By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles During prepartum/postpartum evaluations, a physical therapist will take an extensive medical history. Following the history, the PT will perform a thorough external and internal musculoskeletal exam. Your evaluation should include: Musculoskeletal: An assessment of structure, muscles, tissue, joints and manual evaluation of the pelvic floor muscles. We can identify problematic …
Common Prepartum Symptoms and Their Treatments
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles If you are expecting, plan to be in the future or know someone that is, here are some common Prepartum symptoms! Low back pain- Foot and back pain are due to hormonal and musculoskeletal changes. Studies have shown that 40% to 60% of women will experience back pain during pregnancy and …
Hormonal Prepartum Changes and Postpartum Complaints
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Hormones play a vital role in day-to-day function. They allow for the organs to communicate with each other so that we can filter toxic waste, grow muscle, sleep well . . . . and even grow a human! Let’s take a look at what happens during pregnancy: Estrogen goes up, elevating …
Pain Interventions for Labor and Birth With a Partner
By Molly Bachmann PT, DPT, Birth Doula When it comes to pain management during labor, most of us think of medical interventions such as an epidural or pain medication. Did you know that there are things that your doula, support person, midwife, partner or even OB can do to decrease pain? When I’m working with patients to help them prepare …
Diastasis Recti: Causes and Treatment
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Diastasis recti can be caused by various reasons, some of which can affect one person more than the next. The integrity of our connective tissue is genetic. However, external factors also play a role in who may develop a DR. It is important to note a few things about each cause: …
Pain in your tailbone? You are not alone: Michelle’s Success Story
By Jennifer Keesee, PT, DPT, PHRC Westlake Village Michelle is a 39 year old patient who was referred to PHRC by her pain management specialist for evaluation and treatment of tailbone pain, known as Coccydynia. Her symptoms started one year after giving birth to her second child, and had continued off and on for about three years. Michelle did …
Postpartum Urinary Incontinence is Common: Here’s How We Can Help
By Lauren Opatrny, PT, DPT, PHRC Berkeley & San Francisco *all names have been changed to maintain patient privacy Background Rachel* is a 32 year old experiencing urinary incontinence after giving birth to her baby in December 2020. When she was eight months postpartum and still experiencing incontinence, her doctor referred her to pelvic physical therapy. Six weeks …
Success Story: Pelvic Floor PT Helped Charli Resolve Postpartum Pain
By Jillian Cerda Ramos, PT, DPT, MFDc *all names have been changed to maintain patient privacy Introduction Pregnancy is truly a life-changing event in more ways than one: bringing a baby into this world is no easy feat, and neither is the recovery process! Just like how each pregnancy is so different, each postpartum experience can be so …
Pregnancy Awareness Month- Pregnancy & Postpartum Services
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles With May being Pregnancy Awareness Month, we wanted to share an overview of the pregnancy and postpartum services we offer here at the Pelvic Health and Rehabilitation Center. Along with the overview we will discuss what to expect in your appointment with additional blogs, videos and general pregnancy and postpartum …
Considerations of Musculoskeletal Harm Reduction During Labor and Birth
View PostPelvic Health Products We Love: Part One
By Jandra Mueller, DPT, MS, PHRC Encinitas Here at PHRC we regularly discover all sorts of new and cool products that are available for people’s pelvic health needs. I am amazed at some of the products available and that are being developed and am so thankful there are people that are creating these products because they are SOOO helpful! Pelvic …
The 4th Trimester: Postpartum Pain is Common but not Normal, Part 2
By Courtney Edgecomb, DPT In Part 2 of my 2-part post I will cover different therapeutic strategies for postpartum pain. As a new mom, self-care and appropriate medical attention is critical to ensure you stay as healthy as possible for your little one. I am sure it is daunting to find time for yourself at the moment, but it will …
The 4th Trimester: Postpartum Pelvic Pain is Common but Not Normal
By: Courtney Edgecomb, DPT Postpartum Pelvic Floor Physical Therapy is increasingly utilized to help new moms recover from pregnancy and delivery. Is pain normal after giving birth? Of course that is an extremely open-ended question and I would get different answers from almost every single mom (and from each of her pregnancies). But it is hard to tease out …
Childbirth Medical Interventions and Pelvic Floor Dysfunction
By: Admin As a pregnant woman and pelvic floor physical therapist, I am surrounded by stories, advice, and opinions about the right way to give birth. Most of us know that pregnancy and childbirth often result in trauma to the pelvic floor and perineum, which can lead to incontinence, pelvic organ prolapse, and painful sex, among other things. …
Pelvic Pain and Childbirth. Dr. Mark Conway tells us what we need to know.
By Elizabeth Akincilar-Rummer As we learned in a recent previous post by Stephanie Prendergast, the vast majority of women are not well informed when it comes to their pelvic floor, pregnancy and childbirth. In fact, 93% of women felt like they were insufficiently informed about their pelvic health! Unlike the rest of the population, many of our patients …
Postpartum sex, your pelvic floor and your body
It is now the six week mark and you are at your postpartum check up and are told by your doctor, everything looks great, you can resume having sex. You’ve finally hit this goal that everyone talks about- “six weeks.” But what does that really mean? Does it mean that everything ‘down there’ is back to normal? Sex will now …
Reducing perineal trauma during labor and delivery
By Stephanie Prendergast, Cofounder, PHRC Los Angeles Who doesn’t love a crowning baby cake? If our image didn’t catch your eye the title of this post probably did if you are pregnant or thinking about becoming pregnant. Last week we presented a pelvic health quiz about the role of the pelvic floor muscles play in childbirth. This week we …
What women do and don’t know about childbirth and their pelvic floor muscles
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Recently, a number of studies were published on what women do and don’t know about their pelvic floor muscles, childbirth, and longer-term pelvic health. How much do you actually know? Take our quiz and find out! If you do not know the answers, don’t fret. You are amongst 93% of …
Beating the Odds: How one woman overcame a traumatic birth and had a successful second birth
Childbirth is no picnic: 85% of women who deliver vaginally experience perineal trauma and a third of those women in the USA and UK require stitches.2 The thought of having another baby after having gone through a traumatic birth can be daunting, to say the least. Returning to sex can also seem like a feat, especially when pain is involved. …
Painfree childbirth, peaceful labor, comfortable delivery: the practice of hypnobirthing
Photo: David J Laporte By Melinda Fontaine Peaceful labor? Comfortable delivery? Calm childbirth? Do these sound like oxymorons? It’s true! Jane was a young woman who saw a segment on TV about HypnoBirthing. She saw pregnant women who looked like they were concentrating really hard on an abdominal workout or a challenging algebra equation. Then …
Pregnancy, Labor, and Delivery with Vulvovaginal Pain
By Melinda Fontaine Julia called me yesterday to ask some questions about pelvic pain and pregnancy. She was 38 weeks pregnant and getting ready to give birth. She had a history of some pain with intercourse prior to getting pregnant and was surprised to feel some vaginal pain at her last OB appointment as well. Julia wanted to know …
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