Professional Documents
Culture Documents
360 Physio Revesby Final Postnatal Back Pain
360 Physio Revesby Final Postnatal Back Pain
POST NATAL
BACK PAIN
WITHOUT TAKING MORE PAINKILLERS
OR HAVING TO GO AND
SEE THE MIDWIFE (AGAIN!)
Suite 2 Level 1
Ekera Medical
www.360physiorevesby.com.au
02.
ABOUT THE AUTHOR
ARKASH JAYANANDAN
03.
INTRODUCTION
In this Exclusive Special Report prepared for Mums suffering with Back Pain, I share with you 9 ways that can
reduce the amount of pain and stiffness youve been feeling since being pregnant, and or giving birth.
The first thing I want you to know is that you are not alone. As you will have likely discovered by now and
contrary to what your midwife will have told you, post natal back pain does not just all of a sudden go away
on its own.
I offer these tips to my patients every day in clinic and Im letting you have them for free. They are in no
particular order, and they all have one thing in common:
They all work.
Theres a great saying that goes: Small hinges swing big doors. And its often the simplest advice that wins in
the end.
Truth is, without knowing you or your medical history intimately, I cannot tell you which of these will work best
for you. And even if I did know the root cause of your postnatal health concerns, there are no guarantees
that any one single strategy will work.
But over the last few years, Ive been able to narrow down what really does and doesnt work when it comes
to finding the fastest route possible back to pre-pregnancy health and strength and a life without back pain.
But imagine this... how great it would be if you try just one of my strategies every day for a few weeks...within
a few months you could have all 9 of these incredibly powerful strategies for easing back pain, SPD, pelvic
girdle, hip and groin pain, in play and working for you giving you back the active and healthy lifestyle that
youve lost.
So heres my challenge to you, now that you have this knowledge in your hands, take time every day to try
out at least one of these 9 strategies.
It really wont take long and most of them wont cost you anything but a few minutes of your time. I think youll
be pleasantly surprised by how much better, fitter and healthier you will feel.
04.
OKAY...HERES HOW
TO SETTLE
POSTNATAL BACK PAIN
WITHOUT BOTHERING
THE MIDWIFE
OR HAVING TO CALL
AND SEE YOUR GP.
05.
IMPROVE YOUR CORE MUSCLES
(INCLUDING YOUR PELVIC FLOOR!)
If youre suffering from lower back pain, SPD, groin, hip or pelvic girdle pain (PGP),
then without having this Core group of muscles working, youre very unlikely to
be able to get back to your pre-pregnancy condition.
If, when you lean forwards to pick up your own baby, or when youre out for a walk
and after only a few minutes you find you need to lean on your babys push chair
for support because your back aches, or you try to go for a jog but can only
manage a few minutes until your back hurts, then youve got a problem with your
core muscle group that needs fixing fast.
Pilates style exercises are included in this group of exercises and I strongly urge
you to consider them.
01
06.
MAKE A CHANGE
TO
THE WAY THAT
YOU SLEEP
02
Sleep with one pillow only.
Anything more will bend your neck more than it should be and means the muscles in your back,
neck and shoulders are stretched dangerously more than they are designed to do so.
If you do like two pillows, great, the second is best placed between your knees whilst lying on
your side. This will stop your hips rotating and will help ease back, hip, groin, SPD and pelvic
girdle pain.
07.
WHEN POSSIBLE,
AVOID SITTING FOR LONGER
THAN 20 MINUTES
03
After 9 months of carrying around a baby, AND a pool of water, you will have a weakness in
your back.
And if you sit for more than 20 minutes, youre stressing your muscles way more than they
can cope. These muscles are the core group mentioned in principle number one, and if you
havent done anything to retrain them or make them strong again, youre adding to your
own back problem.
If youre breast-feeding, try a pillow or cushion in the small of your back for maximum com-
fort and support. This is a great temporary fix, but only retraining your core muscle group will
allow you to sit safely for more than 20 minutes.
08.
TONE UP AND EASE PAIN
WITH PILATES
04
Possibly the best way I know how to improve your core strength, is
through regular Pilates done at home or in a weekly class (preferably
both).
This is even more important if your 30+ and have had a second child
recently or thinking of having one sometime soon.
If in doubt about the suitability of a class near you, get in touch with
me and Id be happy to advise business@360physiorevesby (att:
Arkash)
09.
REGULAR
EXERCISE
IS VITAL
05
Time might be a problem right now, but there is always time to add a
simple daily exercise routine to your life.
If you do have lower back, hip, groin, SPD or pelvic girdle pain, then
please be very wary about starting an impact type (running, step class
etc) of exercise plan immediately.
This can be highly dangerous as youre likely to have locked, stiff and
even stuck joints that will not release no matter how much exercise
you try to do.
