Pregnancy and PGP

If you are in pain and pregnant, we can help!

We treat PGP, and all Pregnancy Related Pain. We have highly experienced osteopaths who work with you throughout your pregnancy to get you in the best place for birth, to help get to the crux of Pelvic Girdle Pain, and why you may be experiencing this specifically, and using osteopathic treatment and rehab to get rid of the pain and keep it away, this will also help significantly improve chances of a natural birth and reduced need for intervention.

Jo Day is also recognised by The Pelvic Partnership as a specialist Practitioner working to help women with PGP.

“Jo Day is fantastic! I was suffering so much this pregnancy with SPD and really thought nothing could be done. And a chance recommendation from a friend led me to Jo who made my pregnancy so much less painful and I was able to say goodbye to my crutches and support belt! Can’t recommend Jo highly enough.”

Emma via Facebook

PGP and how I can help

PGP Helpsheet

PGP is a debilitating condition, worsened by the hormonal and mechanical changes of pregnancy. In a past blog I have written about pelvic pain and dysfunction and how Osteopathy works so well to help.

Below I have put together an advice sheet on what to do alongside and after your treatment, and to support ongoing treatment with us, in terms of reducing pain and getting the body back to normal more quickly and effectively. This will also help longer term.

PGP HELPSHEET

(Pelvic Girdle Pain) which was previously called SPD is a debilitating condition, worsened by the hormonal and mechanical changes of pregnancy. In a past blog I have written about pelvic pain and dysfunction and how Osteopathy works so well to help.

In this post I have put together an advice sheet on what to do alongside and after your treatment, and to support ongoing treatment with us, in terms of reducing pain and getting the body back to normal more quickly and effectively. This will also help longer term.

1. Use frozen peas!!!!

Yes it really does work! Most of the pain experienced, especially at the pubic bone and sacroiliac joints (at the back of the pelvis), is inflammatory in nature. This means it responds really well to cold. Pop a handful of frozen peas in a freezy bag, tie in a knot, then use as your ice pack. 10 minutes at a time on all sore spots. This can also work really well on both of the hips before you go to bed, as many people experience their PGP pain on the outside of the hip as they sleep. By using frozen peas before bed, this can help to give you more sleep.

2. Pillow between the knees

Boring, but it does work. If you are sleeping on your side, make sure your hip bones are stacked on top of each other to prevent further imbalance. A pillow under the bump too can be fantastic to help keep the bump in a good place and not being dragged downwards.

3. Avoid crossing legs

Try to avoid crossing one leg over the other for prolonged periods of time, it can be easier on your pelvic muscles to try to keep your pelvis in a neutral position. Thereby, sit with equal weight through both sit bones. Try to avoid twisting repetitively whilst you are in this position too.

4. Maybe ditch the stilettos (and flip flops)..

High heels can push your weight even further forwards. If you are pregnant then you will be weight bearing more in this position anyway due to your bump. Try to wear good comfy shoes whenever a lot of walking is required. By supporting your arches you will be able to help reduce any dysfunctional loading through the pelvis, particularly on those of you who have had babies before, the ligament on the sole of the foot which supports your arch, can often increase in laxity, therefore forcing the muscles to work too hard.

5. Get strong!

Stronger glutes and core muscles (and of course pelvic floor muscles) are imperative in keeping out of pain more long term. This can be done whilst pregnant and after. Pilates works wonders. Ask us for some basic exercises to help you individually. Although best to avoid single leg exercises for now unless you are with a specialist trainer. It is important to continue to exercise if you can, as it makes such a difference to your fitness for birth, mental health, and general pain levels.

6. Don’t overstretch

So there are loads of little muscles and ligaments around your pelvis, both front and back, which are likely quite strained with SPD/PGP. If you open your legs too wide to get out of the car, do a box splits position or similar type stretch in a yoga class, or always sit with your knees together, and hips turned inwards (and feet/lower legs out), then definitely worth avoiding if possible. The issue is usually when it comes to going to full range stretch, therefore when doing yoga, or other exercises, try to not over stretch. Using a newspaper to swivel on in the car can be really helpful to avoid this. The full stretch positions can take the muscles further than they want to go, so if they are inflamed they can get really sore. Swimming is amazing, but you may prefer back crawl or front crawl now as breaststroke can cause overstretching at the pubic symphysis area.

