Scoliosis is a lateral bending and/ or rotary deformation of the spine presenting as one or multiple curves in the back. It can be functional or structural.
If it is functional, then it is usually a compensatory pattern, possibly posture-related, and can be corrected with stretching, strengthening, joint manipulation, and postural retraining.
If it is structural then it is due to anatomical changes. There are wide varieties of structural scoliosis, but the most common one is Adolescent Idiopathic Scoliosis (AIS).
What is Adolescent Idiopathic Scoliosis?
Adolescent Idiopathic Scoliosis (AIS) is of unknown cause and usually happens during adolescence- age 10 to 18. It is more common in young girls and the progression usually slows down after the menstruation starts.
What is the treatment for AIS?
There are many different approaches to help prevent AIS progression and also possibly decrease its curve if it has a functional component.
It can be addressed with:
Possible bracing depending on the severity of the curve
Strengthening and stretching exercises to properly address the curvature
Dynamic Neuromuscular Stabilisation
Chiropractic treatment
Breathing exercises
Soft tissue work
Below is an exercise that can help:
If you suspect that your child has a scoliosis contact the clinic for a consultation on 057 8678904.
According to the “2019 Canadian Guidelines for Physical Activity Throughout Pregnancy”, in general physical activity is associated with greater benefits and “has been proposed as a preventative or therapeutic measure to reduce pregnancy complications and optimise maternal-fetal health”.
Women who were active prior to pregnancy are encouraged to continue exercising with appropriate modifications and going by how they feel at all times. Those women who were inactive before pregnancy are encouraged to start exercising during pregnancy, starting at lower intensity and progressively increasing the intensity and duration of the exercise to their tolerance.
Always be sure to get the go ahead from a medical professional beforehand as there are several contraindications to exercise while pregnant that must not be ignored.
Click the link below for the full article with a comprehensive list of all contraindications.
Physical activity recommendations for pregnant women:
All women without contraindications should be physically active throughout pregnancy
A good goal is to aim to accumulate at least 150 minutes of “moderate intensity” exercise (being able to maintain a conversation during that exercise) spread out over at least 3 days a week.
Being active everyday is encouraged
Exercises should be varied, including aerobic and resistance work. Yoga/ stretching can also be added.
Doing daily “pelvic floor muscle training”, for example Kegel exercises, may help decrease urinary incontinence.
If feeling unwell, light-headed, or nauseated while exercising, specifically when laying on the back, the exercise should be modified to resolve the symptoms. For example, doing the exercises side lying rather then laying on back.
Maintain proper hydration and nutrition before, during and after any activities.
When to stop exercising and seek help from a medical professional:
Persistent excessive shortness of breath that does not resolve on rest.
Chest pain
Regular and painful uterine contractions
Vaginal bleeding
Amniotic fluid leakage
Dizziness or fainting that does not resolve on rest
Are there any exercises that should be avoided during pregnancy?
Put simply Yes.
Avoid exercising in excessive heat and/ or humidity (for example hot yoga), activities involving physical contact or possibility of falling eg. scuba diving and skiing. Physical activity above 2500m or high intensity/ competitive exercises should be discussed with obstetric care beforehand.
For more information or to arrange a pregnancy consultation contact the clinic on 057 8678904.
Those new born days and weeks for most women can be described as a being a bubble of love and awe at what your body has produced. During the nine months prior to this we invest so much time making sure we eat healthy, exercise wisely and educate ourselves of what’s to come.
We may have attended ante natal classes that focus on breastfeeding and focus on how to get that perfect latch. Some mothers and babies take to it easily but many have obstacles to overcome, such as suboptimal latch, tongue tie and nipple pain.
Breastfeeding is supposed to be the most natural thing in the world but it isn’t in anyway easy.
Someone that is often neglected at this precious time is the mum. It can affect us in so many ways particularly emotionally, mentally and also physically.
How does breastfeeding physically affect the mum?
Many postpartum women who attend the clinic have issues with neck pain, mid back pain, headaches, low back pain and even referred pain into the arm/ hand. Basically their posture is inadvertently suffering from all that nursing, cuddling, holding and carrying of their little one.
