Prepare to Plank

Let’s talk planks.

An amazing exercise for building core strength, for working the whole of your body and there is so much you can layer and add into a plank.

Also one of the exercises that therefore needs great technique or a lot can go wrong. All too often people are encouraged to dive head on into a full plank without knowing the hows, why’s and why nots. I love a challenge, but I don’t like the planking challenges. Personally I do not see the benefit to being able to hold a static plank. I have a body that rarely stays that still and so far more useful is a moving plank with levers and motion.

Many people are just not strong enough to launch into planks. These are not beginner exercises. Done incorrectly the intra-abdominal pressure will build up and it has to go somewhere, so if you have weak abdominals these may sag and bulge or the same with your pelvic floor. I remember attending a mums and babies fitness class with mums there 6 weeks after having baby – all being told to plank for 1 minute. If your core is not ready, do not do a full plank, if you have recently had a baby and you are rebuilding your strength, do not plank, if you have a weak pelvic floor, do not plank. Now that may sound harsh and rather black and white… so here is the softer version. There is a version of a plank that everyone can do, it is just finding your level and knowing which muscles to use plus ensuring you breath.

So what about if you really want to plank or if you are in a class with planks and you need a variation? Here are some plank progressions for you, including a standing version that I use with my pregnant and postnatal ladies.

 

I’d love to hear how you find these. For more videos and tips do follow me on Instagram and Youtube.

 

 

 

Postnatal Care – is it enough?

I’m not even sure where to start with this post. So I will start with my own experience. I’ve had 3 babies in the past 7.5 years and my youngest is about to turn 2 yrs. With each baby, my own recovery, my own postnatal journey and the care offered to me, has been different. I’ve had 3 babies who have lost weight post-birth, 2 of which required a period in hospital, each baby has had a tongue tie and it’s always been a stressful start in those initial weeks. Now I’m a well-educated, opinionated, determined (or bloody stubborn) kind of girl, which has got me through. What I have been, and continue to be surprised at, is the lack of support that is out there for new Mums. I had a hyper-tonic pelvic floor before babies, after babies I was complete unprepared for the change in my pelvic floor! I also had a diastasis recti after baby 2 and 3.

Having baby 1 is overwhelming, you are learning new skills constantly and becoming a new family. Subsequent babies are also equally overwhelming, suddenly you have to balance everyone’s needs. The babe becomes the most important in all of this and Mums come way down the list. But they shouldn’t. The early postnatal period is a critical time for recovery, by offering good support at this stage and preparing Mums we could actually help prevent some problems later on. Even by helping Mums with some simple stress management and practical ideas it could help them feel looked after, nurtured and reduce their cortisol levels. I know I was highly stressed after having my 2nd baby and it really had an impact on my body. Techniques such a deep breathing, meditation, mindfulness and just having time off for Mum can make such a difference. I now recommend Mums have a 2 week chill-out after baby as much as they can and call in lots of help.

Mums are usually offered a 6-8 week check, however this is often more for baby than for mum. It’s a quick assessment and I think a lot more could be offered at this stage, however resources are thin on the ground. The Mums that I see and my experience is that pelvic floor is not really discussed, perhaps a cursory “are you doing your exercises”, abdominal separation is rarely checked but there is a screening for Mums mood and contraception.

Whilst it is great that Mums and babies are seen by the GP and continue to be monitored by the health visitors, I feel we are missing a vital opportunity. A chance to talk to women about their bodies, what is not right, where could they be signposted to get more help. I’m not suggesting these teams can provide the answers but they could link in with NHS or private services who could. For example, local women’s health physiotherapists and postnatal fitness instructors who really specialise in this type of rehabilitation.

We need a revolution in postnatal care, more chat, more information sharing, more love, more respect for how women’s bodies change and more holistic care. I’d love to know your stories and thoughts.

Why being flexible isn’t always the aim.

Some people come to us thinking that Pilates is all about the stretch and that they need to be super flexible to be any good at it. Confession, ahem…. whilst we have super flexible people who teach for us and I envy their ability to do the splits I’m not a bendy ballerina.

Whilst I totally can work on my flexibility and improve it, I’m also aware that being super bendy is not always a good thing and you can overstretch for your particular body. Yup, I’m saying it doesn’t always pay to s–t–r–e–t–c–h.

