- Hello, I am Jen Hoffman from HealthyMoving.com.
Thank you so much for joining me.
I am back with another Q&A segment.
This question today,
from someone who wishes to remain anonymous,
you might (chuckles) discover why in just a second.
Is related to the health of the pelvic floor.
But before I get to her question,
and my answer to it,
let me just tell you that this applies to you
not only if you have pelvic floor issues
but also if you ever have low back,
sacroiliac joint pain,
sciatic pain,
kind of radiates down the leg,
pubic symphysis pain,
or any other pelvic low back pain.
This is really,
the answer I'm gonna give to this
is really about supporting the health of this whole region,
central pelvic region of the body.
Okay, so the question is,
I love jumping on the trampoline with my kids
but I leak every time I do it.
Is there any,
are there any exercises I can do
to help with this issue?
So, let me give you a little bit of an anatomy lesson
and I have my trustee assistant here,
this is Elvis the Pelvis
who's gonna help us with this.
Just so that you can understand the approach,
I always like to educate you on why we're doing something
and how,
give you some information that might help you see
the ripple effect of this.
So,
what's going on in your pelvic floor
is really related to the alignment of your whole pelvis,
of your pelvis as a whole.
So let's look at what optimal pelvic alignment
would look like.
The front of your pelvis has a triangle
that's formed by your ASIS,
your anterior superior iliac spine,
and your pubic bone.
The triangle that's formed there,
when you're standing or sitting,
it should be in,
in neutral, is in the vertical plane.
So that triangle is straight up and down
when you're standing or sitting.
If you were sitting,
that would mean when you're sitting,
you're sitting on the sit bones, at the bottom.
These two bony prominences.
However, (clears throat)
because of a lot of things,
walking around mostly on flat surfaces,
sitting a lot,
wearing shoes with an elevated heel,
all that stuff.
A lot of us are in a position
where the pubic bone is forward
of the ASIS.
So we're not in this position
but instead here.
And that often means that when we're sitting,
we're sitting on the sacrum,
it means that the sacrum is pulled in
toward the pubic bone in the pelvis,
and that is what's really important
to the pelvic floor.
So the pelvic floor runs from the back of the pelvis
to the front of the pelvis.
And
let me give you a little bit of a little lesson
on muscle function.
Is that a muscle is able to generate
the most amount of force
for the longest period of time,
we call that endurance,
when it is not in its most contracted position.
So the pelvic floor
is in its most contracted position
when the sacrum and the pubic bone
are pulled toward each other.
So when the sacrum is pulled into the pelvis,
the pelvis doesn't have a,
the pelvic floor doesn't have a lot of endurance.
That means it's not able to generate the lift
that it needs to,
to support the organs in the pelvic and abdominal cavity.
That's when things like jumping on the trampoline
become an issue
or exercising, or sneezing, or coughing,
or any of the other things
that can sometimes lead to stress incontinence
because the pelvic floor
just doesn't have the endurance to do that.
So,
it happens to be that that's also
when the sacrum is pulled in,
that's also what can be responsible
for sacroiliac joint pain,
for the pain that can radiate down, sciatic pain.
This position of the pelvis, in this tucked position,
can create a whole host of issues
for the hips, the low back,
and everything around this area of the body.
So, yes it's important for your pelvic floor
to get to this alignment
and to support the structures that get you here.
But it's also important for
really your whole body health as well.
Your core, and everything else.
So, what are the exercises I recommend
for helping to get back to here?
Well, the first thing is
what's pulling you here?
I like to look at that.
That's usually tension in the psoas and the hip flexors.
That are kind of pulling,
putting a pull in this direction.
We wanna release that pull,
so I like to do psoas release,
hip flexors, stretches,
that kind of stuff for that.
The second thing is
what helps pull the sacrum away from the pubic bone?
And pull the sacrum out of,
puts a load on it this way,
and that's the posterior chain.
The glutes, and the hamstrings.
So, when I'm giving people exercise work,
we often start there.
