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PHYSICAL THERAPIST’S ROLE IN PRE & POSTPARTUM CARE
OUTPATIENT REHAB CALL FOR AN APPOINTMENT OCCUPATIONAL THERAPY DEVELOP INDEPENDENCE SPEECH THERAPY COMMUNICATION & MORE PHYSICAL THERAPY INCREASE PERFORMANCE
• Lumbosacral spinal lesion • Lumbar radiculopathy • Anteromedial knee pain, radicular symptoms • Popliteal pain, radicular symptoms • Sprained ankle • Achilles tendonitis • Bursitis • Morton’s neuroma • Plantar fasciitis • Carpal tunnel syndrome Treatment strategies: • Evaluation of your musculoskeletal system:May requireexternalor internal exam (with consent) depending on condition • Manual therapy • Biofeedback • Electrical stimulation • Bladder diary • Orthopedic assessment • Labor position suggestions based on orthopedic concerns •Pelvicfloorexerciseswithappropriate breathing strategies • Biomechanics training • Scar mobilization (with C-section) • SI and pelvic girdle belt application • Education!!!!! Pain isnotasymptomofpregnancy that must be endured!!! 1. (Malmqvist, Kjaermann, Andersen, Økland, & Brønnick, 2012) 2. (Owens,Pearson,&Mason,2002;Stapleton,MacLennan, &Kristiansson,2002) 3. (Mannion,Vinturache,McDonald,&Tough,2015)
It is no secret that women who are pregnant often experience low back pain (LBP)andpelvicgirdlepain (PGP). A retrospectivecohortstudycompleted by Malamqvist et al. found that 50% of womenexperiencedmoderate tosevere pain1. Howeveronly15%-30% received treatment forcomplaints they reported to their physicians.2 In addition to pre natal problems it has been discovered that at one year post partum 77% of women experienced back pain, 49% experienced urinary incontinence, and 40% experienced back pain as well as urinary incontinence.3 Education of medical professionals and community members is the key to changing these statistics. The new pelvic health program at Teton Physical Therapy and Rehabilitation will be working hard to get the message out that there are interventions that can help most problems encountered during pre or post-natal period. How can physical therapists help? Physical therapists are experts on the musculoskeletalsystem.Asa resultwe cancollaboratewiththehealthcareteam toprovidesafeandeffective treatments that focus on providing pain relief and improving core/pelvic floor control in order to optimize function. Our role is toprovideexerciseprescription,manual therapy and biofeedback depending on thepatients’ individualdysfunction.We can also help assist in minimizing the stress of preexisting musculoskeletal
conditions and potentially reduce pelvicfloor traumaduringbirth through education and planning for labor and delivery. In addition to pain presentations, incontinence is often a topic that is associated with both vaginal and cesarean births. Most women think it is normal and do not reveal this issue to their doctors. Incontinence is easily treated! In fact if women were educated pre-natally most problems of incontinence could be avoided. As health care practitioners we will strive to educate you on normal versus abnormalphysiologicalchangesduring and following pregnancy to empower you to regain optimal function of your body again! Common sx pre and post partum: • Deep Vein Thrombosis—physical therapists can help screen • Low back pain/Pelvic girdle pain • Stress incontinence •DiastasisRectusAbdominis (mommy tummy) • Orthopedic pain with breast feeding • Exacerbation of musculoskeletal disorders—outlined below Common musculoskeletal sx associated with pregnancy: • Knee ligament tear • Patellofemoral syndrome • Periarticular injury or inflammation
P.O. Box 10490 555 East Broadway, Suite 100 Jackson, WY 83002 Phone: (307) 739-1864 Fax: (307) 739-1831
CALL TODAY!
(307) 739-1864 www.tetonpt.com
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