Category: Pelvic Floor

Pilates in Pregnancy, it’s a must.

Priya Tew

I’ve been lucky enough to teach antenatal pilates for 4 years now and in that time I must have worked with over 250 ladies. I’ve also used pilates myself through 3 pregnancies and it has helped keep me strong, shown me which parts of my body needed working on and enables me to keep working and being a hands on mum throughout. The comments we get from some of our ladies are:

“If I miss a class I really notice the difference”

“My hips and pelvis ache less and I can feel the difference Pilates is making”

“Classes help to keep me strong and relaxed during pregnancy”

“I always leave feeling better than when I arrived and with exercises to use in the week”

 

Pilates with Priya: Antenatal Pilates class

 

Antenatal Pilates offers multiple benefits including, developing your natural corset to support your back and baby, helping with the changes to your posture, pelvic floor education, breathing technique, toning the muscles and, thus, helping in weight management. Practising Pilates on a regular basis can improve posture, alleviate backaches, and, ultimately, help with labour and delivery. It can even help the baby rotate in the optimal position. I tend to have a format where I use a mixture of functional exercises that help in daily living, for example moves you will need to bend, lift, rotate, get to the floor, release stretches for the areas I know get tight as pregnancy progresses, core strengthening exercises and some move to help in labour and for baby positioning.

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Lets look at some of the changes that happen in pregnancy:

1. Breathlessness:

There is around 15-20% increase in oxygen consumption during pregnancy. The breathing rate will stay the same, but an expecting mum will breathe more deeply each time. The changes in the blood vessels caused by the hormonal changes together with the changed position of the ribcage and diaphragm may make a mum-to-be feel breathless at times.

The breathing we use in Pilates helps make an expecting mum’s breathing more efficient. Focusing on breathing in an antenatal class also has a relaxing and calming effect which can then be used in labour.

2. Muscle, ligament, joint and postural adaptations: 

Hormonal changes during pregnancy have an effect on muscles, ligaments and joints. There can be more movement, stretching and instability. A safe pregnancy pilates class will help you exercise within a safe range of movement and strengthen the supporting muscles. It can really help with conditions such as SPD/pelvic girdle pain.

3. Core Strength:

Pilates exercises focus on core stability, and pelvic stability. This obviously helps keep the abdominals strengthened  but it also can help keep your pelvis in good alignment and reduce pelvic girdle pain.

4.Posture:

Pregnancy affects posture as the centre of gravity shifts. Some women adopt a posterior pelvic tilt (tucked under) with a flat lower back, whilst others adopt an anterior tilt (bum stuck out) with an increased curve in the lower back. Either way it is not helpful for the body. Knowing about neutral posture will help you correct this in day to day life and pilates will provide you will a range of exercises to strengthen the right muscles.

So if you are pregnant, antenatal Pilates with a specialist teacher is a MUST. If you can’t get to a class or want something to use in between sessions check out my specialst Bump to Birth DVD.

When should I return to high intensity exercise?

Priya Tew

Exercise can be so so key when you are a mum and so many people I work with and talk to are desperate to get back to their former routine, jeans and get time for them. Having had 2 babies and about to have the 3rd I completely get it.

Why should I wait?

  • Your pelvic floor deserves a break. After 9 months of carrying a baby it’s had a lot of extra work to do, then there is the act of pushing out a baby. It’s understandable that it may need some R&R time. Jumping back into high impact workouts will put extra pressure on the pelvic floor muscles, preventing them from recovering properly and potentially damaging them further. A weak muscle is a muscle that is easier to damage. It is NOT right to need to wear protection in your pants when you exercise. Leaks should not be the norm.

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  • Your body has had 9 months of carrying a baby around. It takes 9 -12 months to recover nutritionally, so why would it take any less time to recover your physical body?

Pilates with Priya: Baby Bump

  • You need a good, strong, solid foundation before you build. Your core is your floor. So get that strong and the rest will follow. Your lower abdominals, pelvic floor, the postural back muscles and the obliques all functions together to provide your stable base. Don’t rush into running, lifting, jumping in order to have it crumble away under you.

