how to heal a diastasis

Debunking Exercise Myths: Returning to Exercise Post Pregnancy

The Myth: It's safe to return to your pre pregnancy workout as soon as you get the "green light" from your care provider.

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The FPC Answer: Most care providers will give you the green light at around 6 weeks to resume exercise.  But what does that mean?

Did you know that the first 12 weeks post birth are known as the "critical healing period"?  (Read 12...not 6).  Many women return to their favorite workouts too soon and too hard and put themselves at risk of developing complications.  Even if you feel amazing, the exercise choices you make during those initial weeks can effect your body for the rest of your life.  We could probably write you a book on the topic, but you're busy so here are some important bullet points instead: 

Before returning to exercise post birth:

  • It takes 4 months after you're done breastfeeding for your body to stop producing the hormone relaxin.  As long as relaxin is present, the connective tissue between your rectus abdominis (6-pack abs) is still vulnerable.  Thats why we continue to offer safe "core" alternatives for all our newly postpartum moms.  

 

  • No matter how good that new mom, "yoga teacher", "fitfluencer" looks on instagram, when she tells you it's safe to do crunches at 3 weeks postpartum, it's important to remember that traditional abdominal work like crunches, twists, planks, etc. are absolutely out of the question during those first 12 weeks.  

 

  • If you still have ab separation at 12 weeks, you need to continue to modify your workout and also be working with a postnatal specialist that can help you heal.  

 

  • You can't trust YouTube or even an instructor with a general pre/postnatal certification to do a Diastasis Recti (abdominal separation) assessment.  They have a very limited knowledge of the topic and they may "assess" that you are fine when in fact, you are not.  Or tell you that a DR is present when they don't understand the true definition of what it means to heal it.  Find a specialist. Come see us at FPC, or see a pelvic floor therapist for a proper diagnosis.  

 

  • Don't go for a run just yet!  Regardless of the type of birth you had, vaginal or Cesarian, you have to continue to train with your pelvic floor in mind.  Damage to the pelvic floor doesn't usually come from the actual birth.  It comes from the months of weight and pressure on those muscles leading up to the big event.  After birth, those muscles need time to rest and recover.  If we return to high impact movements right away, you are putting your pelvic floor at risk of developing a prolapse.  

 

This is just the tip of the iceberg when it comes to postpartum fitness.  FPC is passionate about educating every woman that walks through our door on how to make a complete recovery post birth.  If you are postpartum and looking to get back into fitness, join us at the studio!  

Postpartum Rehab and/or Pump & Kegel are the 2 best places to start! Check our schedule for times!  

5 questions answered about Elvie

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Contributed by Dr. Erin Williams, DPT

I am not affiliated with Elvie but I am a Pelvic Health Physical Therapist who understands how difficult it can be to perform a kegel (pelvic floor muscle contraction) correctly and I am always looking for tools to better assist my clients with accomplishing a strong and healthy pelvic floor and took it upon myself to personally try out Elvie! Here is what I found!

1. What is Elvie?

Elvie is a small green sensory device that is placed into the vagina during use and connects with the Elvie app that can be downloaded for free onto your smart phone. The app provides strengthening and endurance training exercises with visual aids and performance tracking to better help you connect with and provide feedback for your pelvic floor muscles. 

2. Does it work? 

The short answer is, YES! I found that it was very accurate and responsive to correct pelvic floor muscle contractions (kegel) and would notify me when I was (purposely) doing a kegel incorrectly, or “bearing down” which is a common error made my many women. An important point to note is that Elvie is an up-trainer for the pelvic floor so all of the exercises are geared toward strengthening the pelvic floor and not for relaxing the pelvic floor muscles. Although less talked about, the pelvic floor can have too much muscle tightness/tension (think pain with penetration/sex or constipation) and strengthening the muscles will not benefit this presentation. If you feel like this is you, I would strongly advise getting evaluated by a Pelvic Health Physical Therapist first before trying Elvie. Overall I loved using Elvie to track my progress and identify where I was weak! I am a visual learner and competitive with myself so seeing that I was improving over just 1 week of training and having visual aides to facilitate my kegel was very helpful!

3. Is it uncomfortable/painful to place and use?

Elvie is quite comfortable and easy to place and use! If you feel like you bear-down when initiating a kegel the Elvie device will slip out of you so this can be helpful immediate feedback!

4. Can I use it while Pregnant and postpartum?

Yes, Elvie can be used while pregnant. The Elvie website states that it can be used with non complicated pregnancies and to seek medical advice from your doctor if unsure. It can be used 6+ weeks postpartum. There is no need to use it immediately  following postpartum as the pelvic floor muscles are healing and just need to rest.  

5, How much is it and where can I buy it?

Elvie is normally $199 however for Fit Pregnancy Club mammas I was able to get a DISCOUNT CODE (elvie15b) which you can enter at checkout and enjoy 15% off! www.elvie.com

I would recommend this device to anyone looking to have improved awareness of their pelvic floor muscles for pregnancy, postpartum, urinary incontinence or better sex! I would strongly encourage women to have a pelvic floor assessment completed by a Pelvic Health Physical Therapist first to make sure Elvie is a good fit for you! 

If you have any questions or are interested in getting to know your pelvic floor better please do not hesitate to reach out to me at erin@womenshealthnyc.com and let me know you read my blog on the FPC website and receive $50 OFF your first session with me! 

-Erin Williams, DPT

www.womenshealthnyc.com

Instagram: eewilliams20

The Best (at home) Post Pregnancy Exercises

Calling all new mamas!  

Use this 7 move workout that we put together with Coveteur on the days you can't make it to our Postpartum Rehab or Signature classes.  

Be sure to activate that "belly pump & kegel" with every exertion.  Regaining strength postpartum, is all about that inner core unit!  

 

 

 

 

 

Article By: Curranne Labercane

Photography: Alec Kugler

Outfit By: Outdoor Voices