Pelvic Floor Health

Pelvic Floor Health: Managing Prenatal and Postnatal Hip & Low Back Pain Here in Markham 

Pregnancy is a transformative journey filled with joy, anticipation, and, often, physical discomfort. Many expecting mothers experience low back and hip pain, sometimes dismissing these discomforts as a natural part of pregnancy. However, persistent pain in these areas can signal underlying weaknesses or instability in the pelvic floor, often influenced by hormonal shifts, particularly the hormone relaxin. At Form & Function Markham; our Physiotherapists and Naturopaths, specialize in pelvic health solutions to help you navigate these challenges with confidence and comfort.


The Role of Relaxin and Muscle Weakness

During pregnancy, relaxin is released to loosen ligaments and joints in preparation for childbirth. While essential for delivery, this hormone can increase pelvic laxity, forcing muscles to work harder to maintain stability. As the muscles around the pelvis and lower back weaken, pain and discomfort can arise. Recognizing these symptoms as more than just “normal” pregnancy aches is crucial.

If you’re experiencing persistent hip or low back pain, consulting a pelvic health physiotherapist that focuses on Pelvic Health disorders can help you begin a tailored strengthening program to support your body during pregnancy and postpartum recovery.


Common Areas of Pain During Pregnancy

Pain and discomfort vary from person to person, but the most common areas affected include:

  • Upper, mid, and lower back
  • Hip and groin, particularly in the pelvic area
  • Legs, especially after standing or walking for long periods

When Does Pain Typically Occur?

Certain activities or situations may trigger or worsen pain, such as:

  • Prolonged sitting (e.g., at a desk or while working)
  • Standing or walking for extended periods
  • Activities related to taking care of your children
  • Turning over in bed or staying on one side for too long
  • Activities involving spreading the knees apart (e.g., getting in and out of a car or bath)

If these symptoms sound familiar, seeking guidance from a pelvic health physiotherapist locally here in Markham can provide relief and prevent further complications.


The Anatomy of the Pelvis

The pelvis is made up of key joints that can be affected during pregnancy, including:

  • Sacroiliac joints (back of the pelvis): Increased movement during pregnancy can cause pain here.
  • Pubic symphysis (front of the pelvis): Instability in this area can also contribute to discomfort.

Pregnancy-related changes in posture and weight distribution can disrupt the pelvis’s natural balance, leading to pain. Our Markham physiotherapy team can help you restore stability and alleviate discomfort.


Managing Pelvic Health: Strategies for Relief

Addressing the root causes of pain is essential, but there are also effective ways to manage discomfort and improve pelvic stability during pregnancy.

1. Strengthening Exercises

A well-structured exercise program can provide much-needed support to the pelvis and lower back. Key exercises include:

  • Pelvic Floor Exercises (Kegels): Strengthen your core and prepare your body for delivery.
  • Glute Bridges: Relieve pressure on the lower back and support the hips.
  • Side-Lying Clamshells: Strengthen the gluteus medius, a critical pelvic stabilizer.
  • Modified Squats: Build lower body strength while maintaining proper form.

Follow our page for detailed exercise guides tailored to prenatal and postnatal needs.

2. Manual Therapy & Self-Care Techniques

  • Massage: Gentle prenatal massage or instrument-assisted soft tissue therapy can relieve tension and improve circulation.
  • Ice & Heat Therapy: Ice reduces inflammation, while heat relaxes tight muscles.
  • Proper Posture & Body Mechanics: Maintain good posture during sitting, standing, and lifting to prevent strain.

3. Breathing Techniques

Diaphragmatic breathing engages your core and reduces tension in the pelvic floor and surrounding muscles. These techniques also support labor and postpartum recovery. A good physiotherapist can show you the how-to for all of this


Pelvic Floor and Bladder Health During Pregnancy

The pelvic floor muscles work harder during pregnancy due to increased pressure from the baby, which can lead to:

  • Stress Urinary Incontinence (UI): Leaking urine while coughing, sneezing, or laughing.
  • Urgency & Frequency: Frequent bathroom trips due to the baby’s position.
  • Bowel Issues: Constipation or occasional loss of bowel control.
  • Pelvic Organ Prolapse: A sensation of heaviness in the vagina due to organ displacement.

Diastasis Recti: Understanding Core Health After Pregnancy

What is Diastasis Recti?

Diastasis recti is the separation of the rectus abdominis muscles along the midline due to overstretching during pregnancy.

