About this Consult:
Rachael is a triathlete who is 22 weeks pregnant with her second child.
With her first birth she experienced Grade 3a tearing after a very long pushing phase.
She had a long recovery with stitches opening and perineal pain with sex for months afterwards, and did not feel she returned to her high intensity fitness that she loves.
She returned to HIIT circuit classes at 5 weeks post partum and ignored the cyclic symptoms she was having for some time, feeling an expectation that she should be able to return to her previous level of fitness.
She is currently experiencing symptoms related to her grade 2 cystocele and self-diagnosed pelvic girdle instability. These symptoms are aggravated by activity such as running and caring for her 2 1/2 year old son.
Rachael is frustrated by these limitations, especially as a Pelvic PT who works with clients with these concerns every day.
She is modifying her exercises, avoiding lifting, doing pelvic floor exercises and decreasing her demo role in her Pilates classes.
Rachael reports she has strong and functional pelvic floor muscle strength on self assessment, but always feels clunking in her pelvis in her Pilates activities.
For her bilateral sacroiliac joint pain, which she identifies as pelvic girdle instability, she avoids single leg activities but it came on early and painfully in the first trimester with this pregnancy, which was unexpected.
She would like to feel better at this stage of pregnancy and also return to exercise asymptomatically more quickly after this birth.
How does Antony challenge Rachael’s beliefs through a supine assessment of some of her bothersome, clunking Pilates movements, and how does Rachael respond?
What is Rachael thinking now after her eventful second birth and how did she integrate some of these concepts into her recovery post partum?
Find out by purchasing this 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:
- Pelvic Organ Prolapse
- Impact Loading exercises
- Pain
- Pregnancy/Postpartum up to 12 months
Concepts also covered in this Consult:
- Do something different
- Test retest (resisted active leg raise, glute bridges)
- Tension to Task
- Change in tension, position and strategy
- External pelvic floor assessment
- Spread the Load
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.
