In the United States, a standard medical event like a knee replacement warrants 1-2 nights in a hospital and a rehab timeline of 3-6 weeks with a course of frequent physical therapy in that timeline. In an even more common medical event, giving birth, what do women receive? One 6 week follow up appointment. Postpartum...
Many clients I work with, particularly in the greater Boulder Area who are active and fit prior to pregnancy, want to know what types of exercise and intensity is appropriate to continue during pregnancy. First, it is always important to check with your OB/Midwife to make sure you are safe to continue or change your...
Diagnosis: Pelvic girdle pain (PGP) is musculoskeletal pain that occurs at either SI joint, the pubic bone, the groin, or some combination. PGP is very common during pregnancy, affecting between 52-70% of the pregnant population, particularly during late pregnancy. As with many musculoskeletal dysfunction during pregnancy it is common, but it does not have to...
Dyspareunia or pain with intercourse is common after having a baby. An estimated 50% of women report pain with intercourse 3 months after delivery and 17% still report discomfort at 6 months postpartum (Buhling et al, 2006). More severe perineal injuries correlate with more persistent pain, however women who undergo a C-section delivery may also...
It is estimated that between 1-10% of vaginal births result in 3rd or 4th degree perineal tears. To learn more about the different grades of perineal tears click here. Understanding the risk factors and possible techniques for prevention of 3rd and 4th degree perineal tears, also known as obstetric anal sphincter injuries (OASIS), is incredibly...
A perineal tear is a tear in the skin or muscle between the vaginal opening and anus that commonly occurs during a vaginal delivery. It is estimated that 85% of women who give birth vaginally will experience a perineal tear to some degree (Smith et al. 2013). Just like other muscle tears in the body,...
After talking to many midwives and doulas around Boulder Country and listening to patients’ birth stories, it is clear to me that every labor and delivery is different. No two births are completely alike. While there are some aspects of labor and delivery that you cannot control, here is a list of things you can...
A cross-sectional survey study by Forner et al. 2020, conducted through an online reporting survey of nearly 4,000 women looked at the prevalence of participants who reported pelvic organ prolapse symptoms (14%), defined as sensation of the vagina bulge, and the associated risk factors in women who lifted light (<15kg), moderate (16-50kg), or heavy (>50kg)...
What is pelvic organ prolapse and how do I know if I have it? Pelvic organ prolapse (POP) is the descent or tissue laxity of the front (bladder), back (rectum), or top (cervical) aspect of the vaginal wall. With less support from connective tissue and muscles of the pelvis, the bladder, uterus, or rectum can...
As a pelvic health physical therapist who works with individuals during pregnancy I am often asked, “What is the best position to deliver a baby in?” My answer is typically: “Just like posture, there is no “perfect position”, the best position or posture is one that continues to change and where you feel most comfortable.”...