Move Freely. Move Fluidly.
It’s really frustrating when you’re excited about pregnancy and you’re looking forward to all the pregnancy things, only for painful and limited movement to cramp your style.
Pelvic girdle pain can be so disruptive – it affects your ability to work, play, and move about your life. It’s even more disheartening when you’re told that moving painfully is a normal part of pregnancy.
We disagree. Pelvic girdle pain is actually quite treatable.
Our goal is to help you get through pregnancy (and beyond) with as little pain as possible. We want to help you move well, move often, and move without pain so you can focus your energy on what matters: getting ready to meet your baby!
The pelvic girdle consists of 3 joints – the left sacro-iliac joint, the right sacro-iliac joint and the pubic symphysis. Imbalances or asymmetry of the bony pelvis (usually due to imbalanced muscular forces or tensions) can lead to pain at one, two or all three joints.
This is called pelvic girdle pain (PGP). It can be experienced during pregnancy (pregnancy related pelvic girdle pain or PRPGP), after childbirth or following an injury.
Biomechanical factors are important to consider in PRPGP, but there is another even more significant driver for pelvic girdle pain and that is the central nervous system which can become sensitized during pregnancy.
It is important to understand all the elements contributing to PGP so that treatment is effective. Often tension in the body, back, pelvis, hips, and tailbone need to be addressed before any attempt to add “more stability” to the system – be that in the form of “core stability exercises” or some sort of compression belt.
Your physiotherapist will carefully examine all the factors affecting YOUR specific body, and she will then teach you strategies to help you move better and manage pelvic girdle pain.
Signs and symptoms include:
- Pain near the dimples of your low back (sacrum), pain at the pubic bone, or both
- Clenching and guarding of your hip and buttocks muscles
- Difficulty with prolonged standing or walking
- Pain with stair climbing
- Decreased ability to stand on one foot to put on pants or to push something with one foot
- Feeling of giving away or locking in the pelvis
- Difficulty with transfers or transition movements (sit to stand, rolling over, in/out of car)
- Pain with specific movements like squatting
- Low back, tailbone, or buttock ache
- Pain travelling down the legs or in the groin
- Clicking, grinding, snapping in hip joints or pelvic joints
We want to understand why you have pain and why movement is restricted. We start with an evaluation of your pelvis (in the context of your whole body). We also evaluate how your nervous system may be contributing to your pain experience.
- Education on how to move throughout your day
- Manual (hands on) therapy
- Mobility and flexibility exercises for you to practice at home
- Brain re-training and remapping
- Functional core training if that is what you need
- Pelvis balance and symmetry exercises
- Position options for labour and delivery
- Strategies to decrease tension in your pelvis
- Advice on support garments like belly belts and bands
Our Pelvic Girdle Pain Programs
We start by getting to know you and understanding your experiences. We want to know how pelvic girdle pain is affecting your life, what you have tried, and what your goals are. We’ll ask questions about your pelvic health and look at your bigger health picture as well.
After this, we check out how your unique body is working and let you know what we find. Our programs include custom recommendations, hands on strategies, practical advice, step by step home exercise protocols, email support, accountability, educational resources, product recommendations, letters to your healthcare team, and more.
All that we offer is designed to help your body feel better, move better, and work better during pregnancy and postpartum.
Our pelvic girdle pain programs can help if you…
- Experience pain with walking, stair climbing, rolling over, rising from a chair, getting out of a car, putting on shoes, etc
Have continued pelvic girdle pain even after you have had your baby
Are willing to explore brain-level techniques that retrain your pelvic sensation and movement
When I was around 6 months pregnant I began experiencing pain in my hips and tail bone. Ibbie was able to asses me and give me great exercises to help correct and strengthen the effected areas. She was so great to work with, she was gentle and very knowledgeable, she helped me see and understand things I was doing to cause my body to be out of sync. She made me feel very comfortable and I totally enjoyed working with her!