Pregnant Woman in Nature

CHIROPRACTIC DURING PREGNANCY

 

What complaints do we treat in pregnancy?

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We have had the pleasure of receiving a number of mothers-to-be at Avant-Garde Chiropractie. Our chiropractor Bethan Phipps is specialized in this.

 

Here is a small list of reasons why they visited our practice:

  • check up for a healthy birth

  • lower back pain

  • pelvic instability

  • pelvic pain

  • tight / tense stomach

  • neck pain

  • headache

  • leg pain 

  • chest / stomach pain

 

 

50% of all pregnant women suffer from back pain during pregnancy and 75% of women suffer from lower back and pelvic pain during childbirth (Vleeming 2008).

 

Back pain during pregnancy often happens, but that doesn't mean it's normal!

 

What can chiropractic offer in pregnancy?

Chiropractic is a safe form of medicine, without the use of drugs. This is important during pregnancy for both the mother and the baby. The treatment is gentle and we use specific techniques to relieve pain and discomfort during pregnancy, as well as to encourage a pleasant delivery. Our goal is to provide a high level of care during pregnancy to ensure the comfort and safety of both mother and baby, we provide aftercare when the baby is born.

 

Using special pregnancy techniques, pregnant women can be treated right up to the day of delivery in order to promote optimal mobility in the pelvis, facilitate the delivery process and combat instability. When the pelvic girdle and (low) back can function normally again, the optimal space in the abdominal cavity is restored and the final stages of pregnancy and birth become much easier.

What are the causes of back pain and pelvic pain in pregnancy?

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The causes lie in an increase in body weight, changes in the pelvis, for example an oblique position or a fixation and a change in the body position such as a protruding stomach in combination with a too hollow back. During pregnancy, one or both pelvic / SI joints may be blocked. This causes pelvic pain, buttock pain, groin pain and leg pain. These do not have to be present at the same time. An SI joint block can lead to a pelvic oblique position or pelvic twisting (pelvic torsion). The changes at the bottom of the spine and pelvis can in turn lead to complaints in the middle back, upper back and even the neck. These complaints often overlap.

 

What is pelvic instability?

The ligaments that hold your pelvis together become softer and stretch more as a result of hormones This leads to an unstable pelvis. Pain or instability can occur on any of the pelvic joints. ​ The pubic bone at the front can go 2-3 mm apart, this starts as early as 8 weeks, and can stretch up to 10 mm apart. At that moment one also speaks of pelvic instability. As a result, the joints at the back stretch more apart, making these joints unstable and causing pain. Sometimes you can also hear your pelvis 'rubbing' against each other as a result of this stretched state.

 

Hormonal changes make the ligaments and joint capsules of the pelvic floor and the pelvic ring more elastic at the end of pregnancy. This increased mobility (hypermobility) can lead to pelvic instability after birth. We also call this symphysiolysis or symphysis pubis dysfunction. The pressure of the body weight on the hypermobile ligaments and joints causes pain around the pelvic joints and pubic bone.

Symptoms of pelvic instability

  • Pain in the front or back of the pelvis, groin, buttocks, thigh, hip and lower back

  • Difficulty walking or a waddling gait

  • Pain when standing on one leg

  • Pain when turning

  • Pain in the hips when rolling in bed

  • Difficulty getting in and out of the car

  • Creaking sounds from the pelvis

  • Pain when opening your legs

  • Stabbing pain along the inside of the thighs

  • Sharp fleeting pain especially when standing up from a sitting position - felt on both sides of the back of the pelvis (pain can go from one side to the other)

  • Stabbing pain in the buttocks or back to the knee

  • Pain when lying on your back and side without support between the knees

  • One-sided pain

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Is your baby in a breach position?

Most babies lie with the head down and the back of the head towards your stomach during birth. Sometimes a child lies with its head down, but the position of the head deviates from this so-called “occipital position”. It is also possible that your child is lying with the buttocks down, a so-called “breech position”. Babies who lie in a position other than the most common can often be born vaginally. However, these births are somewhat more difficult, the risk of complications is present and the births often end in a caesarean section. Sometimes the mother already chooses a Caesarean section in advance. During pregnancy you can already do something to make it as easy as possible for your baby and to lie in the most optimal position. Your posture plays an important role in this.

 

The Websters Technique

 

The Webster Technique was developed by Dr. Larry Webster, founder of the International Chiropractic Pediatric Association in 1978. The Webster Technique is a specific chiropractic treatment technique for pregnant women and is designed to relieve the consequences of intrauterine torsion.  Chiropractic care during pregnancy and birth is vital to the normal physiological function of both the mother and the baby. More women and birth experts are discovering the benefits of chiropractic care during pregnancy and are recognizing this field through Webster Techniek. The Webster Technique is a specific chiropractic sacral (sacrum) analysis and adjustment. The purpose of the adjustment is to reduce the effects of sacral subluxation / SI joint dysfunction. Thereby, the neuro-biomechanical function in the pelvis is facilitated.  Dysfunction of the sacrum, the large triangular bone at the base of the spine, causes it to tighten and twist specific muscles and ligaments. These tense muscles and ligaments have a restrictive effect on the uterus and therefore prevent the foetus from getting into the best possible position for birth. Sacral subluxation may contribute to a difficult delivery for the mother (i.e. dystocia / obstruction of delivery) caused by inadequate uterine function, pelvic contraction and poor presentation of the baby. Correction of sacrum subluxation can have a positive effect on all of these causes of dystocia.

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After 20 weeks of pregnancy, it becomes increasingly difficult to lie on your stomach. That is why we have a special pillow with space for the stomach and breasts, so that you can lie comfortably on your stomach during the treatment.