Split abs after pregnancy
How to Improve Diastasis Recti After Baby
Women often struggle to realize the flat and toned midsections that they enjoyed pre-baby won't always bounce right back post-delivery, and diastasis recti may be the culprit. Diastasis recti, more commonly known as abdominal separation, leaves many women looking pregnant months, even years, after delivery. But this condition is more common than you may think.
If you’ve recently given birth and are looking to strengthen and tone your abdomen, or you’re wondering how to get rid of your “mommy tummy,” here are some key facts and helpful tips for you to keep in mind.
What is Diastasis Recti?
Diastasis recti, or abdominal separation, is a fairly common condition experienced by women during and after pregnancy, in which the right and left halves of the rectus abdominis muscle spread apart at the body’s midline.
In addition to reducing the integrity and functional strength of the abdominal wall, diastasis recti can also lead to pelvic girdle instability, causing women to experience pelvic and back pain, sacroiliac (SI) joint irritation, and restricted mobility.
Hi, I'm Cheryl. I work at Moreland OB-GYN and today I'm here to talk about diastasis recti. What is diastasis recti? It is the separation of the left and right abdominal muscles that happens during pregnancy.
Why does it happen? The connective tissue between your right and left abdominal muscle group is called the linea alba. The hormonal changes that happen during pregnancy soften connective tissue and break down the linea alba causing a protrusion of the abdominal area or a little pooch belly. Will you develop a diastasis recti? Some women will and some women won't. Women who are short or petite in nature, if you have had a separation of muscles in previous pregnancies, you're most likely to develop it again, or if you've had previous medical conditions. If you're a previous exerciser and have strong muscles, that will help you to prevent any weakness as baby grows. It's also encouraged to perform the "log roll" maneuver in bed before getting up. I hope you have found this video and instructions useful. It is our mission at Moreland OB-GYN to lead you to better health.
What Causes Diastasis Recti?
During pregnancy, widening and thinning of the midline abdominal tissue occurs in response to the force of the growing uterus pushing against the abdominal wall. This, combined with pregnancy hormones that soften connective tissue, creates a small amount of widening of the midline and is normal.
Diastasis recti occurs in approximately 30-percent of all pregnancies and can develop anytime in the latter half of pregnancy. However, the condition is most commonly seen after pregnancy when the abdominal wall is lax, and the thinner midline tissue no longer provides adequate support for the torso and internal organs.
Those at the greatest risk of diastasis recti include:
- Women who are expecting more than one baby
- Petite women
- Women with a visible sway back and those with poor abdominal muscle tone
- Women who are considered obese
However, genetics also plays a significant role in determining whether your abdominal muscles will separate. For most women, it’s simply how their bodies respond to pregnancy.
How Do I Know If I Have Diastasis Recti?
A simple self-test will help you to determine if you have diastasis recti. Follow these steps:
- Lie on your back with your knees bent, and place the soles of your feet on the floor.
- Place one hand behind your head, and your other hand on your abdomen, with your fingertips across your midline, parallel with your waistline, at the level of your belly button.
- With your abdominal wall relaxed, gently press your fingertips into your abdomen.
- Roll your upper body off the floor into a “crunch,” making sure that your rib cage moves closer to your pelvis.
- Move your fingertips back and forth across your midline, feeling for the right and left sides of your rectus abdominis muscle. Test for separation at, above, and below your belly button.
If you feel a gap of more than two-and-a-half finger-widths when your rectus abdominis is fully contracted, the gap doesn’t shrink as your contract your abdominal wall, or you can see a small mound of tissue protruding along the length of your midline, you most likely have diastasis recti.
Are There Any At-Home Treatments for Diastasis Recti?
The good news is that the vast majority of women can close their midlines and flatten their abdominal walls with proper rehabilitation exercises.
Transverse Abdominis Activation
While lying on your back with your knees bent, draw your belly button in towards your spine. Contract your stomach muscles (as if coughing or sneezing) and hold this position. When this becomes easy and pain-free, move on to the next exercise.