Release tension in the hip flexors,
and strengthen the posterior chain
so that we can have this as our more normal alignment.
And I love giving exercises for that.
But,
there's something else that you need to consider
is what is going on in your every day life
that is creating that hip flexor tension
and that posterior chain weakness?
Because as much as doing,
you know I'm a huge advocate of rolling our your mat
and doing some focused exercises,
we also have to see
are you doing something all day
that's undoing that work?
So, you wanna be considering both of those things.
Yes, do the exercises,
but what are you doing all day?
And one of the things is
how you're standing.
So I wanna show you a simple test
that you can use to change up the way you're standing
that will support not just the health
of your pelvic floor,
and your low back, and your hips,
but really your whole body health as well.
Your feet, your knees,
everything is supported by this.
So let me show you that test
and then I'll come back and close it up.
Okay, so how you stand around all day
could be creating weakness in the posterior chain
and tension at the front.
And we're gonna use a tool
that pretty much everybody has now,
a cell phone charger.
So you want to grab your cell phone charger,
hold it by the part that plugs into the phone,
so that the part that plugs into the wall,
we're using it like a plumb line,
the weighted end is down near the bottom.
And then what you wanna do
is hold the side of your plumb line,
right at the middle of your pelvis
and then you wanna see where the end goes.
I'm putting myself in a less than ideal position
to show you what is probably happening for you
when you first try this.
And that is that the weighted end
is forward of the ankle.
Kind of near the top of the foot.
This position is bringing us
into that kind of tucked,
pulling the sacrum into the pelvis position.
Not great for any part of your body
but especially your pelvic floor, hips, and low back.
So, instead, we want to back the pelvis up.
Now this is gonna require posterior strength
in the glutes and in the hamstrings.
So you might not be able to go all the way today
to the end point that I'm gonna show,
which is to have the cell phone charger,
have the legs be completely vertical
and have the weighted end
directly at the lateral malleoli,
or that round ankle bone.
That's where you want,
that when it's in the center of the pelvis,
the weighted end, end up there.
That puts you in a position
to be strengthening the posterior chain,
not adding extra tension here at the hip flexor
and really supporting your pelvic health.
Obviously you're not gonna be carrying
your cell phone charger with you everywhere,
so a simple thing you can do,
as you play with your cell phone charger
is feel where you feel the weight in your feet
while you're doing it.
When you're in the thrusted forward position
that's less than ideal,
you'll feel your weight at the top of your foot.
As you start to get stronger in the posterior chain
and can back the hips up,
you'll feel the weight come more into your heels.
So if you're standing in line at the grocery store,
waiting for the elevator at work,
or something else,
to just be able to check in,
and wait, where is my weight?
Okay, I wanna be back on my heels
because that's gonna take you into that
nice optimal pelvic alignment
that we want to support your health.
Okay, fun and simple right?
But you could feel the muscles working.
If you love this work
and you want me to support you more,
I have a step-by-step protocol
for doing both of these things.
Building the strength and releasing the tension
and also figuring out what you're doing in your life
and how you're moving, and standing, and working,
and playing with your family,
and taking care of your house,
and all that kinda stuff
in a way that might be sabotaging
the work that you're doing over here.
In my deep dive pelvic floor course,
that course is comprehensive,
step-by-step, walks you through stuff,
has mat practices,
but also has exercises that you can do
in the middle of your daily life.
A two hour workshop that you can watch
either as a whole
or in smaller segments
to really help you understand
this part of your body
and how best to support your health
in this part of your body through movement
on the mat and in your everyday life.
That workshop is on sale for $20 off
through July 31st.
All the information for how you can access that
and take advantage of the sale
is here with this video.
Thank you so much, I love answering your questions
in these Facebook videos.
Feel free to send me an email
with any questions you have
about how movement can help you feel amazing
in and about your body.
Jen@healthymoving.com.
And if this helped you,
if you know someone who it could help,
absolutely I appreciate you sharing.
Thank you so much.
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