Excited about a book addressing this!

books:

	• Relieving Pelvic Pain During and After Pregnancy: How Women Can Heal Chronic Pelvic Instability Cecile Rost Hunter House, 2006 - 160 pages average customer review:based on 5 reviews view larger image
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highly recommended

Excited about a book addressing this!

As a healthcare provider I am very excited about a book addressing pregnancy related pelvic pain! It is very frustrating to have a woman in your office tearful and in pain at just the time she should be anticipating the joyous arrival of her new baby and feel that there are very few tools at your disposal to help her. Often at that point I find that women are so exhausted and aggravated by their condition that a referral to physical therapy is unwelcome - as she feels she "hurts too much to exercise" and that adding "another thing to do" merely adds to her burden. Reviewing the "symmetry" and "stabilization" exercises in the office will be a good starting point and hopefully provide some encouragement.

In reading straight through the book I have some suggestions that might make the next edition more user-friendly. The illustrations in the book are very, very helpful and necessary in instructing women who are not familiar with the "medical" terminology (transverse abdominals, internal rotation, abduction, etc). In several cases, however, the instructions for doing an exercise were located on a different page than the illustration and necessitated flipping back and forth, which is especially aggravating if you are following along and actually attempting to physically DO the exercise at the same time (which I was). Similarly, adding an "Exercising at Home" summary at the end of the book (like the "How to Test Yourself" section) that women could refer to would be helpful - perhaps even a tear-out mini-poster to tape to the wall?

Aside from a few nit-picky details (such as "In Figure 6.1C should we really be having her look UP, exaggerating the cervical lordosis, rather than tucking the chin downward and continue the stretching and straightening of the spine?" ) I found the information in the book to be good and useful. I think that the passages describing the exercises and methods to ease daily activities would be more "patient-friendly" if the explanations of how the different bones are interacting were left for the end. Also, I would have liked to see a few examples of how NOT to do the exercises (avoiding common pitfalls - i.e. "Make sure you bend from HERE and not from THERE") as the author has instructed many clients I am sure she has seen all the ways people can do them WRONG.

Thank you to Cecile Rost for writing a book addressing this under-addressed problem.

I acquired this book via the Early Reviewer program on LibraryThing and review is also posted there.

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Pregnancy weakens the ligaments that keep the pelvic bones together. If those weakened ligaments become overloaded or injured, it results in pelvic instability ? pain around the joints that can be brief or last for years after the birth. In 1996, Cecile Röst, who suffered from this condition herself, devised a treatment program that is simple, home based, and proven to work. Her book, with over 100 illustrations and detailed testimonials, is divided into two parts. The first part shows simple exercises for symmetry and stabilization, and the proper way to lie, sit, and get out of a car in order to prevent pelvic instability during pregnancy. Patients can practice these exercises and positions with or without a care provider?s help. Part two, aimed at care providers, shows the results of a survey carried out among 200 women suffering from pelvic complaints. Here the author also presents a theoretical treatise of pelvic pain, the protocol of the first consult, and the contents of the therapy, including a sports program.

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