09.
GET PHYSICAL
WITH
AN EXPERT
PHYSIO
06
Easily the fastest way to settle back pain is to have it done for you by hand. Most of the time, and
on their own, exercises just arent enough to unlock the problem. If you have joints that have
become locked, stiff or stuck during pregnancy, there is only one way for them to become loose
and thats by hand.
The muscles that surround your lower back, pelvic girdle, groin and hip area will now be very tight
and tense. So, deep therapeutic massage would be required to relax them. And then these joints
are likely to be much easier to unlock by the right techniques. After these joints re unlocked, you
will feel much more free, looser, more relaxed and much more like your old active self.
The techniques that a specialist postnatal physio will use prepares the body to be able to work out
and exercises, meaning you are going to be much safer, have more movement, feel stronger and
get your energy back fast.
And if you can achieve this, you can safely put an end to your worry or problems with leaning over
to pick up your own baby.
11.
GET THE PRAM AT THE RIGHT HEIGHT
07
If you have the handle bar at a height that is below your elbow height,
then youre adding to your troubles and prolonging ill health.
At this height, it means that you constantly have to lean forwards. And
this is without doubt the worst position that you could ever be in when
it comes to maintaining a healthy spine.
When you stand (or walk) and lean forwards, there is no other position
that adds more stress to your spine. You might be tempted to use the
pram as support, but this will only help for the first few minutes.
And if you havent got your core muscles working like they should, this
is one of the reasons youre likely to suffer long-term problems.
12.
PICK UP AND CARRY
YOUR BABY CORRECTLY
08
One thing I need you NOT to do is to
carry your baby on one hip. Dont even
fall into the temptation of thinking that its
ok to swap hips from time to time.
13.
WEAR THE RIGHT SIZED BRA
If youve jumped from a B cup to a DD, or even bigger, its important to visit and get fitted
in a specialist underwear shop.
Getting the right bra size is important; you need to eliminate as much as possible the
stress on your lower and mid back regions.
14.
BONUS SECTION
This is a really common mistake recently new Mums make. Wanting to look and feel great
again after your 9 month term, can sometimes lead to the temptation of heading for the
shoe cupboard and straight to the high heel section.
When you wear a pair of high heels, youre asking an already weak lower back to work 25x
harder than in comparison to wearing a pair of flat supportive shoes.
#02
Lifting your baby with a weak back is a nightmare for some ladies. Lifting from a low-cot is
even worse.
If you ever find yourself in a conversation that comments how heavy your baby is becom-
ing, its even more important to be aware of the way that you lift him or her out of things like
a cot, pram or car seat.
The core muscle group being strong is an absolute must, but you also need to consider the
height of the cot. Can you adjust it? And if not, can you position yourself so that when you
do lift, your legs arent completely straight.
If they are, your spine is doing all of the work and long-term back problems are guaranteed!
15.
BONUS SECTION
#03
But might take a bit of discipline. If you can get into the routine or good habits of doing
simple stretches and strengthening of your lower back muscles, you will benefit no end.
In the same way that you brush your teeth twice per day to keep them clean and avoid pain,
you need to look at working on your back in a similar way.
Doing something as simple as following a routine prepared for you by an expert postnatal
physio 15-20 minutes per day will make a big difference and help you win back your health.
#04
If you have to sit, try to sit up straight. 80% of the people who visit a physio aged 35-64 do
so because of a really poor posture that leads to inevitable problems.
If youre in that group, or fast approaching it, these problems await. So, the last thing that
you want to be doing is adding to them by sitting, or slouching, and putting too much pres-
sure on your back.
Which, day after day, week after week, causes a problem. And will undoubtedly slow down
your recovery from this problem, not to mention leading to another more inevitable one
much sooner than you would hope.
16.
CONCLUSION
So, there you have it: 9 things (plus some bonuses) you can begin do
TODAY to quickly settle postnatal back pain as well as, groin, hip, SPD
or pelvic girdle pain.
Arkash
Arkash Jayanandan
Expert Postnatal Physio.
360 Physio Revesby
17.
HEALTH ADVICE DISCLAIMER
We make every effort to ensure that we accurately represent the injury advice
and prognosis displayed throughout this guide.
However, examples of injuries and their prognosis are based on typical representa-
tions of those injuries that we commonly see in our physiotherapy clinics. The infor-
mation given is not intended as representations of every individuals potential injury.
As with any injury, each persons symptoms can vary widely and each persons
recovery from injury can also vary depending upon background, genetics, previous
medical history, application of exercises, posture, motivation to follow physio advice
and various other physical factors.
We are able to offer you this service at a standard charge. Significant injury risk is
possible if you do not follow due diligence and seek suitable professional advice
about your injury. No guarantees of specific results are expressly made or implied in
this report.
18.