Pain After Pregnancy
Even though you may begin to look like you did before your pregnancy, your body can take some time to fully recover and may need your help to return to "regular working order". Your pelvic floor and abdominal muscles, for example, may still be weak from pregnancy and birth.
Pain after delivery: After delivery, many women will continue to have the pain they experienced while they were pregnant. Back pain in particular can become a chronic problem. Learning about posture and body mechanics- how to move so that you don't hurt yourself- can help with this. An exercise program to strengthen or stretch muscles and well as use of modalities (ultrasound, electrical stimulation), and joint and soft tissue mobilization can also help get your body back on track.
Scar tissue pain/ restriction: Many women will undergo an episiotomy or c-section as part of the delivery process. These can frequently result in pain and tissue restriction and can interfere with activities from sitting to intercourse. Ultrasound and scar mobilization can be helpful to make this tissue more extensible and less painful.
Diastatsis recti: This is the term used to describe the separation of the rectus abdominis muscle (your "six-pack") at its mid-line. Roughly 30% of all pregnant women will experience this. This separation occurs as the uterus grows and pushes on the abdominal wall. Some degree of separation is common and will frequently resolve on its own. However for some women the separation will remain after the 6 week post-partum period and can result in abdominal weakness, pelvic instability and back pain. Doing excessive crunches, abdominal stretches and other activities which cause the abdominal area to bulge can make the condition worse. Exercises focusing on posture, abdominal strength without abdominal bulging and work on proper body mechanics and help in healing this area and prevent future injury.
Urine or fecal incontinence: Stretching and weakening of the pelvic floor muscles can cause women to experience involuntary loss of urine or stool. Strengthening the pelvic floor muscles can help. Treatment will begin with a full evaluation of your problem. We will develop a plan of care that works for you. This may include instruction in the appropriate exercises, use of biofeedback, pelvic floor stimulator, or vaginal weights.