Women’s Health and Physical Therapy: Pregnancy, Postpartum, and Pelvic Floor Health

Did you know that a woman’s body undergoes incredible changes during pregnancy, with the pelvic floor bearing the brunt of this transformative journey?

Pregnancy changes a woman’s body, impacting the pelvic floor—a muscle group supporting the uterus, bladder, and bowel. Hormonal shifts and the growing baby’s weight exert significant strain on these muscles, potentially leading to bowel and bladder issues during and after childbirth.

Physical therapy for pelvic floor rehabilitation offers long-lasting relief by improving muscle tone and coordination. Contrary to common belief, this therapy benefits all genders and addresses various pelvic pain-related problems, including painful intercourse and pelvic organ prolapse. At Total Performance Physical Therapy, a tailored care plan involving exercises, heat therapy, and massage is crafted after a comprehensive assessment. 

This blog underscores the vital role of pelvic floor health during pregnancy and postpartum, emphasizing the importance of prioritizing women’s health in addressing these challenges.

Pregnancy and Physical Therapy

Physical therapy (PT) plays a pivotal role in supporting a healthy and comfortable pregnancy by addressing various musculoskeletal challenges commonly experienced during this transformative time. 

From easing back pain and pelvic girdle instability to managing muscle weakness and fatigue through personalized care, proper guidance and exercises, physical therapy offers tailored solutions that empower expecting mothers to navigate their pregnancy journey with ease.

Addressing Common Musculoskeletal Issues During Pregnancy:

  • Back Pain: Physical therapy identifies and addresses the root causes of back pain using tailored exercises such as pelvic tilts, gentle stretches like cat-cow pose, manual therapy techniques, and guidance on proper posture correction to provide relief.
  • Pelvic Girdle Pain: Physical therapy employs strengthening exercises like pelvic floor contractions (Kegels), flexibility-enhancing movements such as pelvic tilts, and targeted pain management techniques like pelvic stabilization exercises or taping to alleviate discomfort around the pelvic area.
  • Sciatica: Physical therapy helps manage sciatic nerve pain by reducing inflammation through pelvic tilts, enhancing core strength with exercises such as bridges, and teaching safe stretching routines like hamstring stretches.
  • Diastasis Recti: Physical therapy guides safe exercises such as abdominal bracing, pelvic tilts, and pelvic floor exercises like pelvic lifts to strengthen core muscles and effectively close the abdominal gap gradually.

Practical Exercises and Stretches for Alleviating Discomfort:

  • Prenatal Exercises: Physical therapy designs customized exercise programs, including prenatal yoga or Pilates, modified squats, and gentle aerobics to enhance overall fitness, strengthen muscles relevant to childbirth, such as pelvic floor exercises (Kegels), and improve endurance for labor.
  • Optimal Birthing Positions: Expectant mothers learn beneficial birthing positions such as hands and knees, side-lying, or supported squatting during labor, which can alleviate discomfort and aid in the birthing process.
  • Postpartum Recovery: Physical therapy aids postpartum recovery with exercises targeting abdominal strength like pelvic tilts, addressing breastfeeding discomfort through posture correction techniques, and managing pelvic floor issues with Kegel exercises and gentle stretches like butterfly stretches.

By incorporating these specific exercises and techniques, physical therapy demonstrates its expertise in addressing various musculoskeletal issues during pregnancy and postpartum, ensuring a smoother and more comfortable experience for expecting and new mothers.

Postpartum Recovery

The postpartum phase marks a transformative time for new mothers, brimming with joy yet accompanied by significant physical and emotional adjustments. Spanning from the first six weeks to a year after childbirth, this period brings a whirlwind of changes demanding attention to ensure a smooth recovery while bonding with the newborn.

Challenges Faced During Postpartum:

  • Physical Discomforts: The body undergoes substantial changes post-birth, leading to common issues like back pain, pelvic girdle instability, fatigue, diastasis recti, and perineal discomfort.
  • Emotional Shifts: Hormonal fluctuations contribute to mood swings, baby blues, and potential postpartum depression. Adjusting to new roles and sleep deprivation further intensify emotional changes.
  • Identity Transition: Shifting from pregnancy to motherhood can overwhelm one’s identity. It’s essential to grant oneself time to adapt and rediscover a sense of self amidst these changes.

