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What do Womens Health Physio's do postnatally?
Having a baby is one of the most exciting times in a woman's life.
It's also one of most physically strenuous, with numerous potential short and long term consequences for both body and mind.
In the information age, most women are well-versed on the importance of looking after their physical and mental health, and many have a broad network of medical professionals to keep them on track both pre and post birth.
While physiotherapists routinely visit maternity wards to complete a general examination, increasingly, they are joining the list of required therapists for individual women post-birth, thanks to growing awareness of the impact of pregnancy and birth on the pelvic floor. As a result of the weight (of the baby) placed on the pelvic floor during pregnancy, the muscles and tissues can become overstretched and weak, which can have consequences for bladder and bowel control, or even result in pro-lapse. When it comes to pelvic floor dysfunction, after a thorough assessment is best practice in determining a treatment plan.
These days, while more women understand the importance of pelvic floor care through physiotherapy, many remain unaware of the myriad other pregnancy and post-birth related conditions that can benefit from physiotherapy.
Women’s Health Physiotherapists can assist women to regain their function and return safely to pre-pregnancy exercise. Along with pelvic floor dysfunction and abdominal weakness and separation, physiotherapy can also assist with low back and pelvic girdle pain, as well as upper back and postural pain, all common following pregnancy and birth. Physiotherapy can also assist with hand and wrist pain due to tendinopathy.
Doctors now routinely refer to Physiotherapy for women’s health issues and this along with growing media interest has contributed to the acceptance of physiotherapy as an integral part of the recovery process following pregnancy.
During pregnancy the body goes through some dramatic changes over a short period of time and is changing again following birth. The more women understand what impact those physical changes have on the body, the better they can manage them.
Physios are experts in those changes and exercise. They focus not only on managing women's health issues but also prevention.
But the benefits of physiotherapy to women's health doesn't end with pregnancy and birth. There are multiple women's health problems that can be treated using physiotherapy that many people are not aware of, though this too is beginning to change. Physios can be treat internal pelvic pain such a vagisimus and dyspareunia.
The most common bladder condition treated by physiotherapy is stress urinary incontinence, but women's health physios can also assist in other bladder conditions such as urge urinary incontinence, overactive bladder, other voiding dysfunctions and pelvic organ prolapse.
Physio is now the recommended first line of treatment for incontinence and pelvic organ prolapse prior to surgical intervention.
February 19, 2018 0 Comments
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Pelvic Girdle Pain - What is PGP?
As many as 50% of women experience PGP during pregnancy. Happily, 90% of women recover from PGP within 12 months of having their baby. However, up to 10% of women can continue to have significant PGP and disability 2 years post-birth.
PGP refers to pain felt either in the back of the pelvis, on one or both sides and/or pain over the pubic joint. Pain in generally located between the top of the pelvis and the bottom of the buttocks. Pain may be referred into the buttock and/or down the leg, so it’s often confused with sciatica
PGP involving the pubic symphysis joint can also refer pain to the groin, inner thigh, lower abdomen and vaginal area.
PGP is a condition often misdiagnosed, misunderstood and poorly managed.
What causes PGP during pregnancy and after having a baby?
During pregnancy there are many changes that occur to your body that change the way it works. There are obvious changes that include:
· Your tummy growing, which stretches your abdomen and stomach muscles
· The weight of your baby sitting on your pelvic floor muscles throughout the pregnancy, providing a slight stretch to them
· Your centre of gravity, or balance point, moving forward as your tummy grows, which adds increased load to your back and challenges your balance
Less obvious are the hormonal changes that occur, right from the first trimester, which changes the ‘stretchiness’ of your ligaments. Relaxin is one of the hormones responsible for this increase in ligament laxity, as it changes the collagen structure of your connective tissue (which makes up ligaments). Connective tissue, including ligaments, helps control your joints and support your pelvic floor muscles.
Last month we welcomed Sol into the Titled Physio fold after she completed her Masters in Musculoskeletal Physiotherapy.
SquareOne now have 5 Titled Physios - with only 1500 in Australia we sit well above the average for your average Physio clinic! (FYI -there are only 10 at the Australian Institute of Sport)
Any wonder SquareOne continues to be the preferred Physio provider for Mosman and surrounds.
On 1st July we will move to a tiered pricing structure for our Physiotherapy consults to reflect the extra knowledge, expertise and case management you receive when seeing one of our Titled Physios.
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