBA
Co-founder of the Pelvic PT Rising and the Rising Podcast.
Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.