Getting back into sport (and sex!) after Pregnancy, with the health of women’s health physiotherapy
On Monday 3rd August, I was fortunate to find myself in sunny Brisbane and I took the opportunity to interview Lori Forner, Women’s Health and Continence Physiotherapist. I wanted to ask her all the basics about what these clinicians do and how they help women.
The interview is broken into 2 parts:
- What Women’s Health Physiotherapists actually do, how they rehabilitate the pelvic floor muscles and the outcomes that they can achieve
- A couple of case studies that Lori has kindly put together to demonstrate how physiotherapy treatment has enabled these clients to return to important activities
Who is this video for?
- Any health or fitness professional who deals with the antenatal or postnatal population (including GPs, physiotherapists and personal trainers)
- Anyone who suspects or knows that they have some kind of pelvic floor problem and isn’t sure if physiotherapy can help
- Women who want to run or play sport again after giving birth
The video breakdown
My intention was to interview Lori for about 30-40 minutes, but there was so much good stuff that we managed to talk for over an hour! I have put the video breakdown below, so that you can skip to the relevant section if you prefer. Obviously I think all of the information is important but if you would just like to learn about prolapses, for example, then skip straight to that section
|Start||Introduction||About Lori and the interview topics|
|6 Minutes||What a Women’s Health Physiotherapist does||• The demographics of the clients that Lori treats|
• Some of the other conditions that they treat that perhaps the general public is less aware of
• Some of the common complaints that they see in the pregnant and postnatal population
• How it can help women who have overactive pelvic floor muscles relax and have a better birth experience
|16 Minutes 35 Seconds||What Is Normal In Those First Few Weeks After Having A Baby?||• At what point should things settle down and continence be established?|
|19 Minutes 45 Seconds||The Assessment Process||• When a client comes to see a WH physiotherapist, what are some of the questions they will ask?|
• What do they do in the actual physical assessment?
• Real time ultrasound or internal examination?
|27 Minutes||Pelvic Floor Rehabilitation||• Some of the useful gadgets that can help|
• Progression of pelvic floor exercises – from basic muscle contractions through to exercises on one leg and with bands.
• The importance of going beyond basic kegels and helping women return to function
|37 Minutes 17 Seconds||Prolapses||• How common are they?|
• What are some of the risk factors?
• How does pelvic floor muscle retraining help reduce symptoms and even potentially the grade of prolapse?
• Who needs surgery and what is the recurrence rate after surgery?
|45 Minutes||Pessaries||• What are they and how do they work?|
• What do they look like? How often do you use them?
• Who can fit them?
• How can they help with symptoms of prolapse or incontinence?
|51 Minutes||When Can I Run or do Sport Again?!||• Why the answer is so difficult|
• Some of the variables you can manipulate when getting back into running
|56 Minutes||Case Study #1 – Pain With Intercourse||• Client who had painful intercourse, even prior to pregnancy|
• How relaxation, trigger point release and advice enabled this client to enjoy intercourse again
|1 Hour 2 Minutes||Case Study #2 – Postnatal Weak Pelvic Floor||• Client who had a grade 3 tear and stitches who was keen to get back into bootcamp (?!) At 4-weeks postnatal|
• How the use of pessaries and pelvic floor rehabilitation enabled this client to get back into the activities that she enjoyed
|1 Hour 10 Minutes||Details About Lori Forner||• How to find Lori in Brisbane: Ground floor, 280 Adelaide St, Brisbane|
• loriforner.com for more information about Lori and to access her podcast with Antony Lo (The Physio Detective)