Patients who are beyond two months post-partum and are experiencing urinary or fecal incontinence, painful sex, hip and/or back pain, may want to consider physical therapy.
Vaginal delivery can create weakness in the pelvic floor musculature, which can lead to urinary or fecal incontinence. Some women may also develop muscle spasms throughout the pelvic floor, which can lead to painful sex or pain throughout the low back and hips.
Your physical therapist will perform a thorough evaluation to assess your symptoms. Being the evaluation will be internal and external, you and your therapist will work together to ensure your comfort throughout the entire process. If your therapist feels you may need further examination or testing, she will refer you to an MD.
Treatment for post-partum symptoms will depend on how you present. For example, if you have urinary incontinence, your therapist will focus on strengthening the pelvic floor muscles through various exercises and gentle manual techniques. Your therapist and you will also discuss home exercises and strategies to reduce your symptoms.