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This was me after my first birth! Delivered her OP, with terrible back labor, 3.5 hours of pushing, and pain/discomfort in my sacrum laying supine. Now 5 months postpartum after my 3rd and a much different birth story, curious where my pelvis is now??? But so grateful I will be able to help other moms with these new tools!
do you usually have a client perform the home program daily 5-10 minutes and how long do they keep up the treatment? Is it something you find clients need to do 1x weekly for several months to maintain? or does that depend upon how long they have been in this position? do you tend to find this in clients many years post birth?
Have them do it for a week and see how they feel and when they come back into see you you can reassess to see if the bones are still in that pattern or not. If so then most likely there is something deeper being held in the tissues keeping it stuck.
I’ve had a client tell me she felt like she wasn’t getting all of her poop out. Not because it was hard or she was constipated. I haven’t yet assessed her pelvis so it could be many causes (prolapse included), but I’m curious if you’ve heard that from your clients who are stuck in this pattern because the EAS can’t close fully? Maybe it feels like the EAS is stuck open as if more poop was there but not coming out?
YES!! If the sacrum is in flexion it is pulling on the inferior aspect of the EAS so it can create more of an open EAS which can cause them not to be able to finish the BM. Sacral flexion definitely impacts EAS closure ability. INferior tension in the lower half of the EAS can also be indicative of the sacral flexion pattern.
I have a client that has not given birth. She describes many of the symptoms associated with the flexion pattern with laying on hard surfaces and having tailbone pain in sitting. She has always had a little pain with this but over the last 6 months to year her pain has gotten worse. She has not had any falls or trauma to the area. She has a small frame and it feels like her tailbone sticks out more. Can I still assess and treat her tailbone as a flexed pattern? or is this something that is congenital and she will have to live with more tailbone pain?
Lauren, never treat based on an assumption. While those signs are consistent with sacral flexion, you still want to assess and only treat immobility. So if PA pressure to S 3-4 is restricted, treat that. Only treat immobility and see what happens. OK?
It all depends on the forces imparted into the sacrum with the fall. Usually there is more superior, toward the head, compression that when you learn to listen to the sacrum and see what it wants to do, it will pull you superiorly and if you follow it, it will release and then come back down. I wold guess that it is rare for a sacral flexion pattern to happen from a fall. Most falls induce an extension pattern. That is why we assess the sacrum and treat what doesn’t move and work to encourage it to move again.
This was me after my first birth! Delivered her OP, with terrible back labor, 3.5 hours of pushing, and pain/discomfort in my sacrum laying supine. Now 5 months postpartum after my 3rd and a much different birth story, curious where my pelvis is now??? But so grateful I will be able to help other moms with these new tools!
Me too!! Thanks for taking the course!
How long would you tell a client to leave the rolled highlighter under sacrum?
Just 5-10 mins is enough to make changes. As long as it doesn’t cause pain!!!
do you usually have a client perform the home program daily 5-10 minutes and how long do they keep up the treatment? Is it something you find clients need to do 1x weekly for several months to maintain? or does that depend upon how long they have been in this position? do you tend to find this in clients many years post birth?
Have them do it for a week and see how they feel and when they come back into see you you can reassess to see if the bones are still in that pattern or not. If so then most likely there is something deeper being held in the tissues keeping it stuck.
I’ve had a client tell me she felt like she wasn’t getting all of her poop out. Not because it was hard or she was constipated. I haven’t yet assessed her pelvis so it could be many causes (prolapse included), but I’m curious if you’ve heard that from your clients who are stuck in this pattern because the EAS can’t close fully? Maybe it feels like the EAS is stuck open as if more poop was there but not coming out?
YES!! If the sacrum is in flexion it is pulling on the inferior aspect of the EAS so it can create more of an open EAS which can cause them not to be able to finish the BM. Sacral flexion definitely impacts EAS closure ability. INferior tension in the lower half of the EAS can also be indicative of the sacral flexion pattern.
I have a client that has not given birth. She describes many of the symptoms associated with the flexion pattern with laying on hard surfaces and having tailbone pain in sitting. She has always had a little pain with this but over the last 6 months to year her pain has gotten worse. She has not had any falls or trauma to the area. She has a small frame and it feels like her tailbone sticks out more. Can I still assess and treat her tailbone as a flexed pattern? or is this something that is congenital and she will have to live with more tailbone pain?
Lauren, never treat based on an assumption. While those signs are consistent with sacral flexion, you still want to assess and only treat immobility. So if PA pressure to S 3-4 is restricted, treat that. Only treat immobility and see what happens. OK?
Is it possible to have this after a fall? That sort of stuckness in the sacrum?
It all depends on the forces imparted into the sacrum with the fall. Usually there is more superior, toward the head, compression that when you learn to listen to the sacrum and see what it wants to do, it will pull you superiorly and if you follow it, it will release and then come back down. I wold guess that it is rare for a sacral flexion pattern to happen from a fall. Most falls induce an extension pattern. That is why we assess the sacrum and treat what doesn’t move and work to encourage it to move again.