Most commonly this affects the pubic symphysis joint at the front (over your pubic bone) and the sacroiliac joints at the back of the pelvis (below the dimples in your low back). This can often be quite debilitating and make simple tasks like taking the stairs or picking up your toddler quite difficult.

 Treatment can include:
* Soft tissue massage/myofascial release
* Taping
* Support garments (belts and leggings)
* Education
* Postural correction
* Footwear
* And of course, EXERCISE 

One of the most effective ways to manage pelvic gridle pain is via the appropriate exercise. This can be done via a home exercise program or through our Clinical Exercise classes, which is the perfect way to compliment your physiotherapy management.

All of our physios have undergone additional Women’s Health training and are equipped to assist you with your pregnancy related aches and pains or tailor a home exercise program suitable to you 👏🏼

If you’re pregnant and experiencing pelvic girdle pain, or just want to discuss how you can keep moving well throughout your pregnancy book an appointment online via our website or 📞 58977044

#gvsportscare #shepparton #health #fitness #physio #podiatry #clinicalpilates #exercise #pelvichealth #pregnancypain #pregnancy #pelvicpain #womenshealth

Reference:
Ceprnja D, Chipchase L, Fahey P, Liamputtong P, Gupta A. Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women: A Cross-Sectional Study. Spine (Phila Pa 1976). 2021 Jul 15;46(14):944-949. doi: 10.1097/BRS.0000000000003954.

The post Pelvic Pain in Pregnancy appeared first on GV Sportscare.

The demands of pregnancy, birth and the postpartum period involves big changes to the musculoskeletal system. The body needs time to recover and this will impact readiness to return to high-intensity or high-impact activity safely. This would be no different for a runner sustaining a non-pregnancy related injury – our advice would be to commence running again only after appropriate progression through rehab and ticking off key strength and loading criteria!

Can I get back to running/sport/HIIT straight away?

Current guidelines recommend waiting at least 12-16 weeks before returning to running or high-impact exercise. This is to prevent injury to the pelvic floor, abdominal muscles and other joints and muscles.

But this doesn’t mean you can’t be exercising earlier! Low impact or low intensity exercise is safe in the postpartum period from as early as 3 weeks postpartum when directed by a health professional such as a physiotherapist.

Our Shepparton physiotherapists can assess you in the postpartum period, and get you started with your return to exercise at home or the gym, a walking program, or discuss with you our Mums & Bubs Clinical Exercise classes. We recommend a postnatal assessment at the 3-4 week mark to make an individualised plan for returning to exercise.

What about my pelvic floor?

The pelvic floor undergoes many changes during pregnancy, childbirth and postnatally. Read our blog to learn more about the pelvic floor. The pelvic floor can become weak, which means that it doesn’t function as well as it should – this can lead to pelvic floor symptoms like bladder or bowel leakage, urgency or prolapse.

Running, sport and/or high-intensity exercise are high impact activities that increase pressure in the abdomen, which in turn places more pressure and demand on the pelvic floor.

Symptoms to look out for that may indicate your pelvic floor or core isn’t coping with exercise:

• Bladder or bowel leakage (even just a little!) or difficulty emptying bowels
• Urinary urgency (rushing to the toilet)
• Heaviness/bulge/dragging sensation in the vaginal area
• Bulging/doming in the abdomen through an abdominal separation

Image source: https://www.continence.org.au/about-continence/continence-health/pelvic-floor

Return to running or high-intensity training checklist:

✓ Have already completed at least 6 weeks of low impact cardio exercise, such as walking or swimming

✓ You will have done at least 6 weeks of strength and conditioning in the postpartum period prior to running, to get your muscles strong enough for running/sport/HIIT

✓ Timeline wise, at least 12 weeks postpartum (and even up to 6 months), to allow your body time to heal, improve your strength and prevent pelvic floor dysfunction

✓ A pelvic floor assessment and run/sport/HIIT clearance from a pelvic floor physio

✓ Able to pass a series of pelvic floor loading tests without pelvic floor symptoms above

✓ Able to pass general lower body strength tests – this is the benchmark for all runners/athletes to prevent other non-pregnancy related joint/soft tissue injuries!

How can our Shepparton based Physiotherapists help with your postnatal return to running?

