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I had the awkward privilege of going through physical therapy postpartum for “down there” after my first baby. I was not happy about it, but it was totally necessary. Not many mamas head to physical therapy after the baby, and I think many more should if they can afford it or have the insurance to cover it. Physical therapists, especially those specialising in postnatal care, can help tremendously. Knowing whether you need physical therapy can be hard to decide, and sometimes you must express to your doctor that you believe you need it; otherwise, it will never be mentioned.

For me, I knew something wasn’t right after my 6-week check-up. I was given the thumbs up, but I was totally scared. I felt like everything had closed up…and I felt nauseous just thinking about it.

Without going into too much detail, I wasn’t romping around in the bedroom after the 6-week mark. Completely the opposite, and I felt like I was sewn together too tight.

It took two more trips to the doc to get checked out again and told I just needed some anxiety medicine, which DID NOT HELP. Something wasn’t right. Finally, my doctor suggested I go to a physical therapist specialising in postpartum care.

Here’s where you know you need physical therapy:

  • When your gut tells you something isn’t right. This is obvious, but many women ignore their gut the most. It is better to be reassured that everything is okay 20 times than ignore a feeling.
  • You think everything should be healed when time passes, but it isn’t. With a normal recovery, you will be uncomfortable, but over time, you will start feeling more comfortable again and adjusting to your new body. If this doesn’t happen months after delivery, like 9-12 months later, you might consider seeing a physical therapist.
  • If you look pregnant a year after birth. Your muscles may need extra training and work beyond a program like mine to encourage them to repair and find strength again.
  • You can always see a physical therapist if you are unsure, and they can tell you how they can help you. It doesn’t hurt to go in for one consultation to ease fears or gain reassurance that your body is doing what it is supposed to.

Once you decide you need a physical therapist, here is what the process looked like for me:

I wasn’t sure what I would be walking into, but I was hopeful of finding some relief. The first step was to describe the pain and uncomfortable feelings I was experiencing. From there, the physical therapist went to check my pelvic floor muscles. This required no panties and a tool that could monitor how I contracted my pelvic floor muscles and relax them.

I was activating my muscles well but not relaxing them. The tool was placed on the outer area where your pelvic floor muscles surround your vagina. It helped to see a reaction on her screen when I contracted and relaxed to gain better control of my muscles.

From that point, she examined me and found scar tissue where I had stitches, causing things to feel weird and painful. She used numbing cream and an ultrasonic machine to massage and help break up the scar tissue. She told me the scar tissue needed to be worked out and loosened. Scar tissue is our body’s natural, hard tissue to prevent an injury from tearing again.

I went back for 6 weeks or 6 appointments, and slowly things got better. The scar tissue got loosened enough to wear so I could function again normally. Two pregnancies later and three births total, I am completely recovered.

Not everyone needs physical therapy or professional help, but all postpartum mamas should embark on some healing program to help guide them on how to take care of their bodies. I had a much better postpartum experience with my third baby because I was in better shape when I had him, and I took way more time to strengthen and heal my body! I can’t express how important this is; it deserves attention and investment.

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