Postpartum Physical Therapy: Your Recovery Partner

Physical therapy (PT) is a crucial support system amid these challenges. A qualified physical therapist at Total Performance assesses individual needs, tailors a personalized program, and guides new mothers through safe and practical exercises to address postpartum hurdles.

Addressing Common Postpartum Issues:

  • Diastasis Recti: Physical therapy offers targeted exercises to gently strengthen and align core muscles, facilitating healing and preventing complications associated with abdominal muscle separation post-pregnancy.
  • Pelvic Pain: Strengthening exercises, flexibility enhancement, and pain-relieving techniques like stretches and taping help alleviate pelvic girdle pain, easing everyday activities.

Recommended Exercises and Techniques:

  • Pelvic floor exercises: Kegels, also known as pelvic floor exercises, aid in regaining bladder and bowel control, strengthening the pelvic floor, and reducing pain post-childbirth.
  • Diaphragmatic breathing: This technique alleviates stress, anxiety, and pain, promoting relaxation and overall well-being.
  • Core strengthening exercises: Modified exercises like planks and bridges restore abdominal muscle function and stability gently.
  • Stretching and light cardio: Activities maintaining flexibility and moderate physical activity enhance circulation, reduce fatigue, and uplift mood during the postpartum phase.

About Pelvic Floor Health

Pelvic floor health refers to the strength, flexibility, and functionality of the muscles, ligaments, and tissues that form a supportive structure at the base of the pelvis. These muscles play a crucial role in various bodily functions, including bladder and bowel control, sexual function, stability of the pelvic organs, and overall core strength.

During pregnancy, the pelvic floor undergoes significant weight strain and changes. The weight of the growing uterus, hormonal shifts, and the stress of childbirth can weaken these muscles and tissues. This weakening can lead to issues such as urinary incontinence, pelvic organ prolapse, discomfort, and reduced sexual function post-pregnancy.

In the postpartum phase, the pelvic floor requires attention and rehabilitation. The process of labor and delivery can further impact the pelvic floor’s strength and flexibility. Therefore, addressing pelvic floor health during this period is crucial for a woman’s overall well-being and quality of life.

Pelvic Floor Exercises and Techniques

Pelvic floor exercises are integral for maintaining pelvic health, addressing issues such as urinary incontinence and pelvic organ prolapse, and improving overall pelvic floor strength. Here are detailed instructions for effective pelvic floor exercises, breathing techniques, and a progression of exercises directed by the expert physical therapists at Total Performance for strengthening and flexibility.

  • Kegel Exercises: Kegels involve identifying and contracting pelvic floor muscles for 5-10 seconds, relaxing for 10 seconds, aiming for ten reps, three sets daily. Gradually increase hold time and set for improved strength and addressing urinary concerns.
  • Reverse Kegel: This exercise focuses on gentle relaxation of the pelvic floor muscles, envisioning a release or “letting go” for 5-10 seconds, aiming for ten reps, three sets daily to promote flexibility.
  • Bridge Exercise: Lift hips off the ground, engaging core and glutes for 5-10 seconds, repeating ten times, three sets daily to strengthen core muscles and enhance pelvic floor engagement.
  • Squats: Perform ten reps of squats, three sets daily, by lowering into a sitting position, engaging core and lower body, improving pelvic floor muscle coordination and lower body strength.
  • Breathing Techniques: Diaphragmatic breathing involves deep belly inhalation and slow exhalation, aiding relaxation and coordination with pelvic floor function.

It’s essential to note that performing these exercises under the guidance of expert Physical Therapists, such as those at Total Performance, ensures proper technique and effectiveness. Seeking professional guidance is key to maximizing the benefits and achieving optimal pelvic floor health. Always consult healthcare professionals before starting any new exercise routine, especially during pregnancy or postpartum.


Prioritizing women’s health during and after pregnancy is crucial, and this blog emphasizes the significance of pelvic floor health. It highlights essential exercises such as Kegels, bridges, squats, and breathing techniques for optimal pelvic muscle function. 

Seeking guidance from experts like Total Performance Physical Therapy is vital for comprehensive care. Pelvic specialists at Total Performance conduct thorough assessments to create personalized care plans. Treatment comprises exercises, heat therapy, and massage to alleviate discomfort and aid healing. 

Contact Total Performance Physical Therapy today to explore Pelvic Floor Rehabilitation and receive tailored care for enhanced well-being during this transformative phase.

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