Jesse Lillejord & Cassidy Vitzthum – Anatomy and Physiology of Pregnancy: Changes in Body Mechanics and Impact on MSK System, Overall Function and Pain

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Speakers: Jesse Lillejord, DC |  Cassidy Vitzthum, DC

Duration: 2 Hours 05 Minutes

Format: Audio and Video

Copyright: Nov 29, 2022  

Media Type: Digital Seminar

Description

This is the ultimate guide to understanding the hormonal and musculoskeletal changes associated with pregnancy and postpartum.  You’ll explore the body mechanics by trimester and dive into the myriad of structural changes and most common pain complaints.  Hot topics covered include:

• When “sciatica” isn’t actually sciatica – and how the piriformis may be the problem (and solution!)
• HYPER-mobility and the systemic implications for optimal MSK care
• How to better asses/evaluate for the increased fall risk
• Autoimmune and post-partum – what to look out for! 

Enhance your understanding of the mobility and stability challenges associated with pregnancy and streamline your treatment plan for pain free pregnancies. 

Speaker

Jesse Lillejord, DC

Dr. Jesse Lillejord attended undergrad with a focus on chemistry – becoming Analytical Chemistry Student of the Year her third year and assisting her organic chemistry professor in O-Chem lab. Dr. Jesse was also a collegiate runner at her undergrad college. As she was immersed in the world of movement and science, she gravitated toward a graduate program that combined those same interests – chiropractic. She graduated as a Doctor of Chiropractic in 2009. Shortly thereafter she married and had two children of her own. This transition into the world of motherhood created a passion for perinatal and pediatric care. She created the first specialty chiropractic clinic in the state – CHIRO FOR MOMS in 2018 with the creation of CHIRO FOR KIDZ to follow in 2020. She is still wildly passionate about specialized care and the education surrounding the ever-evolving field of chiropractic for women and children. Connect with Jesse on Instagram @chiro_for_chiro. Follow along with all things related to patient care on YouTube or @chiro_for_moms & @chiro_for_kidz.

Speaker Disclosures:
Financial: Jesse Lillejord is the owner and founder of Chiro for Moms + Chiro for Kidz. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jesse Lillejord is a member of the International Chiropractic Pediatric Association. 
 
Cassidy Vitzthum, DC

Dr. Cassidy Vitzthum grew up in a small town in northern Iowa. She started college as a student athlete, participating in track and field at Morningside College. She completed an undergraduate degree in exercise science from the University of Iowa in 2019. During the earlier years of undergrad, she was pursuing a career in western medicine, spending time as a medical scribe in various medical settings. After many eye-opening experiences, she made the decision to shift to chiropractic She completed her schooling at Northwestern Health Sciences while focusing on her passion for women’s health and pediatric care. Throughout school, she worked as a marketing and chiropractic intern at CHIRO FOR MOMS & CHIRO FOR KIDZ, which ultimately prepared her for the role she has today as a prenatal & pediatric chiropractic specialist. The clinic encompasses everything she is passionate about by catering to busy women and children and providing a space for her to grow as a compassionate clinician. Connect with Cassidy on Instagram @chiro_for_chiro. Folow along with all things related to patient care on YouTube or @chiro_for_moms & @chiro_for_kidz.

Speaker Disclosures:
Financial: Cassidy Vitzthum has an employment relationship with Chiro for Moms + Chiro for Kidz. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cassidy Vitzthum is a member of the ICPA.

Objectives

1. Investigate the mechanical changes of each trimester and postpartum and the associated impact on musculoskeletal care.
2. Investigate the hormonal changes of each trimester and postpartum and how those impact musculoskeletal care. 
3. Evaluate common pain related symptoms due to the anatomical and physiological changes during pregnancy and postpartum. 

Outline

Guide to Hormonal and Mechanical Changes by Trimester

• FIRST TRIMESTER
  • Hormonal changes – Relaxin
  • Mechanical changes –
    • Exaggerated lordosis
    • Widening/increased mobility of SIJ and pubic symphysis
    • Strain of pelvic structures
    • Altered gait and increased fall risk
    • Kyphosis in thoracic spine
  • Common complaints: LBP
• SECOND TRIMESTER
  • Hormonal changes – relaxin, progesterone, plasma volume rapidly increases
  • Mechanical changes –
    • Lordotic curve changes
    • Static stability reduced significantly
    • Piriformis hypertonicity compresses sciatic nerve
    • Compression of IVC
    • Shift in center of gravity
    • Anterior pelvic tilt
  • Common complaints: SPD, Carpal tunnel and RLS
• THIRD TRIMESTER
  • Hormonal changes – Estrogen, progesterone and relaxin
  • Mechanical changes:
    • Gait – step width and stride increases
    • Upward displacement of the diaphragm
    • Costal angle increases by 50%
    • Rib flare
    • Weight gain increases stress on SIJ    
  • Prepping for delivery: webster technique
  • Common complaints: Round ligament pain, sacrotuberous ligament tension, sacrum/tailbone
     
• DELIVERY & POSTPARTUM
  • Hormonal change:
    • Oxytocin
    • Ligament laxity 
    • Sleep deprivation
    • Post-partum depression
    • Autoimmune
  • Mechanical changes
    • Differences between vaginal birth and c-section
    • Poor posture
    • Long periods of neck flexion
    • Hypertonicity of the SCM
    • Diastasis recti
    • Weakened pelvic floor
  • Common complaints: mommy arm/shoulder, elbow pain, LBP

Target Audience

• Physical Therapist
• Physical Therapist Assistant
• Chiropractor
• Athletic Trainer
• Massage Therapists

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