Wednesday, October 4, 2017

Q&A Sternum Pain during pregnancy

Hi Karen – my sister is pregnant (week 30) and she is having numbness and pain in her lower sternum that is worse while sleeping.  The only way she is getting sleep is propped up to an almost sitting position.  She is local and I adjust her.  Any thoughts?

Thanks much!
Tim

Hi Dr. Tim,

Thanks for sending your question.  2 things come to mind immediately. 


1.    She may have a rib head out...check that both anteriorly and posteriorly.
2.    The baby is exerting pressure upward (Is the baby breech by any chance?) It could be a foot as well pushing upward and causing mom agony in the form of a pseudo hiatal hernia. 
If it's #1, obviously "adjusting" her rib heads will make all of the difference.
If it's #2, do the maneuver found on page 35 of my book Pre-Natal Chiropractic Care. 
If sleeping up right gives her relief I am more inclined to believe it's not a rib head, but check it anyway.

I hope this helps.  Reassure your sister than when the baby engages lowere into the pelvis all of this discomfort should go away. 

Let me know how it goes.

Love & Gratitude

Dr. Karen Gardner


Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

Q&A Preterm Labor

Hey Dr. Karen,

I have a patient that is just 29 weeks along and is in premature labor.  She is 2 cm, 50% and her cervix is ripe.  Do you know of any tricks, herbs or homeopathics that can stop her labor.  She is taking Black Haw and that has lessened the contractions a lot, but not stopped them.

I appreciate your help.  Thanks!
Dr. Jenn


Hi Dr. Jenn,

It is VERY common for pre-term labor in the summer months because of how easy it is to get dehydrated.  Make sure mom is drinking TONS (I really means TONS) of water.  Black haw is a good herb, so is cramp bark.  Maybe you recommend that she could try that one as well.

As far a homeopathy goes, arnica montana is the first that comes to mind then Belladonna.  I highly recommend that she clears these recommendations with her primary birth practitioner, though. Don't forget, you can get a TON more information in my class on Herbs and Homeopathy. The previous link will save you 10% on tuition should you decide to join up. 

Mom MUST stay off of her feet, too.  Let me know if there is anything else I can help you with.  Thanks for trusting me with your valuable practice member.  I consider it an honor. 
Love & Gratitude

Dr. Karen Gardner




Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull



Q&A What do to about postpartum tearing

HI Karen.
I have a practice member who has had unhealed post partum tearing.  The baby is 7 months old now.  Her MD wants to give her a Femring implant.  She doesn't want it.  He says its either nerve damage or low estrogen.  Any thots?
Love Jeb


Hi Jeb,

Good to hear from you.  Wow, poor lady with 7 months of agony. 

I have no idea as to the extent of her tearing so I am going to tell you what I usually recommend for "normal" post partum healing. 

I would recommend evening primrose oil taken orally.  If she has low estrogen (I'm guessing she's nursing, hence the low estrogen) the evening primrose oil gives her GLA (Gamma Linoleic Acid) which is a precursor to hormones.  If her body needs it, her body can convert to GLA to whatever hormone that is lacking.  It's sooooooooooo much safer than hormone therapy.

I would also recommend vitamin e oil applied externally.  It speeds healing and reduces scar tissue.  The homeopathic remedy Arnica Montana taken orally is almost miraculous in it's ability to aid the healing process. 

Sitz baths and external application of certain (diluted) essential oils may also prove effective. Frankincense and Helichrysum come to mind. I have a class on essential oils that may prove helpful as well as a class on herbs and homeopathy that goes into much more detail.  If you follow the links to these classes from this blog, you will save 10% on tuition. 

I hope this gives you some idea as natural alternatives.  Let me know if this helps.  

Until next time........

Love & Gratitude

Dr. Karen Gardner



Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now



Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull


Q&A Pregnant DC asks a ton of questions about...well...everything

A pregnant chiropractor just discovered she was pregnant and had a TON of questions about what to do and how to continue practicing, nutrition, etc. 

Follow along below.

I  just wanted to ask you about a couple things:

Do you think it's important to take folic acid supplements?  YES  ABSOLUTELY!!!  AND NO. DON'T DO IT. You need to take FOLATE and not FOLIC ACID.  Folic acid is the synthetic form of Folate. Folate is one of the most important supplements you will need during Pregnancy.  About 400 mcg is the standard found in most pre-natals.  It prevents spina bifida, oral cleft defects, tongue and lip tie, and other fusion abnormalities.  It's a necessity.

How do I find a good midwife? Ask people in your community who they would recommend.  There is an organization called DONA (Doula Assoc. of N. America) they may be able to direct you to a naturally centered midwife.  Remember, midwives can be medical, too.  So interview them to see who is a good fit for your needs and wants.  That's what I did. 

Do I need to go to an OB-GYN for a pre-natal visit? NO WAY!! You can see a midwife at anytime during your pregnancy and they are trained in regular GYN care as well!!

What's the usual thing a pregnant woman does in terms of prenatal care? My intuition is just that I need to find a good midwife that supports natural childbirth, and that I don't really need to go to an Ob-Gyn. Follow your intutition girlfriend.  You are right on the money!!

