What to Expect From a Postpartum Assessment and Evaluation

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The musculoskeletal evaluation of the pelvic area includes an assessment of the structure, muscles, tissue, and joints. Our manual evaluation then examines the pelvic floor muscles in order to identify any problematic muscle groups or scar tissue that may be present. Using our findings from these assessments, we can develop a tailored treatment plan for you.

Patients with diastasis recti are advised to perform specific exercises to correct the problem. Introducing traditional exercises, Pilates or yoga should only be done after the diastasis recti has been addressed and treated appropriately. Doing any of these activities prematurely can worsen this condition and lead to further complications. Therefore, it is best for patients to consult with their healthcare provider before beginning any form of exercise. Appropriate treatment and exercise may help improve symptoms, restore muscle balance, and lessen the appearance of the diastasis recti.

Scar mobilization is an important part of pelvic evaluation and treatment that can help relieve pain caused by Cesarean section, episiotomy, and other vaginal scars. Scarring from childbirth can create adhesions to surrounding tissues due to excessive collagen formation during the healing process, leading to persistent pain, irritation, and discomfort during intercourse. Through manual mobilization of scar tissue, your physical therapist can reduce scar and adhesion pain, restore normal pelvic floor and abdominal muscle function, as well as improve range of motion in the affected areas. This helps to promote healing and reduces the risk of recurrence. Additionally, scar mobilization can help decrease urgency/frequency associated with C-section scars. With this treatment, you can expect improved mobility and a decrease in pain and discomfort.

Manual therapy can help to alleviate pain and/or tightness in the pelvis that may be caused by postoperative/post vaginal delivery scarring or myofascial trigger points. The therapist will use hands-on techniques such as joint mobilizations, soft tissue massage, and/or stretching to reduce hypersensitivity around incision sites and loosen traumatized muscle in and around the pelvis. This can help to improve mobility, reduce pain, and restore normal function to the area. Additionally, manual therapy can also be helpful for individuals who experience pain with vaginal intercourse or penetration. Through specific treatment techniques, the therapist can work to reduce sensitivity and tightness in the affected areas that may be causing discomfort. Treatment plans are tailored to each individual’s needs and may include a combination of manual therapy, rehabilitation exercises, and other modalities.

Pelvic Floor Motor Control exercises (PFMC) are a set of proven protocols to correctly treat urinary incontinence. These exercises can be taught in an individual physical therapy session or with group instruction and receive feedback from a skilled therapist trained in pelvic floor motor control who can provide support and guidance when needed. Studies have shown that PFMC exercise training significantly reduces symptoms of urinary incontinence and even eliminates incontinence completely. Furthermore, this type of exercise training has been demonstrated to reduce other pelvic floor-related issues such as urinary urgency and frequency, constipation, pelvic pain, sexual dysfunction, and fecal incontinence. The exercises are beneficial both short term and long term in terms of controlling symptoms and producing lasting results. In fact, studies have shown that PFMC exercises can be effective for up to a year after completion of treatment. This makes them an excellent choice for those seeking long-term relief from urinary incontinence and other pelvic floor issues.


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