(646) 355-8777

Herman & Wallace Blog

Grounding in Mountain Pose

Today on the Pelvic Rehab Report, we hear from Dustienne Miller. Dustienne wrote and teaches the Yoga for Pelvic Pain course, which is available in Cleveland, OH on July 18-19, and in Boston, MA on September 12-13.

"It feels like my pelvic floor just sighed."

Grounding in Mountain Pose

As musculoskeletal professionals, we have a sharp eye for postural dysfunction. We explain to our patients that the ribcage is sheared posteriorly to the plumb line and how gravity magnifies forces at specific structures. Some physical therapists perform the Vertical Compression Test (VCT) to allow the patient to feel the difference between their typical habitual posture and a more optimally aligned posture. This works well to “sell” your patients on why their newly aligned posture allows for more efficient weight transfer through the base of support. In addition to the VCT, I utilize Tadasana, or Mountain Pose as an additional kinesthetic approach to postural retraining.

Last week in the clinic, I was teaching my client postural awareness using Tadasana. I asked her to close her eyes, or lower her gaze if she was not comfortable closing her eyes. Working from the ground up, we started bringing awareness to her base of support. She noted that she was standing with her weight mostly in her heels. When I encouraged her to bring her weight forward, hinging from the talocrural joint, she had an “aha moment.” She said, “It feels like my pelvic floor just sighed.” She was unaware that her habitual posture was to stand with her weight mostly posterior to plumb line, thus encouraging her posterior pelvic floor to remain in an overactive state. Once she balanced her body from the ground up, she felt a major release in her holding patterns.

At our follow-up session, the client remarked that her postural awareness increased dramatically. She was surprised at how often her pelvic floor was in a habitual pattern of over-firing. Additionally, she reported increased awareness while practicing standing yoga postures during class. She feels more in control of her body after experiencing embodied optimal alignment and has had success with carrying over postural awareness outside of the clinic setting. Self-awareness and empowerment are two major goals of my physical therapy practice, and using yoga to achieve these goals makes my clinical practice even more enjoyable.

For more info on the Vertical Compression Test, click here. For detailed instruction on Tadasana, click here.

Do Male Therapists Belong in Pelvic Rehab: Part I
Birth Mode, Quality of Life, and Pelvic Floor Dysf...

Upcoming Continuing Education Courses

Bowel Pathology and Function - Remote Course

Aug 7, 2020 - Aug 8, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 - Birmingham, AL (SOLD OUT)

Aug 8, 2020 - Aug 9, 2020
Location: Shelby Baptist Medical Center

Trauma Awareness for the Pelvic Therapist - Remote Course (Rescheduled)

Aug 8, 2020 - Aug 9, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 - Boston, MA (RESCHEDULED)

Aug 8, 2020 - Aug 9, 2020
Location: Marathon Physical Therapy

Colon System & Physiology - Remote Course

Aug 12, 2020
Location: Short Form Remote Course

Pediatric Functional Gastrointestinal Disorders - Pullman, WA (RESCHEDULED)

Aug 14, 2020 - Aug 16, 2020
Location: Pullman Regional Hospital

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Aug 15, 2020 - Aug 16, 2020
Location: Replacement Remote Course

Pediatric Functional Gastrointestinal Disorders - Remote Course (SOLD OUT)

Aug 15, 2020 - Aug 16, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 - Jonesboro, AR (Rescheduled)

Aug 15, 2020 - Aug 16, 2020
Location: Arkansas State University

Pelvic Floor Level 1 - Colorado Springs, CO (SOLD OUT)

Aug 15, 2020 - Aug 16, 2020
Location: Colorado Sport and Spine

Pelvic Floor Level 2A - Bangor, ME (RESCHEDULED)

Aug 15, 2020 - Aug 16, 2020
Location: Husson University

Mobilization of Visceral Fascia: The Reproductive System - Remote Course

Aug 21, 2020 - Aug 23, 2020
Location: Replacement Remote Course

Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Salt Lake City, UT (Rescheduled)

Aug 21, 2020 - Aug 23, 2020
Location: Rocky Mountain University of Health Professions

Pelvic Floor Level 2A - Minneapolis, MN (Rescheduled)

Aug 22, 2020 - Aug 23, 2020
Location: Allina Hospitals and Clinics

Pelvic Floor Level 1 - Albany, NY (RESCHEDULED)

Aug 22, 2020 - Aug 23, 2020
Location: The Sage Colleges

Pelvic Floor Level 1 - Alexandria, VA (SOLD OUT)

Aug 22, 2020 - Aug 23, 2020
Location: Inova Physical Therapy Center

Pelvic Floor Level 2A - Remote Course (SOLD OUT)

Aug 22, 2020 - Aug 23, 2020
Location: Replacement Remote Course

Pelvic Floor Level 2A - Coon Rapids, MN Satellite Course

Aug 22, 2020 - Aug 23, 2020
Location: Mercy Hospital

Pelvic Floor Level 2B - Houston, TX (Rescheduled)

Aug 22, 2020 - Aug 23, 2020
Location: Texas Children’s Hospital

Pelvic Floor Level 2A - East Norriton, PA Satellite Course

Aug 22, 2020 - Aug 23, 2020
Location: Mercy Hospital

Breastfeeding Conditions - Princeton, NJ (RESCHEDULED)

Aug 22, 2020 - Aug 23, 2020
Location: Princeton Healthcare System

Pelvic Floor Level 2B - Manchester, NH

Aug 22, 2020 - Aug 23, 2020
Location: Franklin Pierce University

Pelvic Floor Level 1 Part 1 - Remote Course

Aug 27, 2020 - Aug 28, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 - Remote Course (SOLD OUT)

Aug 28, 2020 - Aug 30, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 - Charlotte NC Satellite Course

Aug 28, 2020 - Aug 30, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 - Garden City Satellite Course (SOLD OUT)

Aug 28, 2020 - Aug 30, 2020
Location: Metro Physical & Aquatic Therapy

Pelvic Floor Level 1 - Zion, IL Satellite Course (SOLD OUT!)

Aug 28, 2020 - Aug 30, 2020
Location: Replacement Remote Course

Postpartum Rehabilitation - Remote Course (SOLD OUT)

Aug 29, 2020 - Aug 30, 2020
Location: Replacement Remote Course