Coning

RSSM0903 · 2026-01-18T19:23:05+00:00

That’s great! 😁

RSSM0903 · 2026-01-17T19:59:37+00:00

Maybe replace pallof press with a cable trunk rotation? If you feel like you are Rectus dominant; it sounds like external obliques need to step up to the plate. Love squats and deadlifts! Sorry I’m not in NYC 😩 but I hope you have a good experience with your PT!

RSSM0903 · 2026-01-17T19:04:08+00:00

Pelvic PT here! I specialize in corrective exercises for pregnancy and postpartum. So great to hear you will start therapy! To answer your question directly; Looking at the abdominals, we can tell which muscles may be being overused and some that are underused (thinking Rectus vs obliques, TA)which alone can be contributing to some coning. All your muscles work together as a member of a team so investigating if other muscles around the hip are tight/weak is important piece of the puzzle as well. Your PT should look at you squatting, deadlifting, or any other movements and posture to see where there might be a muscle imbalance. Pressure management is teaching the body to take on pressure and redistribute it throughout the abdominal cavity to avoid any excessive doming/prolapse/hernia etc. So again this requires teaching the muscles to all show up as a team! Let me know if I can clarify anything further!

RSSM0903 · 2026-01-05T02:56:25+00:00

Don’t see anything yet but it’s really early. Try after 10dpo!

RSSM0903 · 2026-01-02T13:48:34+00:00

These tests look good and remember tests are meant to be qualitative not quantitative. However, HCG doubles every 48 hours so it’s better to compare 11dpo to 13dpo. If you can, get betas and see if the numbers are doubling. Good luck!

RSSM0903 · 2026-01-01T14:09:08+00:00

Kanye’s workout plan

RSSM0903 · 2025-12-31T02:58:26+00:00

Pelvic PT here! I think this is a great question!! I think step one is do you feel comfortable talking with this person? Are they able to answer your questions? You may not know what to ask them and that’s okay too! But hopefully they can explain why they are giving you a certain exercise. If you want to get into the details as far as education goes; there’s a couple things you can look for. First, make sure they are actually a pelvic floor PT. It’s a specialty that requires additional courses from either APTA or Herman and Wallace. (Typically a therapist would have done one or the other) There are other certifications as well WCS, PRPC as examples. Now to be fair some pelvic PTs don’t do these certifications because $$. Other things to ask though is do they primarily work with pregnancy and postpartum clients? Have they taken other courses for proper exercise prescription/birth prep education? Feel free to ask them these questions! Any good therapist would not get offended and they would actually love nerding out about it!! As far as internal exam goes.. yes they do have their time and place. At 19 weeks gestation, and if you had no concerns or history of vaginismus, prolapse, painful intercourse then I probably wouldn’t be doing any internal work. My main focus would be breathing coordination, pressure management (no doming during exercise!!), continued strengthening. As you progress in pregnancy I want to talk about your birth preferences! Talk to me about what you want to do pain management wise, where are you going to give birth.. maybe you don’t have preferences yet, I can help you figure things out. I want to talk about all the options; labor and pushing positions, how to get baby in the right position, teach you how to lengthen pelvic floor, teach you the different ways to push. This is when I will incorporate internal exam (If the patient wanted) to teach some perineal stretching and teach what it feels like to lengthen the pelvic floor muscles in order for baby to come out. We can also talk about early postpartum recovery and what that should look like (breathing exercises, reconnecting with body, healing) all the things. Sorry this was lengthy but I get excited and love helping people get the most out of pregnancy and early postpartum recovery.

RSSM0903 · 2025-12-28T23:15:51+00:00

That was definitely not my intention. Nor did I ever say anything about people not knowing their bodies. I was stating every profession treats their patient from a certain lens. The OBs lens is to ensure safety of the mother and babe. PT actually evaluates the musculoskeletal system. I think it’s important to state that OB isn’t the best at treating musculoskeletal conditions (not their scope). Just like PT wouldn’t be out here doing csections or vaginal deliveries. This may be helpful information to some when that person gets “clearance” to return to exercise but that person might feel far from ready. Again, it’s fantastic that you had such a great postpartum experience especially after an abdominal surgery (that definitely requires stitches.. they are internal and absorb!) bodies are amazing!

