Tips for Getting the Best Sleep During Pregnancy

You and your partner are expecting a little one… congratulations! Knowing that you’ll be bringing life into the world truly is a blessing; you’re probably counting the days until you meet the newest member of the family, right? Of course you are! But, then again… you’re also desperately counting sheep… night after night, after night. While your partner sleeps soundly next to you, you’re rubbing your belly and your back, trying anything short of whiskey to fall asleep. Hey… pregnancy is a rollercoaster, and falling asleep later in the process can be an uphill battle. Don’t be too hard on yourself! In this post, then, we have a look at why sleep eludes you the closer you get to labor, and we also dive into the ways in which you can overcome the discomfort, stop counting sheep, and get a good night’s rest. Sound good? Let’s get started!

Forget about the food cravings, aching feet, and bouts of tears – pregnancy can wreak absolute havoc on our hormones, bodies, and general wellbeing. We eat too much ice cream, find ourselves crying during Disney movies, and fight the urge to spend our entire salary on Amazon. In all seriousness, though, pregnancy is a very interesting time for the body, and one of the areas most affected during this time is sleep – this is particularly true during the last few months of pregnancy. In order to understand why, though, we need to have a quick look at some of the changes experienced whilst carrying a child:

Weight Gain

I already mentioned the ice-cream, right? Well, pregnancy goes hand-on-hand with a bit of extra weight: not only do your hormones dictate that you increase your calorie intake in order to provide nutrients to your unborn, they also ensure that you’re maintaining a steady level of regulatory chemicals in the blood stream. Sometimes, though, the body craves unhealthy snacks and junk-food, all of which can cause imbalances and cause weight gain. Here’s the crux, though: weight gain can lead to disturbed sleep in the form of sleep apnea and general discomfort. The body isn’t used to rapid weight gain as experienced during pregnancy, so sleep quantity and quality may suffer. 

Anxiety

While there is so much joy in the expectation of a baby, anxiety can often accompany pregnancy. The pressure of a child on the way often affects mom’s mood and behaviors, oftentimes leaving her feeling listless, down, and anxious. Of course, chemistry once again plays a role, here, with hormone levels fluctuating during pregnancy. The more anxious one is, the less peaceful sleep can be: disturbed dreams, nightmares, and general night-time anxiety can cause a wave of insomnia. 

Back Pain

Alongside weight gain and depression, back pain can also surface as a result of pregnancy. Not only does the baby bump add a little more pressure on the back, but posture and gait are both affected, too. And yes, that’s right… back pain can easily cause disturbed sleep or, in many cases, no sleep at all!

Restless Legs

Ah… you know what this feels like, right? You finally found a comfortable spot and then you get the unavoidable urge to move your legs… it’s annoying, right? Well, when you’re pregnant and trying to fall asleep, restless legs can be one of the worst afflictions out there. The pain associated with forcing yourself not to move is unbearable, but every movement drags you further away from dreamland. It’s a catch-22!

Heartburn

Because the digestive system slows down in the later stages of pregnancy, heartburn is a common issue for many women. The distinct burning sensation associated with heartburn can leave you feeling out of sorts, not to mention wide awake! 

All these changes obviously directly affect the quantity, quality, and ease of sleep. And when sleep is neglected, the above issues become exacerbated: it’s a dangerous cycle. Happily, there is a way out. It stands to reason that, if the above changes are regulated via healthful, safe methods, then your sleep quality and quantity will return. So, here’s how you can make that happen:

Proper Pillows for Support

Be sure to be properly supported during sleep: use a pillow under your stomach and ensure that you place one between your knees so as to support your spine. Not only will you feel more secure during the night, but you’ll also be alleviating your back pain. 

Stretches Before Bed

Stretching will help your muscles relax before bed; it will also ensure that you’re able to let go of the built up tension from the daytime hours. Stretching primes your body for bedtime and gives you a good foundation to tackle the night ahead. 

Bedtime Routine

Ensure that a strict routine is followed before bed; eliminate screen time, drink an herbal tea, and read or listen to a podcast. Repeat the same routine each night so as to form relatable, lasting habits that set you up for success. 

