Hi Dr. Chris, would you please be able to do a video on pelvic organ prolapse? I feel the topic is shrouded in mystery. Tips on how to modify daily movements to support prolapse, exercises and movements to avoid etc. would be so helpful.
Hello! Yes I have that on my to do list and also appreciate you sharing what topics you want to learn more about. Do you have specific questions you'd like to have answered about prolapse more specifically? For example, what type of prolapse, certain types of exercise, etc...?
@@movewithDrChris Specifically: Uterus and bladder prolapse (personally, due to childbirth). I’d love to know whether heavy weightlifting is encouraged, especially squats and it’s variants as I only find totally conflicting info on squats - including squatting in day to day life as I want to save my back but I’m afraid regular squatting will worsen prolapse. What exercise do you feel are safest to pursue regularly? What modifications can I make? Is supporting prolapse JUST supporting the pelvic floor or is there more to it? Sorry this is long! I totally understand each case is individual and I will be seeing a physio but with limited funds, I’m very doubtful I’ll be able to attend very regularly. I just want to be armed with knowledge from someone I trust, at 27 prolapse and how to live with it is scary and overwhelming. Thank you SO much for replying - your videos have been immensely clear and helpful in helping me support my pelvic floor post-partum. I only wish I’d found you sooner!
@@reneeisabel1141 thank you so much for sharing all of this helpful info. I want to acknowledge that you are so not alone in feeling scared and overwhelmed as you navigate how to best support your body. I agree there is a lot of conflicting info. In short, I use loaded squats and lunges on the regular with all of my patients, including those with prolapse. These are important movements for regular life AND for helping keep our hip muscles strong which further supports our pelvic floor strength to best support all the internal organs. Not doing strength work leads to deconditioning which will inc loading forces on the pelvic floor over time. We want and need supportive strength all around the pelvis to keep moving well for all seasons in life, esp when someone has a prolapse. I’m glad you’ll be seeing a Physio soon to gather more specific intel to guide you. If they are a pelvic floor specialist, I would encourage you to ask them (you can call and ask ahead of your appt) if they work with patients who like to lift weights and do they do internal pelvic floor exams in standing/squatting as part of their assessment? This is what I do with my patients to assess HOW their pelvic floor + breath is coordinating in these positions to help guide my patients further. Some of my patients think they are connecting their breath and pelvic floor but on exam we realize they are overusing their upper and thus pushing load down on their pelvic floor as they go through the lift which can worsen prolapse symptoms over time. So it’s a combo of how someone’s body is coordinating, getting that dialed in and gradually increasing load on top of that practice in a variety of ways to help build supportive strength overall. There is no “list” of “safe vs not safe” exercises 💛
@@hsaengerp I don't have specific videos for that but would recommend my 5min hip exercise flow (link in description above) as well as my Kegels in Motion series where I talk about breathing + pelvic floor coordination and progressing that with movement and hip strengthening exercises
Thank you. I have pain in hips and that's stiff. Which hip mobility exercises will help if I have this issue and want to overcome with this dyssenerrgy?
The tips in this video are helpful for PN pain when toileting, and I’d recommend checking out my 5min hip opener video (link in description above) to improve lengthening of the hip and pelvic floor muscles as well
I have Defecatory dyseneergy. Can you help me? It's really painful. I've done biofeedback but the exercises they sent me are just happy babies and complete means. What else can I do
I’m so sorry you’re going through that. When I’m working with patients on this, I find it’s important to start with teaching them learn how to coordinate their breath with their pelvic floor. This means being able to get better expansion through the back of their ribcage with each inhale which then helps the pelvic floor lengthen more fully/effectively, which then makes it easier to poop. The other piece that often needs to be addressed too is hip mobility and hip strength because when the hip muscles are tight and weak it creates more tension in the pelvic floor which further contributes to pelvic floor issues like you’re describing. So working on breathing + pelvic floor coordination + hip strength all need to be part of PT sessions and home exercises. If your therapist is only doing biofeedback and passive stretching for homework, I would encourage you to ask them if they plan on exploring the other pieces I mentioned in future sessions with you. If not, biofeedback and happy baby alone are not going to teach your brain how to re-coordinate your pelvic floor muscle to work more optimally and would suggest finding another therapist to work with.
Hi Dr. Chris, would you please be able to do a video on pelvic organ prolapse? I feel the topic is shrouded in mystery. Tips on how to modify daily movements to support prolapse, exercises and movements to avoid etc. would be so helpful.
