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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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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'm 24 years old female. Im having regular periods of 28 days cycle .Actually my problem is during an intercourse my husband is saying that he can not insert his penis onto my vaginal hole completely as he was feeling some blockage there .what was this problem about. How I should be treated kindly explain me the reason for that blocking problem, im really feeling tensed .is that a serious problem, can I get pregnant or not .please help me doctor.
Hi My wife is 3. 5 month pregnant. We have started sex now after completion of 3 months. But we are confused & afraid about deep penetration that' s why we both can' t enjoy the same. Is it safe to penetrate as we did before pregnancy. Kindly advise.
Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.
Types of Fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.
What is the primary cause of Fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.
Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
- Rubbery and elastic
- Easily movable
These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.
Risks: Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Most often than not, cancer comes unannounced and rocks our world. While of late routine tests are being encouraged, it is advisable to keep a look out for symptoms which are commonly overlooked. Some of them are:
1. Peculiar back pain - it has been noticed that the first symptom for liver cancer in many cases is pain the back of the lower back side of the body. Back pain could also be a symptom for breast cancer, in cases where the tumour is pressing backwards, into the chest.
2. Unexplained nail marks - nails often reflect the condition of our health. If there is a sudden and unexplained change in the fingernails, like maybe a dot/a black mark or a brown mark under the nail, this could be a sign of lung cancer.
3. Sensitive skin patches - if there is a lump on the skin or a patch feels sore, is crusty or bleeds very easily then this could be a symptom of skin cancer. It is important to be aware of all changes in your skin, throughout the body.
4. Unexplained facial puffiness - if your face seems puffy, read or swelled, without any logical explanation, this could be a symptom.
5. Unusual menstruation - if you are having unusually heavy and painful periods, it is advisable to request for a transvaginal ultrasound as this could be a symptom of uterine cancer.
6. Changes in breast (s) - this is the most common change which women who have been diagnosed of breast cancer have reported. If the nipple is flattened, inverted or turned sideways, it could be a symptom for breast cancer. Also, if the breast feels read, sore or swollen, it could be a symptom.
7. Frequent stomach problems - frequent upset stomachs and cramps could be the symptom of colorectal cancer.
8. Unreasonable weight loss - if you are losing a lot of weight without even trying to, this could be an early sign of colon or any other digestive cancer. It could also mean that the cancer is spreading to the liver, if your appetite is getting affected.
9. Blood in stool - if there is blood in your stool, this could be a symptom of colorectal cancer and you need to go for a colonoscopy.
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