PERFORMANCE + RECOVERY

How I am managing the stress from running a business, raising kids, and training for a half marathon with the help of the Apollo wearable.

To put it simply, life has been a little crazy lately. In late 2022 I decided to start my own pelvic floor physical therapy practice and I am quickly learning that there is a lot that goes into running a business. I have big goals and every day I strive to improve my business so I can help more women receive the help and care that they deserve. To be blunt, it is a lot and I find that having boundaries between work life and home life is pretty challenging. 

Speaking of home life, while trying to get my business off the ground and running I’m also  doing my best to raise three kids ages five and under. It’s not news to anyone that parenthood is not for the faint of heart. On an average day my mood fluctuates from pure adoration, to frustration, to overwhelm, and back to absolute joy. Phew, motherhood is a trip. 

One thing I have been doing that’s just for me is training for a half marathon. I find that challenging myself physically is a way to channel some of my physical and mental stress. And while I chose  to sign up for a half marathon, sometimes finding the time to fit in longer runs can be a bit stressful. I want to make sure my body is prepared and ready to run 13.1 miles come race day.

How This Affects My Mental Health

Needless to say, all of this has an impact on my mental health and stress level. Some days I can feel myself sitting with a baseline resting anxiety. My mind is constantly circulating between what I’m currently doing and what needs to be done. I try taking some deep breaths or repeating positive mantras but sometimes the anxiety remains. 

I often feel like I’m constantly racing from one thing to the next. Get up, rush to exercise, race to get the kids ready and drop them off at school, run to get to work, and rush back home for the night time routine, and repeat. I know that during times like this my central nervous system fight or flight response is elevated. Falling asleep at night can feel challenging because the “rest and digest” part of my nervous system is having a hard time kicking on. 

And I know, I am not alone in these experiences. As a pelvic health physical therapist I work with numerous women and mothers who experience these same things. In fact research has shown that those experiencing pelvic pain or other pelvic floor dysfunctions may have an upregulated central nervous system. There are strong indications that women hold stress and tension within their pelvic floor muscles.

The Central Nervous System and Heart Rate Variability (HRV)

I spend a lot of time working with these individuals teaching strategies to down regulate the central nervous system and specifically, the autonomic nervous system (ANS).  The ANS controls the body’s automatic functions, like digestion, breathing, reproduction, immunity as well as survival. The ANS works tirelessly to maintain balance in the face of changing conditions within our bodies and the environment. At every moment, the two central branches exert opposing functions on the body: one stimulates action toward survival, while the other calms us down. It is important that people improve their ability to balance these branches and recover from stressors encountered in everyday life. 

One way to measure central nervous system regulation is through the measurement of heart rate variability. Heart rate variability (HRV) is how much our heart rate changes over time that can be used to understand how our bodies are recovering from stress throughout the day. HRV is not only our most accurate measure of how recovered we are, it’s also a measure of adaptability, our ability to adapt to changes in our environment and bounce back from things that try to knock us down. An even more straightforward definition is that HRV is a gauge of our well-being.

Apollo Neuro

The Apollo Wearable

Because I experience these feelings too, I can speak from personal experience on what works and what doesn’t. Lately, I’ve been using the Apollo wearable. Apollo is a wellness wearable that actively improves your body’s resilience to stress, so you can relax, sleep, focus, recover, and feel better. It’s like a wearable hug for your nervous system that helps you be a calmer, more mindful version of yourself. 

Worn on the wrist, ankle, or as a clip attached to your clothing, the Apollo device works by engaging with your sense of touch, delivering silent, soothing vibrations that help you feel safe and in control. Apollo Neuro’s scientifically validated technology uses silent, soothing touch therapy to rebalance and strengthen your nervous system, helping you go from “fight or flight” to “rest and digest”. 

Use the Apollo Neuro app to transition through your day and night, with modes to help you relax, fall asleep, focus, recover, and stay calm and present. Like a workout for your nervous system, consistency is key. The more you use it, the better it works.  

