Physical Therapy Intervention In Postpartum Paralysis Treatment

Postpartum paralysis is a rare medical condition characterized by temporary or permanent paralysis, usually in the legs, that result after delivery or childbirth in women due to nerve damage from the baby’s head pressing on pelvic nerves during delivery or prolonged pressure on pelvic nerves during pregnancy.

Other causes can include nerve damage from C-sections or complications from epidurals. Symptoms can also involve weakness, loss of control over bladder or bowel, and sensory deficits, with treatment focusing on the underlying cause.

 

Causes

• Pressure during Delivery: The baby’s head or other body parts pressing on the mother’s pelvic nerves during a prolonged labor or difficult delivery can cause nerve damage.
• Nerve Injury from Instrumentation: Forceps or other instruments used during delivery can cause injury to the sacral plexus, a network of nerves in the pelvis.
• Anesthesia Complications: In rare cases, the overuse of certain anesthetics, such as those used in epidurals, can contribute to nerve damage.
• C-Section: Nerve damage from pressure and cuts during a Cesarean section can also lead to pain and numbness in the legs.
• Guillain-Barre Syndrome (GBS): This autoimmune disorder, which can be triggered by an infection, sometimes appears or worsens during the postpartum period, potentially causing paralysis.
• Hypokalemic Paralysis: This rare, temporary condition involves very low potassium levels after birth, leading to flaccid paralysis of the extremities.

 

Symptoms

• Paralysis in one or both legs.
• Numbness or tingling sensation in the legs.
• Loss of control over bladder or bowel.
• Weakness or inability to walk.
• High temperature and feeling unwell.
• Partial loss of movement of the legs.
• Dull aching pain in the genital region
• Difficulty in stretching the knees
• Heaviness is felt over the leg.

 

Diagnosis and Treatment

Diagnosis involves a thorough neurological exam, and treatment depends on the cause.

Treatment includes:

Physical therapy to regain strength and function.

Managing the underlying condition, such as treating hypokalemia or autoimmune conditions.

Medications, if appropriate, such as potassium supplements or treatments for GBS.

 

Prognosis

Symptoms can be temporary, but nerve damage may lead to longer-lasting effects.

Recovery can vary, with some individuals experiencing complete recovery and others developing long-term neurological issues.

Physical therapy intervention in the treatment of Postpartum Paralysis are those caused by nerve compression from childbirth. These involves exercises and techniques to restore nerve function, strength, and coordination. A physical therapist may guide patients through nerve gliding and stretching exercises, as well as core and pelvic floor strengthening programs to improve muscle function and support. They may also use manual therapy for soft tissue and joint mobilization, education on posture to prevent recurrence, and potentially TENS for pain management.

 

Note: A physical therapist will create a personalized treatment plan, which may include:

 Nerve Gliding Exercise: These gentle movements help restore nerve mobility and reduce tension around the nerve.

Manual Therapy: Techniques like soft tissue manipulation and joint mobilization to release muscle tension and improve joint function.

Core and Pelvis Floor Strengthening: Targeted exercises to rebuild strength in the transverse abdominis and pelvic floor muscles, which are crucial for stability and function.

Scar Tissue Management: For C-section scars, physical therapists can use techniques to help the scar tissue heal properly and reduce discomfort.

Transcutaneous Electrical Nerve Stimulation (TENS): A device that can block pain signals and help relax muscles.

Postural education: Guidance on maintaining good posture to avoid future nerve compression and support.

Functional exercises: Activities designed to help the patient regain strength and coordination, allowing them to move more freely and safely in their new body.

 

Esther’s place well-being Hub specializes in the treatment of postpartum paralysis. The physical therapist will design a therapeutic modality that meet your health demands and goals.