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  • Writer's pictureNicole Cozean

The Best Position(s) for Rectal Treatment

Do you find yourself always treating in the same position when you do rectal with your patients? (Or not feeling comfortable doing rectal at all)?

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It's not unusual to get stuck in a rut with how we position our patients. But I believe we can get so much more information when treating in different positions. I'll often treat in several different positions, and they often change through the course of treatment.

Sidelying - Many of us were first - and maybe only - trained in sidelying. But that position has some major limitations. In fact, I'll almost never treat in sidelying because I think the other options give us far more reliable information.

Prone - Usually my go-to early in a plan of care. It keeps the hips in extension and allows access to the low and mid back, sacrum and more.

Supine - Very helpful in also working on the perineal body, doing bridges or other ab coordination exercises during an internal exam.

Functional - This can be standing, quadruped, child's pose, or variations of these different positions to get a better idea of what the pelvic floor is doing in the most functional positions.

Broadening your positions will give you so much more information and ensure you get the most out of treatment - which position do you find yourself treating in most often?

As Nicole said on the full 'sode of the topic...

"Broadening your positions will give you so much more information and ensure you get the most out of treatment." - Nicole Cozean

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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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