Postnatal pelvic floor routine

Trying this core and pelvic floor-centric workout before exerting any kind of force (including carrying groceries, picking up a child, or lifting weights of any kind) and continuing to incorporate it into your practice once you resume your fitness routine. Outside of the gym, she suggests you perform these four exercise while getting out of bed, standing up, getting dressed, etc. Basically: Make it your anywhere, anytime go-to.

1. Diaphragm breathing

“Inhale fully and allow the belly to soften while sending the breath low into the diaphragm,” instructs Johnson, “If you place one hand on your chest and one [on] the belly, make sure your breath is rising and falling in the belly and not the upper chest.”

2. TVA engagement (AKA: pump)

“Imagine your transverse abdominus (TVA) as a deep corset-like muscle that starts in the middle of your back, wraps around your side body and under the six pack muscles,” explains Johnson. “On your diaphragm-breath exhale, focus on wrapping the TVA around your side body and hugging your entire core in toward your midline. Every inhale should release the TVA and muscles of the core, while every exhale fully activates, wraps, or pumps the muscles closer to your body.”

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3. Pelvic floor activation (AKA: kegel)

“The pelvic floor is a complex grid of muscles that runs front to back and side to side,” says Johnson. “To activate it, imagine the pubic bone, tailbone, and both sitz bones all drawing closer together and up through the center of the body. It’s important to activate the entire pelvic floor (front to back and side to side) and not just one section. And to allow the muscles to fully release and relax on your inhale—this release is just as important as the activation.”

4. Pump-and-kegel combo

“Once you can perform the above three steps separately, practice integrating all of them together continuously,” instructs Johnson. “On your inhale, breath into the diaphragm, relax the TVA, and release the pelvic floor. On your exhale, the TVA wraps around to hug your abdominal wall closer to your midline and the pelvic floor lifts and performs a kegel.”

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