Thank you!

Hi Linda, I don’t have any rehab videos on this topic since there are PTs that specialize in this area and it’s not an area I treat as an orthopedic PT. However, I did interview a pelvic health PT on my podcast and she talked about some patients demonstrating increased tone and tightness in the pelvic floor muscles while others demonstrate muscle weakness and decreased activation. Here is a link for the podcast episode, if you want to watch it.

https://youtu.be/4LPoovq1A18

I don’t think it matters a ton since most of these tools appear to be very similar. Here is the one I have in my clinic. https://amzn.to/3RkWeFn

Thank you for joining, Erin! For SI joint pain, I would recommend following my low back pain program, which also addresses SI joint dysfunction. Here is a link for the program. If you have any questions along the way, please feel free to comment in the community or send me a message in the direct message area.

https://membership.rehabscience.com/programs/back-pain?category_id=259689

Aavash@123 The decision to move from one phase to the next is based on your symptoms and ability to perform exercises with full range of motion and good control. If you can perform all of the exercises in a given phase with mild or less pain, full range of motion and good movement control, then you are probably ready to move to the next phase in the program.

I’m glad the video was helpful and that you are enjoying my book!

👍👍

That’s great to hear!

Aavash@123 Great question. The main difference comes down to the fact that when someone works one-on-one with a physiotherapist, the exercise selection is based on an individualized evaluation.

During an in-person assessment, a physiotherapist looks at many factors, including your symptoms, movement patterns, strength, mobility, irritability of the condition, functional limitations, and your goals. Based on those findings, they choose the exercises that are most appropriate for you at that specific point in your recovery. A patient may be given one or two exercises from Phase 2, a couple from Phase 3, and perhaps one from Phase 4, while completely skipping Phase 1 exercises if they are not needed. The physiotherapist is essentially creating a customized program by selecting the “best tools” from different phases.

The reason my programs are structured differently is because they are designed to help a larger number of people who I have not personally evaluated. Since I cannot assess each person’s unique presentation, I need to create a more general progression that is appropriate and safe for the majority of people experiencing a particular condition.

The purpose of the phases is not that every person must complete every exercise in every phase. Instead, the phases represent a general progression of rehabilitation principles.

Phase 1 is typically focused on calming symptoms, improving tolerance to movement, restoring basic control, and introducing exercises that are appropriate for people who may be more sensitive or irritable. Some people may not need this phase, but for others it provides an important foundation.

Phase 2 generally progresses toward building more control, and addressing any range of motion impairments that may be present.

Phase 3 introduces more challenging exercises that require greater strength, coordination, and load tolerance.

When you work with a physiotherapist, they can often start you somewhere in the middle because they have already evaluated you and determined where you fit in that progression. They are selecting the exercises from different phases that match your current needs.

With my programs, the phased approach provides a structured pathway that allows people to gradually build capacity while reducing the risk of doing exercises that may be too advanced too early. It is a more generalized roadmap rather than a replacement for an individualized assessment.

Think of it like learning a new skill. A coach working with you personally may immediately identify that you already have certain abilities and start you at a higher level. A general training program has to assume a wider range of starting points, so it builds a foundation and progresses step by step.

The goal of both approaches is the same: choosing the right exercises at the right time to help you regain strength, confidence, and function.

Sorry to miss you today, Linda! I hope your summer is going well so far!