How long to wait:

A lot of the time this is individual and depends on your previous fitness, how many babies you have had and how your pelvic floor function and core were before. But I recommend you wait a good 4-6 months and build up slowly. Listen to your body.

Things to watch out for:

If you feel a dragging or heaviness in your pelvic floor.

Have pain in your lower back, pelvis or abdominals.

Leaks when exercising.

It generally feels uncomfortable or wrong.

THEN STOP.

Go back to working on your core, get stronger and then try again in a couple of months.

Pimp Your Pelvic Floor Was a Success!

Priya Tew

This week we ran our first Pimp Your Pelvic Floor workshop. In fact it was our first every Pilates workshop!

We had 5 ladies, 4 of whom were already mums and 1 of who was 36 weeks pregnant with twins! Plus we had the company of a beautiful 11 week old baby 🙂

I so so so enjoyed this workshop. It was amazing to share knowledge, pass on tips, get feedback from the ladies and then run a practical side to the session.

We spent time on the anatomy of the pelvic floor and then looking how it functions as a part of the whole body. This part especially I find important. The pelvic floor doesn’t work in isolation does it, it works under loads and under pressure as we walk, lift, cough, jump and move everyday. Looking at the models of the pelvis showed us all how the pelvic floor really is affected by movements we do and is connected to the body.

The feedback has been really good with participants ranking the workshops as excellent. We hope to run these regularly – so don’t worry if you haven’t been able to book on yet.

Pilates with Priya: Keep Calm and Do Kegels

Looking forward to running the next one in October 🙂

How and why the breath is key in Pilates.

Priya Tew

It’s that September time of new beginnings, which has led to more new Pilates enquiries and a flurry of activity in the studio. So we’ve some new Induction classes to help introduce people to Pilates and teach the basics before they join a class. One of the key things that people always struggle with is the breathing. I know it seems back to front, it did to me too. However the breathing really is key. Let’s face it, breathing full stop is key.

The breathing in Pilates gives you stronger movements, more control and helps you focus. If Pilates was Star Wars I reckon the breathing would be “the light sabre” and the core would be “the Force”.

Why is it so important? When you breath in the right way you work with your core. So you will get a more effective movement, work harder and see better results.

Stress, everyday life and bad posture leads to people breathing into their belly or having their shoulders rise and fall as they breath. The type of breathing we are after in Pilates is thoracic breathing. This means breathing with the ribcage expanding and contracting.

A good way to practise this is to tie a resistance band or folded towel around your ribcage. Alternatively place your palms with middle fingers touching, on your ribcage. As you inhale breath into the ribcage, you should feel it expand or push into the band with the breath. The diaphragm moves downwards. As you exhale let the breath come out of the ribcage, the diaphragm moves upwards and you will feel a tightening in your core (your lower abdominals will draw towards you and your pelvic floor will lift). You may have to exhale to the end of your breath to initially feel this. Once you tune into it, it will feel more intuitive.

Click on the diagram to get a better look.


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How to help stop those leaks.

Priya Tew

Have you ever had one of those moments where you’ve bounced too much on the trampoline, coughed and sneezed too much or just bent down and leaked a little? Horrible to talk about but it happens.

One way to help with this is to practise and use core bracing. Any movement that increases the pressure inside your tummy can push pressure down on your pelvic floor. To help counter this you can brace the core. It’s like adjusting the tension on a trampoline so that when you jump you don’t touch the floor.

Use Your Core

Ready, Steady, BRACE:
As you breath out draw in the lower tummy muscles (tranversus abdominus) and the pelvic floor muscles too. Your transversus abdominus muscle is below your belly button, to find it you can slide your fingers just inside your hip bones and cough. That muscle that you feel move is the one to engage. To engage your pelvic floor think about lifting the muscles around your vagina and anus. It can take a bit of practice to engage your core and pelvic floor at the same time, but persevere it will come.

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Practise this when doing everyday movements and it should become a habit. So whenever you cough, sneeze, lift something, bend, bounce, push something, extend away, reach or twist you can brace the core.