Chiropractic for Moms: Adjustment Techniques, Soft Tissue Care and Home Exercise for the Pregnant and Postpartum Body

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Chiropractic for Moms: Adjustment Techniques, Soft Tissue Care and Home Exercise for the Pregnant and Postpartum Body

Pelvic alignment is crucial — and with a 25% reduction in labor times — these proven strategies will expand your service line and build another revenue stream!

Explore month by month, the mechanical and hormonal changes associated with pregnancy and postpartum so that you can expertly guide your treatment plan. Learn a multimodal approach to decrease pain and dysfunction for pregnant/post-partum women and all their common aches: low back pain, sciatica, pelvic pain, mommy arm, round ligament pain and so much more!

• Safe and effective techniques for HVLA and soft tissue care
• Better understand how common pain complaints relate to mechanics
• Passive and active home care strategies that get results!
• When “sciatica” isn’t actually sciatica — and how the piriformis may be the problem (and solution!)
• HYPER-mobility and the systemic implications for optimal MSK care
• How to better assess & evaluate for the increased fall risk

This is the ultimate guide to enhancing your understanding of the mobility and stability challenges associated with pregnancy and streamlining your treatment plan for pain-free pregnancies.

For pregnant and postpartum mothers, safe treatment options often feel out of reach. But in this training, you’ll unlock proven strategies for better assessing and safely treating the most common pain syndromes that mothers face. With these active release and care strategies for busy moms, you can quickly reduce pain and optimize overall function.

Guide to Hormonal and Mechanical Changes by Trimester

Enhance your understanding of the mobility and stability challenges associated with pregnant bodies that are constantly changing!

FIRST TRIMESTER

• Hormonal changes — Relaxin
• Mechanical changes —
  • Exaggerated lordosis
  • Widening/increased mobility of SIJ and pubic symphysis
  • Strain of pelvic structures
  • Altered gait and increased fall risk
  • Kyphosis in the thoracic spine
• Common complaints: LBP

SECOND TRIMESTER

• Hormonal changes — relaxin, progesterone, plasma volume rapidly increases
• Mechanical changes —
  • Lordotic curve changes
  • Static stability reduced significantly
  • Piriformis hypertonicity compresses sciatic nerve
  • Compression of IVC
  • Shift in center of gravity
  • Anterior pelvic tilt
• Common complaints: Sciatica, SPD, Carpal tunnel and RLS

THIRD TRIMESTER

• Hormonal changes — Estrogen, progesterone, and relaxin
• Mechanical changes:
  • Gait — step width and stride increases
  • Upward displacement of the diaphragm
  • Costal angle increases by 50%
  • Rib flare
  • Weight gain increases stress on SIJ
• Prepping for delivery: webster technique
• Common complaints: Round ligament pain, sacrotuberous ligament tension, sacrum/tailbone, rib pain, diaphragm pain

DELIVERY & POSTPARTUM

• Hormonal change:
  • Oxytocin
  • Ligament laxity
  • Sleep deprivation
  • Post-partum depression
  • Autoimmune
• Mechanical changes
  • Differences between vaginal birth and c-section
  • Poor posture
  • Long periods of neck flexion
  • Hypertonicity of the SCM
  • Diastasis recti
  • Weakened pelvic floor
• Common complaints: neck pain/torticollis, upper back pain, mommy arm/shoulder, elbow pain, LBP

Enhance Your Clinical Assessment & Find the Root Cause

Unlock proven strategies for better assessing and safely treating the most common pain syndromes that mothers face. From LBP and sciatica to neck pain and carpal tunnel — it’s all here!

Assessment for Pregnancy Pains:

• Low Back Pain
• Sciatica
• SPD
• Vascular/swelling
• Carpal tunnel
• RLS
• Sacrotuberous ligament tension
• Round ligament pain
• Rib/diaphragm pain
• Sacral/tailbone pain

Assessment for Post-Partum:

• Neck Pain
• Upper back pain
• Torticollis
• Mommy arm/shoulder
• Pelvic floor dysfunction
• Core weakness
• Low back pain

Whole Body Interventions and Solutions:

Best Practice Mechanical and Soft Tissue Treatment

• Chiropractic: create fluid movement of the spine and offload spinal nerves
  • Spinal alignment
  • Spinal areas of treatment specific to each pain syndrome
    • Special considerations for piriformis and iliopsoas
  • Delivery prep
  • Pelvic alignment – Webster method
• Acupuncture
  • Anti-inflammatory
  • Neuro pain receptor relief
• Physical therapy
  • Improve strength
  • Pelvic floor techniques
  • Rehabilitation
  • Muscle lengthening
  • Slow mobilization
• Massage
  • Muscle lengthening
  • Reduce muscle tension

