Ante Natal Physiotherapy Treatment
Ante Natal care means ‘ care before birth”. Antenatal care aims to monitor and promote the well being of a mother and her developing baby.
Common complaints (which can be treated in our centre) include
- Sacrolilliac joint dysfunction: pain around dimple joints at the back of the pelvis, buttocks
- Symphysis pubis dysfunction: symptoms may include pain in the pubic bone especially when walking or seperating the legs and in prolong sitting
- Lower back pain
- Knee pain
- Tenosynovitis
- Weight reduction after pregnancy
Ante Natal Treatment
- Education regarding posture and back care
- Exercises to improve muscle control around your pelvis and spine
- Stretches
- Safe modalities like TENS for pain relief
- K taping
Guidelines for exercises in Pregnancy
- Consult with medical care giver before commencing exercises.
- Gradually increase exercise if previously sedentary
- Maximum heart rate does not exceed 140-150 beats/min
- Avoid exercises in hot condition
- Ensure adequate warm up and cool down periods
- Avoid exercising in supine after end of 4 month as this leads to dizziness and sickness
- Avoid contact sports after 16 weeks of gestation
- Full flexion and hyperextension of joints should be avoided
- Don’t use isometric contraction as they decrease circulation and increase BP
- Avoid ballistic bouncing with stretches and do not overstretch
- Avoid abdominal exercise after 12 weeks. Abdominal curls can be continued as she will be happy to do them
- Yoga is a great form of relaxation, suppleness, breathing control and developing concentration.
- Pilates exercises can be done
POST – NATAL PHYSIOTHERAPY
- Women commonly experience muscle and joint pain postnatally and the following are contributing factors
- Weakness of the lower abdominal and pelvic floor muscles in both vaginal and caesarian deliveries
- Long periods of sitting while feeding the baby can contribute to pain and spasm in the upper body
- Unaccustomed lifting and bending over cots, car seats etc.
- The presence of hormone relaxin in the weeks loosens ligaments which are then more vulnerable to sprains and strains
PROBLEMS ENCOUNTERED
- Pelvic floor muscle weakness, and stress incontinence
- Lower back pain
- Neck and upper shoulder pain and stiffness
- Sacroiliac joint dysfunction
PHYSIOTHERAPY MEASURES
- Advice on the back care while feeding and lifting of baby
- Exercises to improve muscle control around the pelvis and spine
- Mobilizations and stretches for stiff joints and the spine
- Massage
- Electrotherapy