During pregnancy and childbirth, many physical changes occur to a woman’s body including altered posture, muscle weakness, and pain that can have a negative impact on the musculoskeletal system. The goal of pre and postnatal rehabilitation is to relieve pain, regain pre-pregnancy fitness levels, reduce the likelihood of postpartum depression, and treat complications that may have arisen during pregnancy and childbirth.
Pelvic/ SI Joint pain
Low back pain
Upper body conditions (carpal tunnel syndrome, tendonitis, and thoracic outlet syndrome)
There are various causes for pelvic pain in pre and postpartum women, which could be related to pelvic organ prolapse, pubic symphysis separation, or as simple as pain resulting from an episiotomy. Tight pelvic floor muscles can cause persistent perineal pain (the area between the vagina and the anus), even after healing has occurred.
DeQuervain’s Tenosynovitis is pain with thumb and wrist movements caused by inflammation of tendons along the wrist. The condition can begin antenatal secondary to fluid retention and hormonal changes; however, it appears to be more frequent in the postpartum period with overuse during childcare activities.
Carpal tunnel syndrome is compression of the median nerve due to water retention in the body. The typical symptoms are numbness and tingling in the thumb, index finger, middle finger, and radial half of the ring finger.
Pain in the low back and neck are common occurrences during pregnancy and in the postpartum period. The causes have been attributed to both increased strain on the low back and altered hormones. Typical pain locations include the low back and the sacroiliac joints (just below the dimples on the low back). Pain in the neck is more common following childbirth as new postures are assumed to care for the new infant. Prolonged poor postures can place a significant amount of strain on the neck and upper back, but can be prevented through proper positioning of yourself and your baby.
TYPES OF PHYSICAL
Muscle energy techniques to realign the pelvic girdle joints and lumbar spine
Soft tissue and joint mobilization’s
Pelvic floor muscle neuromuscular re-education, coordination, and strength training
Core stabilization and strengthening exercises
Postural muscle training and strengthening
Education on proper body mechanics during daily baby care activities
Modalities to treat pain (heat, cold, electrical stimulation, ultrasound)
Recommendation and fitting for appropriate support belts for various prenatal and postnatal conditions
Individualized home programs
WHEN IS THE BEST TIME
TO START REHABILITATION
在您怀孕期间和产后6周后随时与您的产科医生进行随访，并且可以恢复体育锻炼。Anytime during your pregnancy and after your 6 week post delivery follow-up with your Obstetrician Doctor and are cleared to resume physical exercise.