Low-Cost Tools with High Impact for Pain Relief

• Exercise ball
• Stretches to target hypertonic muscles
• Lumbosacral support belts
• Low back travel pillow
• Wedge pillow
• Epsom salt bath
• Kinesiology tape
• Compression socks
• Tennis ball
• Pilates ball
• Foam roller

Chiropractic Care During Pregnancy and Postpartum

Explore the mechanical and hormonal changes associated with pregnancy and postpartum alongside strategies for each spinal area of complaint. Learn a multimodal approach to decrease pain and dysfunction for pregnant/postpartum women and all their common aches: low back pain, sciatica, pelvic pain, mommy arm, round ligament pain, and so much more!

Chiropractic Care During Pregnancy and Postpartum

• Reduction in labor times
• Postural modifications
• Safety
• Contraindications
• Month by month outline of common issues to expect

Targeted Adjustments, Soft Tissue Techniques & Active Self-Care Tools For All of the Common Pain Complaints

• Low Back Pain
• Sciatica
• SPD
• Vascular/swelling
• Carpal tunnel
• Round ligament pain
• Rib/diaphragm
• Sacrum/tailbone
• Neck/upper back/torticollis
• Mommy arm/shoulder

Specific Techniques to Utilize for the Pregnant or Post-Partum Population

• Postural modifications
  • Side posture
  • Prone and supine options
  • Wedge pillows
• Soft tissue and passive care

• • Myofascial release
  • Muscle lengthening

• At home & active care
  • Stretches
  • Exercise ball
  • Lumbosacral support belt
  • Compression socks
  • Kinesiology tape
  • Bracing
  • Low back travel pillow
  • Wedge pillow
  • Epsom salt bath
  • Tennis ball
  • Pilates ball
  • Foam roller

All Your Biggest Questions — Answered in this Comprehensive Training

• SI belts are all the rage, but do they actually help? When should we consider them?
• Can we really (and safely) reduce labor times?
• Boost referrals as you help facilitate a smoother and easier delivery!
• Relieve all of the associated aches and pains:
  low back pain, sciatica, pelvic pain, mommy arm, round ligament pain, and so much more!
• Prevent a potential cesarean delivery
• Safe and proven strategies to reduce labor times by 25+%
• Build a successful practice focusing on pregnancy-related care!

Bonus Content: 

Post-Partum Care to Restore the Core and Reduce Pain

Jen Dieter, PT 

Make the transition into mom life easier with effective tools for the aches and pains that go hand in hand with having a baby. Explore the biomechanical and hormonal changes that impact the musculoskeletal system alongside proven strategies to restore function post-partum. Learn today’s best techniques for therapeutic exercise, postural modifications, and low-cost tools to restore core function and reduce pain for common post-partum issues.

Running After Pregnancy: The 4th Trimester and Beyond: Evaluate and Address Postpartum Symptoms

Julia Mitchell, PT

The body doesn’t just simply “bounce back” after a pregnancy. The physiological impacts can last for months or even years.

Many of your female patients have the goal to return to running and Julia Mitchell, PT, is here to share her go-to, practical postpartum and external pelvic health strategies that help you address these issues with confidence! You’ll learn an evidence-based approach to:

• Determine when to return to running
• Exercise progressions that increase strength, stability, and mobility
• Techniques that aid in quickly mitigating poor running mechanics

This seminar is a unique blend of both external pelvic health and orthopedic perspectives that will give you strategies you can use immediately in clinic. And here’s the kicker — these strategies can be used by women at ANY stage postpartum, whether they had a baby 6 weeks ago, 6 months ago, or 6 years ago.

Core and Pelvic Floor — Identifying and Treating Pelvic Floor Dysfunction from Outside of the Pelvis

Krystyna Holland, PT, DPT | Click here for information about Krystyna Holland

Spoiler alert: it’s not just a mom problem! 1 in 3 women seen in a primary care setting will have pelvic floor dysfunction (PFD). With symptoms ranging from lower urinary tract issues and incontinence to pelvic pain and sexual problems, you need simple assessments that quickly pinpoint the problem. With the large co-incidence of other pain conditions such as low back and abdominal pain, learn practical exercises to reduce symptoms and enhance function. Walk away with straightforward techniques to identify and treat pelvic floor dysfunction externally, as well as when and where to refer if needed.