Of course this doesn’t just apply to nursing mothers but also to those that bottle feed.
Tips on how you can help yourself:
It’s important to ‘check in’ every so often when you’re feeding to make sure you’re not hunching over your baby constantly. This will put strain on those postural muscles and local joints.
Bring the baby to you and use supports such as a nursing pillow to help.
Look at changing nursing position if possible. For example try laid back nursing where you can relax more during feeding.
Foam roll your mid back little and often to relieve tension.
Start doing some gentle stretches for your mid back, chest, neck and hips.
Chiropractic, soft tissue therapies and dry needling are excellent tools for relieving joint restrictions and muscle tension. As well as these, stability exercises are given to make sure these areas are better able to withstand the demands of everyday parenting.
If you are still in discomfort or experience an increase in symptoms consult your local health professional or contact us today for a consultation.
Pregnancy can be a daunting time for any woman with each pregnancy being different and new hurdles may crop up throughout. So it’s important to be as prepared as you can be both physically, emotionally and mentally, in order to deal with everything that may come as best you can.
Here are a few things that I commonly tell my mums when it comes to physical well being.
Physical health
I can’t stress enough how beneficial it is for mum to stay active during pregnancy as it helps to prepare for the demands of carrying a child and for labour. A woman’s body goes through so many changes it’s good to be ready for these challenges. Exercise can help women through pregnancy not just physically but emotionally too, which must not be taken lightly. So if you’re active, fantastic stay that way. There may be days when you don’t feel up to doing much other than eat or sleep, please listen to what your body is telling you. It’s telling you for a reason. The key is to always listen to your body and adapt workouts to suit.
However, do not start something new if your body is not used to it as this can create problems and if there are any concerns always consult your health practitioner.
Chiropractic can help with maintaining healthy pelvic and spinal movement during your pregnancy by resolving discomfort such as back pain, sciatica, hip pain. Treatment aims to provide natural relief and works with your spine and pelvis as your body changes shape and different loads are placed on it. This along with Fascial/ soft tissue release encourages optimal fetal positioning for birth, which in the long run will help reduce likelihood of C-section. Exercises are also given to target the pelvic floor and core strength, primarily through developmental movements. (Dynamic Neuromuscular Stabilisastion- DNS)
Scar tissue can be detrimental to body mechanics if not addressed as soon as possible. It can alter proper movement patterns and generate pain and dysfunction in the body. It can also predispose the area to future injury.
The aim of therapy is to improve tissue texture, flexibility, local blood supply and drainage. Therefore the earlier and more regularly that a scar is treated the better.
Qualities of a Scar
Tough fibrous and non pliable, with reduced circulation and lymph drainage
Reduced local tissue flexibility, resulting in limited joint mobility
Our Approach to Treating Scars
Soft Tissue Release: Gentle hands on massage technique applied around and at the site of the scar to stretch the tissues and promote healing
Instrument Assisted Soft Tissue Mobilisation (IASTM): uses specialised instruments and cream to glide across the scar in a form of cross friction massage to reduce pain and improve pliability of the tissues
Dry Needling: needles are applied around the scar site to encourage an inflammatory healing response
How Effective Can Treatment be?
Below is an example of my own scar healing with the help of treatment following a right clavicle (Collarbone) reconstruction with a surgical plate and pins
If you would like to book an appointment please contact us today.
So our little boy is 7 months old now, oh how quick that’s gone by. Davin is growing up so fast and is such a pleasant happy little chap and by God he loves his grub. I have exclusively breastfed since the start and thankfully everything worked out well for us. Granted it was tough in the beginning with sleep deprivation, swollen breasts, leaking, oh the joys of it all but we hung in there and are so glad we did.
Unfortunately many ladies do struggle with breastfeeding but in the end its important to do what works for you and your little one, be it breast or formula. As long as you’re both happy and healthy that’s all that matters.
If you are thinking of breastfeeding it is important that you educate yourself before hand and be prepared for what it involves. There are several local support groups and lactation consultants that are available to ask for help or information. It’s just a matter of getting out there and talking to other mothers and experts.
Below are a few things I found priceless in helping me throughout the first few weeks and months.
