Tag Archives: Pregnancy

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

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

One Third of Childbirth Repair Surgery Fails?….Why?

shutterstock_55118254By Marianne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

Did you know that “a common surgery often performed to repair damage caused by childbirth fails one-third of patients within seven years, a new study shows”?

Yup, it is the surgery women have done to cure incontinence and other problems caused by pelvic organ prolapse (POP), which often occurs as a result of childbirth.

An article written by Liz Szabo, for USA Today, goes on to explain:

1. “In nearly one-third of cases, surgical repair failed or women saw symptoms return”

2. “About 225,000 women undergo some kind of pelvic organ prolapse surgery each year”

3. “Some surgeries can be prevented; pelvic physical therapy can cure many milder cases”

Szabo also mentioned “about one in four women suffer either prolapse or incontinence at some point, and studies show that 11% to 19% of women undergo surgery for it.”

Let me repeat: 25% of all women develop incontinence or pelvic organ prolapse. That is one out of four of your female friends!

Cheryl Iglesia of the Georgetown University School of Medicine was quoted in Szabo’s article as saying, vaginal deliveries increase the risk of developing pelvic organ prolapse (POP), and in the future doctors will need to perform C-sections rather then vaginal deliveries for women at high risk for prolapse.

Yikes! Iglesia’s answer to the problem is more surgery and more C-sections?

What about more physical therapy?

The article does mention that studies show that “pelvic physical therapy, which includes Kegel exercises that strengthen pelvic floor muscles, can reverse many mild cases of prolapse”, but there is no mention on how pelvic physical therapy can prevent POP. There are also studies that show pelvic physical therapy can reduce the level of prolapse, for example reduce a grade 3 to a grade 2, etc.

If pelvic physical therapy can reverse pelvic organ prolapse, why aren’t women knocking down my door to get physical therapy treatment? 

Why? Because I don’t think we take postpartum recovery seriously in our country. Women traditionally receive excellent prenatal and obstetric care during delivery, but postpartum care is lacking. 6 Weeks after delivery, women are usually given a pat on the back and told “good job done” and that they can resume sexual activity. What about postpartum rehabilitation? In our country women are left to fend on their own after delivery.

In other countries, such as France, they take postnatal care seriously. Did you know all French women receive free physical therapy after they give birth. I have been told by some of my patients that postpartum physical therapy is “mandatory” in France and they go for about 20 visits focusing on rehabilitating the pelvic floor and abdominal muscles after every baby they deliver. 
In a light hearted article written by Claire Lundberg, “The French Government Wants to Tone My Vagina”, for Slate Magazine, Lundberg discusses the positive experience she had with the French postpartum rehabilitation program called la rééducation périnéale and how she was glad “a medical professional was paying attention to what happened down there.”

What about more physical therapy after one of these surgeries?

Did you know that after having surgery for pelvic organ prolapse most women do not receive pelvic physical therapy?

I recently asked a urogynocologist, who refers patients to my practice, why she did not refer her patients to physical therapy after preforming these types of surgeries. The answer was that she did not think it was necessary, and was not convinced that physical therapy would help the patient recover. 
It is common practice to go for physical therapy treatment after surgery on other body parts, like the shoulder or knee; why isn’t is considered part of the rehabilitation process with pelvic surgeries? 
If surgeons started sending their patients for physical therapy treatment after prolapse surgery; doesn’t it follow logic that it would help them reach better outcomes? Maybe physical therapy treatment could prevent surgical failures? 
(Just in case you didn’t know, you can go directly to a physical therapist without a doctor’s referral in most states.)

More surgery is not the answer. More physical therapy is the key to solving pelvic organ prolapse. 

References:

http://www.usatoday.com/story/news/nation/2013/05/22/common-pelvic-surgery/2325055/

http://www.slate.com/articles/life/family/2012/02/postnatal_care_in_france_vagina_exercises_and_video_games.html

 

Five Ways to Prepare Your Body for Pregnancy

By Mariannne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

“Whether having children is in your 10-year plan or you’ve decided now is the time to start trying, it’s never too early to begin preparing your body for pregnancy. Ensure your body is ready to carry a baby by addressing before pregnancy any pain or problems associated with posture or weakness. Unfortunately, these issues can worsen during pregnancy and cause pain and dysfunction.”

Here are 5 tips to prepare your body for pregnancy:

1. Strengthen your pelvic muscles.
2. Prepare for “baby belly” by focusing on your core.
3. Take a breath!
4. Begin a regular fitness routine.
5. Practice good posture.

For more information http://momitforward.com/five-ways-to-prepare-your-body-for-pregnancy

Free Classes – Flatten Your “Post-Baby Tummy”

By Marianne Ryan PT, OCS,
Clinical Director MRPT Physical Therapy.

good mommy tummyWe are offering free classes to showcase our new post-baby exercise program for new moms.
The class will be taught 1 time per week for 8 weeks in our Physical Therapy Practice, we are conveniently located 1 block from Grand Central.

Participants must be willing to commit to attending all 8 classes and should be a few years Postpartum or less.

Our new series of classes start on Tuesday June 4 at 11am.

Please email at mrptny@aol.com or call us at 212-661-2933 if you are interested.
Our website address is www.mrptny.com