Here's a little Hip Labral Tear - Hip Hack

This case is about an individual trying to avoid having a hip arthroscopy. She is an "intensive care" patient in my clinic, which means she flies to see me in my NC-based clinic for approximately 17 hours.

So, one of the main issues that I found in her case was the lack of connection and coordination between her pelvic floor and core.

Here's the Hip Hack:

I used ultrasound imaging to visualize the lateral abdominal wall (think internal, external oblique, and transversus abdominis).

On day 1 of imaging - there was no connection between the pelvic floor and core. The obturator internus was also not firing. She was also bearing down on the pelvic floor instead of using it correctly, when speaking.

These are important findings because if these things are not working, you can nearly guarantee that the person is going to have persisting dysfunctional hip issues, and quite possibly, pain.

On day 2 (moving toward the 17th hour of treatment in a row) - After retraining the paradoxical pelvic floor to work properly - she could contract the pelvic floor properly.

But here's the thing - I asked her to vocalize instead of just contracting the pelvic floor. She nearly doubled the diameter of the transversus abdominis and core/pelvic floor recruitment - through VOICING - not Kegels.

The takehome message is: Adoring your Pelvic Floor Means Adoring Your Voice. Kegels don't always cut the proverbial mustard when it comes to core to pelvic floor coordination. Voicing is a Sport.

PS I teach 4 Approaches to Coordinating the Pelvic Floor and Core. If you don't have ultrasound imaging as a clinician, or access to it - it's very hard to determine what's happening and how to rehab it.

Want to learn more or get help and cannot find someone who specializes in the voice to pelvic floor method? I take a limited number of consults at www.garnerpelvichealth.com
You can also join the WAIT LIST for the V2PF (Voice to Pelvic Floor) Community at [ Ссылка ]

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