- Repeat: 10 Times
- Hold: 3 Seconds
- Complete: 3 Sets
- Perform: 2 Times a day
Brace Heel Slides
While lying on your back with your knees bent, perform the transverse abdominis contraction as outlined in the first exercise. Hold this position with your stomach and slowly slide your heel forward on the floor or bed and then slide it back. Use your stomach muscles to keep your spine from moving. When this becomes easy and pain-free, move on to the next exercise.
- Repeat: 10 Times
- Complete: 3 Sets
- Perform: 2 Times a day
Brace Marching
While lying on your back with your knees bent, perform the transverse abdominis contraction as outlined in the first exercise. Slowly raise up one foot a few inches and then set it back down. Next, perform on your other leg. Use your stomach muscles to keep your spine from moving. When this becomes easy and pain-free, move on to the next exercise.
- Repeat: 10 Times
- Complete: 3 Sets
- Perform: 2 Times a day
Brace Single Knee Extension
While lying on your back with knees bent, perform the transverse abdominis contraction as outlined in the first exercise. Slowly straighten out one knee while keeping the leg off the ground. Hold as indicated, then return to original position. Next, perform on the other leg. Keep your stomach muscles contracted.
- Repeat: 10 Times
- Complete: 3 Sets
- Perform: 1 Time a day
When Do I Need to See My Doctor for Diastasis Recti?
In extreme cases of diastasis recti, abdominal tissue may tear, which may cause internal organs to poke out of the opening, also known as a hernia. In severe cases, the protruding organ may become strangulated, causing the blood supply to get cut off, which may lead to infection and tissue death. If you suspect you have a hernia, we encourage you to see your doctor for a physical exam or other diagnostic tests.
Why Choose Moreland OB-GYN?
We understand how important it is for women to “get back to normal” as soon as possible after pregnancy, and while many are comfortable diving back into their previous exercise routines, some women may need a little guidance. We’re happy to answer any questions that you have and deliver a personalized care plan tailored specifically to your needs.
At Moreland OB-GYN, we specialize in women’s health care and prioritizing the needs of our patients at all ages and stages of life. We hope you’ll connect with us to answer your questions and we hope you’ll turn to our experts as a trusted source for information.
Abdominal separation (diastasis recti) during pregnancy – exercises and treatment
Abdominal separation (diastasis recti) during pregnancy – exercises and treatment | Pregnancy Birth and Baby beginning of content7-minute read
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Key facts
- Abdominal separation is when the 2 long, parallel muscles in your stomach separate from each other.
- This is a common thing to happen in the second half of your pregnancy.
- Abdominal separation usually gets better by itself.
- You can help to prevent and manage abdominal separation by doing exercises.
- See your doctor or physiotherapist to find out the best exercises for you.
Where are my abdominal muscles?
Think about the area on your tummy where the ‘six-pack’ muscles appear. This is the area we mean when we talk about the abdominal muscles.
There are several different abdominal muscles:
- the external oblique muscles
- the internal oblique muscles
- the rectus abdominis muscles
- the transversus abdominis muscles
Your abdominal muscles support your body and give you core stability.
What is abdominal separation?
Abdominal separation is a common condition. It is also called ‘diastasis recti’ or ‘DRAM’ (diastasis of rectus abdominis muscle).
The long muscles of your abdomen (rectus abdominis) run from your chest to your pelvis. They lie just under the skin, down the middle of your belly. Abdominal separation is when these 2 long muscles separate from each other.
Abdominal separation may start in the second half of your pregnancy. It’s a natural adaption to your growing baby.
Abdominal separation often gets better in the first 6 to 8 weeks after having your baby.
Illustration shows normal abdominal muscles alongside abdominal muscles after diastasis recti (DRAM), also known as abdominal separation.What are the signs and symptoms of abdominal separation?
If you have abdominal separation you may be able to see a gap between your abdominal muscles. The separation isn’t painful.
You may feel that your core has become weak, for example when lifting something like a laundry basket.
You can check if you have an abdominal separation by trying this:
- lie on your back with your knees bent up
- place your flat fingertips across your belly at the level of your belly button
- lift your head and shoulders away from the floor and feel for the sides of your abdominal muscles coming together
- if you can feel a gap wider than one finger, then you may have a separation
You might also notice a canoe-shaped ’pouch’ in the middle of your stomach. This is easier to see when your abdominal muscles are being used. You can look when you try to sit up from lying down.
