Dubuque Physical Therapy | Sports & Orthopedic PT

Tips for Pregnancy and Postpartum Health

Written by Molly Hoppenjan, PT, DPT, ATC

Hey everyone! I’m Molly Hoppenjan, a physical therapist and one of the new moms at Dubuque Physical Therapy. As all moms know, pregnancy, birth, and postpartum times are truly a journey.  A journey that can be very different between moms, and even between kids of your own. Our bodies are amazing! We not only grow and develop a baby, but bring them into this world, then care and nurture them afterwards. Now that I have gone through it once, I feel like I have a little more knowledge to share. Don’t get me wrong, I know there is still plenty to learn. With my experience, as well as my knowledge as a physical therapist, I want to give a few helpful tips for each stage. Please keep in mind that everyone and every journey is not the same, so feel free to reach out to your OBGYN, Midwife or favorite Physical Therapist for help to tailor to your own specific needs. 

Pregnancy 

The body is made to move, and continuing to do so throughout your pregnancy, to the best of your ability, is a great idea! However, this isn’t a great time to pick up a new form of high level activity if you weren’t used to doing it before becoming pregnant. If you have concerns about your baby being able to tolerate your activity, you can always ask your health care provider if you are cleared for certain exercise programs.

Some of the great benefits of exercise during pregnancy include:

  • improved energy levels
  • better circulation and less swelling
  • improved sleep
  • better digestion with less constipation
  • reduced backaches and muscle/joint soreness. 

The further along you are in your pregnancy, the more your body releases a hormone called relaxin. This hormone is responsible for allowing your ligaments to relax and stretch so your pelvis can expand for your baby to pass through the birth canal. This is when having enough strength in your back, hips, pelvic floor, and abdomen is important to provide your pelvis with support. It is also important to remember to drink plenty of water throughout your pregnancy.

 

Early Postpartum 

Congratulations! You are a Rockstar and don’t let anyone tell you differently! This time is for loving on your new beautiful bundle of joy and giving your body time to rest and recover. You can start some kegels to help get some of the strength back in your pelvic floor, but don’t feel like you have to get back to exercises right away. If you had a c-section you will have to be a little more careful about not overexerting yourself with lifting or bracing with your core. However, once your incision has healed, roughly 2 weeks post delivery, it is important to start scar massage to help with sensitivity and mobility of your scar.

Breastfeeding and Bottle Feeding 

If you missed the video that I made in our baby ergonomics series, (check it out!) here are my 4 key tips for positioning with nursing and bottle feeding. I also want to remind you that regardless of if you are breastfeeding or bottle feeding, the saying is “fed is best”. So again, you’re a Rockstar regardless of your journey! 

Top 4 baby feeding tips:

   1: Sit with your back supported 

   2: Bring baby to you, not you to baby (for nursing mommas)

   3: Avoid always keeping your hand in the supinated (palm up) position 

   4: Avoid excessive/prolonged neck flexion 

Lifting/carrying your baby

Try to remember the trusty saying of “lift with your legs, not your back” for all your lifting tasks. That includes lifting baby off the floor, out of bed, out of a car seat, out of the tub, and in a car seat. When carrying your baby’s car seat longer distances or when lifting into the car or onto a taller surface it is best to use both arms. (check out the rest of our baby ergonomic video series for crib transfers, carrying a car seat, and lifting your child off the floor)

Common vs Normal

There are a lot of things that our body goes through when having a child and unfortunately that can be the excuse for problems such as urinary urgency and frequency and leakage even long after baby is born. Even though it is common for women to leak when they laugh, cough, or sneeze, that is not normal. There are a few other common vs. normal things listed below. If you are experiencing any of these common, but not normal things, it is time to see a physical therapist! There are so many simple things that can be done to help you improve incontinence and your pelvic health! 

CommonNormal 
Voiding less than 3 times or more than 9 times a day5-8 voids in a 24 hour period, so voiding every 2-4 hours
Just in case peeing: going before you leave a place “just in case” you have to go even though you just went a little bit ago Voiding every 2-4 hours
Waking up several times throughout the night to void0-1 times if you are under 65 years old.

 

Only 1 time is considered normal for 65+

Leaking a few drops with activity like running or jumping or with laughing, coughing, or sneezingNO leaking 
Urgency with triggers like cold weather, putting the key in the door, or with running waterFeeling urgency when the bladder is full
4-6 servings of fluid a day with some being water and some other fluids½ of your body weight in ounces, with ⅔ of that being water 

The human body is truly amazing for everything it goes through to have a baby. New moms are usually very wrapped up in taking care of their baby afterwards, however it is also important to take care of yourself. Getting back to certain activities after having a baby can be challenging and a physical therapist may be exactly what you need to get you there.

