在懷孕和分娩期間，女性身體會發生許多身體變化，包括姿勢改變，肌肉無力以及可能對肌肉骨骼系統産生負面影響的疼痛。産前和産後康複的目标是減輕疼痛，恢複孕前健康水平，減少産後抑郁的可能性， 并治療懷孕和分娩期間可能出現的并發症。

During pregnancy and childbirth, many physical changes occur to a woman’s body including altered posture, muscle weakness, and pain that can have a negative impact on the musculoskeletal system.  The goal of pre and postnatal rehabilitation is to relieve pain, regain pre-pregnancy fitness levels, reduce the likelihood of postpartum depression, and treat complications that may have arisen during pregnancy and childbirth.

骨盆/ SI關節疼痛

腰背疼痛

上身情況（腕管綜合征，肌腱炎和胸廓出口綜合征）

頸部和上背部疼痛

肌肉痙攣/肌筋膜疼痛

盆底功能障礙（虛弱，疼痛，神經肌肉控制不當，尿失禁）

腹直肌（腹肌分離）

核心肌肉無力

疤痕疼痛（剖腹産，會陰切開術）

盆腔器官脫垂

Pelvic/ SI Joint pain 

Low back pain

Upper body conditions (carpal tunnel syndrome, tendonitis, and thoracic outlet syndrome)

Neck and upper back pain

Muscle spasm/myofascial pain 

Pelvic floor dysfunction (weakness, pain, improper neuromuscular control, incontinence)

Diastasis rectus abdominis (abdominal muscle separation)

Core muscle weakness

Scar pain (cesarean, episiotomy)

Pelvic organ prolapse

—常見疼痛

骨盆疼痛

産前和産後婦女的骨盆疼痛有多種原因，這可能與盆腔器官脫垂，恥骨聯合分離或外陰切開術引起的疼痛一樣簡單。即使在愈合發生後，骨盆底肌肉緊張也會導緻持續的會陰部疼痛（陰道和肛門之間的區域）。

Pelvic Pain

There are various causes for pelvic pain in pre and postpartum women, which could be related to pelvic organ prolapse, pubic symphysis separation, or as simple as pain resulting from an episiotomy.  Tight pelvic floor muscles can cause persistent perineal pain (the area between the vagina and the anus), even after healing has occurred.

手腕和手痛

DeQuervain的腱鞘炎是由手腕肌腱炎症引起的拇指和手腕運動引起的疼痛。這種情況可以開始産前繼發液體潴留和荷爾蒙變化;然而，在産後期間，兒童保育活動過度使用似乎更爲頻繁。

Wrist and Hand Pain

DeQuervain’s Tenosynovitis is pain with thumb and wrist movements caused by inflammation of tendons along the wrist.  The condition can begin antenatal secondary to fluid retention and hormonal changes; however, it appears to be more frequent in the postpartum period with overuse during childcare activities.

腕管綜合症

腕管綜合征是由于體内水分滞留而導緻的正中神經受壓。典型的症狀是拇指，食指，中指和無名指的徑向半部分麻木和刺痛。

Carpal Tunnel Syndrome

Carpal tunnel syndrome is compression of the median nerve due to water retention in the body.  The typical symptoms are numbness and tingling in the thumb, index finger, middle finger, and radial half of the ring finger.

腰背部和頸部疼痛

在懷孕期間和産後期間，腰背部和頸部疼痛很常見。原因歸結于腰背部的應變增加和荷爾蒙的改變。典型的疼痛部位包括腰背和骶髂關節（正好位于腰背處的凹陷處）。頸部疼痛在分娩後更常見，因爲假設新姿勢照顧新生兒。長時間的不良姿勢會對頸部和上背部造成很大的壓力，但可以通過适當定位自己和寶寶來預防。

Low Back and Neck Pain

Pain in the low back and neck are common occurrences during pregnancy and in the postpartum period.  The causes have been attributed to both increased strain on the low back and altered hormones.  Typical pain locations include the low back and the sacroiliac joints (just below the dimples on the low back).  Pain in the neck is more common following childbirth as new postures are assumed to care for the new infant.  Prolonged poor postures can place a significant amount of strain on the neck and upper back, but can be prevented through proper positioning of yourself and your baby.

肌肉能量技術重新調整骨盆帶關節和腰椎

軟組織和關節動員

骨盆底肌肉神經肌肉再教育，協調和力量訓練

核心穩定和加強鍛煉

姿勢肌肉訓練和加強

在日常嬰兒護理活動中進行适當的身體機能教育

治療疼痛的方式（熱，冷，電刺激，超聲）

針對各種産前和産後情況建議和安裝适當的支撐帶 個性化的家庭計劃

Muscle energy techniques to realign the pelvic girdle joints and lumbar spine

Soft tissue and joint mobilization’s

Pelvic floor muscle neuromuscular re-education, coordination, and strength training

Core stabilization and strengthening exercises

Postural muscle training and strengthening

Education on proper body mechanics during daily baby care activities

Modalities to treat pain (heat, cold, electrical stimulation, ultrasound)

Recommendation and fitting for appropriate support belts for various prenatal and postnatal conditions

Individualized home programs