24% of women will experience pain during sex a year and half after having a baby (vaginal and Caesarean). 

77% will have chronic back pain and 49% will have urinary incontinence. 

Childbirth is a well-studied and traumatic experience for women's bodies. Unfortunately, modern medicine still leaves too many mother's debilitated. The pelvic floor musculature does not get much attention from OBGYN's and because of that, women are having lasting problems after child birth. For nine months, a woman's musculoskeletal system carries the increasing weight of a baby in a less than ideal ergonomic position. For a vaginal delivery, the muscles and other tissues stretch and often tear in order to accommodate for the baby. The natural changes of both pregnancy and delivery (vaginal or C-section) impact the pelvic floor muscles causing discomfort and pain during the pregnancy and postpartum.

Postpartum Physical Therapy

At Wellest, you will work with a pelvic floor specialist who can easily treat both pregnancy and postpartum-related symptoms with manual, hands on treatment techniques and individualized home exercise programs. It is beneficial for all new moms to have their pelvic floor evaluated by a physical therapist after they have been cleared to to resume sex and exercise. Early intervention is key to prevent further pelvic floor dysfunction. 

The pelvic floor muscles are an important part of the childbirth process. The muscles function at the full potential when they are in a lengthened, strengthened and free of myofascial trigger points. A physical therapist can individually examine each muscle internally and externally. If impairments are found, they can be treated through manual release of muscles in order to improve function. Treatments will decrease pain or dysfunction and also lead to a successful vaginal delivery with less pelvic floor muscle injury and postpartum pain. 

Conditions Treated:

  • Urinary Dysfunction: 
    • Leakage/incontinence of urine 
    • Urinary incontinence when sneezing, coughing, running. 
    • Frequent urge to urinate even when the bladder is not full.
    • Unable to start the flow or urine or difficulty emptying the bladder. 
  • Bowel Dysfunction: 
    • Fecal incontinence. It is common to have difficulty controlling gas or bowel movements postpartum. 
  • Perineal/Pelvic Pain:
    • This is common in postpartum women particularly those who tear or have an episiotomy during childbirth.
    • When the scar starts to heal, it can cause pain due to the build up of scar tissue in the area.
    • Symphysis Pubis Dysfunction can occur due to the laxity of the pelvic ligaments and the increased weight of the baby creating a torque on the pelvis.
    • C-Section scar tissue can cause pain at the incision, back pain, hip pain, and bladder dysfunction if the scar tissue is not worked on directly
  • Pelvic Organ Prolapse:
    • Pregnancy and childbirth can weaken the pelvic floor muscles and then the uterus, bladder, and/or bowel can fall out of place. Through physical therapy, these muscles can be rehabilitated to prevent or improve this problem.
  • Diastasis Recti:
    • The separation of abdominal musculature from the central tendon. It is the leading cause of low back pain, stress urinary incontinence, and pelvic organ prolapse.
    • 50% of women have a diastasis recti after pregnancy.
  • Infertility: 
    • Increasing blood flow and reducing any scar tissue in the pelvis to maximize fertility