how can physiotherapy help in pregnancy

How can Physiotherapy Help in Pregnancy?

Pregnancy is a time of significant physical and emotional changes. As the body adapts to accommodate the growing life within, many women experience discomfort and pain. However, physiotherapy can be a valuable ally during this journey, providing relief and support. In this post, we’ll explore how physiotherapy can help during pregnancy.

Is Physiotherapy Safe During Pregnancy?

Physiotherapy during pregnancy is generally considered safe and beneficial. It can help manage common discomforts such as muscle strain and balance changes caused by hormonal influences and posture adjustments. Physiotherapy techniques can help maintain movement, reduce muscle strain and damage, and even provide guidance on helpful labor and birth positions. 

However, it’s important to note that some individuals may experience a temporary increase in muscle discomfort after certain physiotherapy treatments, such as massage and focused movements.

While physiotherapy is generally safe, it’s crucial to consult with a qualified and registered physiotherapist who can tailor the treatment to your specific needs and conditions. Certain techniques, like dry needling, are not recommended during pregnancy. 

Additionally, some exercises may need to be modified or avoided altogether, especially those that involve lying on the back after the first trimester or those that could lead to excessive heat or dehydration. 

Physiotherapists can also provide education on safety precautions during exercise and when to consult a healthcare provider. Therefore, it’s essential to communicate openly with your physiotherapist about your pregnancy status and any potential concerns you may have.

How can Physiotherapy Help in Pregnancy?

Physiotherapy plays a crucial role in supporting pregnant women throughout their journey, providing relief from discomfort and promoting overall well-being. Discover how physiotherapy can help enhance the experience of pregnancy.

Alleviating Common Pregnancy Pains

One of the most common complaints during pregnancy is back pain. As the baby grows, the center of gravity shifts, leading to increased strain on the back muscles. A physiotherapist can offer exercises that strengthen the core and improve posture, helping to manage or alleviate back pain.

Preparing for Childbirth

Physiotherapy can also prepare a woman’s body for the demands of childbirth. Pelvic floor exercises, for instance, can enhance muscle tone and endurance, which are crucial during labor. A stronger pelvic floor not only aids in delivery but also helps in the recovery process postpartum.

Managing Pelvic Girdle Pain

Pelvic girdle pain (PGP) is another condition that can be addressed through physiotherapy. This discomfort arises from the joints in the pelvis moving unevenly during pregnancy. A physiotherapist can provide exercises and techniques to stabilize the pelvis and reduce pain.

Enhancing Circulation

Swelling in the legs and feet, also known as edema, is common during pregnancy due to increased fluid retention and blood volume. Physiotherapy can help improve circulation through gentle exercises and manual therapy, reducing discomfort and preventing more serious complications like deep vein thrombosis.

Posture Education

As pregnancy progresses, posture changes are inevitable. A physiotherapist can educate expectant mothers on how to adjust their posture to minimize discomfort and maintain balance as their body changes.

Breathing Techniques

Breathing exercises are another area where physiotherapy can be beneficial. Proper breathing techniques can help manage stress levels, improve oxygenation for both mother and baby and play a vital role during labor.

Postnatal Recovery

After delivery, physiotherapy continues to be valuable. It assists with recovery from childbirth, helps with the restoration of abdominal muscle strength, and provides strategies for safely returning to exercise.

Customized Care

Every pregnancy is unique, and a physiotherapist can tailor a program to address specific concerns or conditions. Whether it’s managing symptoms of diastasis recti or providing ergonomic advice for daily activities, personalized care is a cornerstone of pregnancy physiotherapy.

When Should a Woman Go to the Physiotherapist for Pregnancy?

A woman may consider going to a physiotherapist at any point during her pregnancy, especially if she is experiencing discomfort or wants to prepare her body for childbirth. It’s common for women to seek physiotherapy when they start to experience pain, which can occur as early as 10 to 11 weeks into the pregnancy or as late as 31 to 32 weeks. 

Physiotherapy can help manage common pregnancy-related pains such as lower back, hip, or pelvic pain and can also provide strategies for positioning during pregnancy and labor. Additionally, physiotherapy can offer benefits like improving posture, joint alignment, and muscle strength, which can contribute to a smoother pregnancy and potentially easier labor.

The ideal timing for a physiotherapy consultation varies from person to person, and some women may choose to start early in their pregnancy to develop a plan for maintaining activity and managing any potential issues. It’s also recommended to see a pelvic floor physiotherapist early in the second trimester, if there are no concerns, to prepare the pelvic floor muscles for childbirth.

However, if a woman is experiencing specific issues or pain, it’s better to seek treatment sooner rather than later. It’s important to consult with a healthcare provider before starting any new exercise regime and to work with a physiotherapist who can tailor the treatment to the individual’s needs and the specific stage of pregnancy.

Final Words

Physiotherapy offers a non-invasive, proactive approach to managing the physical challenges of pregnancy. From pain relief to preparation for childbirth, it enhances both maternal comfort and health outcomes. If you’re expecting, consider consulting with a licensed physiotherapist to create a plan that supports your well-being throughout this transformative time. Remember to always consult with your healthcare provider before starting any new treatment or exercise program during pregnancy.


"Hasan", I am a physiotherapy Doctor. I have completed my B.S.c course (4 years) under Rajshahi University, Faculty of Medicine, Rajshahi. Currently I am working as a clinical physiotherapist at a renowned physiotherapy center and I am continuing my MPT (Master's of physiotherapy) degree at CRP, Savar.

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