Symptoms:

  • A visible bulge or “pooch” in the abdomen
  • Core weakness and lower back pain
  • Pelvic instability
  • Difficulty engaging core muscles

Many pregnant women experience diastasis recti, which can contribute to low back pain, instability, and urinary incontinence. Our Markham physiotherapy team can help you address this condition effectively.


Weight Gain, Posture, and Pain Relief Strategies

  • Healthy Weight Gain: Aim for around 15 kg / 33lbs during pregnancy if you have a normal BMI.
  • Posture Adjustments: Engage your core, tuck your pelvis slightly, and keep your shoulders back to reduce strain

Sleeping and Pain Relief

  • Pain often intensifies at night due to inactivity and muscle fatigue. Try these tips:
  • Gentle self-massage for 5-10 minutes daily can relieve tension.
  • Place a pillow under your bump and between your knees for alignment.
  • Use a duvet under the fitted sheet for extra cushioning.
  • Apply heat for lower back pain and ice for pelvic discomfort.
  • Gentle self-massage for 5-10 minutes daily can relieve tension.

Prenatal Nutrition and Supplementation

As per Dr. Yousef Sadat ND; Proper nutrition is essential for maternal health and fetal development. The Mediterranean Diet is highly recommended for expecting mothers. Key components include:

  • Fruits and Vegetables: At least 12 servings per week.
  • Lean Proteins: Especially oily fish like salmon and trout.
  • Nuts and Seeds: Include these daily.
  • Extra Virgin Olive Oil: Use as your primary cooking oil.
  • Complex Carbs and Legumes: Great sources of fiber and energy.

Key Prenatal Supplements:

  • Folic Acid: Prevents neural tube defects.
  • Vitamin B6: Reduces nausea and supports brain development.
  • Multiple Micronutrient Supplements (MMNs): Reduce the risk of preterm birth and low birth weight.

Final Thoughts

Proper nutrition, exercise, and pelvic health management during pregnancy are essential for the well-being of both mother and baby. At Form & Function Markham, or specialty Physiotherapists and Naturopaths are here to support you every step of the way. Whether you’re dealing with pelvic pain, diastasis recti, or postpartum recovery, our team is dedicated to helping you navigate this transformative time with confidence and comfort.

Contact us today to schedule a consultation and take the first step toward better pelvic health!


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Winter Blues _ Form and Function Clinic

Winter Blues vs. SAD: What’s Really Happening in Your Brain?

As the days grow shorter and temperatures drop, many of us find ourselves feeling a little off. You might notice increased fatigue, a lack of motivation, or a general sense of malaise—often referred to as the “winter blues.” But when these feelings intensify and begin to disrupt your daily life, they may signal something more serious: Seasonal Affective Disorder (SAD), a clinical form of depression triggered by seasonal changes. 

Understanding the difference between the winter blues and SAD is crucial, as is knowing what’s happening in your brain during these darker months. Let’s dive into the science behind SAD and explore evidence-backed strategies to help you thrive, even when the sun is scarce.


Understanding the Difference: Winter Blues or SAD?

The winter blues are common, affecting many people as daylight diminishes and cold weather sets in. Symptoms are typically mild and may include low energy, irritability, and a desire to hibernate. However, Seasonal Affective Disorder (SAD) is more severe. It’s a type of depression that follows a seasonal pattern, often peaking in the winter months. Symptoms of SAD can include persistent sadness, loss of interest in activities, difficulty concentrating, changes in sleep or appetite, and even feelings of hopelessness.

So, what’s happening in your brain to cause these shifts? The answer lies in the interplay of sunlight, brain chemistry, and your body’s internal systems.

The Science Behind SAD: What’s Happening in Your Brain?

SAD isn’t just a case of feeling gloomy when the skies are gray. It’s rooted in biological changes influenced by reduced sunlight, which impacts three key systems in the brain:

1. Circadian Rhythms: Your Body’s Internal Clock 

Sunlight helps regulate your circadian rhythm, the internal clock that governs sleep, mood, and hormone production. With less sunlight in winter, this rhythm can become misaligned, leading to increased production of melatonin (the sleep hormone). This excess melatonin can leave you feeling sluggish, fatigued, and out of sync.

Service Spotlight: Struggling with sleep disruptions? Acupuncture at Form & Function Wellness Clinic can help restore balance to your circadian rhythm, promoting relaxation and better sleep. Book an acupuncture session today.

2. Serotonin Activity: The Mood Balancer  

Sunlight stimulates the production of serotonin, a neurotransmitter crucial for mood regulation. Reduced sunlight in winter lowers serotonin levels, contributing to feelings of sadness, irritability, and depression.