7. Avoid hip carrying other children

Try to carry your elder children centrally, like a monkey carry if possible. If you hitch your hip to carry a child, toddler or baby in this way, then you can cause a further disruption to the balance of the muscles around the hips and pelvis, and put more strain on the ligaments, causing muscles to spasm, and further exacerbate a pelvic issue. Central carrying is a great habit to get into from a very early age.

8. Try to relax

It is much easier said than done, but most of the latest research on PGP tends to tie it in with times of stress. PGP is far more common in those going through serious life stresses, overworking, or moving house. The stress hormones will act as a sensitiser, and therefore can increase perception of pain significantly. Cortisol will affect how every cell in your body functions. Normal day to day stresses are OK, but when it can be too much, or for prolonged periods of time, then our bodies try to find another route out of it. Often in pregnancy, this can be through the highly sensitised pelvis. So finding exercise that you enjoy is really important, finding ways to manage your stress, walking, nature, meditation, pilates, yoga. Whatever you can find to help improve mood and allow you to relax is really important. Walking is really beneficial, but make sure you do it after you have ate, so that your body is not too fatigued. Good brisk walking can be great. This can be difficult if you are in lots of pain, but even 5 minute chunks can be really useful. Keeping moving is fab where you can.

I hope all of this information is helpful. Osteopathy is fab for realigning and rebalancing the pelvis, and calming down pain and inflammation and muscle spasm brought on by pelvic pain and SPD. SPD is predominantly a mechanical issue, whereby the load through the pelvis has been disrupted. Lots of women can be pain free after treatment, but do need to take care of themselves for the rest of their pregnancy to prevent the pain from returning. This advice sheet will help you to remember the important bits.

Please contact us if you have any questions:

admin@hertsosteopathy.co.uk

“I began to develop PGP around the second trimester of my pregnancy. With 20 weeks to go it was becoming increasingly uncomfortable to stay active and mobile, with every twist or turn resulting in shooting pain. Jo has been a miracle worker and has managed to get me back on my feet after only a few sessions. She was able to spot the problem instantly, and reassured me that we could alleviate the pain. Ever since, I’ve been lucky enough to enjoy my pregnancy and I’d recommend her to anyone experiencing even a twinge as you really don’t have to suffer through it.”
Mrs H from our Facebook page

“Thank you for everything you have done for me Jo, you’re the reason I was able to teach for longer before going on mat leave and have sorted out all my aches and pains. Most important thing is you’re a gorgeous person and passionate and AWESOME at your job! Always recommending you to everyone!”

Miss M from our Facebook page

PREGNANCY MOBILISATION AND STRETCHES

A video for all of our pregnant ladies out there, to keep moving, to help balance your pelvis, and spine, to breathe better, and help baby get into the optimal position for birth. These stretches can be done daily, on the OK of your midwife, to all the way through… Ideally, from around 15 weeks onwards is great. 

PREGNANCY AND PGP BLOGS

Awesome lunchtime chatting all things Pelvic Girdle Pain (PGP) at the all day CPD SUMMIT organised by the amazing @phyllistheosteo…

Are you Birth Ready? We can help. The two things we help ladies with through their pregnancy: #PAIN & Getting ready for #BIRTH…

Thank you to this lovely mummy for saying such gorgeous things ? “28 weeks into my second pregnancy, I suddenly started to suffer from debilitating pelvic girdle pain (PGP)…

Pricing

Osteopathy

Initial appointments for all

1st Osteopathy appointment* (45 mins) £90

This is a standard 1st osteopathy appointment which can be booked by all new patients who do not fit into the below categories (pregnancy, postnatal, women's health, children)

PREGNANCY and POSTNATAL

1st Pregnancy Osteopathy appointment: 45 minutes [Initial appointment] (45 mins) £90

General pregnancy issues, aches, MSK pain, old injuires, headaches...

1st Pregnancy PGP care extended Osteopathy appointment: 55 minutes [Initial appointment] (55 mins) £110 *Please book this appointment if you have any pelvic issues through pregnancy.

1st appointment postnatal assessment and treatment: 55 minutes [Initial appointment for all those who have given birth in the last 9 months ...(or more if relevant, see below)].

