Guest Blog: Treating Pelvic Dysfunction in a Functional Way

Blogger's Introduction:

Full discloser, A.J. Grzesiak is my talented, assiduous, and dear brother. He and my sister-in-law Melissa are accomplished Physical Therapists, a field that works in combination with a balanced diet in order to live an active and healthy lifestyle. I am currently working on an piece discussing nutrition and bone health, which will soon appear under the "Nutrition Articles" tab. However, it occurred to me that I am fortunate to have such a resource nearby, and that my brother's wealth of knowledge should also be shared. The StepRight product he discusses his is own creation. If you wish to learn more about it, please visit the website below. Regardless, enjoy the information, take it to heart, love your bones, and please await for more information to come regarding what foods to eat to keep them healthy :-)

                                  Sincerely StuffedNutrition blogger and A.J's loving sister,  Beth



Whether talking about raising a family, starting a business, or initiating a diet there needs to be a strong foundation to build upon.  The same holds true for our bodies in that we require a stable base, or foundation to create and execute appropriate movement patterns.  In human anatomy the pelvic girdle is the keystone that bridges the gap between the primary need for stability while allowing for appropriate levels of mobility to efficiently perform daily tasks and higher level activities.

Pelvic pain or dysfunction causes a disruption in the body system that can ignite focal impairment or create a trickledown effect into other areas of our bodies.  The causes of pelvic pain are varied and range from pelvic joint problems, muscle weakness or imbalance in the pelvic floor or trunk, poor coordination of muscles that control bowel and bladder, and pregnancy or childbirth to name a few.  No matter the origin, issues stemming from the pelvis can make people highly uncomfortable, self-conscious, and affect their quality of life in many ways.

Treatment is dependent on the type of pain or dysfunction present, and the underlying components leading to a crack in the “foundation” of our bodies.  As physical therapists we strive to educate our patients throughout the process as we work to restore and normalize body alignment, muscle activity, and movement strategies.  Initially setting our patients up for success to build confidence allows us to progress to more challenging tasks.  As we work to reintegrate the patient back into their normal routines we know the value of functionally specific training and utilize the concept of specificity to help patients achieve their ultimate goals.

The STEPRIGHT™ Stability System is a new training device geared at enhancing sensorimotor coordination in weight bearing positions to improve overall functional performance.  The unique slip over the shoe design takes unstable surface training to a whole other level while allowing the user to maintain rearfoot/forefoot weight distribution, independent lower extremity control, and the ability to perform reciprocal movement patterns as seen with gait.  Improving body awareness, timing of muscle contractions, and feedforward motor responses are crucial in treating pelvic dysfunction.  STEPRIGHT™ allows you to work on abdominal bracing techniques and kegel exercises from a variety of static foot positions as well as progress toward dynamic, translational movements into the surrounding environment.  Enhancing the patients muscle activation patterns will help to make the difference in rebuilding their “foundation” and living a happy, highly functional life!

Written by:  A.J. Grzesiak, PT, DPT, OCS

For more information or to inquire about purchasing the STEPRIGHT™ Stability System please visit