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Dr. Nirund

Gynaecologist, Mumbai

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Dr. Nirund Gynaecologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nirund
Dr. Nirund is a popular Gynaecologist in Prabhadevi, Mumbai. You can consult Dr. Nirund at Fayth Clinic in Prabhadevi, Mumbai. Book an appointment online with Dr. Nirund and consult privately on

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Fayth Clinic

Shivshakti Co-Operative Housing Society, A-Wing, 1st Floor, SK Bole Road, Prabhadevi.Landmark:- Beside Sahakari Bhandar, MumbaiMumbai Get Directions
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How Physiotherapy Can Help Through pregnancy and After Pregnancy

Physiotherapist, Gurgaon
How Physiotherapy Can Help Through pregnancy and After Pregnancy

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.

1 person found this helpful

I got my periods twice in a month this time. Is there any need for urgent consultant or should I wait for next month cycle.

Homeopath, Raebareli
I got my periods twice in a month this time. Is there any need for urgent consultant or should I wait for next month ...
Isha you can wait for next cycle and keep a note about the last two periods details in regards to flow duration pain and white discharge thereafter and any other associated complaints and then update with the next cycle
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Is it necessary that at first time sex, there will be bleeding in girl's vagina, and if not so then she is not virgin?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certified course in Herbal(Ayurvedic) medicine
Sexologist, Ludhiana
It is not necessary there wil bleeding at first time sex. Hymen can be rupture during playing games or sex before marriage but exact cause only your spouse can explain you.
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Dear sir, I am normal and my partner also. So can we do oral? Is it safe or harmful? One more question is if inside vagina got a small hurt by nails during finger will there be any risk? Please reply. Thank you.

Practising Unani Physician
Unani Specialist, Coimbatore
Dear lybrate-user As per our clinical trails we found those who are doing oral sex activities they may unidentified diseses we found. Why because not maintained hygenic properly. Even though maintained hygenic the fluids may go inside it will give harmfull activities. The nails through vagina it may rapurured endometrum. It may also affect mensuration cycles. Pl avoid those things. Make straight what standered way.
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Am female I doing sex daily with one person with out safety using and igot pregnancy but I used tablets removed that pregnancy, any problems occurred in future and if still doing sex means any problems occurred help me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, after abortion she should not get pregnant in next 3 months till uterus returns to its prepregnant state. Practice sex only after 6 weeks and keep it protected.
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I am 30yrs old married 1.5yr, a working lady Suffering polycyst ovarian, irregular periods problem & also I take medicine Eltroxin 50 for thyroid. Last November I have a problem of Jaundice & on June'15 I have an operation of Gallstone. Now I want to get pregnant. Please suggest me after how much time I do regular meting to get pregnant.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
I am 30yrs old married 1.5yr, a working lady
Suffering polycyst ovarian, irregular periods problem & also I take medi...
Hi ! you got operated for gall bladder in june-15. You should take rest for at least 6 mths. After that you may plan your pregnancy.
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Hi Doctor, My age is 23 and I am suffering from PCOD. I want to know what kind of treatment is beneficial for this problem. Ayurveda, homeopathy or whatever. Thanks.

Bechhlor of ayurvedic medicine and surgery
Ayurveda, Ghaziabad
Hi Doctor, My age is 23 and I am suffering from PCOD. I want to know what kind of treatment is beneficial for this pr...
Obvious ayurveda is much beneficial for pcod. Bcoz its a autoimmune disorder, no other pathy except ayurveda pacify the cause of pcod. According the ayurveda, meda carrying channels block so basically blocked channels is detoxified. For that ayurvedic remedies like kanchnar guggulu, arogyavardhinivati punarnava mandoor if any irregularity of periods, rajapravartini vati and patrangashav with ashokarisht to be given for a month. Then after follow up should be given by the patient of pcod.
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We are trying for baby. I have missed my period by 8 days N my pregnancy test is also negative. How I can get to know whether I am pregnant or not?

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician, Delhi
We are trying for baby. I have missed my period by 8 days N my pregnancy test is also negative. How I can get to know...
If your periods are over due by 8 days and your pregnancy test is negative.There are two possibilities. First your period is delayed due to hormonal imbalance, then period will come in one or two weeks. Second possibility is that pregnancy test is false negative, and may become positive after one week. Ultrasound Scan can confirm or exclude pregnancy.
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Sir. I am studying in 4th year I had lots of sex feelings during my 2nd year be. So I need not wanted to involve sex with guy and loose my virginity instead I utilized a dildo and almost 1 year I used it. Later on I got controlled and sex feelings gradually decreased. But now I am engaged with a guy next year we are marrying we had sex. But at the sex I didn't get bleeding and it was easy intercourse for him. So he says I am not virgin. I do not know how to prove it? masturbation made my hymen break and its wide now. Can I involve in any tests and prove him. please help me. Or else he will make myself kill. . More over I can not live without. Please explain me how can I convince him and explain about it.

Homeopath, Hubli-Dharwad
See. Always people how have intercourse for the first time will not bleed. It's mutual understanding. If you comfortable with your partner then you won't bleed when you have first time intercourse. Couples who are new to each other with hesitation will have bleeding in there first intercourse. And rest about your boyfriend. If he don't have faith on you then continuing relationship with him is no use. If you convince him also if it's there in his mind that you are not virgin then your rest life will go to he'll. Once you break this relationship. It's better to die once than daily dieing after marriage. Sorry I spoke about your personal. But it's true to explain you. What mistake you going to do like.
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