 

Let’s think about that over-stretching:

  1. If you are hypermobile or have Ehler-Danos Syndrome then pushing your body past it’s normal range of movement into the hypermobile zone is possible for you but not a good idea. Over time moving out of the normal range can increase your risk of injury, sprains, dislocation, joint pain and can lead to the joints popping out. Pilates is one of the best forms of exercise for these conditions as a good teacher will watch your range of movement and help you work out exactly what you need to strengthen. By strengthening the areas around the hypermobile joint it can help you stay strong.
  2. The effect of hormones. When you are pregnant and postnatal you definitely do not want to be overstretching. At this point of life your ligaments are laxer and you may have a greater range of movement. But moving too far and stretching too much can lead to your muscles becoming overstretched. This leads to pain/injury for you which can then be an ongoing weakness in your body. Relaxin can take up to 4 months to leave the body after you stop breastfeeding. This can also mean your body is not as strong as you expect it to be. I remember after baby 2 really struggling with some of the harder pilates moves until I stopped breastfeeding (I fed baby until he was 16 month) and then a couple of months later my body was at it’s peak once again. So don’t rush things and risk a lasting weakness.
  3. If your body is causing a muscle to be tight for a reason. Sometimes the body is protecting itself. Much like we do not work muscles in isolation, it can be detrimental to stretch a muscle in isolation too. Instead we need a whole body approach and to think through why an area is tight. Is it due to a certain posture you adapt most of the time – in which case work on the posture. If it is due to pain elsewhere in your body and you are compensating, then the area of pain needs to be dealt with too.

Anyone can overstretch their bodies. Our collagen make up is genetic and we just aren’t all born with stretchy joints, ligaments and bodies. So whilst stretching is of course good for us, listen to your body.

Tips on the Pilates Roll Up

Roll Ups are trickier than you initially think. Few of us, once past toddlerhood, are blessed with a spine that perfectly articulates. Over time the postures we adopt and the movements we do on a daily basis affect lead to tightness in parts of our spine, the space in between the vertebrae gets cramped, it gets sticky and our movement is affected.

Just being able to get up and down in a Roll up is not the be all and end off of the Roll up. I know it often feels that way and that people will use all parts of their body to get themselves up…. however the Roll up is also about moving your spine segment by segment. The aim is to be able to lie your spine down one vertebrae at a time and then pick it up one vertebrae at a time. In order to do this, your spine needs to curve and flex. With our stiff backs from sitting and slouching this is hard to do. I know I have a section of my spine that is stiff and doesn’t like to curve and I’m working on getting it moving properly.

So here are some tips on improving things.

  1. Use a rolled up towel under your mid spine, this is so helpful at helping you not to hinge up from the mat.
  2. Use a band to firstly help you get up off the mat but also to help you focus on curving.
  3. Focus on the half roll up with your knees bent and feet on the floor. Going just half way back can help you find those sticky points and work on them.

Pilates for tight shoulders.

Tight shoulders, neck pain, one shoulder higher than the other, restricted movement in a shoulder or shoulder pain are all issues that we see in the studio daily. There can be many causes, but many arise from our day to day lifestyle. Computers, laptops, smart phones, we all use them but they can affect our posture. Whether you have a desk job or not, you likely suffer from tightness in your shoulders and probably have a forward jut in your neck from leaning to look at a screen. So here are some tips to help and some exercises too:

Correcting your posture is a huge part of dealing with this issue.

  1. Bring your screen to eye level so you do not have to bend you neck to look at it. This may be you need a laptop raiser.
  2. Have your arms in line with keyboard so your wrists are not bent as you type.
  3. If working with your laptop, try not to use it on your lap! Instead place it ontop of a higher surface or place a laptop on your lap first.
  4. Stay away from the slouch. Sitting in good posture is an absolute must, as is taking posture breaks. Your eyes and shoulders will thankyou for a little move around.

To help deal with those aches and pains from working, lifting, leaning towards a screen or carrying children, here are some simple but effective shoulder mobilisers and release moves.

If you need more support with your neck of shoulders then why not book an assessment and sports massage with James.

Knee strengtheners

So we talked about knees and what to check for if you get that pulling in your knee when you do a movement. By this I do not mean constant pain but just a tugging on a certain move, that feels like a tight area. If you have ongoing knee issues, constant pain, popping, grinding, swelling or anything that doesn’t resolve then get it checked out!

So now we are looking at how to strengthen the muscles around the knee.

People image created by Kjpargeter – Freepik.com

The VMO, or vastus medialis oblique: is one of the four muscles of your quadriceps. If you flex your quads, you’ll notice a large muscle toward the inner part of your thigh. That’s your VMO. The VMO attaches to the patella (your kneecap) and to the femur. It allows for normal knee function—especially during squatting and multi-directional movements as well as running and jumping. So you can see why this muscle being weak or too tight would cause knee pain. Good exercises to strengthen it are step ups. Literally climbing stairs or stepping up and down on the same step.

TEST: Sit on the floor with legs outstretched. Squeeze your kneecaps and release whilst feeling the inside of your knee. Ideally you should feel a muscle working called VMO.

