What postnatal pilates can do for you.

When you are pregnant there is a lot of focus on keeping your body healthy, looking after yourself and putting you first. There is a lot more time to focus on exercising well, cooking good meals and thinking in general. The midwife and friends/family are asking how your body feels, how is the bump, what aches and pains do you have and giving plenty of advice. Then the delicious baby arrives and is totally the centre of attention. Your life is suddenly a whirlwind of feeds, sleepless nights, surviving as best you can. There is little time and energy left for exercise. Cake and chocolate can be relied to get you through the day or are part of a treat at playgroups. No-one really asks how your body is feeling or what they can do to help YOU, it is more about the baby.

The problem is that when you are postnatal your body is pretty vulnerable. It has been stretched, carried a heavy weight around and then birthed a baby. Now if you had a major operation you would lie in bed, rest, recover, have meals brought to you and be looked after for a few weeks. This is really what you need after having given birth. Instead you have a little person dependant on you, you cannot rest as much as you need and you cannot listen to your body.

Postnatal Pilates: why all mums need it

As a pre/postnatal specialist Pilates teacher this is an area I focus on and love to teach.

Postnatal Issues Pilates can help with:

POSTURE:
It is hard to maintain good posture when you are sitting up feeding, especially at night. However without good posture, those aches and pains slip in. Muscles get tight in the wrong places which can cause restrictions in your movement and cause you to compensate.

Over time poor posture can cause long term pain throughout the body, so it’s not something you want to ignore. Postnatal pilates when run by a specialised teacher will put in exercises to strengthen your upper back, talk through shoulder placement with you and use functional exercises to help with those motherhood moves that you do daily.

Sitting more will also lead to tighter hamstrings, so these need to be stretched out regularly.

The key really is to find out which part of your posture you need to focus on and which muscles need releasing. A good class and teacher will highlight this to you.

FLEXIBILITY:
There can be a lot of hormones flying around. Relaxin is a hormone that can affect the laxity of your ligaments, so this can leave you vulnerable to overstretching and potentially pulling a ligament. Learning to work within the normal range of movement for your body is the key here and not pushing yourself too hard, too soon.

PELVIC FLOOR:
Having carried a baby around your pelvic floor has taken a lot of strain. If you have then pushed baby out then that is even more damage that will have occured to the pelvic floor. Pilates will help you strengthen the whole of your core, including your pelvic floor. If you need more help in this area then check out  “Pimp Your Pelvic Floor”

ABDOMINAL SEPARATION:
Many ladies suffer from Diastasis Recti, this is a condition that is common in pregnancy and nothing to be concerned about as long as it is fixed postnatally! For some, the abdominals will naturally heal up by themselves, for others it will take more work. Exercises such as curls ups, planks and sitting up from lying on your back are not suitable and can make matters worse. A specialist pilates teacher with postnatal training will be able to help you.

PELVIC GIRDLE PAIN:
If you suffered from this in pregnancy then the likelikood is that it will disappear once baby comes along. However it is always a good idea to do some strenghtening work postnatally. If your hips and pelvis were struggling in pregnancy then some TLC for them can make all the difference in the long term.

LOWER BACK PAIN:
One of the common complaints I see in mums. Those babies get heavy when you are carrying them around a lot. Having a strong core and good posture when you lift and carry is so important. Pilates will help train your body so you are stronger and more able to manage this. The release exercises will also help mobilise and decrease any pain.

If you aren’t local to me, then check out my Postnatal Pilates DVD.

Pelvic Girdle Pain and Pilates.

Working with pregnant ladies I often end up advising and chatting about pelvic pain. I also have a few other non-pregnant ladies with this type of pain, who had this type of pain in pregnancy and it’s continued after birth.

Pelvic Girdle Pain (PGP) has been renamed Symphysis Pubis Dysfunction. Big terms for pain in the joint that make up the pelvis, the syphysis pubis joint and the front and the sacroiliac joint at the back. Pain can be felt in the lower back, groin, thighs, hips and pelvic floor. This can lead to pain walking, climbing the stairs, getting in/out of the car and bath, straddling, turning in bed and standing on one leg.

Pilates with Priya: The Pelvis

There are many reasons suggested as to why this pain can occur, in some cases the pelvic joints can be damaged or weak, there could be a biomechanical problem or it could be due to hormones. Between 14-22% of pregnant ladies get PGP and in many it is a random thing that cannot be predicted!

Pilates can really help prevent and minimise PGP. In my ante-natal classes we focus on strengthening the muscles above and below the pelvis, so helping the pelvis remain strong. We strengthen the core muscles and also muscles in the thighs, legs and bottom. For example a pelvic tilt or small roll up can strengthen the core and modified squats and oysters can strengthen the gluts and thighs muscles.

If you get pelvic pain then here are my top tips:
See a physiotherapist. In Southampton you can self-refer to the obstetric physio, which is an amazing thing. the midwifes will pass on the number to you. A physio will assess your pain, range of function and possibly realign your pelvis.
Once you have seen the physio, then Pilates exercises can help strengthen you to minimise any further pain. Try a one to one session for some specially tailored exercises to do at home or attend a class.
Remain active within the limits of your pain, keeping active is important and will help, but obviously you don’t want to be in constant pain, so you will need to judge how much you can do.
Avoid activities that make it worse, standing on one leg often does this or having the legs too wide apart. Try keeping some activites seated.
Using a pillow between your legs when sleeping can provide relief for some ladies.
Ask for help when you need it!

Priya will be releasing her own worksheets to help with this area and her own Pilates in Pregnancy DVD very soon, contact us to pre-order.

To book a one to one session click here.