May 10, 2013

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Bringing Up Mama: Postpartum Recovery with PT


Cover of "Baby Care (101 Essential Tips)&...

Cover of Baby Care (101 Essential Tips)

Childbirth is a physically-demanding process.  Though they try, no amount of birthing class instruction or self-help books can fully prepare an expectant mother for the demands of childbirth.  Even though I did all I could do to prepare, the feeling of childbirth came as a surprise.  Likewise, postpartum has its own demands and surprises.  Moms, though they know life will be an adjustment when a baby arrives, they may not recognize the adjustments their own bodies will go through. With all the rocking, diaper changes, and time spent hypnotized by the cuteness of a new baby, a new mom may find it hard to focus on her own postpartum recovery.  Supporting this is our culture of expecting moms to be superhuman.  Women can raise babies, work full-time, cook, clean, and organize the household’s activities… all on a good solid 3 hours of sleep.

Most women expect recovery from childbirth to include weight loss.  I read the book “Bringing up Bebe” and in it author, Pamela Druckerman, talks about how French women are expected to get their figure back and usually by the third month postpartum!  Tres bien!  The new mom, however, may not expect some of the other potential postpartum difficulties including the following:

  • low endurance
  • uterine contractions
  • depression
  • overstretched abdominals (diastasis recti)
  • back, hip, pelvic, and/or neck pain
  • incontinence

As I’ve talked with other women, I’ve found that there is a wide disparity in postpartum education and recovery.  In the U.S., there seems to be a lack of formal programs and guidelines for the recovering mom, but in some other countries, women are automatically enrolled in a 6 week postpartum class.  These “What to expect when you’re done expecting” classes teach women about their bodies and exercises to help them get back in shape and feeling like themselves again.

If you are a new mom, you should not expect the above problems to linger.  This is NOT normal.  Ask for help.  Specifically, ask for a physical therapist.  I’m always surprised to find moms in therapy that have had ongoing problems following childbirth, and it took years for them to get into physical therapy to finally start addressing them properly.  If your hip still hurts, your back started hurting and never stopped, or you lose a little urine when you jump or run, someone can help you… and that someone is a physical therapist.  Seek out a PT that specializes in women’s health and orthopaedics.  A PT can teach you how to manage these conditions and give excellent consultation on exercises that are most appropriate for postpartum recovery.  We give so much attention to bringing up bebe that we have forgotten that we’re bringing up mama too.  Let’s not forget to give moms the attention they deserve and not just on Mother’s Day!  Now that I’ve been through it, I know I won’t forget!

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March 12, 2013

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Prevent Fractures with PT

The United States Preventive Services Task Force (USPSTF- now say that five times fast) recently issued new recommendations in regard to vitamin D and calcium supplement prescription to prevent fractures.  The recommendations guide health professionals to practice utilizing current research evidence. The task force concluded, “the current evidence is insufficient to assess the balance of [...]

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February 5, 2013

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Cortisone Injection or Physical Therapy?

It was recently suggested that I provide another blog on cortisone injections.  I wrote one of my earlier blogs to address the topic of cortisone injections because of the number of questions I get about them from my patients.  I answered questions about how they work, my opinion on their use, and the side effects you would [...]

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September 7, 2012

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Exercise Solutions for Your Pregnancy Problems

I’ve officially crossed the threshold into the third trimester of pregnancy.  I tried to prepare myself as much as possible prior to getting pregnant and based on stories and conjecture I had a few preconceptions (pun intended) about what this experience would be like. Monique’s Preconceptions on Pregnancy (circa early 2012) 9 months of tired, [...]

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June 11, 2012

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Anatomy of the Rotator Cuff

  An injury to the rotator cuff can be very painful, not to mention make simple tasks like putting on a shirt or picking up a gallon of milk very difficult.  When I see a patient who has a torn rotator cuff, rotator cuff tendinitis, or rotator cuff “impingement,” I spend a good amount of [...]

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April 30, 2012

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Preventing Painful Shin Splints

As the weather gets warmer in Wisconsin, more people get outside to start their spring training.  Warmer weather may inspire you to be more active, which is always a good thing.  However, too much activity, too soon into your training can bring on painful shin splints.  If you’ve ever had them before you know how [...]

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February 28, 2012

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Stroke Warning Signs: Know it When You See it

I’ve recently met a few people, including those who have had a stroke, that did not know how to identify the warning signs of a stroke. Since February is American Heart Month, I thought this would be a good time to share with you a few facts on what stroke is and how to identify [...]

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