You simply choose a desired setting from your app on your phone  and the wearable does the rest. Personally, I find the soothing vibrations grounding but not distracting. The Apollo seemed to help keep me in the moment instead of letting my mind wander to stress and anxiety about all the things on my to-do list.  While using the Apollo I have found it easier to transition between work life and home life. I also like using it to help settle down at night when trying to fall asleep or when I am finishing up a more intense workout or long distance run. It’s simple to use and can easily be integrated into your day. 

How to Get Your Apollo Wearable

Developed by neuroscientists and physicians, the Apollo wearable has been tested in multiple clinical trials and real-world studies, and is proven to improve heart rate variability (HRV), a key biometric of stress resilience. It’s safe, non-invasive, and appropriate for both adults and children. 

Over time, your body learns to recover from stress more quickly, so you can relax, sleep better, and find deep, meaningful focus, anytime and anywhere. 

Stress is a normal response to being a human. We all have stress. But it’s how you respond to stressors (environmental, physical, psychological or otherwise) that matters. Other helpful ways to manage our autonomic nervous system include diaphragmatic breathing, mindfulness, meditation, aromatherapy, spending time in nature or massage.  The Apollo device works by engaging with your sense of touch through soothing vibrations. It’s easy to integrate into your everyday lie. 

I found that consistency is key when using the Apollo and the more I utilized the various settings on the  device the better I was able to adapt to stressors whether it was coming down from a quick run or transitioning from work to home life. 

Get yours today by heading to their website. After you give it a try I’d love to hear what you think. 

What other strategies do you use to manage stress? Leave a comment below!

-Dr. Monica 

5 Ways to Help Your Postpartum Recovery

The body undergoes a significant amount of change during pregnancy and childbirth. Our bodies and bellies are stretched to the max and then often put through either a major surgery or a physically exhausting labor to bring our beautiful babies into the world. It can take weeks to months to fully heal and every woman’s recovery is different. But do not fear, there are several things you can do to help your immediate postpartum recovery. 

Without a doubt Baby #3 has been my best recovery. Between this being my third go around, plus my additional education on the postpartum body, I have discovered several things that have helped me feel better sooner. There are a number of things I have done differently but here are the five main things that have helped my body heal after baby.

1. Hydrate

postpartum recovery

Your body needs water! Depending on your specific labor and delivery experience your body likely lost some amount of blood and fluids. Water helps your body heal and function properly. It can aid in decreasing fatigue levels, improving muscle function, decreasing swelling, increasing milk production, and so much more. You should aim to have at least 64 oz of water a day. But an even better goal is to consume half your body weight in ounces of water daily. For example if you weigh 160lbs you should try to drink 80 oz of water a day. 

After Baby #3 was born I couldn’t get enough water. I brought my favorite water bottle to the hospital and went through a 32oz water bottle every few hours. Drinking a lot of water definitely helped reduce my swelling and my body fatigue. 

2. Eat Nutritious Foods

nutritious foods

Fruit, vegetables, and other high fiber foods can help quiet a bit with postpartum recovery. Eating nutritious foods can help with bowel function and offer important vitamins and minerals to aid in our bodies recovery. High protein foods can also be extremely helpful in healing postpartum. Foods high in collagen such as bone broth, chicken, fish, egg whites, and citrus fruits helps promote healing of the connective tissue in your body. Additionally, eating a healthy diet also helps with milk production if you’re a nursing mother.

During my hospital stay and the next couple weeks to follow I made sure to eat a good amount of fruit, vegetables, and protein. I know it can be really difficult to eat a healthy meal with a newborn, especially if there are older kids on the scene. My trick was to make sure my fridge was stocked with my favorite fruit, easy to eat vegetables, hummus, yogurt, and other grab and go items. Additionally, I had meal prepped several crockpot meals that were high in protein and other nutrient dense foods. Stay tuned for my Baby Meal Prep blog post. 

3. Breath Work 

postpartum breath work

To start your postpartum recovery, proper breathing is essential in retraining the activation of your deep core (abdominal) muscles. Breathing properly is very important for proper function of your core muscles, bladder, rectum, and pelvic floor. You can start with a simple diaphragmatic breathing exercise explained below. 

