The Weak Core Complexities

Hey everyone. I hope you are enjoying Labour Day weekend!  After the massive flood we had here in Windsor, it's nice to see the sun shining again.

I just wanted to give an update on my first visit to Physiofit last week. I had my initial consultation which went very well.  Catherine Norcia, a Registered Physiotherapist, Pelvic Floor & Vestibular Rehabilitation Specialist really helped to explain a lot of what is going on with my body.  We talked for quite a while going through my medical history, as she wanted to get a full picture of what has been going on. Then she did a full internal assessment, as well as external, which included assessing how I walk.  

I learned quite a few things, which will be helpful in my recovery, including that I have an anterior pelvic tilt and quite a bit of a hip sway when walking. I also have a very weak core and so that affects the spine, hips, pelvic region, etc...  I knew that staying in bed for long periods of time because of pain would take a toll on my body. However, we can work on strengthening my core, which will help in all areas.

Another interesting discovery is that many people who have any kind of abdominal surgery can develop pelvic floor issues. This makes sense because this pain did correlate around the time when I had my gall bladder surgery. The muscles get weak and so if you're not aware of it, then those muscles become very inflexible and cause a lot of pain.  For me, I had so much going on physically and emotionally that my body just felt on fire.

I was given a few specific exercises to do until the next time we meet, so I have been diligently following the routine daily.

The plan is to do weekly pelvic floor physiotherapy WITH regular physiotherapy to build/strengthen my core. If I was only to do pelvic floor, it wouldn't address the other issues.  Ugh, my insurance is almost up for coverage, but I think this is definitely something that I need right now to get back on the path to recovery, and so once there is progress, I can spread out the visits more.

What do I like about Physiofit so far?

• Cleanliness. The environment is very clean. I know to a lot of people that's not really the first thing that they look for, but considering how intimate sessions are with the internal work being done, I really appreciate the extra time they take to make sure everything is clean and sanitized.

• Professionalism. The staff I have met so far are friendly and Catherine is so knowledgeable in her areas of study. I felt the assessment was extremely thorough compared to anything I have had prior with their bio-mechanical physiotherapy approach.

• Engaging Communication. Ever go to an appointment and feel like you're talking to the wall? It's the most frustrating experience ever. Having someone who is aware of your limitations is awesome, as well as showing genuine compassion. It's great to have detailed explanations with verbal speech, visuals and written information. 

• Flexibility. Extremely accommodating with scheduling sessions! 

• Accountability. Giving me "homework" to do at home. I love this idea because it makes me accountable for healing as well.  If I don't do the work, I won't see the benefits.

• Collaboration. I signed a form giving permission for Catherine to retrieve any medical documents from my family doctor that will better help with my treatment and provide updates. I really like this idea so everyone is in the loop.

At the end of the session, I received a goodie bag! As you can see with the photo, I was given brochures of all different services, including some muscle gel and lotion. 

All the services offered here

So that's where things are at the moment. My next session is on Tuesday, so i'll update again soon!

If you have any specific questions, you can always leave a comment or just send me a note by e-mail or Facebook.

As always, thank you for all the support!

*Update 2019: Catherine moved back to Montreal, so she is no longer at Physiofit. However they hope to have another pf therapist in soon.

The Kegel Dilemma: Pelvic Floor Dysfunction

For those of us who have chronically tight muscles, do kegels help or harm our condition? Common sense tells me that if you try and tighten an already restrictive area, it will cause more tension, but others stress that some that have tight pelvic muscles also have weak areas, in which kegels assist in strengthening the pelvic floor overall.

Pelvic Floor Info

The pain that a lot of us with PFD have can be excruciating at times. It's like a rubber band is tied to your abdomen, hips and pelvis and it won't let go. It's still a mystery as to what causes this. Some professionals in various fields of study state sexual abuse or other traumatic stressful events can contribute because many hold onto the pain and tighten up as defense or safety mechanism, others say it's an abnormality at birth, physical trauma, and the list goes on and on. Whatever the reason(s) may be, I know that this condition is physically and mentally draining.


