LWPT Women's Health: When Can I Start Pelvic Floor PT?

Karen Treloar is a pelvic floor physical therapist at Lake Washington Physical Therapy in Kenmore.
The timing for starting physical therapy after giving birth can vary based on individual circumstances, the type of delivery, and any specific postpartum recovery needs. In general, many healthcare providers recommend initiating postpartum physical therapy after receiving clearance from your obstetrician or midwife, typically around 6 weeks after a vaginal delivery and 8 weeks after a cesarean section (C-section). However, this timeline can vary, and some women may benefit from starting physical therapy earlier or later.
Here are some factors to consider regarding the timing of postpartum physical therapy:
Postpartum Checkup: Attend your postpartum checkup with your healthcare provider, who will assess your overall health, healing progress, and any specific concerns related to your delivery. This appointment usually occurs around 6 weeks after a vaginal birth or 8 weeks after a C-section.
Healthcare Provider's Clearance: Obtain clearance from your healthcare provider before starting any postpartum exercise or physical therapy program. Your provider will ensure that your body has had sufficient time to heal and that it's safe for you to engage in physical activity.
Individual Recovery: Every woman's postpartum recovery is unique. If you experienced complications during delivery or have specific concerns about pelvic floor health, consider discussing them with your healthcare provider early on. In some cases, your provider may recommend starting physical therapy sooner.
Pelvic Floor Issues: If you're experiencing symptoms such as urinary incontinence, pelvic pain, or pelvic organ prolapse, it may be beneficial to start physical therapy earlier to address these concerns.
Breastfeeding Considerations: If you are breastfeeding, consider the potential impact on your energy levels and schedule when planning to start physical therapy. Finding a balance between self-care and caring for your newborn is important.
Once you have received clearance from your healthcare provider, a postpartum physical therapist can assess your specific needs and create a tailored rehabilitation program. Postpartum physical therapy may address concerns such as pelvic floor dysfunction, diastasis recti (abdominal separation), back pain, and overall strength and flexibility.
If you're unsure about when to start physical therapy or have specific concerns about your postpartum recovery, discuss these with your healthcare provider. They can guide you on the appropriate timing based on your individual circumstances. Early intervention with postpartum physical therapy can contribute to a smoother recovery and address potential issues before they become more significant.
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