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  • Writer's pictureNicole Cozean

Post-Partum Evaluation: A Missing Piece

Updated: Feb 14

Are you prioritizing a thorough evaluation of the thoracic spine and rib cage in your post-partum patients?

Often we get so excited we've got someone in post-partum we jump right to the pelvic floor. Maybe the abdominals to assess for diastasis. Looking at the hips and SI joint.

But sometimes the missing piece can be the thoracic spine. It can be causing pain itself or contributing to pelvic floor issues.

Post-Partum Evaluation: A Missing Piece

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The ribs and diaphragm undergo major changes during pregnancy.

Then, in post-partum, there are a whole new set of demands on the mid and upper back. Breastfeeding. Lifting the baby. Carrying for long stretches.

Research bares this out. In pregnancy, 94% of pregnant people experience back pain (42% upper, 77% mid and 74% pelvic girdle). That remains high, at 75%, in post-partum. And upper back pain actually gets worse (going from 42% to 43%). So your patient has nearly a 1 in 2 chance of dealing with upper back pain when they are in your office.

"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 ( course!

Research points out...

94% of pregnant people experience back pain (42% upper, 77% mid and 74% pelvic girdle)

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

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.

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