1) Nipple balm
Applying nipple balm helps prevent and heal any cracked nipples as you get used to your little one latching on. Its great because you can apply this as much as you want and you don’t have to wash it off before putting your baby back on the breast. Available in all pharmacies and is a must.
2) Breast pads
Essential for the first few weeks- months until you get to know your supply and prevent any unfortunate accidents!
3) Multi-Mam nipple compresses
I was given these while in hospital by one of the fantastic mid wives and they were a God send at limiting any irritation in the initial days. Little tip…they are even better when kept in the fridge at home.
4) Breast pump- manual / electric
There are so many brands on the market, be it manual or electric, that it is a mind field. I found choosing one particularly daunting as it can be a big investment. So i did my research online and I ended up buying a Tommee Tippee manual pump and Lansinoh Double electric pump.
5) Nutrition-
Fennel tea, oats, post pregnancy supplement including lactation boosters
We are starting a new adventure now… Weaning on to solids! Oh the mess but it will be all fun and games watching him come into his own around new foods.
Yours in Health
Karen Lawlor
The Lawlor Clinic, Portlaoise
Specialising in the treatment of Pregnancy Related Conditions
Diastasis Recti is a condition we see commonly in the clinic. Most often it’s associated with pregnancy and the post partum times, but did you know that it can affect anyone? While can be considered a cosmetic issue, it is a major warning sign that a more serious issue with the core is going on. Lets learn a little more about this common condition.
What is it?
We all have a line down the middle of our body, that separates the two halves of the outer layer of abdominal muscles. It runs from the breast bone to the pubic bone. Diastasis recti occurs when there is a separation or widening between the two sides of of the muscles. Everyone has a little bit of a gap, but it is considered more of a problem when it’s 2 fingers wide or more.
What causes it?
Diastasis recti is common in pregnancy due to two things:
1. The growing belly that pushes out against the abdominal musculature, thinning the connective tissue.
2. The maternal hormones that cause the connective tissues to become softer and more flexible can promote laxity in the structures.
It is something that naturally happens to a degree during pregnancy, and after the baby is born, should come back to normal if your core was in balance before pregnancy. It is worth noting that in many studies, women who were active before pregnancy and continued that exercise throughout their pregnancy tend to be less likely to suffer with diastasis recti. But this is not always the case.
Outside of pregnancy, it can be caused by overdoing it on the wrong abdominal exercises, such as traditional sit-ups or crunches and/or weak deep abdominal musculature. It is not just about weak muscles though. An imbalance in the muscles of the abdomen, and your overall posture can also contribute.
Why is it a problem?
When you have a diastasis that continues for months after pregnancy, it is a problem. It is a sign that your core musculature is not working properly. If you’re wondering why you need your core working properly, here are a couple reasons to consider:
Many who have diastasis recti also have or will have pelvic floor issues including urinary incontinence.
A weak core can lead to ongoing lower back, sacroiliac joint, and symphysis pubis pain
How can we help?
Diastasis can be helped by improving your function and removing any imbalances in the core musculature. Some of you may be thinking, I know other women who are very fit and still have diastasis, what about them?? The answer to that would be that just because someone exercises, does not mean that their core is actually functioning properly and that they know how to properly activate and brace their core during exercise, breathing, and normal day to day activities. They may be loading their core in a way that is contributing to more tension (in the wrong way) on that front part of the abdominal muscles.
It’s important to seek expert advice if you are struggling to get your core back after pregnancy. Look for a practitioner that will take a varied approach to getting you functioning better as a whole to help get your core back in balance! For more information check out this book from Katy Bowman.
Ever wondered what you could do to make labour easier on yourself and your little one?
Times are changing for expectant mothers in Ireland with now having more information available to them via tv, internet and social media on natural birth. Education has improved and parents are more confident and willing to take an active roll in how their pregnancy and labour goes.
Gone are the days of simply lying on your back and purple pushing as they call it. Hypnobirthing has changed our preconceptions of labour and the associations with “purple pushing”, it and yoga also advocate active birth positions for mothers to ease the birth process. Women are finally stepping away from the tradition of lying on their backs on a hospital bed to have a natural birth.
