Out With The Old & In With The New

Research is CONSTANTLY evolving. In our field and many others. This is why it is always important for healthcare providers to continue their education as research advances are made on a regular basis. Over the weekend, Dr. Sarah took a virtual course titled Athletes & Pelvic Rehabilitation. You would think that based on the title it involved treatment for pregnant and postpartum women. The concepts can absolutely be applied to these populations, but the course really focused more on athletes - recreational runners, hockey players, sprinters and swimmers. Did you know that you don't have to be pregnant to a new mom to experience pelvic floor dysfunction? YUP! Women and men can all experience pelvic floor dysfunction and associated symptoms including, low back pain, hip pain, and incontinence.

Muscle imbalances tend to cause many issues in regard to pain, function and performance. Let's say that an athlete is experiencing lateral hip pain caused by an inability to stabilize the pelvis while running. If one muscle isn't functioning the way it is supposed to, another muscle or muscles will compensate to help. This seems helpful, but unfortunately it is not. When the lateral hip is unable to efficiently stabilize the pelvis, the pelvic floor and other muscles try to help, leading to greater dysfunction. We can see this same concept throughout the body, for instance in the shoulder.

Traditionally this complaint was diagnosed as a weakness and treated with some exercises that may be familiar to you - slide lying hip abduction, seated resisted hip external rotation and clam shells. These are considered reductionist techniques and are a bottom up approach where the femur moves in relation to the pelvis in a non-weight bearing manner. Let's think for a do we appropriate change those exercises so that an athlete can actually see how their rehab pertains to their sport? We do that by turning this concept on its head and bring in a top down strategy where the pelvis will move in relation to the femur while weight bearing to utilize biotensigrity!

If we want the athlete to be able to stabilize their pelvis through performance we better we teaching them how to do it. We can do this by incorporating rehabilitation exercises that mimic their sport, that require stability in all planes of motion, and teaching an athlete how to turn potential energy into kinetic energy. These theories may cause some controversy for other providers and even coaches. A lot of new theories being taught are evidence informed at this point, but are quickly becoming evidence based as more research is published.

If you have been experiencing pain or dysfunction that has not responded to other treatment protocols, give Pinnacle Hill Chiropractic a call to see how we can help you reach your goals!

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