Gynecology Physiotherapy

  • PHYSIOLOGICAL CHANGES IN PREGNANCY INTRODUCTION

    With the preschool culture being so rampant, we believe that the real care of body begins in the womb. With advanced antenatal and treated in a special way and thereby enhance her motherhood experience.

    Today, physical therapist interested in this specialty, evaluate, treat counsel and monitor OB/GYN patient. Areas of interest with in the field now include treatment of gynecology and urologic dysfunction, breast rehabilitation and changes associated with pregnancy in (physiological and biomechanical) instruction in prenatal education, child birth education, and exercise classes for prenatal , post partum and post c-section clients .


  • PHYSIOLOGICAL CHANGES IN PREGNANCY

    From the moment of conception, pregnancy profoundly alters the women’s physiology. There is a change in all body systems to fulfill the requirements of the body.

    • Weight gain -9 -15 kg
    • Change in reproductive system
    • Change in pulmonary system
    • Urinary system –kidney increase by 1 Cm
    • Increase in demand of oxygen in turn blood supply
    • Musculoskeletal system changes-
    • Stretching of abdominal muscle
    • Decrease in ligament us tensile strength
    • Hyper Mobility of joint due to ligament laxity.
    • Pelvic floor drops as much as 2.5 cm


  • BIOMECHANICAL CHANGES IN PREGNANCY

    • The physical changes to a women’s body as related to pregnancy are multiple.
    • COG shifts Upwards and forwards.
    • POSTURE: shoulder girdle becomes rounded, scapular protection.
    • Upper limb, internal rotation increase in cervical and lumber lordo sis & knee hypertension.
    • BALANCE: Patient walks with a wider base of support.


  • PROBLEM IN PREGNANCY

    In reality over 2/3rd of pregnancy women experience back pain ,1/3rd experience pelvic pain and over 40%expeience urinary incontinence in their 1st pregnancy with half remaining incontinent at 8 week post partum and 1/3rd experiencing a new onset of incontinence after child birth .


  • REASON FOR ACHES IN PREGNANCY

    At around 10 Weeks, a hormone called relaxin is produced which has the effect of softening and loosening the ligaments (which holds the joints together) the role of this hormone is to allow the joints of the pelvis to expand to allow for the growing baby weight gain and the posture, increase the curve of the lower back and thereby putting stress on the joints.

    The stability of the lower back the pelvis depends greatly on the lower stomach muscles which are stretched during the pregnancy. The pelvic floor muscles are weaker due to the increase in pressure on them and due to hormonal changes .These muscles also have role in the stability around the pelvis.

    The sacroilic join are located at the back of the pelvic on each side, there joint frequently becomes out of line which can cause pain in the lower back, buttocks and in the leg.The mid thoracic spine often becomes hunched (not helped by the increasing size of the breasts) resulting in stiffness and aching around this area, it affects the breathing pattern too.


  • PHYSIO FOR OBSTETRIC PATIENT

    • ANTENTAL
    • PREPARATION FOR LABOUR
    • POST NATAL


  • ANTENTAL

    • We treat the following the pregnancy problem :
    • Back and pelvic girdle pain
    • Diastasis recti
    • SI joint pain
    • Sciatica
    • Smyphysis pubic dysfunction
    • Coccydynia
    • Pregnancy induced osteoposis
    • Carpal tunnel syndrome
    • Brachial plexus pain
    • Meralgia paraesthetica
    • Varicone veins
    • Uterine ligaments pain
    • Post tibial nerve compression
    • Chondromalacia patella
    • Restless leg syndrome
    • Muscle cramps



  • PHYSIO EDUCATE ON FOLLOWING ASPECT

    • Pregnancy back care ergonomic education
    • Exercise for various joint dysfunction arising during pregnancy
    • Pelvic floor and pelvic tilting exercise
    • Stress coping techniques
    • Breathing exercise


  • PREPARATION FOR LABOUR

    • Breathing exercise
    • Relaxation Techniques


  • POSTNTAL PHYSIO

    • Physio treats following problems
    • Perineal dysfunction
    • Genitournary dysfunction and pain
    • Musculoskeletal problem like
    • Back pain
    • Pain at epidural site
    • Coccydynia
    • Public smyphysis pain
    • Circulatory dysfunction and pain
    • Varicose veins
    • Oedema
    • DVT
    • Physio management:
    • Ergonic advice and posture correction
    • Electrotherapy for perineal and musculoskeletal pain
    • Relaxation exercise to improve muscle and fatigue.



  • CESAREAN CHILD BIRTH

    It is an Operation procedure where by the foetus is delivered through an incision on abdominal and uterine wall..


  • IMPAIMENTS /PROBLEM DUE TO C-SECTION

    • Risk of pneumonia
    • Post surgical pain
    • Risk of adhesion
    • Formation at incision site
    • Risk of vascular complication
    • Fault posture
    • Pelvic floor dysfunction
    • Abdominal weakness


  • GOAL

    • Improve pulmonary function and decrease risk of pneumonia
    • Decrease incision pain associated with coughing
    • Preventing post surgical adhesion formation
    • Prevent post vascular complications
    • Prevent pelvic floor dysfunction
    • Develop abdominal strength
    • Correct posture
     


  • CONTRAINDICATION FOR PHYSIO IN PREGNANCY

    • Absolute contraindication
    • Pregnancy induced hypertension
    • Diagosed heart diseases
    • Premature rupture of membrane
    • Placental abruption
    • History of preterm delivery
    • Recurrent miscarriage
    • Relative contraindication :
    • Diabetes
    • Dilated cervix
    • Extreme obesity/underweight
    • Breech presentation during 3rd trimester
    • Multiple gestations
    • Exercise induced asthma
    • Peripheral vascular diseases
    • Anaemia or other blood disorder


  • GYNAECOLOGY PHYSIOTHERAPY

    • Physiotherapist in urinary incontinence:
    • It is a frequently early post partum problem where there is a loss of small amount of urine (involuntary leakage) with coughing, laughing, sneezing, exercise or other activities that increase intra abdominal pressure and that in turn increase pressure on bladder.
    • Treatment:
    • Exercise
    • Electrical stimulation
    • Biofeedback
    • Time voiding or bladder training
    • PHYSIO FOR PROLAPSED:
    • In mild or moderate prolapsed, pelvic floor muscle exercise may help together with lifestyle changes, exercise may help to ease new symptoms.
    • PHYSIO FOR CONSTIPATION :
    • This is often cause by a combination of factors.Pelvic floor dysfunction can be a part of the problem. Advice about positing and biofeedback technique can help to restore regular bowel habits. Constipation can make incontinence and prolapsed worse. So, it is important to address the problem.
    • PHYSIOTHERAPY FOR BABIES :
    • We treat babies born with orthopedic condition such as erbs palsy; klumpke’s or foot problem (talipes) .we also treat babies born with any congenital anomalies.


 
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