Pre & Post Partum Physiotherapy

During pregnancy women often experience pain due to the hormonal changes going on in their bodies that allow them to physically carry and deliver these darling bundles of joy. Pain in the hip and pelvis area, back, sciatic and legs are common complaints.

Physiotherapy by a trained practitioner can alleviate or even eliminate the pain. A referral is not necessary. Your treatment will include strengthening exercises, kegel exercises, heat, taping, sacro-iliac belt, mobilizations, muscle energy techniques, stretching and soft tissue massage. Your therapist will also advise you on labour positioning and post partum exercises. She will also explain that a strong pelvic floor is an integral part of your body's internal core stabilizers. Maintaining and enhancing control of the pelvic floor muscles assists with the delivery and help with recovery from childbirth.

Some other conditions which can be treated are:

Vaginismus and Dyspareunia

You may suffer from pain, burning and irritation in the vaginal area. In addition you may experience pain and muscle spasms that interfere with sexual intercourse.

These conditions can alter nerve sensation in the vagina which may cause abnormal muscle contractions in the pubococcygeal muscles. The PC muscle can be retrained by taking conscious control of this muscle group, thus changing the conditioned reflex so that involuntary tightness no longer occurs. A trained physiotherapist in this field will evaluate your muscle and bone structure as a part of a comprehensive examination, including postural, gait, abdominal, pelvic and lower extremity evaluation.

Therapy includes internal and external manual therapy and specific exercises to improve muscle control - modalities such as electrical muscle stimulation and Biofeedback. Patients are taught relaxation, breathing exercises and core training as part of their rehabilitation.

Urinary Incontinence (UI)

UI is the loss of bladder control, a common and embarrassing problem affecting millions of people. It is not normal to suffer incontinence. It may be the inevitable consequence of childbirth or changes after childbirth or a post surgery problem, but has many possible causes.

You will need to see your physician to be referred for physiotherapy for Pelvic Floor Rehabilitation. Treatments include biofeedback, kegel exercise training, muscle stimulation, core strengthening; and education with regard to fibre, fluid and caffeine intake. A bladder diary is usually kept to assist treatment.

Blocked Milk Ducts

A blocked milk duct presents as a painful, swollen, firm mass in the breast. The skin over this mass is often red. Mastitis is usually associated with intense redness, pain and fever. Antibiotics are required to treat mastitis. If you suspect that you are suffering from mastitis please contact your physician immediately or present yourself at a clinic. A blocked milk duct can become mastitis.

Blocked milk ducts will most often resolve themselves within 24 to 48 hours. Try following these instructions:
If your condition persists you may wish to see a physiotherapist for ultrasound treatments. No referral is needed. Two consecutive appointments are required on 2 separate days. A trained physiotherapist will administer the ultrasound and then you will feed your baby, so please be sure to bring your baby. If you are unable to bring the baby please bring a breast pump.