Category Archives: Pregnancy and Postpartum

Late Night Health Radio Show, Mark Alyn talks with Marianne Ryan

Late Night Health Radio

Marianne Ryan was recently interviewed by Mark Alyn for his radio show on Late Night Health. Mark is a well-known and award-winning radio host based in Los Angeles and his show is broadcast on many major radio stations.
During the interview they discussed many aspects about the physical therapy profession. They first started talking about what a physical therapist can do, and how PT’s can help the listener if they are in pain or need to improve movement.
Mark admitted he really never knew what a physical therapist does until he went for PT  treatment for lower back pain one and a half years ago. He also mentioned that he was surprised most of his friends were not aware of what a physical therapist can do, and he wondered if Marianne knew why. Marianne went on to explain that there is a problem with consumer awareness, and even many doctors are not sure what a physical therapist can do.

The discussion continued and they talked about the different specializations in the physical therapy profession. There are some therapists who specialize in treating sports injuries, others may specialize in treating hand and wrist problems. Marianne Ryan mentioned that she works with a general populations of patients but also has advanced training in two specialties, Women’s Health and TMJ Pain.

TMJ dysfunctions can cause pain in the jaw, orofacial pain and headaches. Many people do not realize that there is a specific treatment program available with the right physical therapist.

MRPT Physical Therapy offers Women’s Health treatment programs for pelvic pain and issues related to pregnancy and postpartum. Stay tuned for furture shows where they will discuss an exciting new exercise program called Baby Bod® designed to flatten a woman’s postpartum belly. So far the Baby Bod® classes have been fabulously successful and MRPT Physical Therapy is looking forward to offering more classes this fall.
Listen to the show 

Kate’s Post #Baby-Bod Tummy is NORMAL!

Royal BabyBy Marianne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

This article quotes several parts of an article by Ceridwen Morris and posted on Yahoo.com

What a picture of a fairytale story come true! We all rejoiced in the birth of the first prince of this century with pictures of “a beautiful, healthy baby, a doting, proud father, and a glowing, serene mother. But wait! Look closely. When Kate passes the swaddled heir to her charming William, she reveals a real-life new mom belly. Round as a six month pregnancy. Clear as day.”

What’s up with that?

“Can anyone tell me why Kate’s stomach still looks pregnant after the baby isn’t inside her anymore? I had no idea that happened … Is it fluid or something?”

“Women are often surprised to learn that looking very pregnant is not only normal for the first few hours or days after giving birth but for weeks or more. Women have 40-50% more blood volume during pregnancy; all that excess fluid doesn’t go down overnight.  Also, the uterus must shrink back down to a fraction of the size it was during pregnancy. But it can take about a month or so.”

shutterstock_55118254
What can Kate do to help her belly heal and flatten faster?

Studies have shown that compression helps to heal wounds faster, even post baby-bod bellies, but it has to be the correct amount of compression. To facilitate healing there should be enough elastic in the garment to compress the belly without pressing so hard that the garment takes over the work of the abdominal muscles.

Many of you may have seen articles written about celebrities who claim wearing very tight abdominal binders for a few months helped them to develop a flat tummy after childbirth. Nothing could be further from the truth!

As a physical therapist who specializes in treating postpartum women, I would like to give a warning that tight abdominal binders will not help to flatten your tummy; and using an abdominal binder actually weakens stomach muscles. Another problem with abdominal binders is that they create compressive downward forces which push internal organs down towards the worn out muscles at the bottom of the pelvis (pelvic floor muscles). This can lead to problems such as chronic urinary leakage and pelvic organ prolapse.

The answer to how to help heal and flatten your post baby-bod tummy is to wear a compressive garment that will help to encourage your abdominal and pelvic floor muscles to contract and to hold your organs “up and in”. So, you need to wear a garment that will offer compressive support at the bottom of your pelvis and your tummy. As I mentioned before, you need to use just the right amount of compression. “Shape wear” under garments, the ones we see advertised all over the internet, are too tight and can weaken the abdominal muscles. To date, I am not aware of a garment available on the market that I can recommend. So, for now, try using a sports top, like a yoga top, and underpants with enough elastic to give your pelvic floor support.

Should you have a baby over 40? Essentially Fit Radio Show

Essentially Fit RadioMarianne was recently interviewed by Wess Murray for his Essentially Fit radio show on the subject of “Should you have a baby over 40?”

During the 50 minute show they discussed a number of issues including:

 

  • Why you must take care of your joints during pregnancy.
  • Having a 2nd child later in life: what steps should you take?
  • Exercise after childbirth The pros and cons of having a baby after 40
  • How modern technology has made it possible to have children
  • How to have realistic expectations when losing weight after a baby

Click here to listen to the show

You can also download the show here from I Tunes

Prevent Pelvic Organ Prolapse (POP) with Better Birthing Techniques.

