Pre Natal – Post Natal Programmes

ANTE – NATAL PHYSIOTHERAPY : A NUMBER OF FACTORS CONTRIBUTE TO MUSCLE AND JOINT PROBLEMS DURING PREGNANCY. THESE INCLUDE:

  • The release of the hormone relaxing from about 10 week’s gestation. This loosens ligaments through the body but especially around the pelvis.
  • An exaggerationof the lumbar iosdosis (curve) to compensate for the change in the bodies center of gravity.
  • Weakening of the pelvic floor and lower abdominal area due to hormonal changes and muscles stretching.

COMMON COMPLAINTS (WHICH WE CAN TREAT) INCLUDE :

  • Symphysis pubis dysfunction: symptoms may include pain in the pubic bone especially when walking or separating the legs.

  • Sacroiliac joint dysfunction: pain around dimple joints at the back of the pelvis, buttocks and down the legs.

  • Lower back pain: pain when walking or standing on one leg.

  • Thoracic spine pain: This may present itself as general tightened, pain localized to the rib cage or pain when deep breathing.

  • Knee pain

TREATMENT:

  • Education regarding posture and back care
  • Exercises to improve muscle control around your pelvis and spine
  • Education of the pevic floor
  • Stretches
  • Safe modalities like TENS for pain relief
  • K taping

POST – NATAL PHYSIOTHERAPY

WOMEN COMMONLY EXPERIENCE MUSCLE AND JOINT PAIN POSTNATALLY AND THE FOLLOWING ARE CONTRIBUTING FACTORS :

  • Weakness of the lower abdominal and pfm in both vaginal and caesarian deliveries
  • Long periods spent sitting whilst feeding the baby can contribute to tightness in the upper body
  • The presence of the hormone relaxing in the weeks post-delivery and whilst breast feeding loosens ligaments which are then more vulnerable to sprains and strains
  • Unaccustomed lifting and bending over cots, car seats etc.

PROBLEMS ENCOUNTERED:

  • Scar Management
  • Pelvic floor muscle weakness, and stress incontinence
  • Lower back pain
  • Thoracic spine pain
  • Neck and upper shoulder pain and stiffness
  • Sacroiliac joint dysfunction

TREATMENT:-

  • Advice on back care whilst feeding and lifting your baby
  • Advice on posture
  • Exercises to improve muscle control around the pelvis and spine
  • Mobilizations and stretches for stiff joints and the spine
  • Massage
  • Electrotherapy