Navigating Postpartum Recovery

For many women, the postpartum period brings challenges beyond the joy of welcoming a new baby. Issues such as perineal tears, episiotomy scars, and pelvic floor dysfunction are common but often overlooked. These conditions can lead to lasting discomfort, urinary incontinence, constipation, and even pain during intercourse. Thankfully, physical therapy can be a powerful tool for healing.

Perineal Tears and Scar Healing

During vaginal delivery, the pelvic floor muscles undergo intense stretching, but if these muscles are tight or the labor progresses too quickly, tears or episiotomies may occur. Scar tissue from these tears can adhere to underlying tissue, potentially disrupting bladder, bowel, and sexual function. To prevent this, perineal massage during pregnancy and post-delivery (with doctor approval) can keep the tissue supple and mobile, preventing painful adhesions.

Pelvic Floor Dysfunction

Pelvic floor dysfunction, which can manifest as incontinence or constipation, often results from muscle weakness or injury. Physical therapy focuses on restoring pelvic floor function through stretching to lengthen tight muscles, followed by targeted strengthening exercises to support long-term recovery.

C-Section Scars

For those with C-section scars, mobilization therapy can be initiated six weeks postpartum to prevent scar tissue from binding to internal structures, which could cause discomfort or dysfunction. Similarly, conditions like diastasis recti, where the abdominal muscles separate during pregnancy, can be addressed with specific exercises starting just 24 hours after a vaginal delivery.

With a personalized treatment plan from a skilled therapist, women can regain strength, mobility, and comfort in the months following childbirth—helping you feel like yourself again.