Diaphragmatic Breathing Exercise: 

  • Step 1: Lay on your back with knees flexed with one hand on  your stomach, and one on your chest. 
  • Step 2: Take a deep breath in through your nose. Chest should minimally move while your belly and lower ribs should expand out into your hand. 
  • Step 3: Slowly let the breath out through pursed lips (like you are blowing out a candle). As you blow out, feel your deep abdominal muscles activate and your belly tighten. 

Repeat for 5-10 breaths. Laying down is the best way to stay relaxed and tune into your breath and muscle activation. As you progress, perform this breathing exercise in sitting or standing

You also want to be sure to avoid the valsalva maneuver (or holding your breath) with bearing down or exerting yourself including bowel movements, sitting up, picking your baby up, or any other strenuous activities. This places excessive pressure on the pelvic floor and can cause hemorrhoids, prolapse, or other incontinence issues. 

Check out my blog post Are You Breathing The Right Way to learn more about how breath impacts our body. 

4. Tend To Your Pelvic Floor

physical therapy postpartum

After delivery, the tissues of your pelvic floor may be swollen and painful. Ice is your best friend! Place ice packs between your thighs as needed to help reduce pain and swelling. Twenty minute increments are recommended. 

Strengthening: After delivery, it is recommended to strengthen your pelvic floor muscles. This will help decrease incontinence (leakage of urine) and help return support to the organs that sit closest to your pelvic floor. Start pelvic floor contractions (Kegels) once pain and swelling have gone away. To do this, lay on your back, bend your hips and knees up with your feet supported and contract your pelvic floor by imagining bringing the tissues between your upper thighs up and in towards your abdomen. To feel the muscles activate, place a hand over your perineum and you should feel the tissues pull away from your hand. Do not hold your breath while performing these contractions.

I started doing kegels day three after delivery. I started with performing them in a seated position. Aim for 10 sec holds and doing a set of 10. I then moved on to performing them throughout the day in standing and during dynamic activity such as walking or squatting. Being able to contract and relax your pelvic floor muscles properly is imperative to your postpartum recovery. Check out more about the pelvic floor in “Is It Normal To Pee When You Sneeze?”.

5. Sleep & Rest 

Sleep Positions

Did you know your body heals itself while you are sleeping? Our bodies need sleep to recover. I know in those first couple weeks postpartum sleep and rest can be very hard to come by. What I have learned is to accept help and prioritize sleep. Let your partner take care of the baby, say no to visitors so you can nap when the baby naps, and let that pile of laundry sit another day. Sleep and rest is so important to our physical and emotional health. Try to get as much sleep and rest as possible those first couple weeks to allow your body to recover. 

Final Thoughts About Postpartum Recovery

This post is for informational purposes only. Talk to your doctor or medical professional if you have any questions about your postpartum recovery. I believe that all moms should have more education and help in their postpartum recovery. Please check out my post Bouncing Back After Baby (Why All Moms Should Have Physical Therapy After Pregnancy)

Your body went through many changes during pregnancy and delivery. Some of these changes may resolve on their own, but some may not. It is NOT normal to experience the following conditions after 6 weeks postpartum. Please let your doctor know at your follow up visit (or later) if you have:

  • Back pain
  • Pelvic pain
  • Pain with sex
  • Incontinence/ urinary leakage
  • Abdominal separation
  • Discomfort with C-section scar
  • Questions about safe return to exercise 

Pregnancy and childbirth is amazing but definitely hard on our bodies. The best thing you can do is be educated and proactive in your health, wellness, and recovery. Feel free to reach out if you have any questions about pregnancy or postpartum health and wellness.  You got this mama! 

Monica 

Postpartum recovery

Fall Health & Wellness from BabbleBoxx

This post is sponsored by Babble Boxx. 

