Physical therapy treatment for pre-natal care
Physical therapy treatment for postpartum pain & discomfort
Pre-natal care in physical therapy can include bracing the sacro-iliac joint which can create significant pain during pregnancy, instruction in posture which is constantly changing during the 9 months gestation, and instruction on safe exercise during pregnancy that can help prepare the body for labor and delivery as well as assist in a speedier recovery and restoration of body tone following delivery.
Urinary incontinence is defined as loss of bladder control. Generally, weakness of the pelvic floor muscles occurs after pregnancy, vaginal delivery and during and following menopause when estrogen levels decrease naturally. Other factors may increase the likelihood of developing some form of incontinence or increase its severity such as high impact physical activities, prolonged immobility, too little fluid intake, constipation, certain medications and smoking.
Education is a major component of this program. Information is provided concerning common misconceptions of fluid type and intake, normal bladder frequency and volumes, and behavioral techniques to improve continence. Biofeedback may be used to enhance patients' awareness of the pelvic floor muscles thus allowing better strengthening of the muscles and decreasing input from abdominal muscles that are counter-productive.
Postpartum Pain and Dysfunction may present as episiotomy scar pain, Caesarian scar and abdominal pain, diastasis recti (separation of the abdominal rectus muscles), epidural site pain, pubis diastasis (separation of the anterior portion of the pelvis), and any of the incontinence issues that occur following delivery.
Physical Therapy uses methods such as ultrasound and electrical stimulation, massage/ manual therapy which can address pain and discomfort. Therapeutic exercise is used to address decreased flexibility, muscle weakness and imbalances, postural issues, body mechanics with child care activities and restoration of recreational/athletic function.
"Nancy and her staff are amazing and very skilled. Tammy, in billing, is spot on with insurance coverages and working with patients for payment arrangements. I knew upfront what my costs were going to be, prior to my appointments. And I received such great care and PT that I have referred many friends and family to Nancy and her staff, all of whom have received great customer service in patient care and in billing"