Postpartum care is almost always treated by OBGYN’s with a “just wait and see” mentality and the hope that things will get better with time.)
The wait and see approach to recovery postpartum is a non-evidence based approach and is based on an old way of thinking.
Within the first year, a newborn has 8 planned doctor visits. A new mom only has one. This can be such a disservice to new moms. Postpartum leads to changes in the musculoskeletal symptoms that can take longer periods to heal.
New moms deserve comprehensive care to treat or prevent pelvic floor dysfunction. We would never expect an athlete who tears a ligament in their knee to rehab themselves back to their previous state. WHY do we expect this of our new mothers?
The Pelvic Docs believe that early routine care during the postpartum period can be crucial to creating a healthy, happy motherhood for our clients.
What are some common pelvic floor dysfunctions seen postpartum?
Pelvic pain – dysfunction of the pelvic floor has been known to irritate the nerves that innervate the pelvis and cause pain in the area. Pain from the pelvic floor can manifest in the pelvis or radiate below the belly button, into the tailbone, low back, and lower extremities.
Urinary symptoms – Incontinence is often a sign that the pelvic floor isn’t behaving optimally. Involuntary loss of urine can occur secondary to pelvic floor weakness, prolapse, pelvic floor hypertonicity, postpartum, and other musculoskeletal conditions.
Orthopedic pain – Pain along the low back, hips, groin and/or tailbone can often be secondary to dysfunction in the pelvic floor musculature. Sometimes treatment to the pelvic floor musculature can be the missing treatment consideration for those suffering from chronic LBP and/or hip pain.
Prolapse – Pelvic organ prolapse can occur when the pelvic floor is unable to support the pelvic organs (bladder, uterus, and rectum). Because of the pelvic floor’s inability to support these structures, they begin to slip down and can bulge into the vagina.
GI & Bowel Symptoms – Our pelvic floor helps control elimination and can be a contributing factor to bowel dysfunction (ex: constipation, IBS) Furthermore, patients who complain of fecal incontinence, pain with bowel movements or having to strain while going to the bathroom are likely to have a pelvic floor dysfunction.
Sexual Dysfunction – Sexual function is controlled by our pelvic floor. In women, pain with penetration and/or pain following sexual activity is often reported.
How can The Pelvic Docs help me manage my Pelvic Floor Dysfunction?
Our women’s health pelvic floor rehabilitation specialists will go over your medical and birth history and then perform a thorough physical exam. Utilizing specialized test they can determine the mobility, strength, and individualized movement patterns of your pelvic floor to determine precisely what is causing your symptoms. After your evaluation, together you and your pelvic floor specialist will come up with a plan of care that will meet your needs and put you on the road to recovery.
Patient education: You'll learn exactly what’s wrong, how long it is going to take to get better, and what you can do at home to help your recovery.
Prescriptive exercises: These are designed for your specific presentation so your relief is long-lasting and self-managed.
Functional training: Programs designed and tailored specifically so you can enjoy the activities that are important to you and your quality of life.
Breathing/relaxation training: Prescribed to restore optimal coordination and activation of the pelvic floor musculature.
Soft tissue mobilization: Used to relieve muscle tension and treat adhesions caused by scar tissue, swelling, trauma, and spasms.
Joint mobilization: Utilized to loosen restricted joints and increase the range of motion.
Spinal manipulation techniques: Utilized to restore joint motion, relax muscles, and relieve pain.
Dry needling: An advanced therapeutic modality that is effective in treating soft-tissue injuries and aiding in the treatment of chronic pain conditions.
Biofeedback training: Used to help bring body awareness and control to help speed up your recovery.