• Muscle inactivity: Limited movement after procedures leads to quick deconditioning (atrophy).
• Pain or discomfort: Soreness in the abdomen, pelvis, or back makes you avoid engaging the core.
• Altered breathing patterns: Shallow breaths reduce diaphragm and deep-core engagement.
• Surgical trauma: In C-section and other surgeries, muscles and fascia are stretched or stitched, disrupting function.
• Poor posture while healing: Slouching or favoring one side creates imbalances in core and back.
• Lack of rehab guidance: Without specific post-op instructions, underuse and deconditioning persist.

• Lower back pain from insufficient spinal support.
• Poor posture such as slouching or rounded shoulders.
• Balance issues or feeling unsteady during daily tasks.
• Pelvic floor weakness (leakage with cough, sneeze, or exercise).
• Abdominal bulging or “doming”, especially with effort, possible diastasis cues.
• Fatigue with simple movements like stairs or getting up from a chair.
• Shallow breathing and limited diaphragm engagement.

• Start with breathwork: Diaphragmatic breathing to reconnect with the deep core.
• Reconnect, don’t rush: Skip early crunches; use pelvic tilts, bridges, and gentle deep-core activation.
• Posture check: Align ribs, pelvis, and spine to reduce strain and promote healing.
• Seek guidance: Our physiotherapists at VARDĀN specialize in post-surgical and postpartum recovery.
• Be patient: Healing is personal; celebrate small wins.

• Comprehensive assessment of posture, breathing, and movement.
• Manual facilitation to activate the diaphragm, deep abdominals, and pelvic floor.
• Progressive home program including alignment cues and targeted exercises.
• Posture correction to support healing and daily function.
• Empowerment: become in charge of your core and keep it strong.

I’ve been going to Vardan, Lajpat Nagar for Functional Manual Therapy since January 2025. Initially, it looked like a case of sciatica which my MRI later confirmed. But that wasn’t all. I came with a full “combo pack”: fibromyalgia (chronic pain and fatigue), hypermobility, hypersensitivity, and flat feet. Quite the jackpot, right? Still, I thought I’d bounce back soon. My physiotherapist referred me to Vardan. After a few sessions, my ortho suggested I might need surgery , something I really wanted to avoid. I spoke with Tanu, my therapist at Vardan, and she assured me she’d do her best to help manage my pain. And she did. At my worst, I was bedridden for months even taking a shower required sitting down. Fast forward to today: I walk, I go to work, I climb stairs (not too many, let’s not get ambitious), and I even go out with friends. All this is possible because of Tanu’s skill, care, and persistence, alongside my physiotherapist’s support. I call her a Miracle Worker. My therapy is still ongoing, but the difference is night and day. Thank you, Tanu, and thank you, Vardan!

- Rituparna Borah