Prenatal & Pediatric Rehab

What are some common problems encountered during pregnancy?

During a woman's childbearing year, and especially during pregnancy, the hormones relaxin, estrogen and progesterone are released into the body causing changes in the bony pelvis. Changes include widening of the SI joints with an increase in joint play, which serves the purpose of preparing the pelvis for widening during childbirth. Relaxin causes the ligaments surrounding the SI joint to become more lax, which in turn allows for greater movement of the SI joint. While this movement is important for widening the birth canal, if the movement becomes too great (hyper mobile), the joint becomes very unstable during everyday activities resulting in low back pain near the base of the spine. Back pain is a very common complaint in the later months of pregnancy for some women. Coupled with postural changes that occur during pregnancy, the pain cane become totally disabling for some women during the latter part of their pregnancies.

Treatment Options - Joint Mobilization, Soft Tissue Mobilization, Neural Mobilization, Postural Enhancement Exercise, Flexibility Training, Strengthening and Stabilization Exercise, Modalities, Home Exercise Program, Prescription of External Supports

Treating Newborns and Infants with Torticollis

What is Torticollis?

Torticollis is a condition in which certain muscles in the neck are tightened in an infant causing the infant’s neck to side bend and rotate in opposite directions. The muscle that is most commonly involved is called the sternocleidomastoid. It may develop in infancy or in adulthood but is more common in infants. Untreated Torticollis may lead to flattening of the posterior aspect of the skull on one side, which may lead to facial asymmetries or deformities.

What is the cause?

The cause of Torticollis is unknown but when it occurs in infants, it is usually due to the position of the baby in the uterus. Other causes include the mother having a smaller uterus, causing the baby to sidebend and turn his/her head the opposite direction to be comfortable.

How is it treated?

At Southland Physical Therapy, we provide physical therapists who specialize in the treatment of infants with Torticollis. Treatment includes educating the parents and caregivers on effective stretching techniques for the babies, soft tissue mobilizations, and integrated play to help strengthen the neck muscles.

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