The Core: Training from the Inside Out

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSC. PT, MSC, BPHE 

Assessing core function is challenging and sometimes overwhelming, but with these tests and effective strategies — you’ll go back to the clinic feeling confident and have a clear direction to use with your clients. You’ll walk through how the core muscles function and why dysfunction is so common. With techniques for LBP, poor posture, snapping hip, and urinary incontinence — these proven progressive strategies will retrain core function!

Foot Strength and Movement Efficiency: Improve Women’s Strength from the Ground Up

Courtney Conley, DC 

“My feet are killing me!”… but it’s never just a foot problem.

In some situations, the best foot orthotic may be… the glutes!

Join Dr. Courtney Conley, founder of Gait Happens, an online education platform specializing in foot and gait mechanics with over 100,000 followers on Instagram, as she explores:

• Functional footwear and how to avoid bunions
• Corrective strategies for the most common foot diagnoses in women
• Why intrinsic foot strength is a critical player in movement efficiency

You’ll learn effective interventions that require as little equipment as possible, so that the patient can maximize what their body is doing. She’ll also bring to light new evidence that shows something as simple as dorsiflexion can have a significant impact on the pelvic floor — yet another reason to get out of those heels! Filled with innovative strategies, you are sure to be able to implement these techniques immediately with your own patients.

The most amazing vehicle we will ever own is the one we all got for free. Let’s keep those feet healthy, one step at a time. A strong foot is a strong body.

eBook | Not Your Mother’s Postpartum Book: Normalizing Post-Baby Mental Health Struggles, Navigating #MOMLife, and Finding Strength Amid the Chaos

Caitlin Slavens, BAACS, MC, R Psych 

Chelsea Bodie, BSc., MACP, R. Psych 

Meet Your Experts:
 
Dr. Jesse Lillejord attended undergrad with a focus on chemistry – becoming Analytical Chemistry Student of the Year her third year and assisting her Organic Chemistry professor in O-Chem lab. Dr. Jesse was also a collegiate runner at her undergrad college. As she was immersed in the world of movement and science, she gravitated toward a graduate program that combined those same interests – chiropractic. She graduated as a Doctor of Chiropractic in 2009. Shortly thereafter she married and had two children of her own. This transition into the world of motherhood created a passion for the world of perinatal and pediatric care. She created the first specialty chiropractic clinic in the state – CHIRO FOR MOMS in 2018 with the creation of CHIRO FOR KIDZ to follow in 2020. She is still wildly passionate about specialized care for women and children, and the education surrounding the ever evolving field of chiropractic for women and children.

Dr. Mariah Baumgartner grew up in Faribault, MN where her love for movement started at a young age. She played soccer year round from the time she was an elementary student and went on to play rugby for a year collegiately when her soccer career came to end. She completed her bachelors of science in Exercise Science at Winona State University in just three years and after some time in the working field, she knew she needed more. Chiropractic care for Mariah started when her athletic career did and it was only natural that she go back to school for the very care that helped her endlessly… Three and a half years later Mariah graduated from Northwestern Health Sciences University with her Doctorate of Chiropractic, emphasis in Sports Medicine. Now she is a specialist in prenatal, postpartum, + children’s health at CHIRO FOR MOMS + CHIRO FOR KIDZ, a practice that caters entirely to women and children

Dr. Paige Schwieters grew up in Thunder Bay, Ontario, Canada where she completed an undergraduate degree in Applied Biomolecular Science and a master’s degree in Human Physiology / Biology. She became a published author and was on track to pursue a career in Western Medicine. In 2017 she took a giant career shift and moved to Minnesota to pursue a career in chiropractic. It was the best decision she ever made. She met her husband in chiropractic school, convinced him to marry her, and now she has spent the last two years specializing in prenatal + postpartum + children’s health at CHIRO FOR MOMS + CHIRO FOR KIDZ. She loves this profession and what it can do for women + children and wants to get the word out there to reach as many of them as possible!
 
