Pre- & Postnatal Care
Pregnancy and the postpartum period place extraordinary demands on the body – and those demands are rarely addressed with the clinical attention they deserve.
Case Studies
Steve Money – Retiree, Hip Surgery
Case study 4
Lely – Maintenance & Aging Care
Case Study – Retiree, OA
What we treat
Musculoskeletal pain during pregnancy is common. It is also, in most cases, highly treatable. At Akeso, our therapists are trained in prenatal and postnatal physiotherapy and understand exactly which structures are under load at each stage – and how to work with them safely and effectively.
During pregnancy
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The combination of hormonal changes, postural shift, and the sheer load of a growing baby makes lower back and pelvic girdle pain the most common musculoskeletal complaint in pregnancy. Targeted manual therapy and specific stabilisation exercises provide significant, fast-acting relief – and you do not have to simply endure it until the baby arrives.
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Pressure on the sciatic nerve during pregnancy can cause shooting pain, numbness, or tingling down the leg that makes sleeping, walking, and sitting genuinely difficult. We identify the source of the nerve irritation and treat it directly, rather than waiting for it to resolve on its own.
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As the uterus expands and the ribcage flares to accommodate it, the thoracic spine and surrounding muscles come under increasing load – producing the upper back tightness and rib pain that many women accept as an unavoidable part of the third trimester. It is not unavoidable, and manual therapy addresses it effectively.
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Fluid retention and postural changes during pregnancy frequently compress the median nerve at the wrist, causing the tingling, numbness, and weakness characteristic of carpal tunnel syndrome. We manage symptoms conservatively with manual therapy, nerve mobilisation, and practical advice on positioning and activity modification.
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The sharp, stabbing groin or hip pain that catches expectant mothers off guard – particularly with sudden movements – is driven by the rapid stretching of the round ligaments and changing hip mechanics. We settle the irritation and give you specific guidance on the movements and positions that aggravate it.
Postnatal
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A C-section is major abdominal surgery, and scar tissue that is not properly mobilised can restrict movement, contribute to ongoing pelvic and lower back pain, and create fascial tension that affects function far beyond the incision site. We address the scar directly and rebuild the deep core system that the surgery has disrupted.
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Pressure on the sciatic nerve during pregnancy can cause shooting pain, numbness, or tingling down the leg that makes sleeping, walking, and sitting genuinely difficult. We identify the source of the nerve irritation and treat it directly, rather than waiting for it to resolve on its own.
-
As the uterus expands and the ribcage flares to accommodate it, the thoracic spine and surrounding muscles come under increasing load – producing the upper back tightness and rib pain that many women accept as an unavoidable part of the third trimester. It is not unavoidable, and manual therapy addresses it effectively.
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Fluid retention and postural changes during pregnancy frequently compress the median nerve at the wrist, causing the tingling, numbness, and weakness characteristic of carpal tunnel syndrome. We manage symptoms conservatively with manual therapy, nerve mobilisation, and practical advice on positioning and activity modification.
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The sharp, stabbing groin or hip pain that catches expectant mothers off guard – particularly with sudden movements – is driven by the rapid stretching of the round ligaments and changing hip mechanics. We settle the irritation and give you specific guidance on the movements and positions that aggravate it.
How we treat it
Honest Assessment
We tell you clearly what is happening in your body, what is manageable, and what to expect. We do not overclaim, and we do not write patients off because of age or imaging findings. A scan that shows degeneration does not tell us what your body can do.
Manual Therapy
Joint mobilisation, soft tissue work, and assisted stretching adapted to your body's current state. Restoring movement and reducing pain through hands-on precision – at the right depth, the right angle, the right pace.
Strength and Movement
The research is unambiguous: progressive resistance exercise is the most effective intervention for osteoarthritis, osteoporosis, sarcopenia, and fall prevention. We build programmes that are safe, effective, and sustainable – not generic exercise sheets.
Fall Prevention
Balance retraining, proprioception work, and practical home environment advice for patients at elevated fall risk. Keeping you on your feet is a clinical priority.
What success looks like
Our goal for every ageing patient is the same: more of what matters to you. Walking longer, playing with grandchildren, staying independent, getting back to golf. We define success around your life – not a standard template.
Regular maintenance sessions – monthly or quarterly – are how many of our older patients stay ahead of deterioration. The body responds to consistent, appropriate stimulus. We provide the stimulus; you provide the consistency.