Service Spotlight: Our Psychotherapy and Talk Therapy services, including counselling and Cognitive Behavioural Therapy (CBT), can help you manage low mood and enhance serotonin levels naturally. Explore therapy with our expert team.

3. Vitamin D Production: The Sunshine Vitamin  

Sunlight helps your skin produce vitamin D, which supports serotonin activity. In winter, limited sun exposure can lead to vitamin D deficiencies, further impacting mood and overall mental health.

Service Spotlight: Consider booking a consultation with our Naturopath in Markham for vitamin D testing and supplementation recommendations to improve your mood and mental health during the colder months. Schedule your consultation today.


Evidence-Backed Strategies to Combat SAD

While the biological factors behind SAD are complex, the good news is that several effective strategies can help manage symptoms. Here’s how to support your mental health this winter:

1. Light Therapy: Resetting Your Biological Clock

Light therapy is a first-line treatment for SAD. Using a 10,000-lux lightbox for 20-30 minutes each morning can mimic natural sunlight, suppress excess melatonin, and boost serotonin levels.

Pro Tip: Combine light therapy with a full-body massage or chiropractic adjustments at Form & Function Wellness Clinic for a comprehensive wellness plan. Our Massage Therapy services promote relaxation, while Chiropractic & Art sessions address misalignments that may contribute to stress or tension.  

Book Massage Therapy & Book Chiropractic Services

2. Vitamin D: Nourishment from the Sun

Studies show that vitamin D deficiency is linked to SAD. Supplementing with 1,000-4,000 IU/day of vitamin D3 can improve mood, especially for those with low levels.

Pro Tip: Our Naturopath in Markham can guide you on vitamin D supplementation tailored to your needs. Book a consultation today.

3. Tryptophan & Serotonin: Food for Your Mood 

Tryptophan, an amino acid found in foods like turkey, nuts, seeds, and oats, is a precursor to serotonin. Pairing these foods with complex carbs (brown rice, quinoa) helps tryptophan reach the brain more effectively.

Pro Tip: Complement your nutrition with a visit to our Naturopath in Markham, who can offer tailored advice on diet and supplements to enhance serotonin production and boost your mood. Book a Naturopath consultation.

4. Exercise: Move Your Mood  

Physical activity increases serotonin, endorphins, and brain-derived neurotrophic factor (BDNF), all of which support mental health. Aim for 30 minutes of moderate exercise (brisk walking, yoga, or dancing) 3-5 times a week.

Pro Tip: Our Physiotherapy and Post-Surgical Rehab services can guide you through a safe exercise plan to promote physical activity and boost your mood during the winter months. Book Physiotherapy today.

5. Mindfulness & Professional Support 

Mindfulness practices like meditation and deep-breathing exercises reduce stress and enhance emotional resilience. For persistent symptoms, Psychotherapy and Talk Therapy, specifically Cognitive Behavioral Therapy (CBT), and in some cases, antidepressant medications (like SSRIs), can be highly effective.

Pro Tip: Seek support from our Psychotherapy and Talk Therapy services. Our CBT specialists are trained to help you work through SAD symptoms, while our team offers holistic options like mindfulness coaching, massage therapy, and acupuncture to support your overall well-being. Book Psychotherapy and Talk Therapy services.

An Integrated Approach: Where Mind Meets Body

Managing SAD effectively often requires a multidisciplinary approach, blending therapies that address both the mind and body:

– Light Therapy + Exercise: Boosts serotonin and circadian rhythm regulation. Combine these with a Chiropractic & Art session for full-body relaxation and alignment.  

– Vitamin D + Nutrition: Supports neurotransmitter function and overall mental health. Book a Naturopath in Markham consultation for dietary and supplement guidance.  

– Mindfulness + Professional Support: Enhances coping strategies and emotional well-being. Consider combining Psychotherapy and Talk Therapy with regular massage therapy to reduce stress and promote relaxation.


Final Thoughts: You’re Not Alone in This

Feeling down during the winter isn’t a personal failing—it’s your brain and body responding to real biological changes. But with the right strategies, support, and persistence, you can reclaim your energy and mood.

At Form & Function: Health. Performance , we believe in a holistic approach to mental health. Whether you’re dealing with winter blues or struggling with SAD, our team of professionals, including Psychotherapy, Talk Therapy, and Naturopathy in Markham, is here to help you find balance and feel your best, all year round.  

Your mental health matters. Let us support you on your journey to wellness.  


Watch our patient journey video to learn more about how we can help.

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