Physical and Mental Health Tips for the Holiday Season

Written by Laura Timmerman, PT, DPT, OCS

The holidays are the most wonderful time of the year… right? They sure can be! Filled with quality time spent with friends and family, remembering all we are thankful for, and looking forward to what the new year will bring. But the holidays are also known for overeating rich food, trying to pack everything in (seeing every single family member on both sides in the same day?) and a lot more sedentary time to sit around and chat.

Now those last few things don’t have to be a bad thing. I am a firm believer in trying to find balance in your life and the holidays are no exception. I truthfully want everyone to enjoy the holiday season, but without sending your physical and mental health backwards. Here are just a few tips to stay on track with your health over the holidays while still enjoying all that the season has to offer.

BODY HEALTH

Specifically, I want to talk about your musculoskeletal system, or your muscles, bones and joints. The holidays usually involve get togethers with family and friends, and sometimes this involves a lot of sitting around. Now I am all for diving into a great conversation, especially with an elderly person or someone you haven’t seen in a while, but here is your reminder to build in some time to move your body as well.

  • If you know the day is going to involve a lot of sit-down time, sneak in a walk or strength training session before you leave your house.
  • Grab someone else who wants to converse but also move their bodies and take the dog for a walk.
  • Don’t forget about the Turkey Trot on Thanksgiving morning!
  • Go outside and play with the kids! A family flag football game is always fun on Thanksgiving. Or when was the last time you went sledding or had a snowball fight!?
  • Even better, if you can plan to get the whole family together to do something active, you’re helping everyone stay healthier! Plan a trip to the ice-skating rink, go bowling, or go for a hike if it’s nice out (or snowshoe if there is snow. PRO TIP: Swiss Valley in Dubuque rents out snowshoes for free)!

MENTAL HEALTH

Remember how I said before it is all about balance? That is how I like to look at mental health. I am definitely no expert, and if you feel like you need an expert, there are some great psychologists in our area who have even more tips and ways to work through the stresses of the holidays.

  • I’m going to start with what I think is the hardest one: IT’S OK TO SAY NO. By saying no to something, you might disappoint someone or make someone angry, but when you say no to one thing you are saying yes to another thing. In this case it might be saying yes to maintaining your mental health. Overwhelming yourself with going to too many places or trying to squeeze it all in might work for some people, but it might not be OK for everyone. Listen to what your brain and body are telling you.
  • There are some great groups in the tri-state area that would love volunteers over the holidays. Bringing joy to others is a great way to bring some joy into your life too. Dubuque Toys for Tots  Salvation Army of Dubuque United Way of Dubuque
  • Find a way to connect with people that decreases the stress or workload for you. If that means spreading out seeing all the people you want to see over a few weekends, great! If that means having one day where every person is invited to your house and then you are done and can check everyone off your list, great! If you usually host the party, but just don’t think that is good for you to do this year, ask another member of your family to host! Find what works for you and your family.
  • When in doubt, if you are feeling overwhelmed, find a quiet place to step away and be alone to take some deep breaths. Preferably “diaphragmatic breaths” which is when you inhale into your belly, letting your diaphragm drop down and fully fill your lungs, rather than breathing in to the top of your chest. Research suggests diaphragmatic breathing decreases your heart rate and blood pressure in the short term and performed regularly can help manage symptoms of depression and anxiety.

DIGESTIVE HEALTH

Do we really need to talk about this one? We’ve all heard it before, but I just want to give a gentle reminder that you can enjoy the delicious food that comes around more at the holidays without completely falling off the wagon of your healthy lifestyle.

  • It’s all about portion control. Can I have a piece of pie? Absolutely! Can I have 5 pieces of pie? No, that’s probably not the best choice.
  • If you’re worried about healthy options, bring some yourself! There are some delicious recipes for festive salads or roasted veggies that do not involve cream of mushroom soup. So if you bring a side dish or two that you know is healthier, you’ll know there are some yummy options!
  • Drink plenty of water. Even though it is colder outside, you can still get dehydrated especially if you are eating food that has more sodium in it like green bean casserole, ham or bacon wrapped things or if you are drinking more adult beverages. (Speaking of that, please always have a DD as an option! Let’s all stay safe this holiday season!)

So, lets summarize.

Move your body. Take some deep breaths and let yourself say no sometimes. Find some healthy food choices this holiday season, but enjoy your favorites as well. Work towards balance!