Pelvic_floor_side_view_larger_fontBy Marianne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

A very common side effect of childbirth is Pelvic Organ Prolapse, POP, some studies show up to 25% of women will develop it at sometime in their life.

What is Pelvic Organ Prolapse?

POP occurs when organs such as the uterus or bowels slip down from their normal positions inside of the pelvis.

There are different degrees of how much the organs slip, in severe instances organs can protrude outside of the vagina, especially when performing activities that require abdominal bracing such as heavy lifting, sit-up exercises and even passing a bowel movement.
POP can lead to several complications such as incontinence, pelvic and back pain and sexual dysfunctions.

Prevent Pelvic Organ Prolapse With Better Birthing Techniques:

Did you know that certain childbirth techniques could reduce the risk of developing pelvic organ prolapse (POP)?
The more strain placed on the pelvic floor during childbirth, the more a woman is at risk of developing POP. Choosing better positions, breathing techniques, and timing can benefit both mom and baby.

To read more about this in an article I wrote for the Association for Pelvic Organ Prolapse, “Reduce the Risk of Developing Pelvic Organ Prolapse: Birth Techniques For Less Strain on Pelvic Floor Muscles”, click here.

Did You Know Physical Therapy Treatment Can Reverse or Reduce the Severity of POP?

In an earlier post I discussed a study that shows that  1/3 of the surgeries performed to reverse Pelvic Organ Prolapse fails within 7 years. That is a really bad statistic! click here
What most people do not realize is that physical therapy treatment has been proven to reverse or lower the severity of the amount of slippage, and therefore may be used in the treatment of incontinence, pelvic and back pain and sexual dysfunctions.

Painless Parenting the Radio Show

Move Forward Radio Marianne Ryan PT, OCS is interviewed by Move Forward Radio on the subject of Painless Parenting.

“Parenting provides challenges but it doesn’t have to be a pain. In this episode, Marianne Ryan PT, OCS discusses how to help parents avoid the minor aches and pains – and even significant injuries – that sometimes occur during pregnancy and after childbirth”.

Tell me what you think?

Click below to listen to the show:

Listen to Move Forward Radio’s segment about Painless Parenting or dowload the podcast on Itunes.

Common Pregnancy Pains. Did you know..?

shutterstock_82822033 Pregnant backMoms you are not alone!
Did you know “Fifty percent to 70% of pregnant women experience low back pain during pregnancy. In addition, 30% to 50% of pregnant women report low back pain severe enough to cause lost time from work. It’s more manageable, however, than most women (and their doctors) think”.

Did you know that physical therapy treatment is the best way to get rid of and to prevent back pain while pregnant?

Move Forward PT posted some great tips on how to avoid and treat pregnancy aches and pains:  Click Here

http://www.moveforwardpt.com/Resources/Detail.aspx?cid=8d523b23-9f02-4ac7-a107-c464ae6840b2

Wanna’ Get That Pre-Baby Body Back? Here are 5 Tips:

Woman Lifting DumbbellThis is a summary of a good article that I helped write for Move Forward PT. (see link below)

“While moderate weight gain is a common concern for women during and after pregnancy, there are many other factors to consider in the 4 to 6 weeks after childbirth. You may want to get back into pre-pregnancy shape immediately, but it is important to make a slow return to full activity.”

Here are some “tips on what you can do in the first 6 weeks after delivery to begin getting your body back into pre-pregnancy shape.”

  1. Get help with tasks. During the first 6 post-partum weeks DO NOT LIFT ANYTHING HEAVIER THEN YOUR BABY.
  2. Breathe. Your diaphragm works as a breathing muscle and is a major core muscle. Breathing exercises will help you to restore stability in your trunk and to regain tone in your core muscles, so you can achieve that flat tummy look.
  3. Focus on your core. After birth woman’s abdominal muscles are stretched out and can sometimes develop a separation, called diastasis recti.  During the first 6 weeks you can do some gentle Kegel and breathing exercises to get a jump start on your recovery. Avoid activities that put pressure on your abdomen such as getting out of bed by doing a sit up. A physical therapist can prescribe exercises to help “close the gap” between muscles.
  4. Strengthen abdominal and pelvic floor muscles.  Women can do gentle Kegel (pelvic floor) exercises immediately after childbirth, whether the birth was vaginal or by caesarian section. Strengthening the pelvic floor also can improve sexual satisfaction and help prevent incontinence.
  5. Every minute counts. Try to incorporate fitness into your everyday routines—such as taking a family walk around the neighborhood or doing your kegel and breathing exercises while you are nursing or feeding your baby. New moms should sleep whenever they have the opportunity.

Click here for the full article

http://www.moveforwardpt.com/Resources/Detail.aspx?cid=4064e184-e3bf-473e-a002-e814a8aa4050