Healthful Diet

Reduce sugar, fizzy drinks, and processed food – focus on healthy protein and vegetables. Opt for healthier snack where possible and satiate your cravings by getting creative in the kitchen.

Drink Plenty of Water

Water is a must during your pregnancy and beyond! Not only does it help eliminate harmful chemicals from the body, but it regulates blood sugars and hormones, too. So, get drinking! You need to drink between 1.5L to 2L of water per day. 

If you’re struggling to fall asleep and you find the idea of getting into bed for the night daunting, then we invite you reach out to one of our professional, friendly physical therapists, right now. You may be surprised to know that physical therapy is about so much more than aching muscles; in fact, with physical therapy you could be accessing the best sleep of your life, even during your pregnancy. During physical therapy, you’ll learn about the best posture during your slumber, the best ways to stretch during your pregnancy, and ways in which to exercise and stay active so as to tackle both mental and physical slumps. Physical therapy is the safest way to access restful sleep not only while pregnant, but well into the future, too. 

If you’re tired of counting sheep and staring at the same spot of wallpaper night after night, then it’s time to make a change. We hope the above tips have given you a good place to start from, and should you have any other questions please don’t hesitate to contact us. We want the best for both you and your child, and we certainly want you to sleep well! So, we look forward to hearing from you!

Exercise During Pregnancy: Safe or Unsafe?

If you’re currently expecting, you probably feel tired and achy from carrying the extra weight of your baby. As a result, you’re probably not thinking about exercise during pregnancy.

In reality, staying active can benefit your pregnancy in numerous ways. Our experienced staff of physical therapists at Magic City PT created this guide to help you feel strong and confident when exercising during your pregnancy.

For more information or to schedule a pregnancy exercise program consultation with our team, please get in touch with us today at (205) 202-0874.

Is It Safe for Pregnant Women to Exercise?

Generally, it’s perfectly safe for pregnant women to exercise as long as they get the green light from their health care provider. Most doctors provide medical advice recommending at least 30 minutes of exercise each day to maintain a healthy pregnancy and prepare your body for labor.

That said, every woman — and every pregnancy — is different. Your doctor may not recommend exercising if you have a pregnancy complication or health condition, such as:

●        Certain types of heart or lung disease

●        High blood pressure that develops during pregnancy

●        Chronic vaginal bleeding in the second or third trimesters

●        Cervical or placenta problems

●        Preterm labor during your pregnancy

●        Anemia

Even if your doctor approves physical activity during your pregnancy, you should keep an eye out for common warning signs, such as bleeding, pain, dizziness, or chest pain.

How Does Pregnancy Affect Exercise?

As you already know, your body changes significantly during pregnancy. Each change can impact your ability to stay physically active, too. With this in mind, consider the following before beginning a prenatal workout plan.

●        Balance: Your body’s center of gravity shifts as your baby grows, putting more pressure on the joints and muscles in your lower back and pelvis. You’re also less stable and may lose your balance or fall.

●        Joints: Your body produces hormones during pregnancy, which relax the ligaments in your joints to make labor and delivery easier. However, the enhanced flexibility can cause injuries.

●        Breathing: While pregnant, your body needs more oxygen. Exercising helps improve oxygen levels and blood flow in your body, but it also redirects oxygen and blood to your muscles and away from other areas. Because of this, you may not be able to do high-intensity exercises.

Benefits of a Prenatal Exercise Program

Regular exercise during pregnancy can give you countless benefits for you and your baby, including:

●        Easier birth process

●        Faster recovery following a C-section or vaginal birth

●        Reduced discomfort

●        Enhanced relaxation

●        Lower risk of complications, such as gestational diabetes

●        Lessened chance of a cesarean birth

●        Improved overall wellbeing

Don’t expect to lose weight while pregnant, though. Instead, focus on maintaining your physical fitness, reducing discomfort, improving sleep, and minimizing excess weight gain to support a healthy, safe pregnancy and delivery.

