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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.
Hi Doctor, Am married- me and wife trying to get baby, so we tried to have sex frequently last one week (alternative date). I ejaculate with sleeping position. Her periods date ends on 6th this month_ from the periods end till now I have ejaculate 7 to 8 times. When I ejaculate all my sperms coming out from hervagina. And she peeing urine in bathrooms and cleaning with water. Here my question this time will she get pregnancy? When shall I start seeing the symptoms?
- catalysing metabolic reactions
- replicating dna
- responding to stimuli
- transporting molecules etc.
Searching for ssohm on internet will help.
Hello doc I am 9 week pregnant and I am usually eating kissan mixed fruit jam, I read it contain papaya and pineapple .is it dangerous for me and my baby. please help. I am scared much.
Can pregnant woman have mango? It is a general conception that eating mangoes raise the body temperature and it is not good for the little one. My wife is in her 3rd month and I would like to know if eating mango is safe for her.
Hi, I had unprotected sex on 15th sep. It's been two weeks now. I just started bleeding last night. Now what I am confused about is if it's an implantation bleeding or I have my periods. Also as per home pregnancy test. Which I conducted twice already, one was yesterday, and one in the morning today (first pee, it came negative. What are the chances of me being pregnant? Should I be worried?
Hey. I had an unplanned sex 4 hours ago wid my partner without condom soo his penis leaked in my vagina what shud I do to avoid pregnancy except the use of pills?
Hey, I have a irregular periods issues from past many days may I know what is the reason behind it and I think I'm gaining weight because of it. What is the medication for it.
i am geeting rashed near vagania very frequently.it is itchy ,red and swalling some time watery also.please suggest some permanent solution
I took an ipill on the 25th of December and then again on the 1st of Jan. I got my period also on the 1st of Jan, and they weren't due for another 17 days as per my cycle. They started with slight bleeding and are still going on with the flow like a regular period. Is this normal?
I have a problem of vagina discharge. Can you tell me what is reason for this. Any medicine which will help us me. Or any homemade medicine.
I am 45 year female I am not getting my menstrual periods from last 3 months pls advise any medicine.
She has 40 years old. She told to me that from her breast there is white liquid discharge when she press her breast in small quantity. It's taste is sweet. She is not pregnant then how this milk like liquid form without breast feeding by her young ones.
• History of allergy – skin allergy, asthmatic etc.
• Mostly inhaled allergens cause asthma.
ALLERGENS CAN BE:
– Environment - smoke, dust & pollution and petrol fumes.
– Pollen and molds from grass, flowers and trees.
– Strong perfumes
– Paints & varnishes
– Tobacco smoke
– Animal dander
– House dust mite
– Chemical fumes
FOOD, WHICH CAN CAUSE ALLERGY ARE:
– Sour food
– Citrus fruits
– Cold food & drinks
– Artificially colored & flavored foods
– Beer, wine
– Canned vegetables
• Infection of lungs, bacterial or viral.
• Emotional stress
• Over strenuous exercise
• Inhalation of old air
• Climatic changes
• Allergy to certain drugs.
• Chain smoking.
SIGN AND SYMPTOMS:
• Initially feeling of distress and restlessness with painless tightness in the chest.
• There may be cough, sometimes with phlegm.
• A wheezing / whistling sound when breathing.
• Mild to moderate shortness of breath.
• Shortness and rapid breathing followed with a feeling of Anxiety, sweating and inability to lie down on the back.
• Usually the sufferer finds comfort in sitting bent forwards and near the windows.
• Try to recognize and avoid the factors that trigger the asthmatic attacks.
• Keep a diary and try to trace a pattern or relation between your allergic reaction and the allergen.
• Families with history of allergy should avoid artificial food, eggs, cocoa, juices and wheat preparation to infants till the age of six months. Only breast feed infants for the first six months to strengthen the immune system.
• For infants born in vegetarian family, vegetarian food is preferred.
• Avoid food and drinks known to cause allergy - cow milk, vinegar, lemon juice, grapes, instant tea, corn syrup, fruit toppings, cold food and drinks, canned food, food additives, beer and wine.
• Eat balanced nutritious diet.
• Eat fresh unprocessed food.
• Consume Bitter gourd (Karela) cooked or juice, it strengthens the immunity.
• Every morning, drink boiled mixture of – ½ cup water, little ginger, 2-3 leaves of sweet basil (tulsi) and mint leaves, or you can eat the raw leaves, this will boost up you immunity.
• Boil a mixture of Bishops weed (Ajwain), tea leaves and water and inhale the steam, helps to decongest.
• Consume garlic and onions, will be beneficial, but avoid them if you are on homeopathic medicine.
• Consume lots of Vitamin B complex.
– Liver, kidney, pancreas, yeast (Brewer's yeast), lean meat especially pork, fish, dairy products, poultry, egg, shrimps, crabs and lobsters,.
– Milk and milk products, green leafy vegetables, legumes, nuts, whole grain cereals.
– Carrots, bananas, avocado, raspberries, artichoke, cauliflower, soy flour, barley, cereals, pasta, whole grains, wheat barn like rice and wheat germ, dried beans, peas and soybeans.
• Increase intake of magnesium in your diet.
– Sea food, nuts, green leafy vegetables.
– Peas, lotus stem, pulses, whole grains, fruits.
• Avoid smoke, pollution, and dust as far as possible.
• Try to reduce stress, anxiety and tension, practice yoga will help to relax and relive stress.
• Yoga will also help by breathing exercise. Breathing exercise will help better utilization of available lung space.
Avoid inhaler ,bronchodilator in case of young age .childhood.why are you damage your lungs,its not benefits for long duration.
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