This appointment is also perfect for anyone who is up to 2 years postnatal or longer if you feel your issues are still related to pregnancy and birth. You can come anytime postnatally and do not have to wait for your 6 week GP check. £110

Extended postnatal follow up: You can also book in a postnatal assessment and treatment appointment as an extended follow up appointment too. So if you would like a longer appointment for your first postnatal appointment back with us (for previous and existing patients), then please book in this longer postnatal appointment 45 minutes (£85). Otherwise just a regular standard follow up appointment is fine if you have been to us before recently, and through your pregnancy, and you would prefer this.

 

Follow up appointments for all

If you have been to us before then please book a standard follow up osteopathy appointment, even if you are now pregnant or postnatal, as long as you have seen us recently.  If you would prefer a longer postnatal appointment, then please book in the 45 minute postnatal appointment above.

30 minutes, £55.

 

Initial appointments with Jo Day.

Jo specialises in treating women through pregnancy, postnatal, and beyond. Jo offers three types of initial consultation:

1st Postnatal assessment and treatment £110 55 minutes

1st Pregnancy PGP care extended osteopathy and treatment: 55 minutes £110 (55 mins)

Initial Women's Health Osteopathy and treatment 55 minutes £110 

 

Cranial Osteopathy with MARIA and STEVE

Babies, and toddlers from 0-5 years old:

Initial appointment £70, and lasts 45 minutes

Follow up cranial appointments babies and children 0-5 £50 and lasts 30 minutes

Cranial osteopathy for children can be booked as a children's osteopathy appointment (6-15 years old) £85, follow ups 30 minutes and £55

Children 16 and over please book a regular initial appointment. Although it may be preferable to book this with Maria or Steve.

Cranial osteopathy for adults, booked with Maria or Steve, same prices as regular osteopathy. Both Maria and Steve will use cranial, visceral, or structural osteopathy depending on the needs of the individual.

*Please note, if you are aged 16-17 years old, please book in for the standard initial osteopathy appointment, but a parent/carer will be needed to accompany you.

Mum and Baby Clinic with MARIA or STEVE

Unique opportunity for Mum and Baby to be seen together in the same appointment for a postnatal assessment and treatment for Mum and a cranial osteopathy appointment for baby. £125 (1 hour 15 minutes) - this appointment can be booked for patients brand new to our clinic, or for those who have been before.

If you would rather have a Mum and Baby follow up appointment, after you have both been before, then this is 55 minutes and £110.

 

For all children and baby appointments it is mandatory that the parent wears a mask, and we ask that children from Reception class and over wear a mask if possible.

 

Call 01727 400425 to book or click here to book online.

Pilates

AVAILABLE THROUGH CLINIC or VIDEO APPOINTMENTS:

One-to-one pilates and/or injury rehabilitation prescriptive to your individual needs With an Osteopath (25-30mins) £55

One to one (or two to one) private pilates with Joanna Michaelides £55 for one hour, prescriptive to individual needs.

These pilates sessions can include postnatal pilates, pregnancy pilates, beginners, seniors and clinical pilates.

Group pilates classes currently not running due to covid. You can book our online pilates membership instead, which is an ON DEMAND membership with access to over 55 pilates classes (and growing weekly). When we return to classes, the cost will depend on size of group but will usually be £15-£16 per person.

These are not currently running. But please head to PILATES ON DEMAND to have a look at the pilates membership we are currently running.

Call 01727 400425 to book or click here to book online.

Massage

Initial appointments for all

1st Soft tissue massage appointment* (55 mins) £75

This is a standard 1st massage appointment booking with Claire our soft tissue therapist which can be booked by all new patients and clients who would like a massage appointment. After this you can then book in for any follow up appointment as below:

PREGNANCY and POSTNATAL MASSAGE

Pregnancy remedial massage appointment: 50 minutes £65

General pregnancy issues, aches, MSK pain, or for an all over prescriptive pregnancy massage.

Postnatal remedial massage: 50 minutes For restorative, relaxation, or for specific aches and pains, lymphatic drainage, prescriptive to your individual needs (£65)

Whatever your individual needs, Claire can help you with these, or a general soft tissue massage to help with training, alongside training or for rehab or recovery purposes.

 

Follow up appointments for all

If you have been to us before then please book a standard follow up soft tissue massage appointment

All follow up massage appointments are 50 minutes and, £65.

You can have a:

Soft tissue massage follow up appointment. Or a....

Sports injuries, massage and rehab follow up appointment 50 minutes

 

Call 01727 400425 to book or click here to book online.

Combination appointments

All of these are available options after you have had an initial osteopathy appointment with any of our osteopaths.

