Postpartum Physical Therapy

postpartum physical therapy The women who has just given birth is adjusting to motherhood, but her body is adjusting to new physical dysfunctions. We quickly forget that our vital organs have been out of place for months, the muscles have weakened, pelvic widened, pelvic floor became tight or weak and potentially scarred down.

It is very important to return to your pre pregnancy physical state in order to avoid long-term dysfunctions. Breastfeeding new moms have a bigger “mountain” to climb because of increased hormone levels, but there is an easy and comfortable way to address most postpartum dysfunctions with our newly developed postpartum program.


Common Postpartum Complaints:

  • Urinary Difficulties and Leakage
  • Anal Incontinence
  • Pelvic Organ Prolapse
  • Constipation
  • Pelvic Floor Pain/Pressure
  • Scar Pain
  • Weak Core Muscles (Diastasis Recti)
  • Low Back Pain
  • General Body Weakness

It is very important for all new moms to be educated in the following:

  • Breathing and Rib Mobility
  • Bladder/Uterus/Rectum Mobility
  • Visceral mobilization of vital organs to be placed back to normal state
  • Assessment for Diastasis Recti
  • Strengthening of core, lower abs and back muscles
  • Correcting pelvic joint alignments
  • Scar mobilization after vaginal birth and C-section
  • Manually releasing Pelvic Floor spasticity and trigger points
  • Pelvic floor stretching
  • Proper lifting techniques
  • Progressing into advanced core strengthening
  • Return to gym program

How can a Physical Therapist help?

Based on the evaluation results, your Pelvic Floor Physical Therapist will individualize treatment to strengthen your Pelvic Floor muscles and to improve their function. You will also gain control over your symptoms and reduce your dysfunctions. Your physical therapist will discuss diet and nutrition, change in behavior, postural training, and develop a plan to return you to your previous level of function.

Dr. Scott Kelly in Clinics in Colon and Rectal Surgery, Sept, 2014 published an article Pelvic Floor Rehab in the treatment of incontinence stated that Pelvic Floor Physical Therapy is an important first-line treatment for patients with incontinence.

During Your First Evaluation:

Your physical therapist will complete a thorough review of your medical history, and perform a physical examination to identify the causes of your pelvic pain and any joint issues, muscle tightness or weakness, or nerve involvement.

The exam may include:

  • Pelvic girdle screening, Soft tissue assessment, Visual inspection of the tissues, Reflex testing, Sensation testing, Internal assessment of pelvic floor muscles.

Your physical therapist also will determine whether you should be referred to a physician to assist in your interdisciplinary plan of care.

Zarina is one of two pelvic floor therapists in the US that has been trained by Dr. David Wise.

Click here to learn more about Dr. Wise and his pelvic pain protocol.

Pelvic Floor Testimonials

  • When I first got CPPS/CP I did not know what was happening to me and was scared.  I was in pain and only wanted help from a knowledgeable physical therapist that worked with males. I chose Zarina because she's been coached by the pioneers in CPPS. Zarina explained what was going on with my pelvic floor, gave me stretches to do at home, and is compassionate and caring during our sessions.  Her enthusiasm sometimes is just what you need. Zarina has helped me feel better in only a few short months, and I know I'm only going to keep progressing. The center also has plenty of space to do some stretches and the staff is very warm and friendly. -H.R.
  • I'm a 61 year old who has been treated by multiple physical therapists for a variety of ailments including lower back pain, sciatica and a surgically reattached pectoral tendon.  The ProTouch facility is immaculate, has a full complement of exercise machines and medical equipment to treat almost any condition imaginable.  After my initial evaluation the intensity of the treatment I received on my first visit by Zarina and her assistants was by far more extensive than anything else I had ever experienced... - C.G.
  • Pelvic Pain is a complex chronic pain, mind-body syndrome. Zarina is extremely knowledgeable, supportive, and professional. She is very clear in giving instructions for home exercise. She is reassuring and optimistic. I had already been to several physical therapists; with Zarina, I am progressing for the first time! -Unknown