Can you exercise with POP??

Now I don't mean those pesky little cans of fizzy drink….Im talking about pelvic organ prolapse!! You owe it to yourself to understand this issue, if not for your body now but for your future body. Sometimes women don't realize they have a prolapse until they hit menopause and it can be a lot more sever than if caught early. However, it can be helped now and severity reduced. Whether you had a vaginal birth or a C-Section birth, it doesn't matter…there was still the weight of your baby on your pelvic floor.

I didn't realize until at least a year postpartum that I had POP, I was devastated when I found out. I thought my bod had given up on me!

But what is pelvic organ prolapse??

Also known in short as POP, it is when one ore more of the pelvic organs begin to descend downwards in the pelvis, shifting from their ‘normal’ position. It is usually caused by weekend pelvic floor muscles or damaged muscles. It is also a result from prolonged labour, improper pushing techniques, heavy lifting, chronic coughing and chronic bowel straining.

It is best to discover as early as possible to successfully treat it with physiotherapy and specific exercises. This will give you the best chance at restoring it back to its original position (or as close as possible)

When it comes to postpartum related prolapse there are three main types you will hear. Bladder (cystocele), rectal (rectocele) and uterus (hysterocele/uterine prolapse). All of which are graded on a scale of 0 (no prolapse) to 4 (organ is bulging out of the vaginal opening)

Image courtesy of www.burrelleducation.com

But how do I know if I have POP?

Many women don’t know they have a prolapse as it can by symptom free, but here are some symptoms to look out for;

• Pressure in the vagina (or rectum)
• Pelvic girdle pain
• Urinary incontinence
• Urinary retention
• constipation/dificulty emptying
• Tampons push out the vagina
• Feeling like you insides are falling out

Can I still exercise?

YES, however, there are going to be some limitations/considerations. 

First of all, impact exercise should be suspended. It doesn't mean you can not run/jump in the future but it really is different for every case. If running/jumping are what you love, then this is a conversation you should have with your health care provider. A plan can be set in place once you have started the foundational exercises. In some cases you may not be able to return to these activities (it really depends on the severity and individual case)

Change up the positions during exercise, don't stand up on your feet for the whole workout. Do some exercises seated, lying down and some side lying. Varying the position of your body throughout the workout will take pressure off the POP

Don’t lift too heavy, adding too much weight can increase the intra-abdominal pressure and add to much pressure to the pelvic floor/organs. Gradually increase the weight and check for any signs/symptoms throughout the workouts and beyond.

Learn correct deep abdominal breathing techniques. Having a functional core is the key to reducing intra-abdominal pressure. So this includes getting your Transverse Abdominus, Multifidi, Pelvic floor and Diaphragm woking in a synergistic pattern. This also means NO breath holding during exercises/lifting. Bellies Inc and Julie Weibe have some great resources for you to use.

Last but not least…PAY ATTENTION! Understand what it feels like in your body when you are using proper techniques vs improper techniques.

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HAPPY HEALTHY WORKOUTS MAMAS

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How to check for Diastasis Recti (Video included)

All you postpartum mamas out there should give this a little read….and if you have carried a baby in your belly….then you are a postpartum mama!! It doesn't matter if you are 8 weeks postpartum or 80 years postpartum, you are postpartum and can still help your abdominal separation and help to reconnect your core. However, don't get fixated on the ‘gap’ in the abdominal wall. Instead try to focus on the connection between your breath and the linea alba (your connective tissue which hold the two muscles together).

One of the most common complaints in women after they have had a baby is ‘I still look pregnant’ or ‘I want my belly back to how it was before’. The most likely cause for this is a condition called diastasis recti, This is when the two rectus abdominis muscles separate during pregnancy and the connective tissue (the linea alba) stretches to make space for the baby! amazing right?? However, if it does not heal on its own….it will need a little extra help. There are studies showing that 100% of women will get this separation and 52.4% will still have one present at 6-8 weeks postpartum (Mota et al 2014)

But I need you to look past the gap and the mummy tummy for a moment and realize what the separation can really be doing to your body. First and foremost it is detrimental to the health of your core/how it functions. Without a good core connection your body is going to begin to suffer. But AGAIN don't worry if you can’t close the gap, lefts work on getting your core to work properly (that will be another post) :)

So how do I know if I have Diastasis Recti??

Watch this video to see a full demonstration of how to check for Diastasis Recti OR follow the steps below. If you have any Questions just shoot me a message and I will gladly help you out. If you don’t feel comfortable checking yourself contact a professional like me or a physiotherapist.

How to check for Diastasis Recti.

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HAPPY HEALTHY WORKOUTS MAMA!

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So you want to join a bootcamp!