– Complete a post-natal musculoskeletal assessment and pelvic floor screening (as early as 3-4 weeks postpartum), and refer you onto a local pelvic floor physio if indicated

– Develop an individualised exercise program including general strength, mobility, pelvic floor and core exercises

– Facilitate safe return to running, HIIT or your chosen sport by testing you against the criteria above to ensure you are ready to return to this level of exercise

– Work with you to set some short and long term goals!

– Emily Wiedemann
Physiotherapist Shepparton

The post Getting back to running, sport or HIIT after pregnancy, where should you start? appeared first on GV Sportscare.

Most commonly this affects the pubic symphysis joint at the front (over your pubic bone) and the sacroiliac joints at the back of the pelvis (below the dimples in your low back). This can often be quite debilitating and make simple tasks like taking the stairs or picking up your toddler quite difficult.

 Treatment can include:
* Soft tissue massage/myofascial release
* Taping
* Support garments (belts and leggings)

* Education
* Postural correction
* Footwear
* And of course, EXERCISE 

One of the most effective ways to manage pelvic gridle pain is via the appropriate exercise. This can be done via a home exercise program or through our Clinical Exercise classes, which is the perfect way to compliment your physiotherapy management.

All of our Shepparton physios are equipped to assist you and our new physiotherapist Jacinta specialises in Women’s Health and can help you manage your pregnancy aches and pains or tailor a home exercise program suitable to you

If you’re pregnant and experiencing pelvic girdle pain book an appointment online via our website gvsportscare.com.au or  58977044

#gvsportscare #shepparton #health #fitness #physio #podiatry #clinicalpilates #exercise #pelvichealth #pregnancypain #pregnancy #pelvicpain #womenshealth

Reference:
Ceprnja D, Chipchase L, Fahey P, Liamputtong P, Gupta A. Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women: A Cross-Sectional Study. Spine (Phila Pa 1976). 2021 Jul 15;46(14):944-949. doi: 10.1097/BRS.0000000000003954.

The post Pelvic Pain in Pregnancy appeared first on GV Sportscare.

Exercise can come in many different forms during pregnancy, the most important aspect is that we are diligent and safe with our choices. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) recommends that ‘Women without contraindications should participate in regular aerobic and strength conditioning exercise during pregnancy…. Importantly, there is no evidence to suggest that regular exercise during an uncomplicated pregnancy is detrimental to the woman or fetus’

It is important to speak with your GP, midwife or obstetrician about your pregnancy and whether there are any reasons for you not to exercise during your pregnancy. For some women it is not possible due to complications in their pregnancy.

For those that can exercise, there are many benefits to exercise during pregnancy, some of those include:

-improved maternal psychological and physical health (particularly cardiovascular health)

-reduced musculoskeletal pain and discomfort (including back, pelvic or leg discomfort)

-reduced depressive symptoms

-decreased lower limb oedema (swelling)

-evidence is growing that exercise prevents or helps manage gestational diabetes and pre eclampsia

-some evidence for reduced length of labour and fewer neonatal complications

-lower incidence of operative delivery of baby

-increased birth weight to normal range of baby

-lower rate of prematurity

Our Shepparton physiotherapist will consider when advising you on exercise programs:

-baseline level of fitness and previous exercise experience

-physiological changes in pregnancy and what type of exercise and positions are safe for the pregnant women. (Please note after week 16 there is a strong recommendation to avoid lying on your back to exercise!)

-previous injury or new pregnancy related pain

-pelvic floor, consider pre-existing weaknesses and aim to include pelvic floor exercise in all programs

If you are unsure please feel free to speak with our Physiotherapist Sophie who can help guide you on safe exercise prescription. This can be a program to do within your own home or for those who want to continue in the gym we can help modify programs for here as well. If you are unable to exercise due to complications and you are experiencing back or pelvic pain we are also trained to treat these types of conditions safely at our Shepparton clinic. 

Helpful info:

Exercise during Pregnancy guideline, including warning signs during exercise. 

PARmed-X for PREGNANCY: a guideline for health screening prior to participation in a prenatal fitness class or other exercise, used by our Shepparton physio.

References:

Field, T. (2012). Prenatal exercise research. Infant Behavior and Development, 35(3), 397-407.

Melzer, K., Schutz, Y., Boulvain, M., & Kayser, B. (2010). Physical activity and pregnancy. Sports Medicine, 40(6), 493-507.

Sophie Woodhouse

Physiotherapist Shepparton, GV Sportscare

The post Exercise in Pregnancy appeared first on GV Sportscare.