We all have a pelvic floor and we all need it!! Focusing on women specifically, there is a real stigma about the pelvic floor and the do’s and dont’s during and after pregnancy. 2 Little boys later and I sure do have a better understanding about the pelvic floor, however, not once in my mother’s group did any mother ever bring up any issues they may have been experiencing. I bet at least 80% of them had some sort of issue at some stage, but were too embarrassed to say it. My aim is to lessen the stigma and increase awareness and knowledge about all pelvic floor related issues. The pelvis as a whole relates to everything outside – including the bones, muscles and ligaments surrounding the pelvis, and the inside – including major organs such as the bladder, uterus and rectum as well as all the muscles, fascia and fibrous tissue that surround them… i.e. the pelvic floor. The pelvis plays an important role in maintaining our upright posture. The pelvic floor however is literally a floor for our pelvic organs to hold them in place. Without reasonably strong and coordinated pelvic floor muscles, issues can arise including incontinence – bladder and bowel, pelvic organ prolapse and other bowel related issues such as constipation. Some problems can also arise when our pelvic floor is overactive which can cause dysfunction and pain. Some pelvic floor issues are purely lack of exercise whilst others arise from other factors like pregnancy or a trauma, such as birth. Just like any other muscle group in the body, most issues can be treated fairly simply with muscle release techniques and specific pelvic floor exercises; however some issues may require more detailed treatment. In pregnancy the growing belly pulls the body forwards whilst the back and pelvis are trying to ensure correct alignment – I think we all know who is going to win that battle:). On top of that, the growing belly is putting added pressure on the pelvis and the pelvic floor, making all the pelvic muscles work harder to ensure the organs are kept in their rightful places as well as making sure the pelvis is kept in its correct alignment. If you or anyone you know is suffering from any pregnancy related issues during or after pregnancy, don’t hesitate to seek help. Most of the time it’s easier than you think and it could change your life. I encourage all pregnant women to see a physiotherapist that is specialised in Women’s Health during and especially after pregnancy (following your 6 weeks check up with your OB/GYN). For those who are pregnant or those trying to conceive… I wish you the best of luck on your journey. xx

Written by Shana-Lee Abkin, Physiotherapist at UprightCare]]>

Larry is a highly skilled physiotherapist who specialises in treating back and neck pain, postural issues and scoliosis. He is certified in Schroth and SEAS methods and through the Egoscue University. Larry has a background in elite gymnastics and springboard diving and also has many years experience in endurance running and triathlons. His specialist knowledge and techniques have seen him appointed as a gymnastics coach and physiotherapist at both the Olympics Games and Special Olympics.

His passion and driving philosophy is about achieving the best outcomes for his patients utilising an amalgam of the latest techniques and theories while recognising there may sometimes be a need for invasive procedures. Where deemed appropriate Larry will then refer to a specialist. To further his holistic understanding and approach, Larry is currently undertaking a Ph.D. in Spinal Deformity and regularly attends and speaks at international conferences and courses and clinics.

Fun fact: Larry is learning how to surf - so be careful next time you go to the beach! Qualifications: B.Sc (Physiotherapy); M.Sc. (Exercise Physiology); Advanced Certificates in Schroth (BSPTS) and Egoscue (PAS) and SEAS Larry is Level II certified (advanced) in the conservative treatment of Scoliosis based on the Schroth method. The training was conducted by Dr Manuel Rigo of the Barcelona School at Scoliosis Rehab Inc in Wisconsin. He has completed his SEAS scoliosis treatment training at ISICO in Milan. Larry has also spent time working with Dr Rigo in the Barcelona clinic. Larry also has advanced certificates in shoulder treatment, posture alignment therapy and acupuncture.