If you have abdominal separation, you may also get lower back pain. This is because your abdominal muscles also support your back. When these muscles are stretched and separated, they don’t work so well.
People with abdominal separation can also have pelvic floor issues.
If you think you may have abdominal separation, see your doctor or maternal health service.
What causes abdominal separation?
Abdominal separation is due to:
- the pressure of your growing baby
- stretching of the muscles and connective tissue in your abdomen
- the hormonal changes that take place during pregnancy
- weight gain
Abdominal separation is more likely if you:
- have had more than one pregnancy
- are aged over 35 years
- are having twins or triplets (or more)
- are overweight or obese
Any activity that involves raising the pressure in your abdomen can add to abdominal separation. For example, pushing during the labour and delivery of your baby, straining on the toilet, and being overweight.
How is abdominal separation diagnosed?
Your doctor, midwife or physiotherapist can check to see if you have an abdominal separation. They can measure the separation with:
- their fingers
- a measuring tape
- by ultrasound
Does abdominal separation go away by itself?
Abdominal separation usually goes away in the weeks after the birth of your baby. Up to 1 in 3 people still report an abdominal separation a year after the birth.
How can abdominal separation be prevented during pregnancy?
Strengthening your core muscles before you get pregnant or in the early stages of pregnancy might help you avoid abdominal separation.
Exercise during pregnancy can help you to get fit for the birth and labour.
You can do exercises to strengthen your deep abdominal and pelvic floor muscles. A safe way to do this and improve core strength is by drawing in your muscles without moving your spine. To do this, try to imagine sucking your belly button in towards your spine.
Try not to put too much strain on your outer abdominal muscles while pregnant.
Try not to cough a lot or get constipated. See your doctor or pharmacist for advice on how to manage a cough or constipation.
How is abdominal separation after the birth treated?
Try these tips to stop your separation getting worse:
- don’t lift things that weigh more than your baby
- roll onto your side when getting out of bed or sitting up
- choose exercises that strengthen your deeper stomach muscles
- skip activities and movements that can make abdominal separation worse, such as sit-ups (crunches), oblique curls and some yoga poses
There is a good chance that with time and care, your muscles will come back together.
If you have abdominal muscle separation, your doctor may refer you to a specialist physiotherapist. They will give you a special exercise program.
You can also wear a supportive brace or special underwear to help support your back.
If your abdominal separation continues to limit your ability to do daily tasks you can ask your doctor about surgery.
Resources and support
If you notice that your stomach muscles feel different you can check with your doctor, midwife or physiotherapist.
You can find a physiotherapist near you using the Service Finder.
FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.
You can read more about physiotherapy after pregnancy here.
You can learn more about your pelvic floor at Pelvic Floor First.
Speak to a maternal child health nurse
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
Sources:
Australian Journal of General Practice (Exercise after pregnancy), The Royal Women’s Hospital (Abdominal Muscle Separation Or Diastasis), Physiotherapy for Women, SA (Ab separation in pregnancy: Diastasis what now?), Pelvic Floor First, an initiative of the Continence Foundation of Australia (Re-thinking abdominal training in pregnant and postnatal women), Cleveland Clinic (Diastasis Recti)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: December 2022
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Related pages
- Exercising during pregnancy
- Safe return to exercise after pregnancy
- Pelvic floor exercises
- Looking after your body after having a baby
- Yoga and Pilates during pregnancy
- Physiotherapy advice after pregnancy
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Abs after childbirth - when to start and what is prohibited
Contents
- When can you start pumping the press after childbirth
- Contraindications for abdominal exercises after childbirth
- Tips for getting started
- Basic abdominal exercises
- Additional exercises effective for pumping the press
- Fitball and baby exercises
- Diastasis - a special attitude to the restoration of the press
- Diastasis exercises
- What else to do with diastasis
- How to increase the load after a while
After childbirth, in the vast majority of cases, the figure of a woman changes significantly. This is especially true of the abdomen, whose muscles become weakened, and the skin stretched and flabby. Looking at themselves in the mirror after being discharged from the hospital, many women are immediately determined to bring themselves into a prenatal state and achieve a perfectly flat stomach. The desire is understandable and quite commendable, however, newly-made mothers should understand that it is unlikely that it will be possible to realize it instantly.
