Pregnancy & Post-Partum

Please be sure to check out our Article titled: Heal Postpartum Pain, Incontinence with Physical Therapy at the following link:

Heal Postpartum Pain, Incontinence with Physical Therapy

There’s help for pregnant women and new mothers Pregnancy shouldn’t mean pain:

Pregnancy and new motherhood should be times of joy and promise – not pain. Fortunately, times have changed since your mother was pregnant: you don’t have to live with pain or other problems related to pregnancy or delivery.

That’s because physical therapy has changed, too. It’s no longer just for joint problems; it’s also a safe, proven, and widely prescribed treatment for pregnant women and new mothers. It promotes a far healthier, less stressful, more comfortable pregnancy that pays lasting dividends: an easier labor, a speedier recovery, and less likelihood of postpartum pain or incontinence (urine leakage).

Raquel K. Perlis Physical Therapy specializes in helping pregnant women and new mothers

Our registered physical therapists, all mothers, have been practicing physical therapy since the 1980s. Many gynecologists, urologists and orthopedists throughout the Boston area and New England have referred their pregnant and postpartum patients to our practice.

Most important, after a course of treatment, most women’s symptoms are significantly improved.

Back and joint pain

Postural and hormonal changes during pregnancy can cause upper and lower back pain and worsen pre-existing joint problems. You may also have pain above one of the buttocks (sacroiliac dysfunction), in the groin area (pubic symphysis strain), or in the tailbone (coccygodynia) or perhaps pain, numbness, or tingling in one or both legs (sciatica).

Raquel Perlis Physical Therapy effectively treats these back and joint problems with:

  • targeted exercises
  • massage, myofascial release, and soft-tissue mobilization
  • posture and body-mechanics retraining
  • cold and heat treatments
  • therapeutic belts and supports
  • relaxation techniques
  • ultrasound and electrical stimulation (for postpartum women only)

Numbness and tingling

Tissue swelling during pregnancy can cause tingling or numbness in the arms or legs. Exercise can strengthen muscles, promote circulation, and relieve these sensations. Edema (swelling) massage, body repositioning, and joint supports can help, as well.

Incontinence and vaginal pain

Pregnancy can lead to pelvic-floor and abdominal weakness, which, in turn, can lead to incontinence. Childbirth and episiotomy may trigger vaginal pain. In some women, these symptoms persist after delivery.

Raquel Perlis is among a select group of physical therapists experienced in using biofeedback and Kegel exercises to successfully rehabilitate the pelvic floor to relieve incontinence and vaginal pain. (If you’re pregnant, your doctor must approve the use of biofeedback.)

Depending on whether you have incontinence or vaginal pain, Raquel’s safe and effective treatments include:

  • Kegel’s exercises
  • biofeedback
  • specialized abdominal exercises
  • hands-on trigger-point release, myofascial manipulation, connective tissue manipulation, and vaginal stretching
  • vaginal cones
  • dilators
  • ultrasound (for postpartum women only)
  • electrical stimulation (for postpartum women only)

Post-cesarean and episiotomy symptoms

To relieve pain and promote healing from cesarean sections, episiotomies, vaginal tears, and hemorrhoids, Raquel may provide

  • specialized abdominal and postural exercises
  • postural retraining
  • moist heat packs
  • scar massage
  • ultrasound
  • exercises to strengthen bowel, bladder, abdominal, and chest muscles weakened by cesarean section