Painful perineum:
Physiotherapy is one of the best ways of solving pelvic health issues post partum and treat painful perineum.
1. Pelvic floor exercise.
2. Positioning.
3. Ice: crushed ice and massage
4. Ultrasound: condom as water bag and pulsed US, 3 MHz, 0.5 W/cm2. (McIntosh).
5. PEME: acute:-40-65 microsecond pulse, rate: 10-220 pulse/s, twice/day, 5-20 min.
6. IR: non-luminous, side or crook-lying, 50-70 cm, 20 min.
Back pain
1 .Epidural site pain: hot/ice pack.
2. Lower back pain: prone lying, mobilization.
3. Symphysis pubis: severe:-bed rest, gradual mobilization with crutches.
Thoracic pain
Correction of feeding posture, AROM for shoulder, elbow circling, pelvic tilting, back flexion and hyperextension exercises, Hot packs.
Coccydynia
US, hot/ice packs, TENS, prone-lying, freq. glutei contraction, rubber ring are different options generally used by the physiotherapist along with various exercises.
Circulatory problems
1. Varicose veins: support tights, anti-embolic stockings.
2. Edema: Feeding with leg raised and vigorous half-hourly leg movements
Rectus Diastasis
The transversus abdominis muscle is the deepest abdominal muscle, and has strong fascial links with the rectus abdominis muscle. The physiotherapist teaches how to activate and exercise the transversus abdominis muscle draws the bellies of the rectus abdominus muscle together, and increases fascial tension. Potentially, transversus abdominis muscle activation may help to prevent or reduce Diastasis rectus and speed up recovery, allowing women to return to their usual physical and social activities more quickly.
How can Physiotherapist Help?
Pelvic Health Physiotherapists are registered physiotherapists who have specialized in the treatment of the pelvic health concerns. Like physiotherapists in other settings, our goal is to assist our patients in resuming their daily or nightly activities as quickly as possible. Exercises for the pelvic floor ,prescribed by a physiotherapist with the training in this area, have numerous benefits including maintaining continence, helping the bladder to hold on after getting the urge to urinate, and increased satisfaction in sexual relationships.
A physiotherapist will design an exercise program for the individuals’ specific problem, involving muscle re education, bladder retraining and strengthening of the pelvic floor muscles. If the muscles are very weak, a physiotherapist may use electrical stimulation of the pelvic floor muscles. The can teach strengthening of the pelvic floor muscles, which can help to reverse the process.
Physiotherapist may also make recommendations for lifestyle changes that will help the bladder be less irritable, such as:
· Bracing the pelvic floor muscles before you cough, laugh or sneeze;
· Avoiding common bladder irritants, such as caffeine, alcohol and cigarettes;
· Lifting and moving correctly
· Dietary management
To learn and have more information about it call us now and book an appointment with our pelvic physiotherapist @ 905 997 4333