Postpartum physiotherapy in Bangalore is essential care — not a cosmetic luxury. In the six weeks after delivery, your body undergoes the fastest musculoskeletal transformation of adult life: the pelvic floor recovers, the abdominal wall closes, hormones normalise, and posture adapts to breastfeeding and baby-carrying. Without guided rehabilitation, women commonly develop diastasis recti, chronic back pain, urinary leakage, painful intercourse or SI joint dysfunction.
At Pro Physiotherapy JP Nagar, our all-female postpartum team delivers a 12-week evidence-based recovery pathway. Home visits are strongly preferred in the first 6 weeks — you rest, we come to you. We cover diastasis recti correction, C-section scar mobilisation, pelvic floor training, postpartum back and SI joint pain, and safe return-to-exercise programming.
Understanding Postpartum Musculoskeletal Changes
C-section recovery involves scar mobility, deep abdominal reactivation, and gentle spinal decompression from the operative positioning. Pelvic floor dysfunction (leaking, prolapse, painful intercourse) affects 32% of women postpartum and responds excellently to specific physiotherapy — often avoiding surgical referral entirely.
Clinical Assessment on Day One
Assessment includes: diastasis recti measurement at three levels (2 cm above umbilicus, at umbilicus, 2 cm below), pelvic floor screening (external only, following consent and comfort), C-section scar palpation, posture assessment (thoracic kyphosis, protracted shoulders), SI joint provocation testing, breathing pattern assessment, and functional questionnaires (PFDI-20 for pelvic floor, PGQ for pelvic girdle). All measurements are re-taken at week 4, 8 and 12.
Structured Treatment Timeline
| Treatment Phase | Clinical Focus | Expected Milestone | Timeline |
|---|---|---|---|
| Week 0–6 · Restoration | Gentle diaphragmatic breathing, pelvic-floor connection, C-section scar hydration | Pain-free daily activity, breastfeeding posture corrected | 1–2 home visits/week |
| Weeks 6–10 · Foundation | Diastasis closure exercises, deep-core reactivation, safe carry technique | Diastasis narrowed by 50%, no leakage | 1 session/week |
| Weeks 10–14 · Strengthening | Progressive core loading, hip strength, safe return to gym / running | Return to pre-pregnancy exercise level | 1 session/week |
| Beyond 14 weeks · Maintenance | Home programme + optional monthly review + sport-specific coaching | Sustained core and pelvic-floor strength, no back pain | As needed |
Step-by-Step Rehabilitation Protocol
- 1Diaphragmatic breathing + transverse abdominis activationThe foundation of every session — restores the intra-abdominal pressure system disrupted by pregnancy.
- 2Diastasis recti closure exercisesProgressive four-stage protocol from head-lifts to full plank — always with real-time abdominal palpation and doming monitoring.
- 3C-section scar mobilisationFrom week 2 (external only) — silicone gel application, myofascial release, and desensitisation. Prevents adhesion pain years later.
- 4Pelvic floor trainingIndividualised Kegel programme with real-time palpation feedback. Down-training first if there is hypertonicity (essential in tearing / episiotomy recovery).
- 5Postural correction for breastfeedingFeeding cushion, back support, chin tuck cue — the daily posture that determines whether you get chronic neck and mid-back pain.
- 6Safe baby-carry ergonomicsHip carriers, wraps and slings — which one to use when, at what stage. Prevents the SI joint and wrist injuries we see routinely.
- 7Return-to-running progressionSix criteria that must be met before running: single-leg balance, single-leg squat, hop test, pelvic-floor endurance, no diastasis doming, no leakage.
- 8Home programme + 4-weekly re-measureEvery 4 weeks the diastasis, pelvic floor and posture are re-measured. Objective, motivating and safe.
Frequently Asked Questions
When should postpartum physiotherapy start after delivery?
Can physiotherapy fix diastasis recti without surgery?
Is pelvic floor physiotherapy safe and comfortable?
Do you offer home visits for postpartum recovery in Bangalore?
How much does postpartum physiotherapy cost in Bangalore?
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