Dr. Ariana Middleman, PT, DPT

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03/24/2026

Part 3 of “things your OB probably didn’t tell you”…

Being “cleared” doesn’t mean healed ❣️

Getting cleared at 6 weeks postpartum doesn’t mean your body is fully healed and ready to return to exercise fully!!

That clearance is medical it usually means your incision is closed and there are no immediate red flags.

It does not assess:
• core function
• scar mobility
• breathing mechanics
• pelvic floor coordination
• how your body handles load, impact, or exercise

So if you walked out of that appointment thinking,
“ok… but what do I actually do now?” That’s very common!
This is what I walk moms through step by step in my online course, Level 1 Foundations 💻✨

DM me COURSE for the link!

Medical disclaimer: This content is for educational purposes only and is not medical advice. Always consult your OB or a qualified pelvic health professional for individualized care.

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03/11/2026

Part 2: things your OB probably didn’t tell you 👀

Scar numbness after a C-section is very common!! But this does NOT mean it’s something you should have to live with.

Small sensory nerves are cut during surgery, and while they can regenerate, sensation doesn’t always fully return. That’s why some moms still notice numbness or “weird” feeling areas around their scar even years later. Gentle scar work and desensitization can help improve how the area feels over time.

If you want to learn exactly how to do that safely, that’s what I teach inside the Level 1 C-section recovery course.

DM COURSE and I’ll send the details 🤍

Educational content only. Not medical advice. Always consult your healthcare provider for individualized postpartum guidance.

03/03/2026

Things your OB probably didn’t tell you before your c-section… part 1 👀

No one tells you that your scar is more than just skin level!! Your incision didn’t just affect the surface …. it went through multiple layers: skin, fascia, connective tissue, and muscle. After surgery, all of those layers have to relearn how to glide and move together again.

And when they don’t, you might notice:
• tightness or pulling
• a “tuggy” sensation
• core weakness
• changes in posture or breathing

✨ this is why scar care and deep healing matter even months or years later.

medical disclaimer:
this content is for educational purposes only and is not medical advice. always consult your healthcare provider before beginning any new exercise or recovery program.

👉 save this!!
👉 follow for part 2!

02/24/2026

Most moms think their C-section shelf = diastasis recti.
But honestly… that’s often not the main reason at all!! You can have a strong core, your gap can be healed and you can STILL have a shelf.

That’s because the shelf usually comes from what’s happening under the scar… not just the ab gap itself.

Things like lingering swelling, scar tightness, posture changes, and how pressure is managed in your core. So if you’ve been doing “all the core exercises” and nothing is changing… you’re probably just treating the wrong thing.

And this is exactly what I walk moms through inside my course all the factors that actually contribute to the shelf and what to do about them.

If you want a step-by-step plan to reconnect to your core and start improving the shelf, comment COURSE and I’ll send you the link to my Level 1 C-section recovery course 🤍

⚕️ Educational only, not medical advice.

Hearing moms say these things about the course makes me emotional 🥹🤍Because most C-section moms aren’t asking for six-pa...
02/20/2026

Hearing moms say these things about the course makes me emotional 🥹🤍

Because most C-section moms aren’t asking for six-pack abs (initially). Theyre really asking:

Is this normal? Am I healing right? Why does this still feel off? Did I mess something up?

In Level 1: Foundations for C-Section Recovery, we slow it down and rebuild from the ground up:

• Nervous system safety
• Deep core connection
• Scar confidence
• Smart, progressive movement
• Real education about what’s normal (and what’s not)

If you’re newly postpartum or preparing for a planned C-section, this is built for YOU.

👉 DM me COURSE and I’ll send you the details for Level 1.

Medical disclaimer: This content is for educational purposes only and is not medical advice. Always consult your physician or qualified healthcare provider regarding your specific recovery and before starting any new exercise or rehabilitation program.

csectionmom fourthtrimester postpartumsupport corehealing therestoremethod

02/16/2026

If you’re about to have a C-section, read this or send to a friend who is 💕✨

As a postpartum physical therapist and mom who helps moms recover from Cesarean, here’s the advice I’d give my best friend…
1. Give yourself waaaay more grace than you think you need during this time period. Youre learning how to adjust to life with a newborn while also needing to recover from major abdominal surgery.
2. Ask for help early and even set it up before if you can. I promise you will be so glad you did.
And don’t judge yourself for needing lots of help.
3. C-section recovery isn’t just about getting your incision to heal. Its about healing the layers underneath, reconnecting to your deeper core, retraining your breath and address scar tissue adhesions.

I currently have 2 spots open in my 1:1 C-section recovery coaching program🎉💻
If you want personalized guidance and support for your strongest, most confident recovery…
👉 DM me APPLY and I’ll send you the application.

Medical disclaimer: This content is for educational purposes only and is not medical advice. Always consult your healthcare provider for individualized care.

postpartumpt

02/13/2026

I wish more moms knew this about rebuilding strength after a C-section…..

Rebuilding strength after surgery isn’t just about being “cleared.” It’s really about how you reintroduce load, connection, and support.

Here’s what actually matters and what I see make the biggest difference in the moms I work with:
1️⃣ Support first– Abdominal binders can provide gentle support while your core reconnects
2️⃣ Reconnect before you strengthen– Breathwork + deep core activation set the foundation
3️⃣ Don’t ignore numbness– Gentle sensory input helps nerves reconnect over time
4️⃣ Mobilize the scar– Scar work improves tissue glide and tolerance to load
5️⃣ Train asymmetrically- Unilateral core work restores balance and control

If you want to rebuild strength safely after your C-section, my 1:1 coaching is here. DM me to learn more✨🫶🏻🎉

⚕️Educational purposes only. This is not medical advice and does not replace individualized care from a healthcare professional.

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