Pelvic Health

Blogs about Pelvic Health
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Get to Know Your PT: Dr. Sara Kiyani

I joined the Activcore team in Atlanta, GA in October 2021. I am a Doctor of Physical Therapy (DPT) who specializes in pelvic health, women's health, running analysis and general orthopedics. I help women address their pain, weakness, and dysfunction in their pelvic floor muscles so that they can engage in all activities they love to do without pain, urinary leakage, or any pelvic discomfort. I became interested in specializing in the burgeoning field of pelvic health...

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Gyro What? Understanding the Gyrotonic Expansion System

When Activcore and CORE merged earlier this year in Atlanta, we introduced a new movement method to our suite of services: the Gyrotonic Expansion System®. This system has two parts: 1) Gyrotonic® exercise which is performed on specialized equipment, and 2) Gyrokinesis® work which is performed on a chair and/or mat.‍ If you’ve been at Activcore lately, you might have seen the equipment in our back room. The Gyrotonic® equipment uses a system of weights and pulleys to simultaneously offload body weight, similar to the Redcord suspension system.

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Exercise Demo: Redcord Hip Abduction with Bungee Support

In this video, I am performing a side-lying hip abduction (side plank) exercise utilizing the Redcord suspension system to assist me. This is an excellent way to target the hip abductors, and more specifically the gluteus medius! Research continues to grow discussing how important the hip abductors are for optimal function in sport and everyday life.

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Treating Constipation with Laxatives: Dependency & Safety in Adults & Children

Ever since I have been treating constipation and bowel dysfunction as a pelvic health physical therapist, I’ve had many clients ask if the laxative they are taking is safe and if they should continue using it, or if they can start their child on a laxative such as Miralax. Many of my clients are afraid they might become dependent and will always have to be on it for their bowels to function. Or they have been told to stop taking it because it is not safe. To have a better understanding of the risk of dependency on a laxative and its safety, let’s first discuss what it actually is, how it works, its side effects, precautions, why you would use it, and the current research on kids taking it.

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How Should I Flatten My Abs During Exercise?

To keep the abs flat, you need core coordination. Your pelvic floor, transverse abdominus and thoracic diaphragm need to work together to keep the abdominals flat during exercise. Abdominal coning is when the abdomen bulges upward during an exercise. This points to a difficulty recruiting the deep abdominal muscles. We need the deep abdominal muscles to stabilize the spine and the pelvis.‍ If they are not firing at the right time, it can result in pain, movement dysfunction, and postural changes down the line.

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How Can Fiber Help With Constipation?

I’m sure there are a lot of people who can relate to the feeling of constipation. Tummy distended and full; pain in the stomach; a sensation you cannot completely empty your rectum; back pain –– all are symptoms of constipation. We probably have been told to increase our fiber intake and doing so will help loosen our stools. While this is true, there are several things you should know about what type of fiber and how much you should be consuming if you’re trying to improve constipation. 

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Diastasis Recti Abdominis (DRA): Part 2, Evaluation

Now that we have a better understanding of what a Diastasis Recti Abdominis (DRA) is, let’s talk about what physical therapy can do for you. Physical therapy is a conservative treatment option, because there is no surgery involved and you allow the body to heal itself with specific exercises. Diastasis Recti are diagnosed measuring how many cm or mm of separation there is on the linea alba (i.e. the midline of your six-pack muscle).

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How Can Breathing Possibly Help Fix My Back Pain?

Have you ever had back pain? Have you tried stretching and doing some core exercises, but the problem persists? If so, you're not alone. The "old" way of correcting back pain is out; breathing is where it's at. What if you are not breathing correctly? Yes, that is a thing.

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Why Do I Have Troubles Holding in My Stool? I Had No Idea PT Can Help With This!

Do you leak stool with walking, running, or other physical activities? Do you have urgency of your stool and can’t make it to the toilet in time? Do you have to wear disposable underwear because you leak fecal matter?‍ As a pelvic health physical therapist, I see this quite a bit in my practice and everyone always asks the single question: “Why?!!!”

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Diastasis Recti Abdominis (DRA): Part 1, Diagnosis

Whether you’re new to motherhood or a seasoned Mom, I would like you to envision a scenario. You’ve just had your little one and you’re at home navigating through mommahood. As your baby is growing, your body is healing. You’re adjusting to a new life balance and trying to sleep whenever you get a free moment. And to top it off, there’s doming on your core every time you get out of bed. Does this sound familiar?

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