Low Back Pain and Low Hanging Fruit

Top 3 Reasons Muscles Never Fully Relax

Why you should keep moving when you have low back pain!

CrossFit Open 2025 Your Guide to Preparation and Recovery The CrossFit Open is here, and whether you're a seasoned athlete or a first-time participant, it's an event like no other! I've been participating in the Open for the past few years—not as a professional CrossFitter, but just for the sheer fun and challenge of it. The energy at Shoofly Athletics, where I compete, is unmatched. The cheers, the adrenaline, and the personal breakthroughs make it an incredible experience. Somehow, I always find strength I didn’t know I had! As a physical therapist, I know firsthand how important it is to prepare properly and recover effectively. Here are my top tips to help you get the most out of the Open, stay injury-free, and recover like a pro. Preparing for the Open 1. Have a Performance-Based PT on Call Having a knowledgeable performance PT can be a game-changer. If you don’t have one, let me be that person for you! Even if you're not a patient at our clinic, I’m happy to answer your questions. Feel free to text me at 919-948-0881 or email amanda.brewer@evolveptnc.com. 2. Prioritize Mobility and Accessory Work Make sure you're dedicating 3-4 sessions per week to mobility and accessory exercises. If you need a plan, follow us on Instagram @EvolvePT.NC , where we’re posting Open Prep videos to help you stay on track. Game Day: How to Perform Your Best The Night Before Fuel your body with a well-balanced dinner rich in carbohydrates and protein. The Open is a marathon, not a sprint, and proper fueling will make a difference. We’ll be sharing some great pre-Open meal ideas on our Instagram and blog! The Day Of Fuel Up 2 hours before: Eat a balanced meal, such as eggs, potatoes, toast, and fruit or a Greek yogurt bowl with fruit and granola. 30 minutes before: Have quick carbs like gummies, applesauce, or a banana to give you a final energy boost. Warm Up Properly A 15-20 minute warm-up that mimics your workout is essential. Don't just hop on a bike or rower for five minutes—this won’t prepare your body properly and increases your risk of injury. We’ll be sharing optimal warm-ups for each Open workout on our Instagram @EvolvePT.NC —so be sure to check them out! Recovery Between Workouts 1. Schedule a Recovery Visit Nagging issues won’t disappear on their own, and pushing through pain can lead to injury. Even if you feel fine, maintenance techniques like dry needling, cupping, and scraping can help muscles recover efficiently and prepare for the next workout. We offer 15-minute complimentary Recovery Room visits after each session, including Normatec Boots, heating pads, and red light therapy. Want to schedule a session? Text 919-948-0880, and Sarah will set you up! 2. Keep Up with Mobility and Accessory Work Recovery isn’t just about rest—it’s about active recovery. Keep your body moving with targeted mobility work to ensure optimal performance throughout the Open. Post-Open Recovery Plan 1. Refuel Your Body Your muscles need protein to repair and grow. A good rule of thumb is 1 gram of protein per pound of body weight . For example, if you weigh 200 lbs, aim for 200g of protein per day to support recovery. 2. Meet with Your Performance PT After the Open, it's crucial to assess any aches, pains, or weaknesses that surfaced during the workouts. A professional evaluation can help prevent future injuries, accelerate recovery, and improve performance for next year! Ready to Crush the Open? By following these steps, you’ll not only perform at your best but also recover efficiently so you can continue training without setbacks. Want to set up a personalized plan for the CrossFit Open? Fill out our contact form here: Evolve PT Contact Form Let’s make this year’s Open your best one yet! 💪🔥

Pelvic floor dysfunction can encompass a wide range of issues related to the muscles and organs housed in the pelvis. These muscles help with childbirth, bowel and bladder movements, supporting our internal organs, sexual activity, and supporting our skeletal system. There are a wide variety of signs and symptoms for dysfunction, including hip and low back pain, tail bone pain, bowel and bladder incontinence, constipation or difficulty voiding, and increased urgency to void. However, did you know that pelvic floor dysfunction can also present as pain with intercourse and difficulty achieving an orgasm? Sexual health can be one of the most commonly over looked issues with pelvic floor dysfunction. Orgasm and sexual experiences are a complex process, and pelvic floor dysfunction can interfere with this process at a mental level, musculoskeletal level, and interfere with nerve stimulation (Handa et al., 2008). Overactivity, heaviness, or weakness of the pelvic floor muscles can make it difficult to achieve muscular contraction or may even cause pain with insertion. If nerve damage or increased sensitivity of the nerves are noted, this can negatively impact sexual health by increasing or decreasing sensitivity of the genitalia (Handa et al., 2008). Lastly, these changes or lack of sensation and muscular imbalances can create psychological challenges with sexual health and reduce libido (Martinex-Galiano, et al. 2024). If someone has pain with intercourse, this can create fear or anxiety with sexual activity which can negatively impact the physical symptoms experienced. Collectively, this can create a cyclical pattern between the physical symptoms and mental concerns, and can often worsen symptoms and experiences associated with one’s sexual health. Luckily, pelvic floor physical therapy can be a tool to help address these issues and address the deficits with muscles, nerves, and mental barriers when it comes to sexual health. Performing a thorough assessment can allow a pelvic floor PT to help develop a plan of care to help address these symptoms utilizing manual therapy techniques, exercises, education, and different tools to reduce discomfort or pain with intercourse, as well as improve the experience and discuss ways to enjoy intimacy with your partner! References: Handa, V. L., Cundiff, G., Chang, H. H., & Helzlsouer, K. J. (2008). Female sexual function and pelvic floor disorders. Obstetrics and gynecology , 111 (5), 1045–1052. https://doi.org/10.1097/AOG.0b013e31816bbe85 Martínez-Galiano J.M., Peinado-Molina, R.A., Martínez-Vazquez, S., Hita-Contreras F., Delgado-Rodríguez, M., & Hernández-Martínez, A. (2024).Influence of pelvic floor disorders on sexuality in women. Int J Gynecol Obstet , (164), 1141-1150. doi: 10.1002/ijgo.15189 Zhuo, Z., Wang, C., Yu, H., & Li, J. (2021). The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women. Sexual medicine , 9 (6), 100441. https://doi.org/10.1016/j.esxm.2021.100441

Read below things that you can do to help improve the quality of your sleep!