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Chiropractor or Pelvic Floor Physio During Pregnancy?

How pregnancy-adapted chiropractic care and pelvic floor physiotherapy can support different concerns and work together.

A pregnant patient lying comfortably on their side with supportive pillows while receiving care from Dr. Natalie Lopez.

You do not have to figure out the right profession from the name alone. Start with the concern that is affecting your day. Back or hip discomfort and difficulty moving may fit a chiropractic assessment, while leaking or pelvic heaviness may call for a pelvic floor physiotherapist. Some expecting moms benefit from both.

Match the provider to your main concern

  • Chiropractic care may be a fit for back, hip, pelvic, rib, neck, and movement-related discomfort.
  • Pelvic floor physiotherapy may lead when the main concern is leaking, heaviness, pelvic-floor function, or birth preparation.
  • The right provider depends on your symptoms, goals, medical context, and comfort. Sometimes coordinated care is useful.

When pelvic girdle pain is the main concern

Pelvic girdle pain can involve the front of the pelvis around the pubic bone, the back around the sacroiliac (SI) joints, or both. This is one of the concerns you can bring to a chiropractic assessment during pregnancy.

Depending on your assessment, care may include manual therapy and guided exercises to help the muscles support the joints around your pelvis. I adapt the plan to your needs rather than giving everyone the same exercises.

I do not perform internal pelvic floor assessments. For an internal assessment, I refer to a qualified pelvic floor physiotherapist and can work alongside them.

My care can include external guidance on breathing, relaxing and engaging the pelvic floor, and incorporating those cues into exercise. This can complement the care you receive from a pelvic floor physiotherapist.

Questions that can help you choose

When you contact a provider, describe the activity that feels difficult: walking, turning in bed, sitting, or getting through your workday. Ask whether they assess that concern during pregnancy and how they coordinate with your maternity team or another clinician.

New or worrying symptoms during pregnancy should go to your maternity provider first. Chiropractic care does not replace prenatal medical care or pelvic floor physiotherapy.

Dr. Natalie can explain whether pregnancy chiropractic care fits your concern. You can also read about your first visit before deciding.

Clinical note: This article is general education and does not replace an individual assessment, diagnosis, or medical advice. Results and timelines vary.

Want to talk about your situation?

Book a free 15-minute consultation or plan a first visit with Dr. Natalie at Preserve Oak Wellness.

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