Pregnancy Physiotherapy

Safe gentle and effective

Pregnancy physiotherapy is safe and gentle.

Pregnancy physiotherapy is safe and gentle. During treatment, comfort is paramount, and the mother and baby’s wellbeing is always our first consideration. Each Physiotherapy treatment during pregnancy is carefully considered and individually designed to suit each mother. We use specially designed pillows and cushions for your comfort. Some patients like to lie on their front for specific physiotherapy techniques. The Physiotherapist is trained to know if you’re comfortable and safe in certain positions. Please feel free to let us know if you are worried or, of course, even slightly uncomfortable. Back Pain during pregnancy is often a result of increased weight and adaptive postural changes. It is estimated that between 60-80% of women experience some form of back pain, so rest assured you’re not alone.

 

Pregnancy treatment during this time can be very supportive and provide excellent pain relief. Throughout pregnancy, the body will go through a considerable amount of changes. The spine, pelvis, ligaments and muscles change gradually but dramatically over time to accommodate the growing baby. Pregnancy also places pressure on joints and muscles, especially around the spine and pelvis. Practitioners are well trained; they conduct a full assessment beforehand and help diagnose the condition. They will provide the best treatment for you and explain everything beforehand. Pregnancy Physiotherapy treatment can involve gentle mobilisations, soft tissue release, K tape and exercises to help strengthen the back providing safe and effective relief from aches and pains. 

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A hormone called Relaxin.

Pregnancy speeds up postural changes much faster than usual, and the pregnant body adapts quickly. Usually, during the last trimester, changes in weight and posture can be pretty dramatic. During pregnancy, the softening and increased elasticity of pelvic ligaments (to enable the baby to be delivered through the usually stiff pelvis) are modulated by a hormone called Relaxin. Relaxin can alter the ligamentous and structural stability of the whole body. The hormone may often cause previously stiff areas to move shear and cause increased pain in the body and pelvic regions. The position of the growing baby may also lead to pain and discomfort in the spine. Physiotherapy treatment aims to improve your body’s ability to change (compensate) and adapt during pregnancy. Physiotherapy aims to support you and your baby with the minimum pain and discomfort.

Symphysis pubis dysfunction SPD

One in five women suffers from Symphysis pubis dysfunction (SPD) during pregnancy. The pelvis is the most significant bony part of the skeleton, made up of 2 halves, connected at the front by a disc type joint called the symphysis pubis (sacroiliac joints). During normal conditions, minimal movement occurs at these particular pelvic joints. During pregnancy, the hormone relaxin is released(to enable the baby to be delivered through the usually stiff pelvis). Relaxin softens and increases the elasticity of pelvic ligaments and alters the ligamentous stability of the whole body. Symphysis pubis dysfunction is reasonably common and presents at different levels of severity. The physiotherapist will teach you some exercises for  SPD  (Symphysis pubis dysfunction). They will also provide suggestions on how to avoid irritating the pelvic joints. They may give specific helpful advice such as altering the way you walk, sleep or sit. Paracetamol (if allowed) and hot water bottles can also help your discomfort. Support belts such as the Serola Maternity Support Belt.

Physiotherapy helps strengthen and stabilise

During the delivery of your baby, many factors can affect the baby’s passage through the pelvis. The pelvis is naturally asymmetrical or twisted out of line in some women. This twisting can be due to many factors. This rigidity can interfere with the baby’s delivery through the birth canal and is the complete opposite of hyper-mobile pelvis that may occur due to Relaxin. Physiotherapy treatment can help improve your spines function and enhance pelvis and lower back mechanics to reduce pain. It’s also essential that the spine and pelvis are in the best possible position with the least amount of imbalance, torsion and restriction possible. Physiotherapy treatment aims to strengthen and stabilise problematic pelvic and spinal areas during pregnancy. Physiotherapy seeks to educate and inform through examination, treatment and patient discussion. Physiotherapy also aims to soothe and ease away pregnancy pains that seem to change day by day. Hands-on treatments normalise the body easing sore muscles and joints, helping the bodywork as effectively as possible. Treatments during pregnancy are enormously beneficial for pain relief and assist the natural process of pregnancy and birth. Physiotherapy works by aiding the body to adapt and align as the pregnancy progresses. The Pregnancy physiotherapist will use gentle, safe and effective treatments, always being aware of your feelings and the baby’s safety.

Practical SPD advice from your physiotherapist

  • Try not to sit in a car or drive if at all possible
  • Don’t sit cross-legged
  • Physiotherapy and Osteopathy can help ease painful symptoms
  • Call the Hatfield Practice and ask for help. People don’t mind.
  • Then relax about accepting as much help as possible. Please don’t make your pain worse by pushing through. 
  • Use the internet to shop and organise. Ask your husband, kids, mum, friends to help.
  • Avoid carrying heavy things as the extra weight may aggravate the pelvis or spine further.
  • Try to get extra help when getting up. Or stay in a comfortable position in bed!
  • Worth repeating online shopping can be a godsend.
  • If you do go out, avoid using shopping baskets and use trolleys
  • Have physiotherapy or osteopathic treatment quickly. The body responds to treatment very quickly during pregnancy.
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Postnatal care after Pregnancy?

Cranial Osteopaths can be effective in the treatment of chronic health conditions. Many problems don’t respond to typical medication or standard Physiotherapy. Cranial is focused on improving general circulation and reducing tissue tensions and ligament stress. Health is really about allowing the body to work at its optimum, allowing energy to flow and the immune system to function efficiently. Babies and young children often respond very well to treatment from a Cranial Osteopath. Treatment may help resolve many discomforts and distortions from infancy or traumatic birth. 

Comfort during breastfeeding

Physiotherapy treatment can help with aches and pains associated with breastfeeding posture (men too. Well, you will be surprised !). New babies grow very fast so lifting car seats can be heavy and challenging. Prams seem to be getting larger and heavier, and, of course, carrying a baby and bending over the cot can be a real pain. Overall, postnatal Physiotherapy can help with long term preventative care, allowing you to relax and enjoy your new baby.

Helping the body return to normal

  • Helping to restore pelvic and spinal alignment and improve posture
  • Ease away any aches or pains which have developed from poor breastfeeding posture and strains from lifting and carrying.
  • Physiotherapy can help to alleviate non-resolving back pain which is common after pregnancy.
  • Aiding rehabilitation in the after of Caesarian -sections (C-section)
  • Physiotherapy can help with bladder or incontinence problems in the aftermath of pregnancy
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Our Pregnancy Physiotherapists

What our clients say

Always brilliant treatment, whether I’ve needed a muscle massage to relieve tension, or Physiotherapy to relieve aches and pains. The team are so friendly and really know their stuff!

Karen p.

After my baby was born I was left with horrendous low back pain. I was finding it hard to pick the little one up and really just do normal things. I had Physio with Dora she stretched out my low back and taped me up I felt like new again. A few more visits and all the pain was gone. Can’t thank all the lovely people at the Hatfield Practice enough

Gemma J.
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