Spring is well and truly here, the flowers are blooming and the sun is shining (well some of the time). You have been stuck inside for months with your baby and you're ready to be set free!

There are so many spring/summer exercises classes you can choose from, which is GREAT! But how do you know what is going to be right for you? Its useful to do a little research into the sessions and the instructor before you sign up. As a newly postpartum mom its important to take control of your health and source out the BEST fit for you and your baby.

Also, just because a bootcamp/stroller fit session is targeted at new moms, doesn't meant it is right for you! Yes they are fun and yes they are challenging, which may appeal to you, but the intensity can cause some major complications for a new mom. The core and the pelvic floor needs to be functioning properly before starting something too intense. If you have any sign of pelvic floor dysfunction, it needs to be addressed and well managed. Just because there are no obvious symptoms, doesn’t mean that nothing is happening.

As a new mom, unfortunately exercise isn't a one size fits all...something one mom can do easily, another may not be able to. The instructor should understand this and be able to make the correct adaptions for your needs. BUT they need to know you first. Follow these simple guidelines to help you find the right fit for you and your exercising needs!!

1. Ask the instructor/personal trainer questions. Let them know what your ability is and what issues you still have (such as pelvic organ prolapse, urinary incontinence and diastasic recti). If they don't know how to adapt the exercises for you, then its the wrong instructor/personal trainer. Ask them about their qualifications. Have they done any specific postnatal certifications? Most importantly, do they know about pelvic floor dysfunction and how to train it?

2. Is there a pre-screening process? The best sessions will include a pre-admission questionnaire, including questions about your birth/recovery. Some classes may require a visit to a physiotherapist before joining depending on the answers you give.

3. Is it a pre-set class or a drop in class? The drop in sessions can be a little risky depending on the style of session. If it is designed for new moms then it MAY be ok (but still ask questions). But if it is a mixed group/anyone can come...be a little wary. Pre-set sessions are the best for new moms so you can progress at the same pace.

4. Avoid certain exercises until you know for certain you are fully healed. If you are in a session and theses exercises come up...avoid doing them and ask for adaptions. Crunches/tradidtional ab exercises, plank/push ups (unless they are done on an incline), lifting too heavy, jumping and running should be avoided UNLESS you have been fully cleared by a physiotherapist. Ask yourself do you still leak urine? Do you still have pelvic/hip pain? Do you feel heaviness in your pelvis? If your answer is yes to any of these questions then DO NOT do these exercises.

Don't put your health in someone else's hands unless you are certain they are the right fit for you. You could end up doing more harm than good. 

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Happy, Healthy, SAFE workouts mamas!!

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Its OK not to workout

It took me a while to realize this after I gave birth, but its OK not to workout! The pressure to get your body back postpartum is so strong you feel guilty for not having the motivation to exercise. Especially in the fitness world, you are almost frowned upon for not having a flat belly weeks after delivery. I must admit, I was lucky in the sense that my belly reduced in size almost immediately. However, there were so many other things going on with my body that no-one could see and I didn’t want to talk about. You kind of brush them off to the side because you have a new born baby to handle.

What I thought I had to do was not achievable for me in the beginning, but I’ll say it again….THATS OK!! You don’t need to jump right back into your HIIT workouts and your heavy weights. Your body really isn't ready for that. It actually took me over SIX months to feel ready to workout again like I use to. In the beginning the best thing to do is take it slow. Work on rehabilitation and creating a really strong foundation.

Ok so I am a believer of exercise, but I am also a believer of the RIGHT kind of exercise too. I have learned over the years that my body shuts down under stress. Funny story, I actually fainted from a bee sting….thats right…I passed right out because I panicked. Not because I'm allergic, because I’m not. I fainted because my response to stress is to stop everything and protect. So this story is a little extreme but it just shows that when you put too much stress on the body, it begins to shut down. Bringing up a new baby is stressful, so if you don’t feel like working out thats OK!!

Take it one day at a time, each day is different. One day you may feel invincible so try a little exercises routine, stretch, do you core rehabilitation exercises or go out for a walk. The next day you may feel like crap, so don’t do anything. The key here is to understand and listen to your body. Don’t let your mind take over, love your body and look after your body.

When you are having a god day, look at completing a functional workout to help rehabilitate your core and focus on muscle groups that get challenged a lot in motherhood. Remember to use proper diaphragmatic breathing with exercise and don’t start without clearance from a medical professional.

My favourite exercises to try out for new moms are (use light weight or body weight):

1. Squat and press
2. Deadlift and row
3. Kneel to stand (goodness know how often we have to get up off the floor with a baby)
4. Lunge with a front raise
5. Seated cable pull

HAPPY WORKOUTS MAMAS!