Can you believe it’s already September? I mean seriously, where did the time go? Soon we will be swapping our sandals and tank tops for sweaters and tall boots. And with fall just around the corner it’s never too early to start preparing our bodies to maximize our health and wellness. I always say the best offense is a good defense and there are many ways we can set our bodies up for success. Luckily I’ve partnered with Babble Boxx to try out some fantastic products to stay healthy and happy as the cooler season approaches. Check out these six amazing items geared towards fall time health and wellness from BabbleBoxx. 

Apple Cider Vinegar from Bragg

Bragg Apple Cider

I love using apple cider vinegar as part of my “healthy habits” routine. I’ve used it for years because Bragg’s Organic Apple Cider Vinegar has special acids, enzymes, and strands of “The Mother” which can help control appetite, manage weight gain, maintain healthy blood sugar levels, and maintain healthy cholesterol levels. Its’ prebiotic elements help with gut health which plays a huge role in our immune system function. One of my favorite ways to use apple cider vinegar is in my homemade salad dressings. For this maple Dijon salad dressing simply blend 1 TBSP of Braggs Apple Cider Vinegar, 1 TBSP of olive oil, 1/2 TBSP of Dijon mustard, 1 tsp of maple syrup, and salt/pepper. Head to the Braggs website to check out all their amazing products and snag yourself a bottle of apple cider vinegar. You can use code BABBLE10 at Bragg.com to get 10% off your order. 

Mineral 89 Prebiotic from Vichy

Did you know that stress has a damaging effect on the skin barrier and the skin’s ability to repair itself? This can result in visible signs including dryness, redness, dullness, and fine lines. Vichy Mineral 89 Prebiotic face serum was specially designed with mineral-rich Vichy volcanic water, viteroscilla ferment, and niacinamide  to combat these changes brought on by stress.  This prebiotic serum accelerates the skin’s barrier repair while protecting against future aggressors. I tried this serum as part of my daily skin care routine by simply applying 2-3 drops on cleansed skin morning and evening. This Vichy face serum is such a simple way to help take care of your skin as the cooler months approach. Users saw visible results of +45% enhanced radiance, +28% improved texture and -23% reduction in fine lines in only four weeks. 

Fully- Prepared, 100% Plant- Based Meal Delivery from Veestro

We all know I am a big fan of cooking and preparing my own meals. But as a full time working mom of two (soon to be three) I don’t always have the time. I still like to make sure I am fueling my body with healthy, nutrient rich foods. Veestro makes fully-prepared, 100% plant based meals that are shipped straight to your door. They offer a huge variety of chef-crafted, delicious meal options that can be enjoyed knowing you are nourishing your body with healthy organic, non-gmo, plant-based food. Plus the convenience of simply heating and eating is unbeatable. Head to the Veestro website and receive up to $120 off your first 4 shipments with code BABBLEBOX at checkout to apply promotion to order. Offer expires 10/31/21 at 11:59 PM CT. 

Sugar Scrub from Tree Hut

tree hut sugar scrub

Practicing a little self care is one of my favorite ways to relax and unwind. I don’t often have time to run out to the spa or nail salon but luckily a little pampering is easy to do at home with the right products. Tree Hut’s Margarita Citron Sugar Scrub is a great way to quench and brighten dull, dry skin with the juicy scent of Margarita Citron. This sugar scrub has lime enriched with Vitamin C to help improve texture and tone, agave to sooth and hydrate skin, and Shea Butter to deeply moisturize and soften skin in order to promote elasticity. Perfect to use during a warm shower or bath this body scrub will keep my skin looking fresh and bright all year round. You can grab your own Tree Hut Sugar Scrub by heading to Ulta.com

On-The-Go Hydration from HALO

HALO Hydration on the go

Staying hydrated is crucial for our daily health and wellness. Unfortunately many of us are not getting the hydration we need to keep our bodies functioning at optimal levels. HALO offers a guilt-free hydration perfect for everyday use. Their electrolyte powder is a delicious way to turn up the flavor of your water with only 15 calories and 1g of sugar per stick (less than 90% of the market leader). HALO has the vitamins and minerals your body craves formulated with ionic electrolytes for refreshing complete hydration in a delicious, low calorie package. Each stick has 1,200mg of Vitamin C to boost immunity (10x more than market leader) and B Vitamins to maintain energy and support metabolism. Woo woo! These convenient hydration sticks are ideal for healthy hydration anytime, anywhere. Shop now on HALOhydration.com and use code: HALO20 for 20% off. 