When can I start doing abs after childbirth
It will be possible to achieve the goal of getting her body in shape after a while, if a woman persists, eats right and exercises it reasonably. Starting to pump the press after childbirth, without waiting for the body to recover and be ready for active sports exercises, can cost a woman certain health problems. The duration of the rest period after childbirth - the time without any serious physical exertion - is individual and depends on how the delivery took place.
During natural childbirth, do not start active physical training, including pumping the press after childbirth, for about 7 weeks. After a caesarean section, which is essentially a surgical intervention, this period depends on the condition of the scars after the operation, and with normal indicators, the period increases to 12 weeks.
Contraindications for abdominal exercises after childbirth
In some cases, the question of when it is possible to pump the press after childbirth can only be answered by a doctor after consultation and additional examination. This is especially true for situations where a woman decided to pump the press with diastasis. Its presence suggests exercises for the press, which are different from the usual ones.
Caesarean section and diagnosed diastasis require a visit to a doctor and a decision on whether a woman can start training or not. In addition, there are contraindications in which the doctor will unambiguously prohibit heavy physical exertion and sports exercises, including the press after childbirth.
Such contraindications include:
- damage to internal organs;
- scars on the uterus;
- spotting;
- inflammatory diseases of the pelvic organs.
These symptoms make it impossible until cured training and exercises that involve the abdominal muscles.
Tips for starting workouts
You need to be careful not to exhaust yourself with long workouts in the fight for a flat stomach. A woman, even if she has no contraindications, should do exercises for the press in accordance with her level of physical fitness. In the matter of restoring the press after childbirth, it is not the number of approaches and not the intensity that is important, but the regularity. You need to start by practicing the correct technique for the abdominal exercises included in the training program. And not immediately, but after preparing the body for stress. Yoga, Pilates and light cardio workouts are the best for this purpose.
Breathing exercises that develop the diaphragm can help. Such exercises will tone the muscles, and it will become safer, more effective and easier to work on the press after childbirth. But the desire to pump up the press without preparation after childbirth can lead to a weakening of the pelvic floor muscles and the omission of internal organs.
Basic exercises for the press
After preparing the body for physical activity, you can proceed to the basic exercises to restore the press after childbirth - "Birch", "Reverse Bridge" or "Vacuum". The first two exercises should be done in the starting position “lying on your back”. When doing the “Birch”, support the hips with your hands, lifting your legs up, which helps to strengthen the lower press. With the “Reverse Bridge”, the legs are bent at the knees, lifting the hips up, bending in the back and then slowly lowering to the starting position.
First, repeat the exercise 10-15 times per set. In addition to the ability to quickly pump up the press after childbirth, such an exercise will help tighten the hips and buttocks. Performing the “Vacuum”, they take a deep breath with the stomach, exhale smoothly, pulling it back and forth, hold their breath and fix in this position until you can not breathe. Then release the stomach and take a smooth breath. For beginners, 3-5 repetitions are enough.
Additional exercises effective for pumping the press
Exercises available at home - Bicycle, Plank and Lift. They are simple and give a good effect if you want to quickly restore the press after childbirth. “Bicycle” is done lying on your back and raising your legs at an angle of 60 degrees, simulating the rotation of the pedals. The Planck universal exercise will strengthen not only the press, but also other muscle groups. It is done by lying on the floor with the body raised on the elbows or straight arms so that it is parallel to the floor.
Not so common, but effective for restoring a tucked-up abdomen after childbirth, is the “Lift” exercise. Sitting on the floor and pressing the back and shoulders against the wall, hands are placed on the stomach, mentally imagining that the abdominal muscles are an elevator that needs to be raised and lowered from the first floor to the last with a straight back. Then alternately raise the "elevator" from 1 floor to 2, from 1 to 3 and so on, while holding the abdominal muscles for 3-5 seconds.
