Michelle Parr PT, DPT, ATC
  • July 2, 2026 | 10:25 AM - 11:20 AM
  • PCC,105AB

Beyond the Core: Pressure, Pelvic Floor, and the Conversations We’re Not Having About Back Pain

Despite comprehensive rehabilitation and performance programs, tactical athletes and active populations often suffer from recurring back pain. Traditional approaches may overlook core contributors such as dysfunctional breathing, impaired intra-abdominal pressure regulation, and pelvic floor dysfunction. This session addresses these gaps and equips athletic trainers with the clinical insight and communication tools to identify, explain, and treat these complex cases, especially when symptoms cross into “awkward” or sensitive territory. Participants will learn to normalize difficult conversations and integrate holistic bracing strategies into their evaluation and intervention plans.

Learning Objectives - Identify overlooked biomechanical and physiological contributors to persistent back pain, including the role of pressure regulation, diaphragmatic function, and pelvic floor coordination.
- Choose effective cueing strategies for breathing and bracing patterns that promote intra-abdominal pressure and lumbar stability.
- Recognize when red flags or "systems" symptoms (e.g., urinary leakage, GI distress, sexual dysfunction) warrant referral or modification of care.
- Apply strategies for navigating sensitive health discussions to improve patient compliance, outcomes, and long-term function.

Keywords: Tactica Athlete; Diaphragm; Pressure Management

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