“I Only Need to Do Kegels, and I’ll be Good, Right?”

At Magic City PT, our clients often ask us if they need to do more than pelvic floor exercises during pregnancy. You should strengthen your pelvic floor muscles with Kegels and breathing exercises. However, incorporating additional prenatal-safe routines throughout your pregnancy is essential.

Creating a Safe Prenatal Exercise Routine

Ready to start your prenatal workout routine? If you haven’t exercised in a while, we recommend taking it slow. Start with as few as ten minutes of exercise, and gradually increase to 30 minutes per day. If you exercise regularly, you can typically maintain the same level of exertion as long as you feel comfortable and have doctor approval.

We recommend focusing on exercises that engage your abdominal muscles, pelvic region, and lower body, such as:

●        Prenatal yoga

●        Pilates

●        Walking

●        Stationary biking

●        Swimming

Exercises to Avoid During Pregnancy

Your doctor may have cleared you for exercise, but that doesn’t mean you can always continue your favorite pre-pregnancy workouts. Some exercises can cause complications, such as mild abdominal trauma and other concerns as your pregnancy progresses.

Keep yourself and your baby safe by AVOIDING exercises that include:

●        Lying flat on your back for long periods after the first trimester

●        Waist-twisting movements

●        Extensive jumping

●        Contact sports

●        Falling risks

●        Heated classes, like hot yoga or Pilates

Tips for Exercising During Pregnancy from the Experts at Magic City PT

Frequent exercise during pregnancy can improve your energy, mood, and overall wellbeing as you prepare for labor. Even so, many women aren’t sure where to start.

Our team at Magic City works with you to develop a safe workout plan that evolves with your pregnancy. For more information or to schedule a consultation, please contact us today at (205) 202-0874.

Manual Lymphatic Drainage Following Liposuction

What is Manual Lymphatic Drainage?

The Lymphatic System is the system of tissues, vessels, and organs that work in conjunction to maintain fluid levels in our body, support immune function, and keep blood circulating. The system carries lymph fluid, a clear fluid that contains proteins, waste, fat cells, and metabolized cells through the body; the fluid is filtered through lymph nodes. Waste is removed from the body as clean lymph circulates back through. When the lymphatic system isn’t moving properly, excess fluid in the body builds up causing edema. Lymphatic drainage was developed to treat lymphedema, a condition of accumulated fluid within the body due to an impaired lymphatic system. A trained therapist can manually massage the body in a way to push lymph through the body, breaking up areas of swelling and reducing excess fluids in the body.

Postsurgical Manual Lymphatic Drainage is a gentle yet powerful form of bodywork that is intended to stimulate and encourage natural movement of lymph fluid, which carries waste products away from the tissues back towards the heart (and eventually out of the body). It is a technique based on gentle movements that mimic the rhythm of the body’s lymphatic system. During a postsurgical MLD session, the therapist gently manipulates (or massages) the lymph nodes and guides post surgical edema towards correlating lymph nodes.

Post-surgical Manual Lymphatic Drainage is NOT deep tissue massage. Deep tissue massage can crush the lymphatic system and after surgery can contribute to more damage, bruising, and swelling (even seromas). When performed correctly by a Certified Lymphatic Therapist, it is gentle, not painful, and soothing. Lymphatic Drainage is meant to be light because the lymphatic vessels are directly underneath the surface of the skin. MLD is also NOT opening up incisional wounds to push fluid out.

Manual Lymphatic Drainage after your Cosmetic or Orthopedic Surgery

Oftentimes after surgery, the body will swell with excessive edema both at the surgical site as well as proximal and distal. This postoperative swelling, while completely normal, can be quite uncomfortable. Certain procedures like liposuction (or abdominoplasty or “tummy tuck”) often cause additional swelling as excess fluid and fat cells will harden or fibrose within a few weeks after surgery. Liposuction causes damage to blood vessels and lymphatic vessels as well as the destruction of cells and connective tissue. Sluggishness, decreased range of motion, increased pain and sensitivity, and the overall sense of heaviness and puffiness can occur during the surgical recovery process. Without proper management of the side effects of any surgery, poor aesthetic outcomes can result, along with the possibility of longer recovery times, greater pain, and health complications. Because of its ability to directly move excessive postsurgical edema while using the most gentle of touch, MLD is frequently regarded as an imperative part of the surgical recovery process by surgeons worldwide, and it is often recommended to start within the first few days following liposuction surgery.