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Exercises with a fitball and with a baby
One of the most gentle ways to pump the press after childbirth is exercises on a fitball. They perfectly tone the abdominal muscles with minimal stress on the back. One of these exercises is performed in the starting position lying on the floor with straight legs lying on the fitball. The hips are lifted up, rolling the ball back and forth with alternating movements of the legs. In addition to restoring the press after childbirth, the exercise contributes to the development of the muscles of the chest and buttocks.
You can combine business with pleasure by doing exercises with your baby at home, when, in addition to training for the press, the mother spends time with the child, paying attention to him and delivering positive emotions. Do the exercise, standing against the wall with straight legs. One leg is bent at the knee and raised. The baby needs to be seated on the thigh of the outstretched leg and rock the child up and down. Then you need to repeat the same for the second leg.
Diastasis - a special attitude to the restoration of the press
A special approach to rocking the press after childbirth must be used if a woman is diagnosed with postpartum diastasis. This term means the divergence of the press, abdominal muscles along the center line. To check if a woman has diastasis, she can independently at home. To do this, you need to lie on the floor, bend your knees, raise your torso, straining your abs.
The appearance between the rectus abdominis muscles when probing the cleft indicates the presence of diastasis. This means that after childbirth, special exercises for the press will be required, and it will also be necessary to wear a bandage. With a rupture of the press and physical exertion, it will protect damaged muscles and contribute to their faster return to their original state.
Exercises for diastasis
The restorative exercises for diastasis themselves also differ from those that can be recommended after childbirth for women who do not have a press discrepancy or by the time the rest period ends and the transition to the active phase it has been eliminated by itself. First of all, as already mentioned, you need to consult a doctor. And if he does not object to the start of training for the press after childbirth, proceed to classes. Classical training of the press must be categorically excluded, otherwise all efforts will lead to an increase in diastasis and, as a result, the growth of the abdomen.
Experts advise a unique exercise that can be done while sitting, standing, lying down, without being distracted from other activities:
- pulling in the stomach, "stretch" the navel to the spine;
- alternating relaxation and retraction, create fast pulsating movements;
- breathing is even, without delay.
Such pulsations of the abdominal muscles should be performed no more than 100.
What else to do with diastasis
Exercise to retract and relax the abdominal muscles is effective, but not the only one that can help women who have had a postpartum rupture of the press to regain shape after childbirth . Experts consider the exercise "Cat" to be effective. To perform it, you need to get on all fours, pulling in your stomach, and arch your back. Then, on the contrary, the stomach must be pulled in, and the back should be bent in an arc to the floor.
An exercise that is repeated 10-15 times while lying on your back will help in restoring the press with diastasis. As you exhale, raise your head off the floor and press your chin to your chest. The abdomen should be pulled in. On inspiration, they return to their original position. It is also recommended to stretch the lower back with a repetition of 10-15 times in each direction. It is done by turning the head in one direction, and the legs, bent at the knees, in the opposite direction, lingering in this position. It is important to keep the stomach pulled in.
How to increase the load over time
Over time, the load can be gradually increased. To remove the stomach, you need to gradually increase the number of exercises included in the daily workout at home. At a time when the body has already fully recovered, and the doctor does not mind going to the gym, you can increase the time spent in training. Gradually and carefully, you can complicate the exercises themselves, adding elements to them that make their implementation more difficult.
Progressively it is worth increasing the number of repetitions of this or that exercise. For example, starting with a couple of approaches, you can gradually increase their number to 5. The intensity of training should also increase at the same time. A competent integrated approach to increasing physical activity will certainly give good results and allow you to quickly restore a flat stomach after childbirth.
Our online course offers a program for young mothers, which is aimed, among other things, at strengthening the abdominal muscles. Ksenia Vlasova, an experienced trainer, advises the course participants on an individual basis on issues of interest.
On the online course, our trainers will certainly help you build a competent training system aimed at maintaining women's health and body tone.
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Press after childbirth | How to do it right?
It is said that a woman's body changes completely after childbirth. Almost everything changes - attitudes towards food, nutrient absorption, the rate of muscle growth, or in other words, muscle response. And they also say that after childbirth it is impossible to find a visually marked press and achieve its maximum relief. Deception? Let's figure it out.
