I have a client who had separation of the pubic symphysis a couple of years ago. She wants to strengthen that area in order to have another baby. I believe that the abdominals, lower back and adductor group need to be strengthened. Can you please help me out with some specific exercises for this?
Your client should benefit from a balance of all muscles around the pelvis. The short adductors tend toward tightness, not weakness so they should be stretched. An adequate stretch is done sitting with soles of feet together at the midline. With elbows on the inside of the knees, press downward with elbows. Hold for 30 seconds and repeat. Do this daily for a week and two to three times a week thereafter to maintain. The lumbar erector spinae are also likely to be tight.
Once you have stretched those, use an abdominal curl to strengthen the anterior torso muscles. A reverse curl done supine with hips flexed to 90 degrees is also useful. The movement for a reverse curl is initiated at the tailbone, not by reaching the feet toward the ceiling. Small lifts of the tailbone will strengthen the lower fibers of the rectus abdominis. In addition, the client's hip abductors should be checked for function as they are primary supporters of the pelvis in standing and walking.