PRENATAL, PREGNANCY + POSTPARTUM

Whether you are planning to have a baby, are currently pregnant or just had a baby, physical therapy can help!

PRENATAL: In a few sessions, you can learn how to correctly strengthen your pelvic floor and abdominal muscles. If you have been struggling with incontinence, hip, back or pelvic pain, this is the perfect time to see a physical therapist to prepare you for the best pregnancy!

PREGNANCY: Pregnancy is an incredibly exciting time in a woman’s life. It’s also a time of intense fatigue and extreme changes in our bodies. We want to help you be your best! Physical therapy can help reduce pelvic, hip, back pain during pregnancy and prepare you for delivery.

POST-PARTUM: Having a baby can take a toll on your body! What’s more, incontinence and pain can persist after you have had your baby. (Wilson 2012, Wu 2004) In fact, the American College of Obstetricians and Gynecologists (ACOG) recently updated their guidelines for postpartum care with an emphasis on ongoing care and support for new moms instead of one follow up visit 6 weeks after delivery. (ACOG Committee Opinion: Optimizing Postpartum Care, May 2018) Physical Therapists are ideally positioned to be part of this support team for moms to help you address the physical challenges that occur postpartum.

We want you to get back to the things you enjoy and guide you on how to care for your baby in a pain free way!

Here are some of the changes that occur during pregnancy and why we believe every woman can benefit from physical therapy before, during and after pregnancy. All of these changes can affect how you feel and how you function before, during and after pregnancy. For example, back pain is incredibly common in pregnancy and postpartum, but it doesn’t have to be!

THE RESEARCH

  • 30-50% of pregnant women reported pain severe enough to lose time from work or withdraw from social interaction (Kristiannson 1996, Noren 1997, Ostgaard 1991)

  • Pelvic girdle pain has been estimated to affect about half of pregnant women (Bergstrom, 2014)

  • 25% of women experience serious pain and 8% experience severe disability (Bergstrom, 2014)

  • Pelvic girdle pain and low back pain before pregnancy is a strong predictor for recurrent and continuous pain 6 and 14 months post-partum (Bergstrom, 2014)

  • Pelvic girdle pain negatively impacts daily life for women (MacKenzie 2017)

  • Women suffer from negative emotional and psychological effects due to pain (MacKenzie, 2017)

 

We want to change these statistics!

WHAT HAPPENS TO A PREGNANT BODY?

  • Increased curvature of your low back as the baby grows

  • Rounding of your mid and upper back due to changes in breast size and weight which can cause pain in the shoulders, back, arms and hands

  • Loosening of stabilizing structures/ligaments in the pelvis causing low back and pelvic pain, due to hormonal fluctuations

  • Decreased balance due to changes in your center of gravity

  • Difficulty breathing largely influenced by an increase in progesterone hormone As your baby grows your diaphragm is also displaced upwards to inhibit your ability to take a full breath

  • Increased urination and changes in bowel habits (either constipation or diarrhea)

  • Loss of sleep due to difficulty finding a position of comfort

Exercise during pregnancy can:

  • Improve sleep

  • Decrease muscle aches and pains (Stafne 2012)

  • Reduce low back pain

  • Reduce pelvic pain

  • Improve incontinence

  • Reduce stress and enhance self-image

  • Improve perception of health

How Can Physical Therapy Help?

In your physical therapy sessions we will assess your posture as well as assess the strength and length of your muscles. Once we have evaluated this, we will put together an individualized treatment plan for you including: positioning in standing, sitting and sleeping, as well as stretching and strengthening to improve muscle balance and overall stability. Our goal is to help you function at your absolute best and have the strength and stability in your body to be able to care for your baby and yourself!

 

The treatment tools we use include:

  • Biofeedback to improve pelvic floor strength or relaxation as needed

  • Real Time Ultrasound to determine if you are correctly activating your “core” muscles

  • Soft tissue and connective tissue mobilization

  • Neural mobilization

  • Exercises and stretches designed to fit your busy lifestyle

  • Patient and family education and training

What Should I Expect From Therapy?

They are experts in the field of pelvic floor prolapse!

A.B., Centennial CO

Expect a private session with a physical therapist that specializes in treating women like you where you will receive help and hope!

Once you have scheduled your first appointment with us, we will need to gather important information to ensure we provide you with the best possible care. A patient information packet will need to be completed and provided to our staff when you arrive for your first appointment. The patient information packet will include a description of what to expect, as well as a patient history questionnaire. Your patient information packet can be mailed to your home or downloaded here.

 

By empowering you with the knowledge, movement and awareness necessary to make the changes in your own body, we simply guide you in your healing process as you transform to be a healthier and livelier person. The greatest success occurs when you are an active participant in your treatment program and we do expect your commitment. For more information visit Frequently Asked Questions.

We look forward to working with you!

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3989 E Arapahoe Road Suite 120
Centennial, CO  80122     

303.740.2026

303.770.5459 (fax)