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Pregnancy and Post-Partum

 

Helping you prepare for birth, address pelvic girdle pain in pregnancy, post-partum complications including diastasis recti, incontinence and pelvic pain, and giving you guidance back to your exercise goals after baby.  Conditons treated include but not limited to:

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Pregnancy

  • Preparation for childbirth: perineal massage training, pelvic floor muscle training

  • Treatment for pelvic floor and girdle pain, groin pain, bladder and bowel issues

Pregnancy Related Pelvic Girdle Pain

  • Occurs in 20% pregnant women (Vleeming et al. 2008), and research suggests that sever pain can persist in 7% of cases for more than 2 years post-partum (Wu et al 2004).  

  • This can have an adverse impact on the quality of life for a pregnant or post-partum woman.

Post-partum

  • Comprehensive evaluation for pelvic floor dysfunction and pelvic floor re-education

  • Treatment for painful scars

  • Treatment for bladder and bowel dysfunction

  • Treatment of low back, pelvic girdle pain, and carpal tunnel syndrome

  • Dyspareunia/pain with intercourse in the postpartum

  • Practical advice during the post-partum period

  • Home exercise program guidance for a safe return to exercise in the post-partum

  • Post-partum abdominal retraining, treatment advice for rectus divarification/diastasis recti (separation of the abdominal muscles) - occurring in 60% of pregnant women.

Pelvic Organ Prolapse

A prolapse occurs when one, or a combination of the pelvic organs – uterus, bladder or bowel – lose their normal support and move out of position.

Symptoms Include:

  • Sensation of a ‘lump’ or ‘something coming down’

  • Pressure, heaviness or pain in the vagina

  • Backache

  • Difficulty with emptying the bladder or bowel

  • Needing to pass urine more frequently

  • Urinary incontinence or bowel incontinence

  • Repeated urinary infections

  • Discomfort during sexual intercourse​

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Pessary Service

Do you experience discomfort or incontinence associated with pelvic organ prolapse?

 

  • A pessary can provide a conservative, non-surgical option to help reduce symptoms caused by a uterine, bladder or bowel prolapse.

  • A vaginal pessary is a device made of silicone that is inserted in the vagina to support and protect the vaginal tissues from pelvic organ prolapse.

  • It does this by keeping the pelvic organs and the pelvic floor muscles in an improved position that facilitates a better pelvic floor muscle contraction. 

  • Pessaries are also used to prevent the progression of a prolapse and in certain cases will help relieve urinary and/or fecal incontinence.

  • Pessaries come in different shapes and sizes.  A pelvic health physiotherapist with specialized training in pessary fitting is able to determine the best type and fit for you!

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For more information about pelvic organ prolapse or pessaries for pelvic organ prolapse, check out my blog @

https://www.pelvicplusphysio.com/blog 

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Now booking appointments for pessary fittings at Pelvic Plus Physio!

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Pelvic Plus Physio - helping you find freedom in motion!

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References:

Vleeming A., Albert H. B., Ostgaard H. C., Sturesson B. & Surge B. (2008).  European guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal 17 (6), 794-819.

 

Wu W. H.,  Meijer O G., Uegaki K., et al.  (2004) Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevelence.  European Spine Journal 13 (7), 575-589.

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