How can a physical therapist treat pain and dysfunction after an obstetric or gynecological surgical procedure?
Treatment can include the following: First and foremost a patient will receive education about caring for themselves after the procedure. This will include: Instruction in positioning, abdominal massage, correct coughing and sneezing techniques and exercises to promote optimal bowel and bladder function. How to avoid the Valsalva maneuver and other abdominal/pelvic stress through relaxation, modified methods of mobility and activities of daily living. Care of perineal or abdominal incision, including methods of muscular support. Scar massage Body mechanics and postural awareness. The patient will also receive education on the anatomy and function of the affected musculature and common problems associated with postoperative recovery. Therapeutic Exercise: Each patient will receive an individually designed program using exercises to strengthen weak musculature, including the weakened abdomen and pelvic floor. Patients will be given exercises to facilitate sluggish postoperative bowel and
