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Our bodies go through a lot of changes during pregnancy and postpartum recovery. One of the questions I get asked a lot by new mom’s is: When can I go back to working out my core? The answer is complicated because it is very specific to your own body. General core weakness following pregnancy is to be expected. One, your ligaments are a little bit lax due to hormonal shifts from pregnancy and breast feeding which can contribute to some instability. This combined with the fact that your abdominal muscles were stretched during pregnancy can lead to significant weakness. In some women the stretching of abdominal muscles can lead to a condition called Diastasis Recti, which is a separation of the rectus abdominis muscle (also known as your six pack muscle). This separation of the muscle causes a decrease in the stability of the core and can worsen if a woman returns to core exercises without activation of our stabilizing muscles.

As a general rule following pregnancy any exercise or movement that causes “doming/tenting” of the abdominals is something we want to avoid or modify in order to protect your core. The doming or tenting is caused when the pressure in your core is more than your stabilizing muscles can support. This will then push up on the separation and you will see a small bulge around your six pack muscle. Exercises that cause the most stress to the separation are things like sit ups and crunches. Now, just because these exercises cause a lot of stress doesn’t mean you’ll never be able to do them; it just means you might have to modify them as you are getting back into exercise! 

The core, pelvic floor and diaphragm should work together as a team. When one of those systems gets out of whack, as is common after pregnancy or delivery, having a Physical Therapist evaluate you can help assure you are doing things properly. So if you have any concern or question about if you have a Diastais Recti or you just want some more information how to start getting back into exercise give one of our women’s health PT’s a call and we’ll get you on the right path!

-Kate Dolan, DPT

Keeping Young Athletes Safe

Keep Young Athletes Safe: Your Guide to Preventing Sports Injuries

School is back in session, and so are fall sports! Whether your child plays soccer, football, volleyball, or is running cross country, keeping them injury-free should be your top priority. The good news? Most youth sports injuries can be prevented with the right approach.

Start with Smart Conditioning
Conditioning is the foundation of injury prevention. Young athletes should begin training at least 4-6 weeks before their sport starts. This gives their bodies time to adapt slowly.

Start with the basics like jogging, jumping jacks, and bodyweight squats. Add sport-specific drills gradually. A soccer player might begin with light ball work, while a runner starts with short, easy distances. The key word here is “gradually” – adding too much too soon leads to injuries.

The Power of a Proper Warm-Up
Never skip the warm-up! A good warm-up is like starting your car on a cold morning. It gets everything moving smoothly. Spend 10 – 15 minutes doing light cardio and dynamic stretches. Think leg swings, arm circles, and gentle lunges. Save static stretching (where you hold the stretch) for after practice.

Recovery is Not Optional
Here’s what many parents don’t realize: rest days are as important as training days. During rest, muscles repair and grow. Young athletes need at least one full rest day per week. They also need 8-9 hours of sleep each night.

Watch for signs your child needs more rest. Are they more tired than usual? Getting sick often? Complaining of aches and pains? These are red flags that they’re overdoing it.

Fuel the Machine
Good nutrition powers performance and prevents injuries. Make sure your young athlete eats regular meals with plenty of fruits, vegetables, lean proteins, and whole grains. Don’t forget hydration! Water should be their go-to drink, save the sports drinks for when they’re exercising for over an hour.

Listen to Their Body
Teach your child that pain is not normal. The old saying “no pain, no gain” is dangerous for young athletes. Some muscle soreness after hard workouts is normal, but sharp pain or pain that doesn’t go away needs attention. Help your young athlete learn to pay attention to their body, and to understand the difference.

When to See a Professional
If your child has pain that lasts more than a few days, affects their daily activities, or keeps them from playing their best, it’s time to see your physical therapist. Early treatment prevents small problems from becoming big ones.

Remember, the goal is to keep sports fun while building lifelong healthy habits. With proper preparation and smart training, your young athlete can have a safe and successful season!

NEURO PT

A cornerstone to treating the whole person in physical therapy is providing patient-
centered care. This is true for all forms of physical therapy, and perhaps more profound
when applied to those who’ve experienced a neurologic injury or disease. But
regardless of your reasons for seeking physical therapy services, we all want to be
seen, understood, and valued in our care.
Patient-centered care relates to understanding and honoring your unique situation and
goals. We value shared decision-making between yourself and your physical therapist,
and ensure that your physical therapy is tailored to align with your goals. We strive to
have a strong therapeutic-alliance with our patients, establishing an effective working
relationship and empowering our patients to become active participants in their care,
leading to more meaningful outcomes.
Our approach to understanding your unique situation and goals includes the use of a
biopsychosocial model of care. This model emphasizes the interconnectedness of our
biological, psychological, and socio-environmental factors in our lives. When this model
is applied to physical therapy care, we work to understand, assess, and intervene in
varied domains of your health to improve your overall well-being and to achieve your
goals.
In neurologic physical therapy, we may look at a variety of aspects of your health to
better understand how we can work together to reach your goals. This may include
assessing and treating one or more of the following:
– Physical limitations; including strength, range of motion, neural dynamics, joint
integrity, and biomechanics.
– Motor control; including our bodies ability to utilize and integrate multiple systems
to produce a movement or complete a task.
– Sensory systems; including vestibular, proprioceptive, tactile and visual systems
that impact our ability to use our bodies effectively.
– Autonomic nervous system; including the regulation of our internal processes to
help improve your functional abilities.
– Lifestyle; including understanding your sleep, nutrition, stress, and substance use
as it relates to your health and function.
– Psychosocial; understanding your self-efficacy, or confidence, in your condition
and abilities, how behavioral health may affect your physical health and function,
and your needs for autonomy and motivation in your care.

If you’d like to learn more about neurologic physical therapy and how it may be of
benefit to you in your journey, please contact us at Great Northern PT!
Phone: (406) 586-4678
Email: rita@greatnorthernpt.com

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