Lip Balm from Flexitol 

Lip Balm from Flexitol

Dry, chapped lips is something I personally battle every fall and winter. That Midwest weather can be harsh on our bodies. If you know you know. Flexitol Lip Balm is the perfect way to protect our lips from the dryness of the environment or provide relief from the drying side effects of certain medications such as those used to treat acne or vitamin deficiencies. This lip moisturizer has an easy application tip and leaves your lips feeling smooth, cool, and hydrated. I am looking forward to using it all year round to help prevent peeling, flaky, itchy lips and relieve painful cracked and chapped lips. Flexitol Lip Balm is non-addictive and non-habit forming, with menthol and camphor to provide cooling relief.  You’ll be sure to find this convenient little tube  in my purse all fall season. Do your lips a favor and grab your own tube on Amazon.com.

It’s never to early to start prepping our bodies for healthy living. What are some of your favorite products to keep your body healthy and well throughout the cooler months? Drop a comment and be sure to check out some of these great products above. 

Monica 

4 of The Best Muscles to Strengthen During Pregnancy

Ahhh pregnancy, such a beautiful time. But boy oh boy, does it come with some challenges. And with nausea, fatigue, and an ever growing belly exercise, might seem like the last thing on your mind during pregnancy. But exercise throughout pregnancy has numerous benefits for mom and baby. You can read my previous post about Exercise & Pregnancy to learn why it is so important to stay physically active during pregnancy. With pregnancy comes a whole slew of physical changes. Between a growing uterus, increasing weight gain, loosening ligaments, and other physiological changes, pregnancy can be a lot on the body. A great way to manage these changes and to continue to stay active during pregnancy is to strengthen several main muscle groups. If you’re looking to feel better throughout your pregnancy and even help prepare your body for childbirth and postpartum you definitely want to incorporate strengthening or stabilization exercises into your routine. So what muscles are important to strengthen and why? 

Physical Changes During Pregnancy

important muscles for strengthening during pregnancy

When you stop and think about it, pregnancy is crazy. In a matter of 9-10 months a woman’s body grows another 6, 7, 8 (maybe even 10) pound human. That’s insane. During this time the body releases a hormone known as relaxin to loosen the ligaments and help the pelvis make room for a growing baby. Unfortunately this leads to joint laxity and instability which can cause discomfort and pain, especially in the back, hips, and pelvic region.

Speaking of this growing baby, a pregnant woman tends to gain a decent amount of weight in a short amount of time. Between the increase in fluid, blood volume, placenta, and the baby itself a pregnant woman gains on average 25-35 lbs. Most of this weight is in the midsection which can cause further stress and pressure on the abdomen, hips, pelvis, and pelvic floor.

Some of the common musculoskeletal related complaints experienced by pregnant women include:

  • Low Back Pain
  • Tailbone Pain
  • Hip Pain
  • Pelvic Pain
  • Sciatica
  • Pubic Symphysis pain
  • Core Weakness/Instability

Remember this post if for informational purposes only and should not substitute medical advice. If you are experiencing pain during pregnancy you should always speak with the appropriate health care provider. But a good place to start when experiencing muscle aches, pain, “tightness” sensations, or feelings of instability is to strengthen your muscles.

Why Muscle Strength Is So Important When Pregnant

Muscles are responsible for holding our body in place. The muscles do most of the work of keeping us upright and functional. When muscles are weak and not performing their particular responsibilities the body suffers. Weakness leads to tightness or over fatigue of other muscles, ligamentous strains, or joint inflammation. A particular pain is likely to persist if you don’t address what’s causing the problem in the first place. And most often there is some type of muscle weakness or imbalance occurring in the body.

the best muscles to strengthen during pregnancy

Pregnancy is a prefect opportunity for problem areas to reveal themselves. As ligaments become more lax the muscles have to work overtime. And with added weight, pressure, and lengthening of some muscle groups the muscles of the abdomen, hips, and pelvis really need to be carrying their weight (pun intended).

