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
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Preparation for childbirth: perineal massage training, pelvic floor muscle training
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Treatment for pelvic floor and girdle pain, groin pain, bladder and bowel issues
Pregnancy Related Pelvic Girdle Pain
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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).
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This can have an adverse impact on the quality of life for a pregnant or post-partum woman.
Post-partum
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Comprehensive evaluation for pelvic floor dysfunction and pelvic floor re-education
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Treatment for painful scars
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Treatment for bladder and bowel dysfunction
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Treatment of low back, pelvic girdle pain, and carpal tunnel syndrome
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Dyspareunia/pain with intercourse in the postpartum
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Practical advice during the post-partum period
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Home exercise program guidance for a safe return to exercise in the post-partum
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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:
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Sensation of a ‘lump’ or ‘something coming down’
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Pressure, heaviness or pain in the vagina
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Backache
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Difficulty with emptying the bladder or bowel
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Needing to pass urine more frequently
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Urinary incontinence or bowel incontinence
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Repeated urinary infections
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Discomfort during sexual intercourse​
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Pessary Service
Do you experience discomfort or incontinence associated with pelvic organ prolapse?
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A pessary can provide a conservative, non-surgical option to help reduce symptoms caused by a uterine, bladder or bowel prolapse.
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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.
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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.
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Pessaries are also used to prevent the progression of a prolapse and in certain cases will help relieve urinary and/or fecal incontinence.
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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.