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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
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How physiotherapy can help through pregnancy and after pregnancy:
Pregnancy and childbirth throw a woman's daily routine out for a toss. During and after pregnancy is the time when her body undergoes a number of hormonal and physical changes. Mundane tasks like sitting, standing, walking, and working become a challenge.
Research suggests that almost all pregnant women experience musculoskeletal discomfort but around 25% become temporarily disabled because of it. All these occur due to the incredible changes taking place in the body during a normal pregnancy.
Pregnancy discomfort has been accepted as a part of the normal process of pregnancy for years now. But just because you are pregnant does not necessarily mean that you have to accept problems like a backache and pelvic girdle pain as unmanageable. Doctors of today have realized that physiotherapy is the key to enhancing a woman's health during pregnancy. The main aim of physiotherapy is to reduce discomfort, to prepare the body for delivery and to speed-up recovery after childbirth.
Physiotherapy through pregnancy
The basic aim of physiotherapy during pregnancy is to help the body deal with issues related to mobility, musculature, circulation and respiration. Prior to starting an effective antenatal (before birth) program, a thorough evaluation is done to recognize which exercises would be best suited to the woman's needs. These exercises are aimed at strengthening muscles,
decreasing joint pain, correcting muscle imbalances, and increasing the overall range of motion of the body. Therapists may also advise you about correct sleeping positions as your normal sleeping routine may be disturbed during pregnancy.
Here's how physiotherapy deals with some common complaints experienced by women during pregnancy.
Lower back pain: almost all pregnant women experience low back pain, though it tends to become severe after third trimester begins because the woman's centre-of-gravity shifts due to the increase in the stomach size. Lower back pain is treated with manual and passive physiotherapy, back support, postural education, and some pilates exercises. Home exercises are also taught which the women are encouraged to continue at home.
Pain in the sacroiliac joints: sacroiliac joints are present in the lowest region of the lower back. This pain is usually concentrated in the buttock region. During pregnancy, due to excessive hormone release, the body's connective tissues tend to relax so that the muscles can stretch to aid in delivery. This may cause the sacroiliac muscles and ligaments to become excessively mobile, causing extreme joint movements. Due to this, the woman may experience difficulty in lifting the leg, swelling in the joints, pain in the hips, and difficulty while standing and sitting. Strengthening exercises are provided by the physiotherapist to stabilize the joints and hands-on therapy is given to reduce the pain by realigning the pelvis.
Urinary incontinence (due to pelvic floor weakness): progesterone, which is known as the pregnancy hormone, relaxes the muscles of the pelvic floor in order for it to be supple and ready for delivery. Therefore, these muscles can weaken and strain during pregnancy and childbirth, which leads to urinary incontinence (unable to contain or retain urine) and pelvic floor dysfunction. Physiotherapists will teach you strengthening exercises to strengthen the pelvic floor muscles. They may also provide you with a pilates based exercise program to help reduce the muscle weakness that may occur after childbirth.
Sciatica: sciatica is a problem that a lot of pregnant women experience. Continuous pressure or strain on the sciatic nerve can lead to backache, and weakness, numbness and tingling in the leg or associated areas. Physiotherapy uses stretching exercises and manual therapy to relieve you of these symptoms.
Carpal tunnel syndrome: this condition is caused due to build-up of excessive fluid resulting in swelling in the carpal tunnel in the wrist. You may experience symptoms like pain, numbness, tingling, and loss of coordination in your hands and fingers. Physiotherapy techniques such as mobilization, strengthening exercises, stretching, and soft tissue techniques help to reduce these symptoms. In severe cases, a wrist brace may be provided to put on during specific activities to minimize inflammation.
Physiotherapy after pregnancy
Physiotherapy does not stop once your baby is born. It is very much part of post-natal care too. Gentle physiotherapy exercises must be started two days after the baby's birth. However, this must only be done after consulting with your doctor. Most hospitals have physiotherapists who will offer their services before you are discharged. For the first six weeks after childbirth, your body is still in the recovery phase and walking is the best exercise for you. Start with short walks, and then slowly increase time, distance, and speed of your walks, according to your comfort. Swimming is another good exercise, but you can only start with this after you have recovered properly. If you experience any pain and discomfort, discontinue the activity immediately and consult your doctor. After six weeks, with the go-ahead from your doctor, you can start with sports and exercise classes.
Women also experience certain post-natal complications. Here is how physiotherapy helps you recover from them.
Low back pain: physiotherapy techniques such mobilization, stretching, strengthening, soft tissue techniques, and hydrotherapy are very beneficial in reliving post-natal backache. Certain pilates exercises are also helpful.