We now know that when lying on your back to give birth the size of the pelvis is at its narrowest, due to the angle of the sacrum and tailbone. You lose the vital effect of gravity as now you will have to pass your baby over these structures and ultimately up hill.
Below are some Active Birthing Positions which can encourage the pelvic outlet to widen to at least 30% and with the aid of gravity help the descent of the baby through the birth canal. Therefore potentially making things easier.
Supported squat– using your birthing partner/ mid wife or bar as a prop can make you more comfortable during surges.
Kneeling– can be against a birthing ball or on the bed. It helps widen the pelvic outlet and can allow you to rest easier between surges.
Hands and knees – will also help relieve pressure on the low back and may help the baby reposition itself for delivery.
Sidelying– with one leg elevated or held by the birth partner allows the pressure of the baby to be redistributed within the pelvis and making things more manageable.
Birth pool– the effect of the warm water can lessen low back discomfort and can let the mother adopt the squatting or kneeling position much easier.
If you are due to have a little one please take the time to educate yourself in how you and your little one can have a smoother and more pleasurable experience. We hope this helps you in your journey to motherhood.
Our last few blogs have been about pregnancy and the time after pregnancy, and some associated issues women experience during these times. One of the main concerns is an unstable pelvis. Aside from getting treatment, what else is available out there to help women have a pain-free pregnancy?
The main issue during pregnancy is that the pelvis becomes unstable due to the maternal hormones released during this time. Which can cause a lot of dysfunction and pain in some women. Treatment and exercises can help to keep the pelvis pain free, but those alone cannot fully stabilise the pelvis. So how can we stabilise something that is unstable?
Our top tip for an unstable pelvis:
The Serola belt. It is a support, worn around the waist, in a similar way to a belt, that actively gives support to the pelvis, helping to stabilise it. It provides the support that the pelvis desperately needs during this time. Providing relief for sacroiliac joint dysfunction and symphysis pubis dysfunction (SPD) as well as lower back pain.
The Serola belt is not a permanent solution, as these hormones that relax the ligaments and joints are vital during labour to help the baby pass through the pelvis. But until that time, it can be a great companion to help take some of the pressure off that sore unstable pelvis! Keep a look out for our upcoming video on how to properly wear a Serola belt.
Yours in Health,
Lawlor Clinic
Chiropractic | Mums & Babies | Dynamic Neuromuscular Stabilization
You did it. You survived pregnancy and labour and now have a beautiful little person that will enrich your life! And all the little pains of pregnancy will magically go away right? In a perfect world, yes. But for many women, they find that their body is not quite what it used to be. This is especially true for the pelvis. We have talked about the pelvis, and how it changes during pregnancy before, but what happens with the pelvis after pregnancy and birth?
All about the Hormones:
Remember those lovely hormones that help prepare the body for the birth process? Relaxin is one of the main ones, and it does just what it’s name implies, relaxes things. It relaxes the muscles and ligaments so that the joints in the pelvis can spread to allow the baby to pass through. Relaxin remains in your system after the birth and can continue to cause problems for months after the baby is born. If you are breastfeeding, it may be even longer.
The pelvis continues to be unstable in most women after the birth of their baby.
Getting back to Normal:
After the maternal hormones have settled down back to a normal level, the pelvis can go back to being stable, although in some women, it remains unstable for years after the children are born. Even when the pelvis is stable again, that doesn’t mean that it has become stable in the right position. We see many women with pelvises that have stabilised, but did not stabilise correctly. Meaning one or both sides are out of balance, thus causing a lot of discomfort when walking, lifting the baby, or bending.
What about Treatment?
Don’t fret, this can all be corrected with proper treatment. Using different types of manual therapy on the pelvic ligaments and muscles including Active Release Techniques (ART®) and specific exercises to improve your core strength. To help the pelvis heal, it’s important to keep active, which may be difficult to do when you are in pain. We recommend gentle exercise such as light walking as a great way to start.
Book an appointment today to get your pelvis checked and get back to feeling like yourself again!
Yours in Health
The Lawlor Clinic, Portlaoise
Specialising in the treatment of Pregnancy Related Disorders