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Please consult with a medical professional before commencing a workout regime

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Function vs Image

When it comes to the fitness industry it all seems to be lead by how we all want to look. Which is fine to a certain degree, we all want to be happy with how our bodies. But when it comes to postpartum fitness is that really the best driver towards working out? 

When a mama gets to the 6 week mark and wants to get back into exercising what do you think her motives are? Well I can tell you the number one complaint I hear is that they want to lose the baby weight. OK great, but after digging a little deeper I find out they leak urine when they cough, their backs ache when they carry the car seat from A to B and they are drinking copious amounts of coffee to get them through the day. At what point should beauty and weight loss trump pain reduction, embarrassment and energy?

Scrolling through Instagram I see these women flashing their abs in skimpy outfits and challenging others to exercises that are beyond the ability of the majority of women. It saddens me that mamas scroll through these pages aspiring to be like these women when realistically it probably won’t happen. Lets see more women showing a happy healthy lifestyle with the littles!

Now I’m not saying that weight loss shouldn't be a goal, that can definitely be part of the program. Maybe the the fist goal should be LOVING your body regardless of what it looks like. Love the stretch marks because they wouldn't be there if you didn't have a baby. Love the flattened breasts because those boobs fed your baby. Then, what should come next is re-training the core and functional training.

But what does this mean? 

1. Pelvic Floor Re-training. This doesn't only mean kegals, It includes releasing tight muscles, strengthening weak muscles and incorporating the ‘core four’ muscles in breathing. The foundation of a great training program MUST include these fundamentals. In order to understand your needs it is very helpful to visit a pelvic floor physiotherapist, who will be able to determine the health of your floor. 
2. Postural Adjustments. Now I don’t mean going to the chiropractor, however this is always helpful. The way a personal trainer will tackle this is balancing the correct exercises vs stretches to re-align your posture.
3. Functional Movements - How should your body move is top of the list with my clients. What do you struggle with during the day? Do you struggle getting up and down from the floor? Do you get back pain when lifting your baby’s car seat? These kind of questions will help determine the movements I include in a program. Some of my favourite functional movements are kneeling to squat, single leg deadlift with a row or lunge with a toe tap. All these movements can translate to real life actions.

Try changing your perspective and see how that effects your results. Focus on the issues in hand instead of comparing yourself to others. Love yourself and your journey!!

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Happy Healthy Workouts Mamas

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Is it really about weight loss?

I was sitting listening to a webinar on body image and it made me reflect on my past and how I use to treat my body. I have come a long way since my insecure years in high school/university. But what changed?

I have struggled with weight my whole life, I have always been small and on the low end of healthy….entering into unhealthy. I have been blessed with a fast metabolism but this does not mean I was happy. Every woman struggles with their body…prodding, poking and criticizing every second they get. Why can't I look like that supermodel, this is what I really want to look like. But is it really? Why do you want to look that way? Will it give you happiness? Will it make people love you more?

So what right do I have to tell you it isn't all about weight loss if I have never been over weight!

What I’m really trying to tell you is that mindset is the key to happiness. As soon as I shifted my mindset to loving my body for what it is I began to feel happy, content and even satisfied with who I am. I think I put too much energy into how I looked so I could have friends, love and achieve more. But my body wasn't the issue (even though I though it was for many years). It was all in my head, it was all about how I saw at myself.

Change your mindset, change your life.

So you just had a baby and you're thinking RIGHT, now its time to get my post baby body back. Well don’t waste the first weeks focusing on how to get your body back, you may never have the same body but that is OK! Life shouldn't revolve around losing weight if it’s just about getting smaller, that was a tough lesson I had to learn. No matter how small I got…nothing changed. I was still insecure, I still hated my body, I still struggled with liking myself. So why do you REALLY want to get smaller??

Lets shift the focus to why you should eat healthy and workout. Have a real conversation with yourself about what your motivation is, but try to stay away from visual body goals.

• You want more energy
• You want to be able to run after your toddler without feeling out of breath
• You want to glow from the inside out
• You want to prevent diseases that run in the family.
• You want to show a good example for your children.
• You want to FEEL GREAT!!

You created a life from NOTHING….thats amazing! Your body is capable of doing amazing things, you have to start loving it for what it can do. If you start to listen to your body and feed it what it really needs (both exercise and food) the weight loss will be a side effect. Mindfulness, moderation (although that word sucks lol) intuition, treat your body right. But eat that cookie too, its ok. Eat food because it nourishes the body, exercise because it gives you strength. 

Have an even keel approach not a quick one time fix, slow and steady really does win the race.

Learning to look at yourself differently can be hard, but take small steps to make positive changes both physically and mentally. If it means unfollowing all the #fitmoms with their midriffs showing DO IT! Whatever makes you feel good about yourself. You are perfect, you grew a human from scratch!!

Happy workouts mamas!