PRE AND POSTPARTUM REHABILITATION
The demands of pregnancy and the continuous changes to the expecting mother’s body can often result in pain and instability. Your body undergoes many changes with pregnancy, including increased laxity in your ligaments and joints. As your baby grows, your center of gravity shifts forward, resulting in postural changes that cause back, hip, and leg pain. Common orthopedic diagnoses of the prenatal patient include, but are not limited to:
- Back pain
- Sciatica (pain radiating from the buttock down the leg)
- Sacro-iliac dysfunction
- Pubic pain and/or pubic symphysis separation
- Carpal tunnel syndrome
At ATP we can reduce your pain through manual therapy techniques, postural education, and strengthening exercises that safely follow pregnancy precautions. Our specialized focus on Pilates rehabilitation offers a safe and gentle exercise program specifically modified for any stage of pregnancy. Strengthening and stabilizing will improve your function and reduce pain during your pregnancy, as well as prepare and assist you during labor, aide in a quick recovery, and return you to your pre-pregnancy state.
Postpartum Rehabilitation: Our physical therapists are skilled in addressing the needs of the new mother, whether you are experiencing neck and back pain or pelvic floor dysfunction. At ATP, we integrate manual therapy techniques and therapeutic exercise to address post-partum joint dysfunction and muscle imbalance.
Your physical therapy treatment will address safe ways to protect your body while caring for your growing baby, including lifting, carrying, and feeding techniques. We will facilitate a return to pre-pregnancy function and integrate a fitness program into your busy new life as a mom. Our physical therapists are in close communication with our personal training team and will work to transition you to an exercise program that will assist you in reaching your fitness goals, whether it’s returning to your pre-pregnancy size or feeling better than ever.
Postpartum conditions that physical therapy can address include:
- Floor dysfunctions including urinary/fecal incontinence
- Pelvic organ prolapse
- Pelvic pain, Diastasis Recti Abdominis (abdominal separation)
- Neck and back pain
- DeQuervain’s syndrome (hand and wrist tendonitis)
- Shoulder pain and tendonitis
Incontinence is when one is unable to restrain natural discharges or evacuations of urine or feces. One of the most effective conservative methods of treating urinary and fecal incontinence is through pelvic floor exercise. Specific muscle training, in addition to a combination of a good bladder health, proper posture, core and pelvic floor strengthening can control up to 95% of the symptoms of incontinence, minimizing or eliminating the need for medications and/or surgery.
At ATP, a physical therapist completes a thorough evaluation including, but not limited to, an analysis of your eating, drinking, and voiding habits; assessment of your posture, hip strength/flexibility, body mechanics and gait, as well as abdominal and pelvic floor strength.
Treatment may include bladder and/or bowel retraining, manual therapy techniques, hip and core strengthening utilizing traditional and Pilates-based methods and a progressive pelvic floor strengthening program utilizing functional training and biofeedback. Biofeedback is a safe and pain-free method of evaluating and treating the pelvic floor, allowing the patient to see pelvic floor contractions on a computer screen. It is an effective tool in training patients to perform a proper Kegel, and progress pelvic floor strength.
Approximately 61% of women with chronic pelvic go undiagnosed. There are many different types of pelvic pain with many different causes, and physical therapy is effective in the treatment of pelvic pain related to musculoskeletal origin. Once your physician has ruled out disease, infection, and anatomical anomalies, physical therapy can help.
Other diagnosis/dysfunctions treated at ATP include:
- Pelvic organ prolapse/descent
- Overactive/Underactive/Non-Functioning pelvic floor muscles
- Post surgical dysfunctions
- Sexual dysfunctions
- Colorectal dysfunction
- Coccyx Disorder
- Post-Prostatectomy Incontinence
- Pain Management for over-active bladder syndrome or Interstitial Cystitis and Vulvadynia
- Proctalgia fugax
- Neurogenic Bladder