Weakness of pelvic floor muscles: immediately after childbirth, the pelvic floor muscles are weakened. These muscles can be strengthened by pilates based exercise program and other exercises specific to pelvic floor muscle strengthening, which the physiotherapist will teach you.
Sacroiliac joint pain: this pain can continue after pregnancy too. Strengthening exercises and hydrotherapy can help in regaining normal muscle tone.
Diastasis recti or abdominal separation: generally this condition occurs in women who have undergone multiple pregnancies. A physiotherapist will provide you strengthening exercises to strengthen the abdominal muscles.
A woman's body undergoes incredible strain during pregnancy, and physiotherapy is something that can make the entire process so much easier. It aims not only at your recovery but enhances your body's ability to have a smooth and easy delivery. Physiotherapy makes the experience of pregnancy positive and joyful, just as it should be.
I missed my best friend before 1 month. From that day Im feeling very depressed. Are there any medicines to come out that depression?
I am 20 year old I have sex with my boyfriend he didn't wear condom but after 3 hour he gave me ipill but it's 3 rd day my stomach is bloating is this due to ipill or pregnancy I'm worried.
I want to have sex with my girlfriend without using condom she is 19, I'm 22 but I don't want to pregnant her, which is the best way to make this out, after sex what the steps she has to take and at what time or duration,(pills or something) please explain me everything in detail, I need help.
I am planning to conceive a child and I want to ask one question that can we have a sex daily for that purpose. It's not any harm to have a sex daily if I want a child. Please help me how frequently I can have a sex if I want to conceive.
I had done intercourse with my girlfriend so many times without using comdoms. When I am done I teke out my penis and then relise my semen. Is it posible that a girl can get pregnent in this situation?
Hello doc, my wife doesn't like sex. I don't know why? We have completed 11 years of marriage but still she didn't like to do foreplay and sex. I am really feels very disappointing at every moment. I usually use alcohol, when she ignored me. Also I tried to suicide twice when she ignored me. Am really depressed now. Could you please help me.
From last 5 years i am not getting pregnant all reports everything are normal, after intercourse sperm is coming out. Please advise.
Doctor, I'm 17 years old. I'm 6 weeks pregnant. I want to terminate my pregnancy. So I took 1 mifepristone of 200 mg on 16th July at 7: 45 pm. I started to bleed on 17th July at 7: 30 pm. On 17th July at 8: 50 pm I took 4 misoprostol of 200 mcg each. I took it by placing in my cheeks for 30 min. Then after 20-25 min I vomited. I even got fever on the same day. At midnight I got a little Big clot which was usually bigger than the normal small clots. Now I'm not bleeding. My bleeding has stopped within a week. So now Wat should I do? Is my pregnancy terminated? Can I have pregnancy test on Monday? Is there any need to have an ultrasound? Please help. I can't afford going to a hospital.
Sir me female hoon sir mere nabi se uper sene ke niche ka hissa phoola hua rehta hai aur mera pet chaati se kam se kam 8 inch bahaar hai jis ki wajha se bethne par khichao hota hai aur phir kamar me dard hota hai ye problem 3.5 years se hai please sir koi medicine bataiye thanks.Please tell.
Now I'm carrying. My baby was 12 weeks old yesterday. I took scan, in scan center they are telling heart and liver not formed properly. They are asking me to abort. But heart beat and all normal. I can't able to do that.
Hi. I am 34 years and this is my first pregnancy and I feel very angry, irritated and with negative thoughts all the time. Please suggest me what to do ?
Good afternoon doctor, , age 29yrs. My TSH level is 5.87 (normal range 0.34-5.6 mIU/L) 1year back in my 1st pregnancy I got abortion becoz of baby heart undeveloped) in 1st pregnancy I have TSH level is 7.5. Now my tsh level is 5.87. Im using 50mcg thyroid tablets. Can I plan for pregnancy while using thyroid tablets? This is right time to plan for pregnancy?
I am 29 years my period is late by two days I don't want to get pregnant. Give me a tablet to get period or. Can I take abortion pill which is available in clinic please help me I ve 1 year baby.
My wife having urine albumin 3+ at the time pregnancy, now she delivered a baby, now what should I do and what kind of medicine my wife has to take ?
Because cholesterol can’t dissolve in the blood, which is made mostly of water, it is
transported by protein packages called lipoproteins. Low-density lipoproteincholesterol
(LDL-C) is “bad” because it carries cholesterol to artery walls and forms deposits,
also known as plaque. This can lead to a condition called atherosclerosis or “hardening” of
the artery walls. With time, plaque builds up and blood flow slows down or stops.
High-density lipoprotein-cholesterol (HDL-C) is “good” because it carries cholesterol from
artery walls back to the liver and can reduce or prevent plaque build up.