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 relaxin from about 10 weeks gestation. This loosens ligaments through the body but especially around the pelvis.
An exageration ofthe lumbar iosdosis (curve) to compensate for the change in the bodies centre 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 seperating the legs.
Sacrolilliac 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 tightnedd, pain localised to the rib cage or pain when deep breathing.
- Knee pain
- Education regarding posture and back care
- Exercises to improve muscle control around your pelvis and spine
- Education of the pevic floor
- 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 relaxin in the weeks post delivery and whilst breast feeding loosens ligaments which are then more vunerable to spains 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 dysfuntion
- 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