The postpartum period can bring joy and new challenges, especially regarding recovery. Among the many adjustments, pelvic pain during the 4th trimester (the first three months after childbirth) can be challenging for many women to manage. This pain may stem from various causes, including muscle weakness, joint instability, or pelvic floor dysfunction. Thankfully, with the right approach to pelvic floor physiotherapy in Edmonton, relief is possible.
Types of Postpartum Pelvic Pain
Postpartum pelvic pain can manifest in various ways for the individual and the specific underlying causes. Some women may experience:
- Pelvic Girdle Pain (PGP): Pain in the lower back and hips, often caused by misalignment or instability of the pelvis.
- Symphysis Pubis Dysfunction (SPD): Pain in the pubic area caused by excessive movement of the pubic symphysis joint.
- Coccyx Pain: Pain in the tailbone can occur from prolonged sitting or trauma during delivery.
- Vulvar or Perineal Pain: Discomfort around the vaginal area due to perineal tears or episiotomies.
- Pelvic Floor Dysfunction: Weak pelvic floor muscles contribute to pain, incontinence, or prolapse.
Recognizing the type of pain a woman is experiencing can help identify the most effective treatment approach.
Practical Tips to Alleviate Postpartum Pelvic Pain
Ease the recovery and regain comfort during the 4th trimester with these practical tips for postpartum pelvic pain relief through pelvic floor physiotherapy in Edmonton.
1. Understanding the Root Causes of Postpartum Pelvic Pain
Pelvic pain after childbirth often results from the physical changes in the body through pregnancy and labour. The body’s ligaments and muscles, especially those around the pelvic region, experience significant strain. A common cause of pelvic pain during the 4th trimester is the relaxation of the pelvic floor muscles, which can result in discomfort, especially when engaging in activities like walking or lifting the baby. Recognizing the causes of pelvic pain is the first step in addressing it and getting back to feeling like the self again.
2. Strengthening the Pelvic Floor Muscles
Pelvic floor rehabilitation is a cornerstone of postpartum recovery. These muscles help support the organs of the bladder, bowel, and uterus, often weakening during pregnancy and childbirth. An individualized pelvic floor strengthening program can be developed with a trained physiotherapist. Exercises like Kegels help reestablish muscle tone and improve function. To perform a Kegel, gently squeeze the muscles around the vagina, urethra, and rectum (as though trying to stop urinating midstream), hold for a few seconds, and then relax. Doing this several times daily can help restore strength and alleviate pelvic discomfort.
3. Using Proper Posture and Body Mechanics
After giving birth, many women develop poor posture habits while caring for their baby, whether it’s holding them or breastfeeding. This can place added strain on the pelvic region and exacerbate pain. Proper posture supports the pelvic muscles and joints, especially sitting and standing. Using ergonomic chairs, lumbar support, and ensuring the body is aligned correctly during feeding or lifting can significantly reduce pelvic stress. Additionally, learning proper body mechanics for lifting and bending can prevent further strain and make recovery smoother.
4. Gentle Stretching and Mobility Exercises
Gentle stretching and mobility exercises are also vital in relieving pelvic pain postpartum. Incorporating stretches focusing on the hip flexors, lower back, and pelvic region can help release tension in the muscles surrounding the pelvis. Simple stretches such as the cat-cow stretch or pelvic tilts can improve mobility, ease discomfort, and enhance circulation. When performed regularly, these movements can provide much-needed relief and help regain flexibility and strength in the pelvic area.
5. Core Strengthening to Support the Pelvic Area
The core muscles stabilize the body, like the abdominals, lower back, and pelvic floor. After childbirth, the abdominal muscles may be weakened, contributing to pelvic instability and discomfort. Core strengthening exercises are essential in supporting the pelvic region and alleviating pain. Exercises like pelvic bridges or modified planks can help activate the core muscles and provide better support for the pelvis. Start with gentle movements and increase intensity as strength builds over time.
6. Heat and Cold Therapy for Immediate Relief
While waiting for long-term rehabilitation through exercise, heat and cold therapy helps in managing postpartum pelvic pain. A warm compress to the pelvic area helps relax tight muscles, alleviate stiffness, and improve circulation. Alternatively, cold packs reduce inflammation and numb the area, temporarily relieving pain. Both methods can be combined throughout the day to comfort and support healing.
7. Working with a Postpartum Physiotherapist
One of the best ways to ensure recovery and pain relief is by working with a postpartum physiotherapist who specializes in pelvic health. A physiotherapist can assess the pelvic floor, identify any imbalances, and create a personalized rehabilitation plan through pelvic health physiotherapy. They also provide manual therapy techniques to address joint misalignments or soft tissue tightness contributing to the pain. The recovery process can be much more effective and quicker with professional guidance.
8. Taking Time for Self-Care
Finally, one of the most crucial aspects of postpartum recovery is taking time for self-care. The early months of motherhood can be exhausting, but taking small moments for relaxation can significantly contribute to new moms’ exercise recovery. It ensures adequate sleep and manages stress, all necessary for healing the body. Whether taking a bath, practicing deep breathing, or enjoying quiet moments, self-care is vital in supporting the healing process.
Regaining Comfort and Confidence After Childbirth
Postpartum pelvic pain in the 4th trimester can be a challenging part of recovery, but it doesn’t have to persist. By implementing the right strategies, such as strengthening the pelvic floor, focusing on posture, and incorporating appropriate exercises, relief is possible through pelvic floor physiotherapy for women. Working with a postpartum physiotherapist can be an essential step in addressing pain and getting back to daily activities with confidence through postpartum physiotherapy. At Next Step Physio Clinic, our team of specialized physiotherapists is here to guide them through postpartum recovery. Reach out to us today for pelvic floor physiotherapy in Edmonton.