My gynecologist suggested I try core stabilization exercises to help prevent back pain after a hysterectomy. How do I get started?

Research has shown that normal muscle activity between the abdominal muscles and trunk muscles is needed to provide core stability. Stiffness, support, and strength of the trunk and spine are another way to define "core stability".

These muscles must contract with strength but at the right time and in the right sequence for each movement. That requires strength as well as proper motor control. Back pain can occur when deep abdominal and pelvic floor muscles are either not contracting or are not in sync with one another.

Spinal stabilization exercises are often called core training. Programs offering core training, Pilates, or spinal stabilization come in a wide variety of choices. Local health clubs often provide core training or pilates classes. You may be able to find some videos at your public library with any of these titles.

Two very popular and easy-to-follow books are available for the average consumer. The Core Program and Instant Relief were both written by a physical therapist (Peggy Brill) who has devoted her professional life to developing an exercise program for women. These are available at: www.brillpt.com.

Men and women are both finding the benefits of core training for many problems including pelvic pain, back pain, and incontinence.

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