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       What is the purpose of a HEALTHY CORE?


The CORE is so essential to the overall health and well-being of an individual. The CORE consists of the myofascial system within the lumbopelvic region. Specifically, the DEEP CORE consists of the respiratory diaphragm, the transversus abdominus (deepest abdominal muscle), the pelvic floor muscles and the multifidus, a segmental stabilizer of the spine.


The CORE is what stabilizes or holds together the pelvic organs, joints and spine. It stabilizes the trunk during upper and lower extremity movement. The CORE affects sports performance as lung expansion is needed during exercise, which involves the respiratory diaphragm. The CORE is responsible for good posture since the spine and pelvis are the foundation of our skeleton, much like the basement of a house. The CORE, along with the inner ear (vestibular system) and ankle help with balance and stability during static and dynamic activities. The CORE helps promote normal bowel and bladder function; to hold in urine and stool and also for normal elimination (urination and defecation). The CORE also needs to be healthy to promote normal sexual function as often the pelvic floor muscles are too tight, or hypertonic, when there is a dysfunction.


Any disruption in the function of the CORE can lead to the following problems:


  • Back or pelvic pain

  • Sacroiliac (SI) joint dysfunction

  • Pelvic organ prolapse (POP)

  • Urinary or fecal incontinence, urgency or frequency

  • Constipation

  • Hip pain, knee pain or other dysfunctions

  • Menstrual cramps

  • Abnormal breathing patterns

  • Poor posture

  • Poor balance

  • Painful penetration (dyspareunia)      


The CORE has to be healthy or other compensations will occur that often lead to pain and dysfunction.  Despite what is common, sit-ups and crunches are NOT the best exercise to improve CORE strength.


Along with hands-on treatment, dry needling and therapeutic exercise that incorporates Pilates principles in order to retrain the DEEP CORE muscles is essential. Healthy Core therapists can help RESTORE the CORE!

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