Pregnancy Care And Postpartum Physical Therapy

A pregnant woman is being helped by a physical therapist.

Introduction

Bringing a new life into the world is a transformative experience, but it can also take a toll on a woman’s body. Postpartum physical therapy plays a crucial role in helping mothers recover from the physical challenges of childbirth and regain their strength and well-being.

In this blog, we’ll explore why pregnancy care and postpartum therapy are vital, their purposes, the common conditions treated, and how to embark on this healing journey.

Why Are Pregnancy Care and Postpartum Physical Therapy Important?

Pregnancy care and postpartum physical therapy are crucial during the postpartum period, serving as integral components of comprehensive maternal healthcare. The physical changes experienced throughout pregnancy and childbirth can result in musculoskeletal issues, impacting daily activities. Addressing these issues through therapy is pivotal for a smoother recovery.

What Is the Purpose of Physical Therapy During Pregnancy?

Three pregnant women sitting on exercise balls in a gym.

Pain Relief

One primary goal of physical therapy during pregnancy is to alleviate discomfort, including pain during pregnancy and potential issues arising from vaginal delivery. Whether it’s back pain, pelvic girdle pain, or sciatica, targeted exercises and therapies can provide relief, enhancing the overall pregnancy experience.

Improved Function

Physical therapy during pregnancy plays a crucial role in enhancing musculoskeletal function, promoting better mobility, and reducing the impact of conditions like carpal tunnel syndrome and round ligament pain. This improvement, specifically focusing on pelvic floor therapy, contributes to a healthier and more comfortable pregnancy.

Preparation for Childbirth

Participating in physical therapy during pregnancy not only prepares the body for the birthing process but also enhances muscle tone. Therapists guide women through exercises that strengthen the pelvic floor and teach relaxation techniques, contributing to a more positive birthing experience.

Common Conditions Treated by Physical Therapy During Pregnancy

A pregnant woman doing yoga with a green exercise ball.

During pregnancy, women often encounter various physical challenges, and postpartum physical therapy proves instrumental in addressing these conditions for a more comfortable and healthier experience.

Low Back Pain

Effectively managing low back pain during pregnancy involves targeted exercises focused on strengthening core and lower back muscles, alleviating strain, and improving posture. These exercises not only promote physical activity but also address tight muscles, contributing to a more comfortable and healthier pregnancy experience.

Pelvic Girdle Pain

Pelvic girdle pain, characterized by discomfort in the pelvic region, finds relief in physical therapy that emphasizes exercises promoting pelvic health, pelvic floor strength, stability, and mobility and includes manual therapy.

Breast Pain

Targeted exercises during postpartum care help alleviate breast pain caused by hormonal changes and breastfeeding. Emphasizing chest and shoulder mobility, these exercises enhance muscle function and contribute to overall well-being, ensuring effective postpartum recovery and supporting the health of milk ducts.

Carpal Tunnel Syndrome

Carpal tunnel syndrome, resulting from fluid retention and hormonal shifts, sees improvement with physical therapy incorporating hand and wrist exercises, splints, and gentle massage. This comprehensive approach not only aims to reduce swelling and enhance function but also addresses muscle spasms for a more effective recovery.

Round Ligament Pain

Round ligament pain, arising from the stretching and strain of ligaments supporting the uterus, is minimized through targeted exercises that play a crucial role in postpartum care, strengthening abdominal muscles for effective relief.

Sciatica

Sciatica, characterized by radiating pain along the sciatic nerve, benefits from targeted exercises designed to stretch and strengthen lower back and hip muscles. These exercises, particularly beneficial in the weeks postpartum, help relieve pressure on the nerve, promoting a more comfortable recovery.

Diastasis Recti (Abdominal Separation)

Diastasis recti, the separation of abdominal muscles, is effectively addressed through physical therapy. Guiding women in targeted exercises, particularly beneficial for muscle strength, therapists promote the healing of core muscles, ensuring a more robust recovery.

Urinary Incontinence

Urinary incontinence, a common postpartum concern linked to weakened pelvic floor muscles, sees improvement with targeted pelvic floor exercises, including Kegels. Specifically tailored to enhance bladder control, these exercises contribute to a more effective recovery, particularly after vaginal birth.

Constipation

Constipation, a result of hormonal changes and pressure on the digestive system, is effectively managed through exercises promoting abdominal muscle engagement. Along with valuable lifestyle and dietary advice, this approach addresses not only constipation but also contributes to overall well-being, particularly in addressing bowel issues.

Gestational Diabetes

Gestational diabetes, a condition affecting blood sugar levels during pregnancy, sees a comprehensive approach involving tailored exercise prescriptions to manage blood sugar levels. After pregnancy and childbirth, a mother’s body undergoes changes that require healing and recovery. Essential to this process is adequate rest and maintaining a healthy diet.

Preeclampsia

While physical therapy doesn’t directly treat preeclampsia, a severe condition marked by high blood pressure, postpartum physical therapists can help manage associated discomfort through gentle exercises, stretching, and relaxation techniques.

How to Get Started with Physical Therapy During Pregnancy

A pregnant woman doing yoga on an exercise ball.

Embark on your postpartum recovery journey with Continuous Motion Physical Therapy. Consult with our qualified professionals to create a personalized treatment plan tailored to your health history and specific needs, including specialized pelvic pain exercises. Experience a seamless and continuous motion toward your optimal well-being. Start your healing process today.

Conclusion

Postpartum physical therapy is a valuable resource for mothers navigating the physical challenges of childbirth. By addressing pain, enhancing function, and preparing the body for childbirth, physical therapy contributes to a healthier and more comfortable pregnancy experience.

FAQs

Q1: When should I start postpartum physical therapy after giving birth?

A1: After receiving approval from your doctor to resume postpartum exercise, it’s safe to do so. The key is to reintroduce activities gradually to avoid potential pain or injury. As emphasized by Shefali Christopher, an associate professor at Tufts University School of Medicine, taking a slow and progressive approach is essential.

It is generally recommended to initiate postpartum physical therapy within the first few weeks after giving birth. The timing may differ based on an individual’s recovery and guidance from their healthcare provider.

Q2: How long does postpartum physical therapy typically last?

A2: The duration of physical therapy varies based on individual needs and the nature of the conditions being treated. Whether it’s shorter-term interventions or ongoing sessions for an extended period, the therapy is tailored to each person’s unique recovery journey, emphasizing the importance of personalized care in physical therapy after pregnancy.

Q3: What role does postpartum physical therapy play in C-section recovery?

A3: Postpartum physical therapy after childbirth is crucial in C-section recovery, offering specialized care to address incisional pain, enhance abdominal strength, and facilitate overall mobility.

Your pelvic floor physical therapist will develop an effective customized treatment plan tailored to your health condition and specific goals. The comprehensive treatment may encompass the following:

  • Behavioral adjustments targeting bowel/bladder habits, fluid intake, and dietary patterns.
  • Body awareness and training to enhance posture and joint/ligament movement.
  • Diaphragmatic “belly” or “chest” breathing techniques.
  • Customized at-home exercises to strengthen, relax, or massage muscles, depending on your condition.
  • Exercises, such as Kegels, to address bladder leakage by strengthening pelvic muscles.
  • Utilization of biofeedback sensors employing a mild electrical current to stimulate a muscular response.
A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified