After you have had your baby, you can start manual therapy treatment as soon as you feel able to visit your therapist. This may be a few days if you have had a difficult birth or caesarean section, but the traditional view that you needed to wait six weeks until your hormones settled down is incorrect as up-to-date research shows that PGP is caused by a mechanical joint problem.
You should notice a reduction in your pain and/or an improvement in function after each treatment session, until you are fully recovered and able to do everything you could do before you became pregnant. If this progress is not happening, it is worth considering the following:
- You are not receiving the right treatment; find the right treatment as soon as possible (see our 'PGP is treatable' and 'What to expect from treatment' pages for more information on the correct treatment of PGP).
- You are receiving the right treatment but your symptoms are not improving; discuss this with your manual therapist and think about the options of a second opinion. It is the sign of a good therapist who is being reflective in their practice and who is committed to getting the best for you, and should be encouraged to do so.
- Pain and/or pelvic floor over-activity may be impacting on your recovery; please see our 'What to do if treatment is not helping' page for more information.
- You are overdoing things at home; try to slow down and pace your activities, be realistic about what you can and cannot do. You may find our 'Practical suggestions' section helpful during your recovery.
- You may have a more structural joint problem that needs further investigation through MRI scans or stork X-rays – discuss this possibility with your manual therapist and arrange for any necessary investigations to be carried out.