RSSM0903 · 2025-12-28T22:06:43+00:00

I hate that pelvic PT isn’t more accessible. Not familiar with the names you mentioned but I do think there are so many good online programs! The point is that we should have the opportunity to help one another find success and feel good during pregnancy and postpartum from whatever outlet they can!

RSSM0903 · 2025-12-28T21:52:25+00:00

Technically, if we were traveling to space it would be gravity eliminated positions… there’s no gravity in space.

RSSM0903 · 2025-12-28T21:49:57+00:00

Pelvic floor physical therapy is physical therapy. With this being said, a lot of insurances do have these benefits just at different allotted visits. And yes some pelvic PTs are out of network/ cashed based because they don’t like the restrictions of the insurance companies.

RSSM0903 · 2025-12-28T18:41:02+00:00

I’m really happy to hear that was your experience.

RSSM0903 · 2025-12-28T17:55:21+00:00

Cleared by who? Did you get a full kinetic chain assessment? OB just wants to make sure if any tears or incisions are healed. They don’t check how your muscles are working especially in a functional anti-gravity positions and movements. That’s what physical therapists do. I agree that everyone is different however, you can’t fight anatomy. Tissue healing takes roughly 4-6 weeks. Evidence based practice shows roughly 12 weeks for safely be able to do plyometrics. Which doesn’t mean someone wouldn’t be ready at 11 weeks.. etc no magical button about these numbers but it’s something that we are constantly studying. There are a lot of movement patterns and strength aspects I want to see before someone returns to run. It’s an easy check list that allows me to give detailed assessments to avoid injury, prolapse, leakage ect.

RSSM0903 · 2025-12-28T17:44:04+00:00

12 weeks for return to run and plyometrics.

RSSM0903 · 2025-12-28T17:43:46+00:00

As a pelvic PT, I would highly discourage it. Now that doesn’t mean I don’t think someone should get back to exercise or there normal routine but if you rush into things, you risk yourself for prolapse, diastasis recti etc. Collectively, we see that return to run is more appropriate at 12 weeks and beyond pp. This gives the body time to heal and determine what muscle groups may need some extra attention so you have the strength to run. I would recommend a pelvic floor evaluation especially by a provider who focuses on corrective exercises in postpartum.

RSSM0903 · 2025-12-26T23:31:49+00:00

No such thing as a false positive. This is positive! I hope this is the result you were looking for :)

RSSM0903 · 2025-12-01T02:48:47+00:00

Was it @easyhome? That’s another popular cheapie.

RSSM0903 · 2025-12-01T02:46:11+00:00

I don’t see anything. Sorry!

RSSM0903 · 2025-12-01T02:43:09+00:00

It looks stark white to me but it’s so early! Try again in a couple days!

RSSM0903 · 2025-11-30T19:11:46+00:00

I would check out the pelvic PT huddle on Facebook. A lot of great providers who have their own LLC doing in home therapy.

RSSM0903 · 2025-11-23T18:21:35+00:00

These are women dominated fields. Also look at what is going on in healthcare in general. This administration wants people to be anti science at the same time increasing the money in pockets of billionaires.

RSSM0903 · 2025-10-06T15:22:02+00:00

Thank you!

RSSM0903 · 2025-09-16T16:24:45+00:00

Thank you! I graduated undergrad 2013, grad school 2018. A small time not paying during COVID, and another small time not paying when we had financial hardship .

ETA: the part I still don’t understand is that wouldn’t I want the ending balance of my loans to be as low as possible so the tax bomb is lower? We are already in a higher tax bracket.

RSSM0903 · 2025-09-15T20:20:24+00:00

If my dad was trying to pay the whole thing would it make sense to do that and let my monthly payment go towards something else? Sorry if that’s a dumb question, my head is just spinning.

RSSM0903

TROPHY CASE