Can't stand upright after "pelvic repair" in the confinement? Postpartum pelvic repair, is it an IQ tax?

Can't walk upright after doing "pelvic repair"?

At the beginning of this year, Ms. Dai (pseudonym) in Guangzhou welcomed her second child. Pay attention to postpartum health care, she came to Baiyun a confinement center to confinement, during the period of low back pain to unable to implant, she purchased the "pelvis + spine" experience package at the confinement center, and then, the confinement center invited a Chinese medicine postpartum rehabilitation practitioner from a third-party institution to stretch and compress the orthopedic bone.

However, her low back pain and pelvic pain were getting worse and worse, and slowly her waist could not straighten up, and when she was severe, her lower limbs were weak and she could not walk... After sending to the doctor for treatment, after diagnosis, it is considered to be caused by postpartum rectus abdominis syndrome, as to whether there is a direct connection between massage and low back pain, the doctor cannot give a conclusion.

News source: Nandu Kenwen

Confinement has been a Chinese tradition since ancient times. With the improvement of living standards, more and more mothers choose to go to the "confinement center" to sit in confinement. However, due to the uneven level of institutions and personnel, many staff of the "Confinement Center" have no medical background or nursing qualifications, resulting in frequent problems.

In response to the postpartum "pelvic repair" mentioned in the news, is it an IQ tax? Can it be done, and how should it be done? Southern Satellite TV recently interviewed Deng Yuting, a therapist in charge of the Postpartum Rehabilitation Center of Guangzhou United Family Hospital

What is the pelvis and what does it do?

The pelvis connects the lumbar spine and the thigh bone in our body, and it is a function of carrying up and down the entire mechanical structure. At the same time, the pelvis also plays a key role in the stability of internal organ structures.

Is postpartum pelvic repair necessary?

With the increase in pregnancy time, especially from 9 months to 10 months, there will be many changes in our body and pelvis, such as: lumbar vertebrae bulging, pelvic pre-eminence, pelvic widening, etc., which are all places that need attention after childbirth.

Postpartum repair should be based on functional exercise, if you just want to lie down and massage, or do manual reduction, these are unscientific. The use of instruments on the market for pelvic repair, we should also pay attention to avoid pits.

First of all, the pelvis is a three-dimensional structure, not a separate change; secondly, the body will secrete relaxation hormone during pregnancy, so that the pelvis is in a relatively relaxed state; in addition, our body structure will be affected by the legs of the erlang or sleep for a long time, resulting in the body structure is not completely symmetrical, in these cases it is very dangerous to squeeze hard.

Taking unscientific pelvic repair methods, the damage to the body will be far greater than the repair effect.

Under what circumstances should pelvic repair be performed?

Pubic joint dissociation

In medicine, the pubic joint separation is judged by data, and the general normal spacing is 3-5 mm.

It will widen by 2-3 mm during pregnancy, if more than one centimeter, this will cause some tears such as the joint capsule or ligaments, but the widening we are exposed to is generally caused by the muscles are not very strong.

In the case of combined pubic dissociation, we need to use the correct repair method. If in the acute reaction period, it is mainly anti-inflammatory. When not in the acute phase, more functional exercises can be done.

The joint separation of the pubic bone should take into account our abdominal pressure, the establishment of the entire core, the transverse abdominal muscles, the pelvic floor muscles, including the adductor muscles of the thighs, to strengthen the overall muscle strength of the exercise.

Postpartum repair requires a combination of proper exercise

My hospital has received a mother, during her confinement at home, there is pubic joint pain, I think I should rest mainly, stayed at home for almost a month, and did not get better. Subsequently, he was admitted to the postpartum rehabilitation center of our hospital. Under the guidance of professional doctors and physiotherapists, through active exercise and the cooperation of physiotherapy, gradually recover.

For pubic joint separation, we do not recommend resting. It is still necessary to combine its own situation and carry out step-by-step exercise under the guidance of professionals.

Pelvic irregularities/pelvic band pain

Pelvic belt pain is also relatively common in the postpartum period. Incorrect sitting posture during pregnancy, or not exercising for a long time, including a series of bad habits of "Ge You Lying", can easily lead to problems.

If there is a series of manifestations such as easy pain, or lack of strength when walking, and a pelvic abnormality is suspected, the regular hospital will usually perform a B ultrasound or X-ray examination to determine whether it is possible to manually reset, and after a comprehensive evaluation, the corresponding treatment will be made.

When choosing to do pelvic repair, Bao Mama must go to a professional institution to repair, and also take more active exercise to speed up the speed of postpartum recovery.

Postpartum scientific rehabilitation is very important, do not believe in all kinds of unreliable therapies, it is recommended to choose a regular medical institution to receive doctors after assessment for targeted treatment.

Deng Yuting

Chief therapist of postpartum rehabilitation services at Guangzhou United Family Hospital

Therapist Deng Yuting graduated from Harbin Medical University in 2011 with a major in rehabilitation therapy.

Deng Yuting has more than 10 years of rehabilitation clinical work experience, having interned in the First Affiliated Hospital of Sun Yat-sen University for one year, and then studied postpartum rehabilitation at the First People's Hospital of Zhongshan City. Prior to joining United Family, he worked in postpartum rehabilitation and musculoskeletal rehabilitation for women at Dongguan Hengli Hospital. Participated in the Lumbar Spine-Pelvic-Hip Training Course of Maitland Diagnostic and Therapeutic Technology, and completed the postpartum pelvic belt pain and overall pelvic rehabilitation course, the Stott Pilates Pad Intermediate Intermediate Course, and the Balanced Body Pilates Refomer Junior High School Advanced Course.

Proficiency in the assessment and treatment of related diseases, including physiotherapy instrument operation, manual therapy and motor function exercises. He is particularly good at pelvic floor repair, rectus abdominis separation, poor pelvic stability, pubic symbiosis and sacroiliac joint pain.

Therapist Deng Yuting serves as a youth member of the Postpartum Rehabilitation Committee of the Chinese Rehabilitation Medical Association.