Physical therapy for women, by women

Pregnancy & Postpartum Experience

Through every stage of motherhood, we’ve got you. We provide the all-in-one package for the pregnant & postpartum woman.

2 in 3 women experience incontinence during pregnancy.

Common, but not normal. Through movement, education and a collaborative treatment plan based on your goals, this is completely treatable through pelvic floor therapy.

  • Pelvic floor weakness Prolapse   Urine leakage C-section scarring Urgency Diastasis Recti   Round Ligament Pain Pain with intimacy   Low back pain   Postural dysfunction Sacroiliac (SI) joint pain Sciatica Frequency Constipation Pelvic pain Overactive/tight pelvic floor Pubic bone pain     Hip pain

Here’s to creating strong, healthy bodies for women at all stages of life.

Pregnancy

Think about it this way: your OBGYN focuses on preventing & treating complications of childbirth, while your physical therapist helps you develop strength and flexibility for effective pushing, shorter labor, and reduced risk of injury during childbirth.

The focus is on supporting the pregnant person's body. As speciality trained physical therapists, we understand how each phase of pregnancy impacts different parts of the body. We offer guidance, exercises, education and specific strategies to help reduce your pain, maintain your level of function and exercise, and prepare you for labor & delivery.

Prep for delivery

We help prepare you for a safe and smooth labor while making informed decisions based on your goals in the process of giving birth. Birth prep includes:

Exercises for pelvic floor strengthening & flexibility

Guidance on varying birthing positions

Effective pushing techniques

Perineal massage for reduced risk of tears

Breathing techniques to help decrease pain & optimize delivery

Postpartum

Welcome to the 4th trimester! Time to heal, reconnect & restore. From exercise to work demands to handling baby to intimacy and more, this is where we get your body & mind back to the activities you enjoy & need to perform. Postpartum physical therapy is about feeling like your best self once again. We focus on:

Healing from childbirth (vaginal delivery or c-section)

Restore the connection to your pelvic floor

Rebuild stability in your abs

Support & stability as needed

Return to activity & exercise guidance

What can I expect?

Hands on treatment

External & internal pelvic floor assessment

Palpation of muscles & connective tissue

Soft tissue mobilization

Trigger point relief

Joint mobilization

Supplemental equipment (if needed): k-tape, support belts, bands, compression, pessary, etc.

Movement

Strengthening

Pregnancy & Postpartum Fitness

Core/Abdominal re-training

Stabilization exercises

Postural training & alignment

Home exercise program

Education

Anatomy & function of body structures

Body mechanics

Symptoms management

Lifestyle recommendations

Breathing techniques

Personalized home program

Our promise:

100% support throughout the process.

“An unexpected experience. The help I received from Nina went beyond therapy. She explained to me the consequences and advantages of our daily behaviors in caring for our organs. I had excellent improvement. Her patience and gentleness in personal treatment made me feel calm, confident and secure. Thank you Nina for your human quality.”

— HILDA F.

Pregnancy & Postpartum FAQ

  • Pelvic floor muscles work harder than normal during pregnancy. They are supporting the weight of the growing baby. These muscles are also softened by the effects of pregnancy hormones. They also are stretched and possibly cut through during labor. All of these factors can cause incontinence, prolapse, pelvic pain and more.

  • Quick answer is no. This is common, but not normal! Urine leakage at ANY phase of life is not normal. Most of these symptoms are very treatable through pelvic floor physical therapy. It’s never too late!

  • Your OBGYN will likely clear you for return to exercise at your 6 week postpartum check-up. However, once cleared, the return should be gradual and should factor in your pregnancy and birth experience, your current level of activity, the exercise type, your goals, and your pelvic floor's response to activity.

  • Your OBGYN will likely clear you for return to exercise at your 6-8 week postpartum check-up once the incision has fully closed. However, once cleared, the return should be gradual and should factor in your pregnancy and birth experience, your level of activity, the exercise type, and your core and pelvic floor's response to activity. Cesarean deliveries often produce pain, soreness, and possible sensation changes at the incision site that can be resolved in therapy.

  • A growing baby will place increased stress on a pregnant person's body, as it leads to changes in joint stability, muscle function and postural awareness among others. Pain is a common complaint in pregnancy for these reasons, but not always considered normal. Working with a trained physical therapist can help reduce pain as pregnancy progresses and prepare your body for a smooth delivery.

  • The weight of a growing belly and breasts pull the abdomen forward, causing a larger curve in the low back. This shift forces the muscles of the core and back to work harder to maintain balance and posture. If the core is weakened, then muscles in the back can over-activate or spasm, causing pain.

  • Physical therapists are experts of the musculoskeletal system. They are able to treat your back pain comprehensively with manual therapy techniques, a personalized exercise program, and guidance for improved movement strategies. In some cases, they may recommend the use of a belt or brace for additional support, particularly as your belly continues to grow during pregnancy.

  • During pregnancy, the breasts grow larger and heavier, forcing the muscles of the neck, shoulders, and upper back to work harder to maintain proper posture & keep good head and neck alignment. As muscles fatigue, this can lead to postural impairments like slouching. Postural changes and overworked muscles can lead to neck & shoulder pain.

  • The pelvic floor works to support your pelvic joints and organs and to prevent leaking gas, urine or stool. Pregnancy and childbirth can lead to changes in these muscles, as they can be overly stretched, produce tension and in the case of c-section, cut through. Postpartum physical therapy is about restore their ability to work & rebuilding strength and coordination.

  • The typical rule of thumb is if these are activities you did before pregnancy without any issues, then you should be ok to do them during. Keep in mind body structure and cardiovascualr changes that occur during pregnancy can change your stamina and mechanics, which is why physical therapy can help guide you safely through the process.

  • Yes, yes & yes. Various layers were cut through during cesarean delivery, including superficial nerves. Increased pain can come from the surgery itself, scar healing and scar tissue building. Numbness & tingling typically occur from the superficial nerves being cut, but sensation regenerates at a slower rate. Your physical therapist will provide you with the proper techniques to address these issues safely.

  • It takes anywhere from about 6-10 weeks for a c-section scar to fully close and heal. Once healed, the scar can feel firm, tender and maybe have some redness. It is recommended to initially work around the scar itself, forming small hand circles above, below, and around to address scar tissue beneath until fully healed.

  • The most obvious sign of a diastasis recti is "coning" or "doming." Coning is seen in the space between your six pack muscles typically between the sternum and belly button when doing a crunch-like movement. The increased pressure in the abdomen caused by crunching pushes against the over-stretched connective tissue making it bulge outwards.

  • It’s NEVER too late! Pregnancy, childbirth, menopause, and aging all contribute to pelvic floor dysfunction. All of which develop over a long period of time, and all can absolutely be treated with the help of a pelvic floor physical therapist.