Dr. Cassidy Vitzthum grew up in a small town in northern Iowa. She started college as a student athlete, participating in track and field at Morningside College. She completed an undergraduate degree in Exercise Science from the University of Iowa in 2019. During the earlier years of undergrad, she was pursuing a career in Western Medicine, spending time as a medical scribe in various medical settings. After many eye-opening experiences, she made the decision to shift to chiropractic. She completed her schooling at Northwestern Health Sciences while focusing on her passion for women’s health and pediatric care. Throughout school, she worked as a marketing and chiropractic intern at CHIRO FOR MOMS + CHIRO FOR KIDZ, which ultimately prepared her for the role she has today as a prenatal + pediatric chiropractic specialist. The clinic encompasses everything she is passionate about by catering to busy women and children and providing a space for me to grow as a compassionate clinician.

Dr. Courtney Conley is the founder and creator of Gait Happens where she has the opportunity to truly realize her dream of helping as many people as possible reclaim their foot function. She’s a renowned foot and gait specialist who teaches both nationally and internationally. Dr. Conley is a chiropractic physician who specializes in foot and gait mechanics. She holds a BA in Kinesiology, a BA in Human Biology and a doctorate in Chiropractic Medicine. She is the owner and operator of Total Health Solutions clinic and Total Health Performance gym in Lakewood, CO, where she heads patient care with a focus on restoring gait mechanics and helping people resolve foot problems to move more easily and with less pain. Dr. Conley is a founding member of the Healthy Foot Alliance, an international team of practitioners whose collective goal is to bring light to the benefits of national footwear and prevent unnecessary surgical procedures by improving foot foundation and creating a stable platform from the ground up.

Jennifer Dieter, MPT, is a physical therapist with 24 years of experience in outpatient physical therapy and sports medicine. She has achieved success in the treatment of cervical and lumbar spine, surgical and non-surgical orthopedic injuries, sports medicine, back pain during pregnancy and women’s health patients with her manual therapy skills and functional treatment philosophies. She has experience working with high level professional athletes, CrossFit athletes, “weekend warriors”, and implemented a strength and conditioning program for adolescents. She is an eight-time CrossFit Games masters athlete, finishing between 9th and 5th overall from 2015-2022 and has won several recent CrossFit Masters events. She also set a National record for the USA Weightlifting in 2016 for the snatch, clean and jerk and total, in 2018 set the World Record in Weightlifting for the same events. She also won the National Championship in 2020 and won the World Championship for Weightlifting in 2022.
 
Julia Mitchell is a Canadian Physiotherapist and RockTape Instructor, with a passion for supporting women during pregnancy and postpartum. She is the founder of Mom on the Run Productions, Inc., and has created a course on External Pelvic Health Therapy with her colleague Liz Frey, FCAMPT, MCISC (MANIP), MSC, BSC, BPHE. Julia is an avid runner, and Mom to a funny and busy toddler. You can find her on Instagram @momontherun.can.

Krystyna Holland, PT, DPT, helps people get back to doing the things they love with the people they love to do them with. She works specifically with people who want to take an active role in their healthcare decisions, and who no longer want to live with pain or restriction. In addition to orthopedic conditions, Krystyna evaluates and treats pelvic floor dysfunction including pain with intercourse, leaking, and pelvic girdle pain. She sees patients across the gender identity spectrum, including transgender patients after gender affirmation surgery. In addition to providing trauma informed care to patients, Krystyna teaches trauma informed care consulting and trainings for providers and organizations.

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA, holds a BSc and BPHE from Queen’s University; a MSc in Exercise Physiology from the University of Toronto, a MSc (PT) from McMaster University and a MCISC (Manip) from University of Western Ontario. She is a member of the CPA and a fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT). Liz is also a Contemporary Medical Acupuncture provider. Liz is a clinic owner and practicing physiotherapist with a specialty in pelvic health physiotherapy. She is an instructor for Rocktape® Canada, clinical lab facilitator at the University of Toronto and clinical supervisor for physiotherapy students. As an orthopaedic and pelvic health physiotherapist, Liz integrates her over 10 years of clinical expertise to provide a unique whole-body approach to wellness. Liz’s practice focuses on helping women navigate pregnancy, menopause and everything in between. Her care model addresses the underlying dysfunction causing injury and provides education to help prevent future re-injury. Her patient centered approach empowers her patients to set goals, balance muscular dysfunction and work towards optimal health. She does all of this through hands-on techniques, comprehensive education and tailored progressive exercise programs. Personally, as a busy mother of three children, the health habits that don’t slip for Liz are mindset and exercise — it is her positive outlook and passion to stay strong and mobile as she ages that are a few of her defining features.

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