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Prenatal Physical Therapy in Franklin County, PA

Pelvic Floor Changes During Pregnancy

Pregnancy is a transformative journey that brings significant changes to a woman's body, including the pelvic floor. The pelvic floor consists of muscles, ligaments, and connective tissues that support the bladder, uterus, and bowel. During pregnancy, these structures experience increased pressure from the growing baby, hormonal changes, and physical adaptations that prepare the body for childbirth.

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While these changes are natural, they can sometimes lead to discomfort and dysfunction. Dr. Christine specializes in helping women navigate pregnancy-related pelvic floor challenges through evidence-based, compassionate care that considers the whole person.

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Common Pregnancy-Related Symptoms

Pelvic Pain and Discomfort

  • Pubic symphysis pain or "lightning crotch" (pain at the front of the pelvis)

  • Round ligament pain (sharp pain in the lower abdomen or groin)

  • Sacroiliac joint pain (pain at the back of the pelvis)

  • General pelvic heaviness or pressure

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Urinary Concerns

  • Increased urinary frequency

  • Urinary urgency (sudden, strong need to urinate)

  • Stress urinary incontinence (leaking with coughing, sneezing, or movement)

  • Nocturia (frequent nighttime urination)

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Musculoskeletal Changes

  • Lower back pain

  • Postural changes and related discomfort

  • Diastasis recti (separation of the abdominal muscles)

  • Sciatic nerve pain or discomfort

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Other Common Issues

  • Pelvic floor muscle tension or weakness

  • Constipation and hemorrhoids

  • Limited mobility and functional challenges

A Holistic Approach to Pregnancy-Related Pelvic Floor Therapy

Dr. Christine believes strongly in treating the whole person, not just isolated symptoms. Pregnancy affects every aspect of a woman's body and life, which is why our approach is comprehensive and individualized.

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Initial Assessment

Your first session includes a thorough evaluation to understand your specific challenges, health history, and goals. This typically involves:

  • Detailed discussion of your symptoms and concerns

  • Review of your pregnancy journey and medical history

  • Assessment of posture, movement patterns, and functional abilities

  • Evaluation of pelvic floor muscle function (with your consent and comfort)

  • Identification of contributing factors to your symptoms

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Personalized Treatment Plan

Based on your assessment, we develop a customized treatment plan that may include:

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  • Therapeutic Exercises: Gentle, pregnancy-safe exercises for the pelvic floor and supporting muscles

  • Manual Therapy: Hands-on techniques to address muscle tension, improve joint mobility, and reduce pain

  • Postural Education: Guidance on optimal positioning for daily activities to reduce strain on the pelvic floor

  • Breathing Techniques: Coordination of breath with movement to support proper pressure management within the abdomen and pelvis

  • Activity Modification: Strategies to maintain an active lifestyle while protecting your changing body

  • Education: Clear information about your body's changes and self-management strategies

Frequently Asked Questions

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Is pelvic floor physical therapy safe during pregnancy?

Yes, Dr. Christine has worked with countless women during their pregnancy and has specialized training in treating women during this season of life.  All techniques and exercises are pregnancy-appropriate and modified based on your trimester and individual needs.

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When should I start pelvic floor physical therapy during pregnancy?

Ideally, pelvic floor therapy can begin at any point during pregnancy. Some women benefit from starting early for preventive care, while others seek treatment when symptoms arise. Even beginning in the third trimester can provide significant benefits for birth preparation and postpartum recovery.

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Will I need an internal examination?

Internal examinations are sometimes helpful but are never mandatory. We prioritize your comfort and will discuss all examination options thoroughly before proceeding. Dr. Christine follows expert guideline in waiting until after the first trimester to perform internal exams.

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How is pelvic floor physical therapy different from regular prenatal exercises?

While general prenatal exercise classes are beneficial, pelvic floor physical therapy provides individualized assessment and treatment specific to your body's needs. We identify and address your unique challenges rather than providing a one-size-fits-all approach. Someone with pelvic floor tension will benefit from different interventions that someone with decreased activation of the pelvic floor - and the wrong exercises can actually worsen symptoms.

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Can pelvic floor physical therapy help prepare me for childbirth?

Absolutely! A significant focus of our pregnancy program is birth preparation. We teach techniques for efficient pushing, pelvic floor relaxation, and optimal positioning that can facilitate the birthing process.

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How soon can I return for postpartum care?

We recommend scheduling a postpartum assessment around 4-6 weeks after delivery. However, for certain concerns, we can provide earlier guidance and support.

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Your Partner Throughout Pregnancy and Beyond

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Dr. Christine is committed to supporting you throughout your pregnancy journey and into postpartum recovery. As a specialized pelvic floor physical therapist, she combines clinical expertise with compassionate care to address your unique needs during this transformative time.

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If you're experiencing pregnancy-related discomfort or simply want to maintain optimal pelvic health during pregnancy, we're here to help. Contact us today to schedule your initial consultation and take the first step toward a more comfortable pregnancy experience.

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