Prenatal & Postpartum Physio
Prenatal & Postpartum Services
Having a baby changes the way your body functions and at Bump Physio, we celebrate all those changes in a positive way! Sometimes though, our body needs a little guidance to manage some of the common pregnancy conditions including Diastasis recti, Cesarean rehabilitation, and scar management, pelvic girdle pain, sacroiliac joint pain and dysfunction, round ligament pain, low back pain, coccydynia, public symphysis dysfunction and more.
Low Back Pain
Low back pain is one of the most common symptoms in pregnancy. Our physiotherapists can help through manual therapy and soft tissue work, improving your postural alignment, assisting with supportive and corrective exercises, providing guidance on supportive sleeping positions, and discussing some pelvic braces or supports.
Pelvic Girdle Pain:
Pelvic girdles pain affects the ring of bones in your pelvis. Common symptoms are pain in the low back, hips, and groin area and are commonly seen as pain with walking, climbing stairs, and rolling over in bed.
Our therapists will perform an assessment of your low back and hips as well as your pelvic floor functioning (if indicated) and will provide education on activity modifications, support belts, sleeping positions, and exercises to help increase your hip and core stability.
Pubic Symphysis Dysfunction:
Is the front of your pelvis sore and tender to touch? Do you have pain with walking up and down stairs or raising your legs out in front or to the side? These are common symptoms of pubic symphysis pain.
Pubic symphysis pain is a common symptom of pregnancy and typically results from excessive movement of the pubic symphysis (fibrocartilage disc) at the front of the pelvis either in an up or down or side to manner.
Similar to our treatment for pelvic girdle pain, our therapists will perform an assessment of your low back and hips as well as your pelvic floor functioning (if indicated) and will provide education on activity modifications and exercises to help decrease your pain and increase your mobility.
Round Ligament Pain
During pregnancy, have you ever felt a sharp pain on the side of your belly, or down into your hip or groin? If so, that might be round ligament pain. Physiotherapy can help by working on core strengthening, supportive taping techniques, and improving your breathing mechanics to ensure your uterine ligaments have some additional supports.
Prenatal Pelvic Floor rehabilitation
Pregnancy is a time of change for your pelvic floor health. There are a number of factors that impact it including increased fluid retention, weight gain, pressure from the growing baby/ uterus, and structural changes to the muscles and ligaments to name a few. All of this can lead to bladder leakage, pain with sex, low back and hip pain, and pelvic pain and pressure. Seeing a pelvic floor physio in pregnancy can be helpful to alleviate some of these symptoms, as well as to learn how to control your pelvic floor muscles to prepare for birth. Remember, pelvic floor muscle work isn't always about strengthening, it's about lengthening them too, which is so important for birth and your postpartum recovery. Research support better birth outcomes with a strong and healthy pelvic floor.
Please note, we can perform internal assessments in pregnancy after14 weeks and before 37 weeks.
Prenatal Pelvic Health Education
At your last prenatal visit with you, it's all talk! We provide a comprehensive pelvic health education session that covers such topics as perineal stretching, bowel care, birthing positions, breathing techniques, the impacts of medications and epidurals on the pelvic floor, instrumentation delivery, a postpartum recovery plan and SO much more!
Postpartum Pelvic Floor Rehabilitation
Your pelvic floor changes after birth and we are here to help you recover. Common birth injuries that can benefit from pelvic floor physiotherapy include intravaginal scar tissue, perineal trauma (tearing or episiotomy), excessive pushing, incontinence (bladder, bowel, or gas), pelvic organ prolapse (feelings of heaviness/ pressure or a bulge), painful intercourse, tailbone pain, diastasis recti, queefing, vaginal dryness or low libido.
Diastasis recti are commonly known as a pregnancy-induced abdominal separation, however, it should be viewed more as a ‘stretching’ of the abdominal connective tissue. 100% of women will have some degree of stretching at the end of their pregnancy and this is primarily due to the pressure of the growing uterus pressing outward on the core muscles combined with a lack of core stability.
Our therapists can use a variety of therapeutic techniques including breathing, deep core activation exercises, Clinical Pilates, progressive core strengthening, and education to help you recover quickly!
What can physiotherapy do for a C-section delivery? A C-section delivery is considered major surgery and can impact both the pelvic floor and core functioning as a result.
If you are planning a C-section, we would strongly encourage you to book an appointment with one of our therapists PRIOR to your scheduled delivery so we can provide some education on your delivery and recovery in those first 6 six weeks postpartum before you start your postpartum treatment. We like to think of it as C-section prehab!
Our C-section rehabilitation includes scar management, diastasis recti assessment, core functioning, and core stability, pelvic floor strengthening, and client education. Some of our therapists are also able to integrate clinic Pilates into their treatment plans.
Mastitis/ Breast health treatment
Mastitis is inflammation and associated infection of the breast tissue, typically caused by a plugged milk duct. Research has shown, therapeutic ultrasound treatments can be effective in treating mastitis. Our physiotherapists are able to use therapeutic ultrasound to treat the clogged ducts and prevent them from reoccurring.
*** Please bring the babe to your visit with you to the nurse immediately after the ultrasound treatment. You must be on antibiotics for a minimum of 24 hours prior to your visit.
Return to Exercise
Without a doubt, the most common question our team gets from new Mamas, is when can I start exercising again? The answer to this requires an individualized assessment and gradual return. Just like after an injury or prolonged absence from activity, a slow, controlled, and the supervised plan is required tailored to your individual needs.
Common Postpartum Aches & Pains
Taking care of a newborn (or 2) can be exhausting and can lead to stress and overuse injuries. Common concerns are:
Neck pain, back pain, and tension headaches from feeding positioning
Tailbone pain from excessive sitting/ birth trauma
Wrist pain/Carpal tunnel syndrome or DeQuarvain's tenosynovitis from holding or carrying a baby
Low back pain
Hip pain from carrying a baby on one side
Core weakness and instability