What is an abs
Some people mistakenly think that the abs are made up of two parts: an “upper” part and a “lower” part. Women after childbirth often pay attention to the "lag" of the lower abdomen, since it is in this place that subcutaneous fat accumulates, which in turn prevents the press from being noticed. In fact, there are no so-called parts. There is a longitudinal press - these are the same cubes along the abdomen, the transverse muscle - it is under the longitudinal, and two oblique ones. In order for there to be a visible result in working with the press, it is not enough to do twisting. It is necessary to increase the time of cardio and the number of static exercises. We remember that the relief press is an indicator of a low level of subcutaneous fat on the abdomen.
When can I start doing abs?
In this matter, it is important to pay attention to the individual characteristics and severity of childbirth. Natural childbirth or caesarean section, how quickly the uterus returns to its original state, were there any complications, what is the hormonal background, etc. In any case, only the attending physician can give the correct recommendations, he will also guide you in terms of timing. The average indicators (this is when all examinations after childbirth are within the normal range) show that after natural childbirth, you can start training the press after two months, after a cesarean section - after 3-4 months. Attention, if after the start of training you feel discomfort, non-specific pain, bloody discharge or other unusual symptoms appear, then you need to stop training and consult a specialist.
Features of training after childbirth
1. Start small
Even if you were an avid athlete before pregnancy, any physical activity after childbirth should begin with small loads, increasing gradually. The same goes for the press - start small. Start from the number of repetitions per day, and each time do ten times more.
Do not immediately resort to large weights or heavy loads. It makes no sense. Our task is not to increase muscle volume, but to reduce the amount of fat in the problem area.
2. Warm-up
Hormonal changes in the body during pregnancy lead to an increase in the amount of subcutaneous fat. Most of it is most often a layer on the stomach, which is not easy to get rid of in the future. Therefore, first take the time to warm up, warm up properly, do cardio or dance, play active games with your child, or just do high-rep simple exercises.
3. Breathing
Set up correct breathing so that you can do it intensively and rhythmically. Tighten your muscles as you exhale, pull in your stomach.
4. Regularity
Regularity is the key to success. For our press, exercises are needed every day. It is better to do it in the morning, an hour before breakfast or two hours after it.
What is diastasis?
Not always a round belly and a disproportionate waist indicate an incorrect and sedentary lifestyle. This person may have diastasis. Diastasis is a separation of the longitudinal muscles of the abdomen. Most often this occurs due to childbirth, and also appears in people with a hereditary predisposition, obesity and weak abdominal muscles.
Determining the presence of diastasis is very simple. Get into a crunch position, place your feet as close to your buttocks as possible, and start twisting. At this time, feel the abdomen along the press with your fingers. If by sensations you have identified a hollow between the longitudinal muscles of the abdomen, you should think about the presence of diastasis.
What to do?
This pathology can lead to a number of problems in the future. This is the risk of hernias of various localization, and disruption of the digestive system, diseases of the spine, etc.
It is important to choose the right set of exercises to work on diastasis. Use bodyflex in your workouts. The alternation of inhalation and exhalation during exercise increases their effectiveness. There are exercises that you need to exclude from your program, these are those that can contribute to the occurrence of hernias (deadlift, lifting the pelvis-birch). In this case, it is better to use a pull-down belt or a supporting corset. With diastasis, only a balanced diet is recommended, foods should help digestion, fiber must be present. At first, it is better to choose breathing exercises - “pulsating the abdomen”, “pulling in the abdomen”, and then move on to more complex ones, for example, “modernized bicycle” or “alternating breathing”.
Abdominal exercises after childbirth
1. Glute bridge
Although the word "glute" appears in the name of the exercise, it is done with an emphasis on the press. It gives the softest effect on the abdominal muscles. Take a prone position, bend your knees, tighten your abs and lift your pelvis.
2. Classic crunches
Lie down, knees bent, hands in front of you or slightly touching the back of the head. As you exhale, lift your shoulders and head and pull them towards your knees.
3. Plank
An exercise that will strengthen not only the abs, but also other muscle groups. Lying position on the floor. Raise your whole body, standing on straight arms or on your elbows. As a result, the body stands on the hands and toes, parallel to the floor. Try not to lift your pelvis.
4. Bicycle
Lie on your back.