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Diastasis Recti is a separation of the abdominal muscles along the line of connective tissue that runs down the centre of the abdomen. During pregnancy, your uterus expands causing the abdominals to overstretch and pull apart resulting in muscle weakness and thinning  of the linea alba. This band of tissue gets wider as it is pushed outwards. 

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If left untreated, diastasis recti can lead to:

• Increase in postpartum lower back pain

• Pelvic and hip pain

• Poor core muscular stabilisation of the pelvis and spine due to poor and faulty postures

• Urinary incontinence

• Gastrointestinal problems such as bloating and constipation

• Abdominal hernias, abnormal organ or tissue protrusion, such as the bowel, through the cavity wall in which it usually resides

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Physiotherapy is a very effective way to manage diastasis recti.

 

Engaging the help of a specialist physiotherapist from Women and Children Centre can improve your condition through:

• Education on postural adjustments during daily activities.

• Customising an exercise programme for safe and effective return to activities

• Learning to engage your deep abdominal and pelvic floor muscles correctly and in the appropriate positions.

• Addressing of any muscle imbalances in your core and pelvic floor region

• Imparting breathing techniques

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Pelvic Floor Rehabilitation by trained therapists has proven to be effective in treating and preventing conditions such as:

• Bladder and bowel symptoms such as urine incontinence

• Prolapses

• Recovery post childbirth

• Rehabilitation before and after gynaecological surgery

• Core stability and back problems

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The main goal of pelvic floor rehabilitation is to regain a functional pelvic floor and to resolve the symptoms associated with dysfunctional pelvic floor muscles.

 

A specialist women’s health physiotherapist will be able to assist you with the following treatment:​

• Personalized pelvic floor muscle training programme

• Techniques to control your bladder and bowel for prevention of incontinence

• Use of biofeedback to check the activation of your muscles

• Electrical stimulation to help activate the pelvic floor

• Prescription of a home exercise programme

• Postural exercises and relaxation techniques

Mastitis is the inflammation of the breast, which occurs when milk is not effectively removed from the breast. When milk stasis occurs, it can lead to a blocked or ‘clogged’ duct. Common symptoms include redness, breast pain, swelling and generalized flu-like symptoms. It is important to treat a blocked duct early before the condition progresses to an infective mastitis.

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Women’s Health physiotherapists can assist in the treatment of blocked ducts using therapeutic ultrasound. Therapeutic ultrasound is a clinically proven treatment modality for mastitis. The treatment procedure is painless and safe for breastfeeding.

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What to expect during a physiotherapy session for blocked milk ducts?

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A Women Health’s Physiotherapist will:

• Perform an assessment to determine the affected areas

• Seek to understand your breastfeeding routine and habits to assess for factors that may have contributed to the blocked ducts or mastitis.

• Apply therapeutic ultrasound to affected breast tissues. The ultrasound probe is moved around the affected breast tissues for around 10 minutes. The procedure is not painful, although a gentle warmth may be felt. 2-3 sessions every 1-2 days are usually required.

• Apply tape if necessary

• Advise on breastfeeding techniques, positioning and routines, as well as educating how to maximise milk flow and reduce duct compression. 

• Demonstrate the right techniques for self massage

• Refer or work alongside a lactation consultant if require