PRE & POST PARTUM PHYSIOTHERAPY AT THE INJURY CLINIC
PRE & POST PARTUM PHYSIOTHERAPY GEELONG
At The Injury Clinic, we have physiotherapists with a special interest in post-partum return to activity (including high impact activity such as running).
We understand that this is a unique time in a woman’s life; the demands and pressures put on the body both during pregnancy and in the post-partum period are extraordinary!
We know that it takes time to heal and regain strength, not only in the pelvic floor and abdominals but in many muscles that have been loaded differently during pregnancy. We will work with you to identify any areas that need to be retrained to achieve your goals.
WHAT TO EXPECT
Our physiotherapists at The Injury Clinic have a special interest in managing women during the post partum period. This includes women who are wanting to get back to high impact exercise and those who are wanting to be able to manage day to day life without pain or an injury concern.
During your initial appointment, you are likely to be asked a series of questions, some of which may seem slightly intrusive or personal (some of these questions are listed below). These questions help us gain an insight into any potential problems and assess where your baseline may be. It is, however, important to remember:
1. We are physiotherapists with a special interest in working with women on their post partum journey. We do not have a Women’s Health physiotherapist working at the clinic currently; this is an extremely specialised area and requires significant extra post graduate study. While we can help with pelvic floor exercises and activation, we may encourage you to see a Women’s Health physiotherapist to ensure you get the best possible outcome.
2. During your initial appointment we will discuss and assess:
– Any injury concerns you have (past or present)
– Any pain, discomfort or concerns you may have
– Your labour and any complications you may or may not have had
– Your breastfeeding journey (if you have chosen to breastfeed)
– Your goals and what you are hoping to achieve through your appointments with your physiotherapist
– Your abdominal strength and control. This includes assessment of your diastasis recti (abdominal separation) if appropriate
As you can see, this list is quite extensive. Which means often during the initial 1-2 appointments there can be a lot of time spent discussing these things. This does mean there may be limited time spent on treatment and developing a strengthening program for you.
The time spent discussing your concerns and post partum journey is essential to ensure you feel happy and confident with your management, but this can also take a bit longer than usual. In some cases, your initial appointment may be purely a chat where we come up with a plan and the best way to achieve that plan. Please let your physiotherapist know if there is any particular area you feel needs to be addressed as a priority within the first appointment.
3. At The Injury Clinic, we believe a graded return to exercise and load is important. This means that during your appointments, we may encourage a slower return to exercise (particularly running) than you had perhaps anticipated. As always, you are in control of your management and we are here to help you along the way. If there is anything that you feel is important for you to achieve sooner than discussed, please discuss this with your physiotherapist.
If you have any specific questions regarding post partum physiotherapy at The Injury Clinic, please feel free to get in contact with us on firstname.lastname@example.org.
POST PARTUM QUESTIONS MAY INCLUDE:
– How far post-partum are you?
– What type of delivery did you have (vaginal vs caesarian)?
– Were there any complications?
– Were you able to continue exercising during your pregnancy? If so, how often, what type of exercise etc.
– Have you had any urinary/faecal incontinence or increased urgency?
– Have you had any pain with intercourse?
– Have you returned to any exercise post-partum?
– Have you been completing pelvic floor exercises? If so, how did you learn these and what ‘cues’ have you been using?
– Have you had any heaviness/dragging through the pelvic floor area?
– Are/have you breastfeeding/breastfed?
– Do you have any pelvic or lower back pain?