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Laxity in Pregnancy is what may be causing you those aches and pains

The Role of the Relaxin Hormone

As discussed previously on the blog, pregnant people undergo some major changes in their bodies, including producing different hormones that play various roles during pregnancy. One hormone that affects the musculoskeletal system in a pregnant person’s body is called relaxin.

Relaxin is a hormone produced by the corpus luteum (an endocrine gland made in the ovary when a follicle has matured and released an egg during ovulation) and the placenta (an organ developed in the uterus during pregnancy that provides oxygen and nutrients to your baby). Relaxin inhibits uterine activity and helps relax the pelvic joints so your hips can widen in preparation for birth. Relaxin peaks during the first trimester. However, relaxin can also contribute to laxity in other areas of the body during pregnancy, not just the pelvis.

What is laxity and how it affects the pregnant body

When one becomes pregnant, joint laxity from relaxin begins around six weeks of pregnancy and becomes more noticeable by week 12. The main area of laxity is centered in the pelvis, which is how the body begins to prepare for birth. In particular, the main joints of the pelvis- the pubic symphysis and the sacro-iliac joints are affected, which cause pelvic pain including pubic symphysis pain and SI joint pain.

Other areas of the body may be affected from joint laxity from relaxin, including the shoulders, hips, spine, as well as the feet and ankles. Pain can be more apparent in people who have underlying orthopedic issues before pregnancy, those who lack muscular strength before pregnancy, and those who have underlying hypermobility issues.

What you can do about laxity while pregnant

Strengthen and Stabilize

You can’t stop the body from creating and releasing relaxin during pregnancy, however you can strengthen and stabilize the body through exercise to support your joints.

Check out this pregnancy exercise program published by Heather Jeffcoat, DPT in the Journal of Childbirth Education.

Avoid overstretching

While stretching the back, glutes, hips, and legs can be beneficial for back and pelvic pain during pregnancy, be careful not to overstretch joints, please consult with a physical therapist in order to determine if you are stretching too much.

See a Pelvic Floor physical therapist

A trained pelvic floor PT will help you determine safe stability and strengthening exercises for you to do during pregnancy, contact Femina PT for more information and to schedule today.

References:

https://www.britannica.com/science/corpus-luteum

https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-during-pregnancy/hormones-during-pregnancy

https://www.hormone.org

Irion, J. M. (2013). Womens health in physical therapy. La Vergne, TN: Cram101, Inc.

https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/placenta/art-20044425

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

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Testimonial by Lauren B.

Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

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Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

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Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

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Testimonial by T.H.

I started seeing Heather in October 2014. For more than two years, I had been suffering from painful urinary tract infection type symptoms after my bartholins gland surgery which included constant burning and urinary frequency sensation that led to more and more painful intercourse. I had made multiple visits to internist, obgyn and urologist's offices, went through a range of treatment with UTI and bladder frequency medication that included antibiotics, vesicare, estrogen cream, but nothing worked.

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