Hello! Yes I have that on my to do list and also appreciate you sharing what topics you want to learn more about. Do you have specific questions you'd like to have answered about prolapse more specifically? For example, what type of prolapse, certain types of exercise, etc...?
@@movewithDrChris Specifically: Uterus and bladder prolapse (personally, due to childbirth). I’d love to know whether heavy weightlifting is encouraged, especially squats and it’s variants as I only find totally conflicting info on squats - including squatting in day to day life as I want to save my back but I’m afraid regular squatting will worsen prolapse. What exercise do you feel are safest to pursue regularly? What modifications can I make? Is supporting prolapse JUST supporting the pelvic floor or is there more to it? Sorry this is long! I totally understand each case is individual and I will be seeing a physio but with limited funds, I’m very doubtful I’ll be able to attend very regularly. I just want to be armed with knowledge from someone I trust, at 27 prolapse and how to live with it is scary and overwhelming. Thank you SO much for replying - your videos have been immensely clear and helpful in helping me support my pelvic floor post-partum. I only wish I’d found you sooner!
@@reneeisabel1141 thank you so much for sharing all of this helpful info. I want to acknowledge that you are so not alone in feeling scared and overwhelmed as you navigate how to best support your body. I agree there is a lot of conflicting info. In short, I use loaded squats and lunges on the regular with all of my patients, including those with prolapse. These are important movements for regular life AND for helping keep our hip muscles strong which further supports our pelvic floor strength to best support all the internal organs. Not doing strength work leads to deconditioning which will inc loading forces on the pelvic floor over time. We want and need supportive strength all around the pelvis to keep moving well for all seasons in life, esp when someone has a prolapse.
I’m glad you’ll be seeing a Physio soon to gather more specific intel to guide you. If they are a pelvic floor specialist, I would encourage you to ask them (you can call and ask ahead of your appt) if they work with patients who like to lift weights and do they do internal pelvic floor exams in standing/squatting as part of their assessment? This is what I do with my patients to assess HOW their pelvic floor + breath is coordinating in these positions to help guide my patients further. Some of my patients think they are connecting their breath and pelvic floor but on exam we realize they are overusing their upper and thus pushing load down on their pelvic floor as they go through the lift which can worsen prolapse symptoms over time. So it’s a combo of how someone’s body is coordinating, getting that dialed in and gradually increasing load on top of that practice in a variety of ways to help build supportive strength overall. There is no “list” of “safe vs not safe” exercises 💛
@@movewithDrChris tiene ejercicios para prolapso rectal en mujer y como relajar la zona puborectal?
@@hsaengerp I don't have specific videos for that but would recommend my 5min hip exercise flow (link in description above) as well as my Kegels in Motion series where I talk about breathing + pelvic floor coordination and progressing that with movement and hip strengthening exercises
Thank you. I have pain in hips and that's stiff. Which hip mobility exercises will help if I have this issue and want to overcome with this dyssenerrgy?
@@AvadhutNigudkar I recommend checking out this hip mobility series ua-cam.com/video/GpS6noGLNmk/v-deo.htmlsi=B9vrDf_Bd5mhqSW0
Excellent tips !
Thank you!! Love you Mom❤
Any advice on pudendal nerve pain on the toilet?
The tips in this video are helpful for PN pain when toileting, and I’d recommend checking out my 5min hip opener video (link in description above) to improve lengthening of the hip and pelvic floor muscles as well
I have Defecatory dyseneergy. Can you help me? It's really painful. I've done biofeedback but the exercises they sent me are just happy babies and complete means. What else can I do
I’m so sorry you’re going through that. When I’m working with patients on this, I find it’s important to start with teaching them learn how to coordinate their breath with their pelvic floor. This means being able to get better expansion through the back of their ribcage with each inhale which then helps the pelvic floor lengthen more fully/effectively, which then makes it easier to poop. The other piece that often needs to be addressed too is hip mobility and hip strength because when the hip muscles are tight and weak it creates more tension in the pelvic floor which further contributes to pelvic floor issues like you’re describing. So working on breathing + pelvic floor coordination + hip strength all need to be part of PT sessions and home exercises. If your therapist is only doing biofeedback and passive stretching for homework, I would encourage you to ask them if they plan on exploring the other pieces I mentioned in future sessions with you. If not, biofeedback and happy baby alone are not going to teach your brain how to re-coordinate your pelvic floor muscle to work more optimally and would suggest finding another therapist to work with.
Thank😢😊
@@Zooropa6767 you’re welcome
Thanks 🙏
you're welcome!
Not work with just that easy using deep breath
what's been helpful for you?