The Hamstrings:  If your hamstring is optimal there should be a right angle between your 2 legs with leg in the air straight up to the ceiling and the other leg stretched out on the floor. If your leg will not go to this range you need to work on releasing those hamstrings. A good stretch with a band will help.

TEST: Lie on the floor with 1 leg in the air and one leg on the floor. In order for you to straighten you leg will and knee where does your leg have to be.

Think about what you feel when you try to stretch your knees? Is there a pull or tightness in the front, back, side or in the knee joint itself? If so it could mean you need some massage, release work and then strengthening. See a sports massage therapist for help with this.

Posture, as always is king: You can do all the release work in the world and then undo it with poor posture. So if you are doing work and not seeing the benefits get checking out your regular and habitual sitting and standing positions. Specifically think about taking regular posture breaks. Don’t remain in any one position for too long, if you are working at a desk take regular movement breaks. Check your pelvis, in seated and stood, your ribcage should be over your pelvis. You want to be sitting and standing tall and in neutral alignment.

 

 

Hypopressives are coming to Southampton

The Hypopressive exercise, is a relatively new technique developed to help with pelvic floor rehabilitation and postnatal recovery of the abdominals. It is a form of breathing and intense posture work that involves creating a vacuum with your breath. This activate the involuntary fibres of the pelvic floor and abdominals, you don’t have to find the right muscles and squeeze them, instead you work with the bodies natural reflexes.

Where did the Hypopressive Exercise originate?

In the late 70’s, Dr. Marcel Caufriez realized that ‘traditional’ abdominal exercises were damaging women’s pelvic floors. So he looked into alternatives, moving away from high intra-adominal exercises such as creates and planks, the hypopressives were born. These exercises have been used for 30 years in Spain and are now used postnatally in hospitals in Europe with ladies with know pelvic floor and diastasis issues. However this is all brand new to the UK, we are pleased to be on the cutting edge, bringing you this technique.

Priya has trained with UK Hypopressives and has started doing hypopressives herself. With just 10 minutes a day she is feeling the effect on her core. These exercises are fabulous as they don’t take a lot of time and do not need any equipment. If you can breath, you can do them! However you do need hands on help to learn the technique.

This is a technique that can be incorporated in with other pelvic floor safe rehabilitation work, or used on it’s own for 30 days. It really depends on what level you enter this at. For example, someone with a prolapse it would be sensible to use the hypopressives only, then build on other pelvic floor work later.

 

Additional benefits can include:

1. Decreasing back pain

2. Reducing the waistline

3. Preventing disc and abdominal hernias

4. Improving sexual function

5. Treating and preventing urinary incontinence

6. Treats and prevents Pelvic Organ Prolapse

7. Improving respiratory function

8. Improving posture and balance

If you would like to learn more and experience hypopressives for yourself then please book onto our workshops. These are kept to small numbers so that you can have plenty of hands on help to learn the technique.

Dates:

Monday 29th January 10-12pm

Book Here

Thurs 22nd March 1-3pm

Booking to come

Can you do the knee cap dance?

Knees can be tricky things and are something that people often comment on in class.

“My knee pulls when I do that” 

Now pain is always a sign to stop and reassess.The body is telling you there is a problem and you need modify your movement.

There are a few things you could do:

  1. You can make the same movement smaller working within a range that causes less pain (note it may not be entirely painfree).
  2. Change over to a different exercise that works the same muscles but doesn’t hurt your knee.
  3. Stretch the muscles around you knee and then try again.
  4. Work out what the actual problem is with your knee and work on releasing the tight areas, strengthening the weak areas.

So all these options have their place and in the context of a class it is often options 1-3 that need to be done. However at a later time I definitely advise that you start to assess where the problem is coming from. Start with your range of movement. Can you fully bend and straighten your knee without forcing it? If not it’s about working out which muscle is the problem (see my next blog post to help with this).

The muscles:

The muscles of the knee include the quadriceps/quads, hamstrings and calf muscles. Some other muscles that assist with the movements of the knee include the tensor fasciae latae, popliteus and the articularis genus muscles. The quads extend the leg at the knee and flex the thigh. The hamstrings help to extend the knee and slow down the quads preventing the locking out of the knee or that fast smashing action. All these muscles need to be working properly and at their correct length/tension for the knee to function optimally.

A key exercise to help with kneecap function:

Sit with your legs outstretched, toes to ceiling but relaxed feet, feet in parallel with knee caps towards the ceiling. Feel around your kneecap, if it is relaxed you should be able to wiggle it gently with your fingers. Stroke up the inside and outside of your leg from kneecaps upwards. These are the muscles we want to use, so you are priming them. Now can you do a knee cap dance? Using your quads in the front of your thigh pull your kneecaps up and fully relax afterwards. Place your hands under your knees for a few, on the top of your thigh and around your knee cap. What do you feel? You want the muscles in the front of the thigh to be doing the most work, so your knees do not push down into the floor when the kneecap is tensed. Start doing this exercise seated and progress to standing.

