Antenatal and postnatal care

Pelvic and low back pain is very common during pregnancy and is related to the change of the centre of gravity with the increasing size of bump at the front. There are a few conditions related to the pelvis, and are collectively known as Pelvic Girdle Pain Disorders (PGPD). This term integrates many of the existing terms that are familiar to women such as symphysis-pubic disorder (SPD), pelvic congestion, sciatica and leg cramps. The term ‘pelvic instability’ is frequently misused and highly emotive and should be regarded with little credibility.

James often treats ante- or post-natal patients with pelvic pain who come into the clinic using crutches or a wheelchair. Results can be impressive and fast and depends largely on the clinical presentation. For more information on the management of pelvic pain please refer to the video interview with Prof Peter O’Sullivan below.

In the antenatal stage I will highlight the underlying problem causing the painful problem and try to treat it effectively to remedy the issue and reduce the pain as quickly as possible. We try not to issue supportive belts but in some circumstances they may be useful.

In the postnatal stage it is important to adopt good standing and sitting postures whilst caring for the new born baby. This requires knowledge and understanding of good ways to lift your baby in and out of the cot, to change nappies and bathe without straining your back and how to sit better when breast feeding. Moving, playing with  and  lifting babies and toddlers from beds and floors, and changing clothes can be potentially injurious and problematic to backs and by adopting sensible advice many of these issues can be resolved. Try to avoid stoop-standing when doing these functional tasks especially when putting baby car seats in cars. This is a common trigger of back or wrist pains in mothers.

We are recommended by numerous organisations for the treatment of spinal and pelvic disorders during pregnancy.

James’s  interview with Prof Peter O’Sullivan on pelvic pain: What are the really important factors to address in pelvic pain management?