Benefits of Lymphatic Drainage after Liposuction:

  • Enhances circulation
  • Improves lymph flow, which decreases swelling/ edema
  • Decreases bruising
  • Prevents and decreases the severity of fibrosis
  • Decreases scarring
  • Decreases pain
  • Improves comfort and movement
  • Improves sleep
  • Improves recovery time
  • Eliminates toxins from the body including anesthesia and cellular debris
  • Promotes incisional healing
  • Carries white blood cells and proteins to the blood
  • Improves overall results of liposuction surgery
  • The skin are tissues are better hydrated, thus achieving an improved appearance
  • Improves overall health of the body

 

How many MLD sessions will I need?

The answer depends on the extent and location of your surgery. There are many variables that can influence healing. Most surgeons will recommend a series of 2-3 sessions during the first 2-3 weeks after surgery. Most people benefit from at least 12 sessions within the first 4-6 weeks post op and then re-evaluate. It is possible to begin MLD within 24 hours of the surgery.

Contact us for more information or to schedule MLD sessions after your surgery!

Magic City Physical Therapy

Hoover, Alabama

Phone 205-202-0874

info@magiccitypt.com

Powerlifting Urinary Leakage

There has been a recent viral post showing a female weightlifter completely losing her bladder during a heavy lift. This is called athletic stress incontinence. Leakage with sneezing, coughing, and/or running is not the same as leakage with lifting over 150lbs, and this is called stress incontinence. Lifting 150lbs is extremely hard on the pelvic floor. Constipation, delivering babies, and living a sedentary lifestyle are also hard on your pelvic floor. Research has shown that simply lifting heavy is not associated with prolapse or increased rates of incontinence.

A 2021 study looking at 480 female power lifters, 43% of the women had experienced urinary leakage at some point in their life while only 23.1% had experienced leakage with power lifting. Just because you lift heavy does not automatically mean you will leak or destroy your pelvic floor! One of the biggest impacts on whether women who Powerlift leaked urine was not how heavy the load was but whether they had a pelvic floor assessment! Of interesting note, 5.2% of women in this study experienced urinary leakage with regular daily activities but no longer leaked with daily activities after starting to power lift; however, they began to leak again with heavier lifting (Type 2 Athletic Incontinence).

With this being said, surprisingly only 14% of female power lifters get a pelvic floor assessment even through this assessment alone was strongly associated with whether or not they leaked urine.

Antoher surprising study looked at 3.934 women who either lifted light weights (less than 30#), lifting moderate weights (between 30-110#), and those who lifted heavy weights (greater than 110#). The women who regularly didn’t lift at all or lifted light weights had a higher association of pelvic organ prolapse.

Anyone who has urinary leakage with lifting weights needs a pelvic floor assessment by a qualified Pelvic Floor Physical Therapist! This will help identify what the pelvic floor muscles are doing and identify any dysfunction. This will help you learn how to properly manage pressure, breathing mechanics, and weight distribution.

Call us today to schedule your pelvic floor assessment to decrease any incontinence you may have!

Magic City Physical Therapy

205-602-1848

info@magiccitypt.com

Wikander, L., Kirshbaum, M.N., Waheed, N. et al. Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey. Sports Med – Open 7, 89 (2021).
https://doi.org/10.1186/s40798-021-00387-7

Wikander L, Cross D, Gahreman DE. Prevalence of urinary incontinence in women powerlifters: a pilot study. Int Urogynecol J. 2019 Dec;30(12):2031-2039. doi: 10.1007/s00192-019-03870-8. Epub 2019 Jan 21. PMID: 30666426.