I hope you enjoy the upcoming holiday season and can maintain your health at the same time! Cheers!

Be Ready for Cold Weather Exercise

Written by John Donovan, PT, DPT

One of the blessings we’ve had here in the Midwest this summer was consistent warm weather lasting late into the fall with weekend after weekend of sunny skies beckoning us to the outdoors for exercise and healthy recreational activities. It seems  now that we are in mid-October however, autumn has finally arrived. While we’ll hopefully still have a few weeks of comfortable fall weather to enjoy the colorful scenery here in the Mississippi River Valley, it’s time to start thinking about how to maintain all the healthy outdoor exercise habits you made this summer as the seasons change. 

I’ve talked with several friends and fellow exercisers who have already made the transition to exercising in the dark each morning. Everyone has their own strategy for waking up without the summer sunrise. I’ve heard it all, from extra alarms to coffee pot timers and even loud music. I can’t say that I can recommend all of these, but I do have some pointers for you once you’re out of bed. 

Exercising Outdoors When it is Dark

First, make sure you’re going to be safe in the dark.

  1. The first step is to make sure your gear has some element of reflectivity on it. Many shirts, jackets, shoes and hats now come with these, but you can also buy a reflective vest to wear over your outfit.
  2. The second thing I’ll recommend is a headlamp. Even on the well lit streets, no street lamp is going to be better than a headlamp for visibility. This is as important for your ability to see the ground in front of you as it is for the early morning traffic to see you. Of course, if you’re cycling you should have a front facing headlight instead, but you should also have a rear facing tail light.
  3. For the evening exercisers out there, sunset times are a bit earlier every day but you’ll still have a few weeks to get some workouts in before you’ll be finishing in the dark. Mark your training calendars for November 7th when we’ll move back to central standard time and lose that evening hour of daylight. At that point, we’re all in headlamp season!

Ok, so you’ve got your safety gear all set up and ready to go for the next morning.

Next step: check the weather.

This won’t matter too much in the early fall, but as the morning and evening temperatures continue to drop, make sure that you have the proper layers in your arsenal. If you plan on exercising outside well into winter, make sure you have enough layers and gear to fully cover all skin surfaces. 

Motivational Tip: get your outfit and gear ready to go the night before. This can make getting out of bed just a bit easier. Even if you’re planning on working out after the workday, your gear will be ready to go and getting out the door for your workout will be that much smoother. 

Nice. You’ve got all of your gear ready to go. Now, let’s talk about how to get your body ready.

Drink Water

During the summer, it’s pretty easy to drink water. As the temperatures cool off, however, we have to be a little more deliberate about our fluid intake. Not only does the more comfortable weather decrease our perceived need for water, the drier fall and winter air will actually dehydrate you as well. Most of us have heard of the advice to drink 8 cups of water per day. While this is a great amount to shoot for, we actually need more than this. According to the National Academies of Sciences, Engineering, and Medicine, men really need closer to 15 cups and women need a little over 12 cups of water daily. Additionally, your fluid needs might even be greater based on your body size and how much you are exercising. Hill repeats? Long hike? Extra loops on the mountain bike? Better plan on taking in more fluids. 

On top of making it easier to forget to drink your water, the colder weather ushers in a season of warm, sweet drinks. Sorry, your fall themed latte full of caffeine is not ideal for your hydration levels. This is not to say that you shouldn’t treat yourself every now and then, but make sure you are on top of your water consumption when you do stop by your local coffee shop.

Warm Up

So your cool weather gear is all set to go and you’re well hydrated. The final and perhaps most important step is to get your body ready for the exercise you are about to do: warm up. The best warm up routine for you might vary a little from what your workout partners or teammates may do (afterall, everyone’s body is unique!). If you would like assistance in developing a routine that is specific to your needs, reach out to your physical therapist or personal trainer. Otherwise, you want to perform a collection of exercises that roughly fit these criteria: 

Your warm up should include: 

  1. Exercises should have at least a little specificity to the sport or activity you will be performing.
  2. Exercises should be primarily dynamic movement as opposed to static stretches.
  3. Exercises should start easy and increase in intensity (or speed, amount of movement, etc.) as you progress through your routine.

Your routine can certainly take some time to go through and you can even consider this to be part of your workout. However, you don’t want your warm up to be a burden in getting out the door. If you can get through it in about 5 minutes while still getting your heart rate up a little bit, you’ve accomplished your goal and you are ready to go!

Your sport or activity may have additional equipment preparations to consider, but for the most part, be safe, stay hydrated, warm up, and have fun exercising outside the remainder of this fall and into the winter!