Postpartum Physical Therapy: A Complete Guide

Share this Article:

Women who have experienced the process of childbirth understand that carrying a child is a nine-month marathon, full of ups-and-downs, joys and sorrows, and significant physical changes. Physical therapy can play a powerful role in postpartum physical recovery.


Physical therapists are trained to restore and strengthen muscular functioning postpartum, and some are specially trained to address pelvic floor issues. If you are experiencing pelvic floor dysfunction, or want to speed up muscular strengthening after childbirth, postpartum physical therapy is often an ideal option.


Here’s what you should know.

What is the Goal of Postpartum Physical Therapy?

The goal of postpartum physical therapy is to address spinal and pelvic floor dysfunction along with muscle weakness resulting from nine months of development, followed by a birthing experience. Postpartum physical therapy is designed to accentuate the body’s natural postpartum healing processes and potentially address unique muscular issues.


Many women, juggling dozens of responsibilities, simple do not have the proper time to completely rest and recover from childbirth before returning to everyday life – postpartum physical therapy services offer the care needed to function with increased strength in a shorter period of time.


Common Signs of Pelvic Floor Muscular Dysfunction

Although not “normal,” postpartum pelvic floor issues are relatively common, especially among women who have given birth multiple times. How do you know if your pelvic floor muscles are functioning improperly? The following symptoms could point to dysfunction:


  • Stress incontinence (leaking urine when you sneeze or perform sudden movement)
  • Pelvic, abdominal, or lower back pain
  • Abnormal urinary patterns (significantly increased/ decreased frequency)
  • Bowel issues
  • Pain during intercourse


If you have lingering symptoms similar to those listed above, consult a trusted pelvic floor physical therapist for information on recovery.


What Treatment Options Are Included in Postpartum PT?

Your first postpartum physical therapy appointment may include a get-to-know-you consultation period where your specialist will learn about you, your symptoms, your goals, and your level of physical activity before childbirth. Then, your physical therapist will develop an exercise plan based on your specific needs.


Some common treatment options include:


  • Muscle energy techniques
  • Diastasis recti correction (separation of abdominal muscles)
  • Postural strengthening
  • Pelvic floor muscle coordination and strength training
  • Body mechanics education
  • Core strengthening exercises


Your physical therapist may also recommend self-management strategies to complete at home. Even basic adjustments to regular home activities can expediate healing.

Self-Management Strategies

While some women hope to dive right back into normal physical activity and get back into pre-pregnancy shape, a slow return to normal physical exertion is best.

1. Get Help

The first step to recovery at home is recruiting help! Postpartum moms should not return to all regular activities around the house as soon as she and baby get home. In fact, women should not lift anything heavier than baby during the recovery period. Find an ally to help with household chores, such as cleaning, and focus on resting. If activity is required, only engage in mild endeavors.

2. Perform Therapist-Recommended Core Exercises

During pregnancy, a woman’s abdominal muscles undergo significant strain, even separating in extreme cases (called diastasis recti). However, typical core-strengthening exercises, such as sit-ups, should be avoided immediately after childbirth. Intense core strengthening has the potential to further damage strained abdominal muscles.

On the other hand, your physical therapist may prescribe mild core exercises to perform at home. Beginning with gentle strengthening often leads to the ability to perform higher-intensity abdominal exercise, once approved by your doctor or physical therapist.

3. Gently Incorporate Fitness Into Your Daily Routine

As postpartum moms settle into a new routine, incorporating gentle fitness into the everyday schedule is beneficial. Remember, it is always best to start small and go at your own pace.

For example, start with taking short walks around the neighborhood with a spouse or friend once or twice a week. As your body continues to recover, distance and pace may increase. However, starting small and dedicating most free time to resting is best.

4. Remember to Breathe

During the developmental stages of childbirth, uterus growth pushes the diaphragm upward. Ultimately, this growth reduces the diaphragm’s working capacity. Your physical therapist will likely prescribe exercises to strengthen the diaphragm for return to full capacity.

Rock Valley Physical Therapy: Pelvic Health Specialists

At Rock Valley PT, our pelvic health physical therapists are passionate about serving struggling individuals who often feel misunderstood in the complexity of their problems – including new moms.


We invite you to learn more about our pelvic health physical therapy service or request an appointment today! Our team looks forward to helping you return to total recovery.

< Older Post

 Newer Post >

Connect With Us:

More Tips, Insights & Recovery Advice

Three people standing on a treadmill in a gym, with exercise equipment in the background.

A relationship built on compassion and great care: Rock Valley Physical Therapy will always be there for Gary “Blue’’ Hendren

By Kylie Williams • October 12, 2026
“I don’t know where I would be without Ashley (Schurr, PT, DPT, OCS, CSCS),’’ said Hendren, who used to regularly shoot his age in golf, has a hole-in-one to his credit, and also a perfect 300 game in bowling. “She has always been there to get me through whatever I am dealing with. It’s been a lot of years with Ashley

Physical Therapy Isn't Just For Pain, It's For Lifelong Health

By ashley johnson • October 9, 2026
Most people assume physical therapy is something you only need after tearing a ligament, having joint replacement surgery, or waking up with a stiff neck. While PTs are great at those things, treating injuries is only half of what we do. Physical therapy is also one of the most effective, underused tools for preventative wellness. PT can help you move better, prevent chronic disease and help protect your health for decades to come. Exercise Is The Wonder Drug You Don’t Need a Prescription For We all know exercise is good for us. If physical activity were packaged into a single pill, it would be the most prescribed blockbuster medication on earth. The benefits of exercise are incredible: Improves your mood and mental clarity: Triggers natural endorphins and neurotransmitters that combat depression and chronic anxiety Protects against chronic illness: Drastically reduces your risk of cardiovascular disease, stroke, type 2 diabetes, and multiple types of cancer Improves immune function: Studies show regular moderate activity significantly lowers the risk of severe respiratory illness and hospitalization from viruses like COVID-19 Protects brain health: Staying physically active through midlife helps reduce the risk of cognitive decline and dementia Improves metabolic health and sleep: Helps regulate insulin sensitivity, blood pressure, and circadian rhythm But the CDC reports that fewer than a quarter of American adults meet the full federal benchmarks for aerobic and muscle-strengthening activity. Why is that? Because for many people, moving regularly hurts, feels overwhelming, or doesn't fit well into everyday life. That's where your physical therapist comes in. Physical Therapy Helps You For Life To stay active, you have to first be able to move comfortably and safely. Physical Therapists are doctoral-level experts in the human movement system. They'll evaluate your entire body to reduce pain, get you moving better, and help you find the best exercise routine for you. They can also work together with your broader healthcare team. Whether your physician has urged you to lower your blood pressure, manage cholesterol, or improve your HbA1c levels, your PT can design an exercise prescription to help with these goals safely, and without pain. Think of your physical therapist the same way you think of your primary care physician or dentist: someone you visit for regular check-ups, movement screenings, and prescription changes. As your body changes across different decades, or as your lifestyle shifts from training for 10Ks to keeping up with grandkids, your PT can help you stay pain-free, capable, and healthy. Aging is inevitable, but losing mobility, strength, and independence is not. You don't have to wait for pain to make an appointment with your PT. Whether you want to run your first 5K, get back in the gym safely, or maintain your mobility and independence, think of your physical therapist as your movement coach and lifelong partner.