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Help treat Aches and Pains

As Women’s Health Physiotherapists, we can treat pregnancy-related pelvic girdle pain, low back pain, and abdominal or inguinal pain/discomfort. Low back pain and pelvic girdle pain is common and affects 44% of pregnant women in Australia.

Our Women’s Health Physiotherapists can undertake a full assessment and determine what is causing your pain and what contributing factors might be increasing your pain.

The most common causes of pain during pregnancy relate to:

  • Sacro-iliac joint
  • Round ligament
  • Decreased muscle strength of the abdomino-pelvic complex
  • Transient osteoporosis of the hip

It is possible to reduce your pain and build strength when pregnant, despite the growing weight on the pelvis with each stage of the pregnancy. Our Women’s Health Physiotherapist will not only treat you and inform you but will also give you tools to self-manage your symptoms throughout your pregnancy.

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Birth Prep and Perineal Massage

From 35 weeks of pregnancy, perineal massage is recommended to gain awareness of your pelvic floor muscles, assist stretch and get the perineum ready for birth.

According to Abdelhakim et al 2020, perineal massage can help first-time mothers decrease the frequency of tears (especially 3rd and 4th degree tears) and slightly decrease the length of the pushing stage. Perineal massage lowers the likelihood that a woman who has previously given birth vaginally will continue to experience perineal pain three months after giving birth.

Physiotherapists can assist with your birth prep by:

  • Teaching you and your birth partner how to perform perineal massage at home<
  • Performing a vaginal exam to ease any pelvic floor muscle tension
  • Assessing any potential risk factors for 3rd and 4th degree tears
  • Giving you advice on positioning during labour
  • Teaching you how to breathe and relax during contractions
  • Training your pelvic floor for pushing efficiently
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Pelvic Floor Muscle Training

Pelvic floor muscle (PFM) training can reduce the risk of urinary incontinence and the management of prolapse.

A systematic review by Woodley et al. 2020, demonstrated that PFM training plays an important role in preventing urinary incontinence during pregnancy and can provide better outcomes postnatally.

However, it can be difficult to understand if you are using the right muscles or if you have the right PFM training technique, so it is important to be guided by a physiotherapist on how to do these exercises correctly, including the frequency and number of repetitions.

Our Women’s Health Physiotherapists can assess your technique through real-time ultrasound to ensure you’re performing your movements correctly.

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Postnatal Recovery

After you have given birth, it can take time for your pelvic floor muscles to recover. Pelvic floor concerns such as muscle weakness, prolapse, or urinary incontinence can affect or delay your safe return to exercise and daily activities.

Your Women’s Health Physio can help you postnatally by:

  • Evaluating your existing pelvic floor function
  • Assessing your abdominal separation and strength
  • Identifying risk factors for developing pelvic floor dysfunction
  • Setting goals for physical exercise that may be accomplished in a reasonable period of time

Timelines for returning to exercise vary greatly because every woman’s goals, physical condition, pregnancy and delivery experiences are unique.

Your physiotherapist can help you understand where your body is on the recovery journey and what type of exercises could be safer for you, depending on your preferred sports/exercise.

Postnatal Recovery after C-Section

It is widely believed that after a C-section, the new mum doesn’t need a check on pelvic floor muscles or abdomen. Nothing could be further from reality! Your body has still gone through a pregnancy, which is already a risk factor for pelvic floor dysfunction, but most importantly: you have had major abdominal surgery. Hence, as with any other type of surgery, rehabilitation is always recommended.

Your Women’s Health Physio can help you after your C-section by:

  • Assessing your abdominal separation and strength
  • Assessing your abdominal scar and providing you with scar massage techniques
  • Evaluating your existing pelvic floor function (unless you would prefer not to)
  • Identifying risk factors for developing abdominal pain and/or pelvic floor dysfunction
  • Setting goals for physical exercise that may be accomplished in a reasonable period of time

Timelines for returning to exercise vary greatly because every woman’s goals, physical condition, pregnancy, and delivery experiences are unique.

Your physiotherapist can help you understand where your body is on the recovery journey and what type of exercises could be safer for you, depending on your preferred sports/exercise.

For expert advice and guidance during your pregnancy and to give your body the best chance of preparation and recovery, book your appointment with our Women’s Health Physiotherapist today.

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