We also offer combination appointments for a full holistic approach to your health. These are not currently running during covid-19.

Choose from 3 options:
1. OSTEOPATHY/BIOMECHANICS/REHAB COMBO

With Hayley or Claire you can have a combination appointment of Osteopathy and rehabilitation/biomechanics and movement therapy, this can also include gait analysis and retraining from running/sports injuries and is a highly effective area of rehabilitation.

Please book in for a Osteopathy with biomechanics and rehab combo (55 minutes £110)

2. OSTEOPATHY/PILATES COMBO Pregnancy/Postnatal focus

With Jo or Hayley you can have a 55 minute combination appointment to include osteopathy and pilates/core restore programmes for pregnancy, and postnatal issues including diastasis recti, pelvic floor dysfunction, lower abdominal pouching and more. (55 minutes £110)

3. MUM AND BABY CLINIC

With Maria and Steve  you can have one hour and fifteen minutes for a complete mother and baby appointment. This includes full postnatal assessment and treatment for mum, and a cranial osteopathy appointment for baby. (75 minutes £125). This can be found in the Pre and Postnatal section of online bookings.

4. OSTEOPATHY/MASSAGE COMBO

With Claire, a 55 minutes £85 appointment combining osteopathy and massage and rehab.

Call 01727 400425 to book or click here to book online.

ONLINE appointments (available through video consultations)

We are currently offering a variety of appointments through our video appointments system.

Osteopathy:
45 minute appointments all £85.
Available appointments:

*ONLINE Initial osteopathy appointment NEW PATIENTS 45 minutes

*ONLINE Postnatal osteopathy appointment NEW or EXISTING patients

*ONLINE Pregnancy osteopathy appointment: Specialist PGP and SPD help

25-30 minute follow up appointments all £55 for anyone who has been to see us before
Please book this appointment for all regular osteopathy, rehab, injuries, pregnancy and postnatal:

*ONLINE Osteopathy appointment 25 minutes existing patients

Pilates:
All thirty minute pilates sessions online with Jo Day are £55
All 55 minute pilates sessions with Joanna Michealides are £55
Available appointments:

*121 ONLINE Postnatal or Pregnancy Pilates and Personal Training with Jo Day 30 minutes

*121 PILATES: 30 minutes pilates with Jo Day ONLINE

*ONLINE Private pilates session, 55 minutes, with Joanna Michaelides

 

HOW TO BOOK:

The easiest way to book is to use our online bookings system. Please click here to book online.

If you cannot find the appointment time that you would like, or need an urgent appointment then please email admin@hertsosteopathy.co.uk

Our reception is also available during regular office hours: 01727 400425.

“From 28 weeks into my second pregnancy, I suddenly started to suffer from debilitating pelvic girdle pain (PGP). I was signed off work by my doctor and was put on bed rest and told to take paracetamol. I was advised by my doctor and midwife that the pain and mobility would resolve once my baby was born, but this could take up to 6 months (something I now have learnt to be untrue).

I found Jo’s details on the Pelvic Partnership website. From the moment I received an email from Jo (on a Sunday afternoon having only just emailed her that morning) telling me she was going to help me, I immediately felt a huge sense of relief and burst into tears. Jo acted very quickly after I contacted her. She re organised her diary and saw me within a couple of days.

Before seeing Jo, I was bedridden and emotionally drained. I was unable to walk, sleep, climb the stairs and look after my child. Jo has got me back on my feet. She has taken away the pain and brought back mobility into my pelvis and hip. I’m so happy to say that I’m now sleeping, walking, laughing, and most importantly enjoying my pregnancy again.

I love going to see Jo. She is so positive and truly cares about her clients. She is a mum herself and understands the effect that PGP can have on your life, having had suffered from it herself. My husband and I cannot thank Jo enough for what she has done for our family. She has been such a support and a lifeline for us. Nothing has been too much trouble for her.

I will definitely be seeing Jo after my baby is born for post baby treatment. I cannot recommend Jo enough. She is an angel.

All I can say is the doctors and midwives are wrong about PGP. It is very treatable and what we really need is more Jo’s in this world to sort us ladies out!”

Pregnant mum of one

Contacted us through the Pelvic Partnership with severe PGP in pregnancy

Book treatments and group sessions online. Combination treatments, cranial osteopathy, massage, osteopathy, pilates….