As the belly grows it can stretch out the muscles of the abdomen. This creates a problem with the length/tension relationship of the muscle making it have to work even harder to contract and relax appropriately. Likewise, a pregnant woman’s posture also changes. Her feet may turn out and she may began to lean backwards to counter balance the weight of the belly. Again this puts the muscles of the hips, core, and butt in an unfavorable position preventing them from working effectively. So let’s strengthen those muscle up to allow them to hold and support mama’s growing body.

4 Important Muscles To Strengthen In Pregnancy

 

Hip Flexors

hip flexors for pregnancy exerciseThe hip flexors are the muscles that lie on the front of the hip. They play important roles in both core stability and gait. These muscles help support the low back and hips. The hip flexors connect the low back to the legs and counterbalance muscles that run along your backside. They assist you in taking forward steps. Due to changing postures and core weakness these muscles often become tight and weak during pregnancy. This can lead to pain or compensations made by other muscles. One of the best ways to prevent these changes is to strengthen the hip flexors.

Gluteus Maximus

gluteus maximus for pregnancy exercise

The body is chain and all muscles groups are working together to keep the body balanced and functional. Along with the hip flexors you want to strengthen the opposing muscle group of the glutes, aka your butt. The gluteus maximus is a very large muscle that plays a big role in supporting your hips and low back. This muscle definitely needs to be strong and “turned on” to maintain good posture, movement, and stability. A strong gluteus maximus can aid in prevention of low back, hip, and knee pain.  

 

Gluteus Medius

pregnancy stabilization musclesThe gluteus medius is another glute muscle. This one is slightly smaller than the maximus and lies more on the side aspect of your butt. The gluteus medius is a very important muscle for lateral stability. It aids in stabilizing your pelvis, especially during any activities that require standing on one leg. Similar to the gluteus maximus this muscle can help prevent pain and discomfort in the low back, pelvis, and lower extremities. 

Core/Abdomen

abdominals during pregnancyThe core is one area of the body that will inevitably go through significant change before and after pregnancy. A diastasis recti, or separation of the abdominals, happens in most pregnancies. Nevertheless, continuing to strengthen the muscles of the core and work the abdominal muscles and fascia throughout pregnancy’s will keep these tissues healthy and strong. 

This is not an all inclusive list. There are numerous other muscles that should be strengthened for a strong healthy body. Muscles of the neck, shoulders, mid back, lower back, pelvic floor, legs, and feet are all important. These four areas are just a nice place to start for some global stabilization.  

Other Important Tips About Exercise During Pregnancy

You can read more about the benefits of exercise in my blog post Exercise and Pregnancy. As well as strengthening it can be helpful to incorporate cardiovascular exercise and stretching to maximize physical health benefits. Always check with your doctor prior to beginning an exercise program during pregnancy.
strengthening during pregnancy
 
If you are looking for more exercise ideas to strengthen muscle during and after pregnancy check out some of these workouts below: 
 
Try this Reistance Band Hip Stabilization Routine: 
 

Repeat for 3 sets

  • Shuffle with squat 
  • Straight leg raise with one knee bent
  • Straight leg raise with both knees straight
  • Fire hydrants
  • Donkey Kicks
  • Slow Sumo Squats 

Perform each exercise slow and with good quality movement. Ensure your core is braced and you’re breathing throughout the exercise. 

 

For glute or pelvic strengthening check out my posts:

For core strengthening you can check out my posts:
 
And a friendly reminder that your body goes through drastic changes during and after pregnancy. It may be necessary to see a Physical Therapist following pregnancy to ensure all your muscles are healing and functioning properly. Learn how a physical therapist can help with your recovery in Bouncing Back After Baby. 
 
Finally, ever body is different and every single pregnancy is different. What works for one woman may not work for you. Give yourself grace and remember what an amazing job your body is doing. 
 
Good luck and happy strengthening!
 
Monica