Look out for my next blog on knees which will look at specific muscles to target and how to do so.

Why you could live longer if you can sit and rise properly.

Recently I’ve been looking more at how functional exercises equip us for everyday life and how important that is. Being able to sit down and get up from a chair or the floor unaided may not sound like much but actually it can make a huge different to your quality of life and your mortality risk.

A study in 2012 looked at this in 2002 adults, following them for a median of 6.3 years. Those who had lower scored in the sitting-rising test had a higher mortality risk.

Go on, try it now. Can you get down to the floor using no levers (arms/body parts) to assist you and then up again? In the research they asked people to sit all the way to the floor crossed legged and then get up.

If you can’t do it, then hey there is a great challenge to work on.

Ideas:
Maybe start by using a curtsey lunge and focus on your alignment as you go up and down to the floor. This is also a great move for picking up things off the floor without hurting your back by the way.

Have a pile of cushions underneath you so it is not as far to get down and up.

Practise makes perfect, the more you try it the easier it will become.

So in your next pilates class when you are told to get down to the mat, try crossing your legs and just sitting straight down with no props.

The 3 top benefits of postnatal pilates.

It strengthens your core and fixes your body. This is HUGE NEWS. Mums are lifting, bending, rotating, reaching, rocking, pushing and feeding babies. A whole lot of work and strain on the body. The core is made up of the abdominal muscles, the back muscles and the pelvic floor. This cylinder provides the support for the rest of the body to move. After carrying a baby in your womb for 9 months there has been quite a strain on the core. Your abdominals have been stretched and may have stretched apart slightly (diastasis recti). Your pelvic floor muscles have been supporting a heavy load and then may have helped push a baby out. Your lower back muscles will need supporting and strengthening as your baby grows and gets heavier. This is where Pilates has been invaluable for me and it fixes me weekly. Yes there are plenty of other fitness classes you can do postnatally, but a specialised postnatal Pilates is the one you want to do FIRST. It provides you with the foundation that you need to rehabilitate your body after pregnancy and labour. If you do not strengthen your core and get your posture sorted then later along the line you could suffer set backs and problems such as leaking and abdominal separation that doesn’t heal up. If you have this issue come see me for a 1-2-1 session.

If you have pelvic floor issues then you need to be on my pelvic floor workshop.

There are a couple of ways we work on core strength in classes.

Firstly BREATHING. It is something we all do all of the time but breathing using the diaphragm will help the core work in synergy. The Diaphragm, abdominals, back muscles and pelvic floor are all involved in breathing. Try this out:

1. Place your hands around your ribcage. Inhale feeling the breath come into your ribcage. So your ribs move out to the side, your back expands, your chest expands.

2. As you exhale, breath out with pursed lips, feel the tummy come in, the lower back tense and try to get right to the end of your breath to feel an tension in your lower abdominals and a lift in your pelvic floor.

3. Practise this for 5-10 minutes and it really can help, plus it relaxes you 🙂

All the Pilates moves are layered on top of the breathing. It can take a while to get the breathing at the right time and in the right way but suddenly it will click.

It reconnects you with your body. As a mum your primary focus is on your gorgeous baby. There is less time for you to look after your own body and this can get pushed down the list of importance. However your postnatal period is an important time of recovery for you.

A postnatal class can teach you how your body feels when you do certain movements. I know I can be busy rushing around all day and then suddenly in a class I realise my shoulder is out of alignment or my hips ache. It makes you focus on your tummy and pelvic floor, an area many mums don’t want to connect with post-birth. Let’s  face it things are changed in or bodies but it is something to embrace and work to strengthen rather than to avoid. A class also means someone else also has a look at how your body is functioning, which can give you valuable insights and reassurance.

I myself go to classes so that someone who knows my body can give me feedback and push me further. We all need someone who knows us well to watch out for us.

It is you time. Our postnatal classes are run with a creche. I love babies, but having taught with one crawling around the studio, going under and over me… I know how distracting it is to doing the moves correctly. You tense up in order to ensure baby is safe which then means you do not get the full benefit from the class and exercises. You listen to their noises and not your body.

We’ve found over the years that having a creche away from the studio works best. Then the mums are not listening out to their babies, they aren’t all in the studio freezing each time a  baby makes a noise, working out if it is theirs, if so do they need to go to baby. It takes trust on the part of the mum, but James has been running our creche for 7 years now and has seen an awful lot of babies in that time. If he can’t cope and needs a mummy, he knows when to ask.

So if you are thinking about trying a postnatal class I would highly recommend you try Pilates. Yes I am completely biased, but I am also proof that it works. Having had 3 babies, I have rehabilitated each time with Pilates. It works.