About this Consult:
Anna is experiencing non-specific hamstring, pelvic floor and sacroiliac joint region pain.
It all started in her early pregnancy as a hamstring strain with running.
It still persists 2 1/2 years later after cesarean birth on her left side.
Anna also has Crohn’s disease.
This was severely flared during her pregnancy leading to fecal incontinence and a fistula with complications.
Because of this she feels she has lots of muscle clenching, but also reports an inability to activate her pelvic floor.
Anna has already explored manual therapy and pelvic floor muscle therawand self-release strategies with other therapists. She reports that these offer only temporary relief at best.
Anna was told to do some breathing and yoga to down-regulate but it only made the pain worse.
At this stage the constant pain is impacting Anna’s ability to run and is limiting her ability to level up with her mountain biking.
Anna also experiences stress urinary incontinence with two-foot jumping.
Anna is very frustrated by her symptoms and fears there may be an underlying cause that she hasn’t addressed.
She also says people tell her she’s a hypochondriac.
Anna thinks she may have a disc bulge or something along her nerve pathways, but exercises for this or along the hip and leg have only made things worse.
Anna finds her pain is easily aggravated, and single leg activities are the worst.
Anna is frustrated that her pain persists and that she hasn’t been able to fix herself as an Ortho and Women’s Health Physiotherapist.
What is Antony’s impression, and what does he have her do to run without pain?
Find out in this consult and follow up with Anna 2 years after the consult!
Who Is This Consult For?
Health and fitness professionals who have female clients, will benefit from watching this unique consultation. Whether you’re a personal trainer/coach, a physical therapist/physiotherapist, a nutritionist or anything in-between, the concepts explored in this enlightening consult can help you deliver better customised care to your clients.
What Will I Learn By Watching This Consult?
By watching the consult, you’ll see the kind of questions to ask your clients. You’ll see modelled how to go through the assessment process and how to partner with your clients instead of telling them what to do.
Most importantly, you’ll learn how to apply these principles in your own practice. It’s an awesome way to get a different learning experience, rather than just knowledge – like someone speaking over powerpoint slides. It’s like you’re there with Antony, watching him work with someone just like your clients and being able to reflect and ask questions about the consult.
Each consultation is as unique as the clients themselves. No two people are the same, so no two consults are ever the same. And no consult is ever perfect – you’ll be learning from observing mistakes as well.
Topics covered in this Consult include:
- Stress Urinary Incontinence
- Impact Loading exercises
- Pain
Concepts also covered in this consult:
- Do something different
- Test retest (box jumps, running and active straight leg raise test)
- Experience before knowledge
- Change in tension, posture/position, strategy and sensitivity
- External pelvic floor assessment
- Progress within minutes, not weeks
What is included in this Consult:
- Recording of a live consult including captions, transcript and audio for your convenience
- Update videos including captions, transcript and audio for your convenience
- Reflection questions designed to help you to analyse and absorb the material on a deeper level
- Recorded webinar of “most common questions asked about the consult”
This Consult is part of The Physio Detective Consult Series
The Physio Detective Consult series aims to give health and professionals access to real consultations so that they can see what happens from start to finish. These consultations portray real-life clients – real people, real problems, real solutions.
You’ll watch as the client presents their unique challenges and see how Antony collaborates with them to overcome these struggles.
This one-of-a-kind learning model will transform the way you work with your clients.
Consults can cover a range of topics such pelvic organ prolapse, stress urinary incontinence, pregnancy & postpartum up to 12 months, pain, lifting & CrossFit, running & impact loading exercises.