I have good days and bad days. We take for granted simple every day occurrences like having a normal bowel movement or just putting on pants! Until you are not able to do these things properly, it doesn't really enter your mind. I miss the days of being able to wear tights or even a bathing suit. I haven't gone swimming in years and I used to love being in the water. Anything too tight against me feels like a knife. Sometimes I catch myself staring a little too long at women who are wearing cute leggings. I'm not a creep, I swear, i'm just envious of your abilities to wear what I can't.

After going through a plethora of testing, my last MRI came back all clear and so my gastro doc said that I should try physiotherapy again because based on my symptoms, my muscles are probably not contracting properly and I need the "internal" work.  I am doing a number of other things, which I can discuss later in another blog.

I will say that finding someone who specializes in PFD here in Windsor, Ontario has been a struggle. I've scoured website after website and only found 2.  I'm at a loss that if this is such a common condition, why aren't there more therapists offering the service in the area? Probably because most of us don't want to talk about it. When you have back/knee/leg pain, everyone gets it, but intimate areas, you kind of shy away from discussing. I get it, but maybe if we did talk more about this, we can educate others and reduce the number of misdiagnoses.  I know when I look up London and the surrounding areas, and even as far as Toronto, i'm floored with the number of options available for both men and women!

I was told the Pelvic Floor Rehabilitation program includes the following:

"Treatments are both internal and external to completely evaluate the pelvic floor muscles as well as the surrounding joints ( pelvis, back and hip) and other muscles (gluts, IT band etc.). She also evaluates the abdominal muscles as this can lead to causing more pain and tightening of the pelvic floor muscles and transversus (abdominal muscles) if the smaller muscles are not firing properly." 

I am hopeful with physiotherapy they can help me and get my body to an optimal level. It will take time, I know this, but i'm curious for their full assessment. A silly goal, but one that I have hoped for is to be able to touch my toes without bending my knees.  Again, another thing that most people can do without hesitation, but for me, my body says "nope, sorry Mel, not going to happen." I try to challenge my mind, but it can be stubborn as a mule.

I am certainly learning more about my body than ever before, which is a good thing. The mind/body connection is strong. I know that movement is very important. Learning to live with limitations has been very difficult, as I used to be such a different person. I also want to gain weight because throughout this ordeal over the last while, my eating patterns have been complicated. There are so many "weight loss" programs but I never ever see anything for healthy weight gain for those who are petite like me.

Again, it seems like everyone has the answers for weight loss and we empathize, but the moment someone is approached asking how they can gain weight, you get the snickers and rolled eyes. We're cast aside because we don't have problems like those who are obese, we're not "real" women anyhow. Size 0's don't matter.  I don't go out my way to ostracize or belittle you, but you can do that to me?  I love how the shaming goes. I love the hypocrisy.

Such a disgraceful meme, but with a pretty awesome response:

TRUTH

From my experience, very few can suggest gradual weight gain that doesn't involve drinking enormous amounts of protein shakes and eating stacks of perogies and fattening high caloric foods. So you go from one extreme to the other, feeling just as miserable or even more so, adding on other health issues that go along with being overweight! Anyhow, I digress, but that is a topic which really aggravates me to no end.

With chronic conditions, we're very hypersensitive to a lot of sensations throughout our bodies. I can feel digestive distress far more than the average person and when I have spasms and no one else can feel them, it makes me wonder, is this all in my head? I try to shake that thought because no, it's not all in my head. Yes, stress exacerbates the symptoms, but my pain is damn real and it hurts.

I know that I wouldn't have gotten this far without the amazing support of my family, fiancé and his mom, as well as the genuine friends who have stuck by me that I can now only count on my fingers. They are my guides and i'm grateful for them.

Cold Play - Fix You

So that's where we are on my health journey! I truly appreciate all the support. I will update again soon.

*Note: with pdf, you can have the opposite and experience very weak muscles, especially after child-birth. I am only discussing the condition as it applies to those who have chronic tightness