Postpartum and urogynecologic rehabilitation

Postpartum and urogynecologic rehabilitation
Do you know how to take care of your pelvic floor muscles? Can you tell where they are located and how important they are for your health and wellbeing? Would you like to get them ready for pregnancy and delivery or to safely restore their function after childbirth?
Perhaps you have painful periods, incontinence problem or you feel discomfort during sex?

If so, you are welcome to benefit from our offer which includes:

1Pelvic floor muscle therapy
The therapy is provided:

  • as part of rehabilitation and reeducation of pelvic floor muscles during pregnancy and postpartum period
  • as part of pelvic floor disorder prophylaxis
  • for urinary / fecal / flatulence incontinence
  • for the absence of or decrease in sexual satisfaction
  • for discomfort during sexual intercourse
  • for painful perineal or C-section scar
  • for pelvic organ prolapse
  • for painful menstruations

Complex pelvic floor muscle therapy is a modern physiotherapy treatment complying with international standards of medical practice.
After taking a comprehensive case history and a thorough physiotherapeutic examination of the locomotor organ and the pelvic floor muscles, we develop a treatment plan which is tailored to the individual needs of each patient and the kind of disorder she suffers from.
Aside from personalized muscle training and necessary manual techniques, our patient will learn how to take proper care of her intimate health.

Inefficient pelvic floor muscles alone are seldom responsible for the occurrence of the above mentioned conditions. That is the reason why the focus of our urogynecologic rehabilitation is on the patient’s whole body, although the pelvic floor muscle therapy remains its core. An effective recovery process requires a personalized selection of therapeutic techniques originating from physiotherapeutic methods, e.g., manual and trigger point therapy or kinesiotaping. According to the recent guidelines, physiotherapeutic management is recommended as “first-line” treatment for the above dysfunctions.

Physiotherapy is also part of comprehensive health care provided by our Clinic interdisciplinary therapeutic team whose experience and expertise ensure precise diagnosis and specialist consultations at every stage of therapeutic management.
1sEMG examination
Surface electromyography of the pelvic muscles and nerves using an intra-vaginal probe and surface electrodes enables precise assessment of their condition. It involves the evaluation of pelvic floor muscles at rest (static sEMG) and during activity (dynamic sEMG).

It gives insight into the function of pelvic floor muscles to both the examiner and the patient. Watching real-time images, the patient can quickly learn how to tighten and relax her pelvic floor muscles effectively.
A repeated examination performed after a period of self-guided exercise allows ongoing progress monitoring, facilitates prompt modification of the training and accelerates the entire therapy.
It is an advanced therapeutic training of the pelvic floor muscles which permits their ongoing evaluation and helps the patient learn how to do the exercises correctly. The patient can observe the way she tightens and relaxes her muscles.
The method is recommended because it facilitates and accelerates the therapy, particularly in patients with symptoms of weakened pelvic floor muscles.
1Stimulated therapy
The therapy is designed for patients whose weak pelvic floor muscles do not allow them to do unassisted exercises.
The use of personalized neuromuscular stimulation programs speeds up the recovery of muscle strength.
1Rehabilitation of the locomotor organ
Pregnancy causes numerous changes in a woman’s body. These transformations very often significantly limit her mobility, cause discomfort or pain that may ruin the joy of this very special time in a woman’s life.
In the postpartum period these changes may considerably restrict a woman’s mobility causing problems with changing body position, raising from a sitting position or taking care of the baby. These ailments do not usually require advanced imaging diagnostics or pharmacological treatment.

Physiotherapeutic methods have proved effective and beneficial for pain relief and the restoration of unrestricted mobility allowing a woman to enjoy her pregnancy and maternity.

The most frequently occurring postpartum problems include:

  • mobility affecting pelvic pain syndromes, radiating pain from and to the pelvis, pubic symphysis diastasis or resembling conditions
  • sciatica or a clinical picture resembling it, piriform muscle syndrome
  • diastasis recti (separation of straight abdominal muscles) with abdominal muscle flaccidity
  • acute pain syndromes (sudden onset of pain) associated with the locomotor system which occurred during pregnancy

Other postnatal complaints:

  • pelvic stability disorders
  • chronic pelvic pain
  • pubic symphysis diastasis
  • coccyx pain, problems with sitting and raising to the standing position
1Abdominal rectus diastasis and linea alba instability therapy (Deep core muscle activation therapy)
The complex therapy involves:

  • evaluation of the abdominal rectus diastasis and the function of the neighboring structures
  • manual tissue mobilization – closure of the diastasis using physiotherapeutic techniques
  • teaching deep core stabilizing muscle activation: transverse abdominal muscle and pelvic floor muscles
  • set of custom-designed exercises
  • diastasis “taping” – kinesiotaping

1Pregnancy and postpartum relaxing massage
A therapeutic massage helps ease a range of pregnancy discomforts (spinal and pelvic pain), reduces muscle tension and improves lymphatic and blood circulation. Our therapists use natural essential oils which will soothe your nerves and boost your emotional wellbeing.

The massage is performed in a lying position.

The massage therapy session lasts 45 minutes.

Contraindications for performing the massage:
  • 1st trimester of pregnancy
  • pathological pregnancy
  • vascular, plasma-related and platelet-related hemorrhagic diathesis (bleeding tendency), arterial hypertension, heart diseases,
  • anemia
  • gestational diabetes
  • hyper- and hypoactivity of the thyroid and parathyroid glands

1Scar therapy
It is a physiotherapy treatment of scars which involves mobilization and assessment of the wound healing process at the stage of scar formation. Scar flexibility has a considerable effect on many structures and the entire post-operative site.
1Perioperative rehabilitation
Perioperative rehabilitation is an essential element of holistic approach to patient care after a reconstructive or gynecologic surgery. It enhances the body’s regeneration processes and optimizes long-term surgical outcomes.
The rehabilitation program includes activation of appropriate abdominal and pelvic structures, fascial training, adhesion prevention, mobilization of post-operative scars and patient education.

We take care of:

  • reeducation of pelvic floor muscles before and after reconstructive procedures for pelvic organ prolapse and urinary incontinence
  • rehabilitation after gynecologic procedures and operations