Pelvic PT Rising

The Best Position(s) for Rectal Treatment


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Do you find yourself always treating in the same position when you do rectal with your patients?  (Or not feeling comfortable doing rectal at all)?

It's not unusual to get stuck in a rut with how we position our patients.  But I believe we can get so much more information when treating in different positions.  I'll often treat in several different positions, and they often change through the course of treatment.

We go through all of these in detail in the Rectal: Evaluation & Treatment course (Cohort #2 opens today!).

  • Sidelying - Many of us were first - and maybe only - trained in sidelying.  But that position has some major limitations.  In fact, I'll almost never treat in sidelying because I think the other options give us far more reliable information.
  • Prone - Usually my go-to early in a plan of care.  It keeps the hips in extension and allows access to the low and mid back, sacrum and more.
  • Supine - Very helpful in also working on the perineal body, doing bridges or other ab coordination exercises during an internal exam.
  • Functional - This can be standing, quadruped, child's pose, or variations of these different positions to get a better idea of what the pelvic floor is doing in the most functional positions.

Broadening your positions will give you so much more information and ensure you get the most out of treatment - which position do you find yourself treating in most often?

Rectal Evaluation & Treatment Course - Now Open!

The second cohort of the Rectal: Evaluation & Treatment course is now open (for the next three days)!  You'll get $50 off the course and a LIVE Q&A.  You can find the details at www.pelvicptrising.com/rectal.

If you want to be more confident in implementing rectal treatment for all diagnoses and patients, this is the course for you!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 400+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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Pelvic PT RisingBy Nicole Cozean, PT, DPT, WCS & Jesse Cozean

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