In order to grow a small human, many muscles must stretch and effectively ‘get out of the way’ for birth. The second trimester is a fantastic stage to learn birth prep, strategies to support your changing body, and considerations for postpartum recovery. Manual therapy is a fantastic tool for managing common pregnancy-related aches and pains.

• Sacroiliac Joint Dysfunction

• Symphysis Pubis Dysfunction

• Pelvic Girdle Pain

• Carpal Tunnel

• Sciatica

• Neck and Back Pain

• Joint Pain (Foot, Ankle, Knee, Hip, Shoulder, Elbow, Wrist)

• Pelvic Floor Prep for Labor and Delivery

• Foundational health TTC (trying to conceive)

Your pelvic floor is a group of muscles that attach to the bottom of your pelvis. These muscles support your bladder, rectum, and reproductive organs, and they help control the functions of those organs: peeing, pooping, sex, and childbirth. Muscles that are overactive or underactive may contribute to symptoms like pain and leakage.

• Urinary Incontinence

• Urinary Urgency or Frequency

• Pelvic Pain

• Painful intercourse (Dyspareunia)

• Genitourinary syndrome of menopause (GUSM)

• Vulvar and/or Vaginal Pain

• Vulvar Varicosities

• Interstitial Cystitis

• Bowel Incontinence

• Chronic Constipation

Pregnancy and birth are hard on the pelvic floor and abdominal wall. Pelvic rehab should be standard care for all birthing people. In fact, pelvic rehab *is* standard care across Europe. In the ‘orthopedic world’ we would never discharge a woman with a quad tear at six weeks. We would load the tear gradually in a rehab program. Pelvic floor and abdominal wall deserve the same care. Learn to rebuild strength and feel like yourself again.

• Diastasis Recti Abdominis

• Umbilical hernia

• Abdominoplasty (tummy tuck)

• Pelvic Organ Prolapse

• Scar Tissue Adhesions (cesarean or perineal)

• Neck/Back Pain

• De Quervain’s Tenosynovitis (“Mommy Thumb”)

• Return to run

• Return to weight lifting

Hormone-sensitive breast cancers may require estrogen-blocking medication. Learn to manage menopause-like pelvic floor symptoms such as pain and leakage.

• Dyspareunia

• Stress urinary incontinence

• Urinary urge frequency

• Lymphedema

• Radiation fibrosis

• Mastectomy related shoulder pain

• Chemotherapy related deconditioning

Estrogen plays a role in most of our body systems, including our muscles and bones. Hormonal changes are often a player in certain orthopedic issues like tendinopathies and osteoporosis. Manual therapy and exercise have been shown to improve these issues.

• Gluteal tendinopathy (hip pain)

• Rotator cuff tendinopathy (shouder pain)

• Plantar fasciopathy (heel pain)

• Osteoporosis

• Osteoarthritis