Any other things I should think about doing? Taking a child birth class would be great later on in your pregnancy.  I recommend Bradley or a Bradley like class.  It's a great way to build your practice, too!  You may even offer to hold the classes in your office (if you have the room) in exchange for your tuition.  You'll then have posters, signs, photos, etc of the importance of chiro care during pregnancy....offer exam, etc....you get the idea.

This won't affect me now, but what did you do recommend me to do towards the end of my pregnancy concerning my practice. I don't have anyone practicing with me and I was thinking of hiring an associate later on in about 7 months or so.  Great question!  You're right, it doesn't effect you now and it's far too much to go into via e-mail right now.   Right now I am coaching 2 women who just returned back to practice after having a baby.  One of them I coached right through her pregnancy on how to make the transition out of practice and now back into again after the birth of her baby.  If this is something that interests you, let me know.  We can set up a time where you can have a FREE call with me and discuss some possibilities to see if this would work or not.   The reason I recommended  it is, because when you take maternity leave and then re-enter the practice,  it really is a process that takes time to implement correctly and slowly.  Make sense?  Anyway, we can certainly discuss the options if you are interested.  OK?

Let me know if there is anything else I can help you with.  I am SOOOOOOOOOO happy for you.  From what I know of you so far, I think you'll make a terrific mommy!  Until next time........


Love & Gratitude

Dr. Karen Gardner




Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

Q&A Infertility and Chiropractic

Hello Karen.

I have a question re: fertility/infertility.
I have a young woman has one ovary, endometriosis, a potentially blocked fallopian (sp?) tube, a husband with low motility, many previous failed in vitro and "forced in vitro" attempts.  They have one child through a "forced in vitro" attempt and they would very much like to have another.  I offered to consult with you and Madeline Behrent on their behalf.

Is there a protocol (chiropractic, nutrition etc.) that I should consider with them or are there simply too many roadblocks. 

I'd love to hear your thots.
With Love and Gratitude.
Jeb  


Hi Jeb,

Thanks for trusting me with your valuable practice members, what an honor! 

Is the father currently under care as well or just mom?  In my experience with women who are having fertility issues, coccyx is a key.  C2 is also a major component to the problem.  If those 2 areas are clear, then it's good ol' L3 and sacrum.  I'd bet that mom had quite a fall on her tailbone in the past.  Ask her. Always clear cranial issues as well, 

As far as nutrition goes, Vit E is essentail for reproductive health.  Evening primrose oil helps to balance hormonal flucuations, but should not be taken during pregnancy (until late 3rd trimester when it helps to "ripen" the cervix)

There are no homeopathic or herbal remedies that come to mind for this problem.  But if I think of any I will be sure to let you know. 
I hope this helps a little.  Keep me posted.  Again, I would definitely check the coccyx. 

Dr. Karen Gardner

Earn 11 CE credits online (Where applicable. Some restrictions apply)
Gardner Method  Prenatal Chiropractic Program

This is the COMPLETE, ON-DEMAND, 15+ module series on the Gardner Method of Prenatal Chiropractic care.  It is a "go at your own pace", online webinar series where you can earn up to 10 CE credits. Some restrictions apply.  Continue reading to learn more.
Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

Enroll now and save 10% off of your tuition.



Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

Q&A Adjusting during labor and the newborn

Hi Dr. Karen:

I registered for your course and am enjoying it very much, thanks!  I had a couple questions that I wondered if you could answer.

At what point in the labor process do you decide to go to the patient, vs having them come to you?  I'm thinking more about home births here, since I have a large percentage of those in my practice.

And what do you do about adjusting the newborn when you attend a birth?  Do you do that right away, and do you charge separately for that?

Thanks so much for your insight!

Dr. Carolyn


Dr. Carolyn,

I am so happy you are enjoying everything!  Thanks for letting me know.  Thanks also for asking some great questions, I'll do my best to answer them.

Now...in early labor a mom ALWAYS comes to me.  This stage can go on for days.  I have found that when adjusted it helps to speed things along.  When she is in full blown labor (contractions are 2 minutes apart) that is typically when I would go to them.  They are pretty much in no mood to travel anyway so it works out. I no longer attend births for a variety of reasons so I am sharing what I used to do MANY years ago. 

I adjust the baby after the cord has stopped pulsing and after the cord is cut.  I also let mom get attended to before I check the baby.  Usually within the first 20 minutes after birth is when I check to see if the baby needs to be adjusted.

Usually the first adjustment is included in their pregnancy care plan, so if they have paid for a plan then I do not charge for this service.  If not, it depends on the circumstance whether or not I charge.

To be honest, I am usually so overwhelmed with emotion at a birth and I usually say this is my birthday gift to baby and don't charge anyway...bad business maybe, but that's just me. Again, this was EONS ago. 

I hope this helped.  Let me know if you need anything else form my end.  Have FUN!!

Love & Gratitude

Dr. Karen Gardner




Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

Q&A Can a patient have bilateral superior pubic bones?

Hi Dr. Karen,

I have a patient just 37 weeks now.  I've been adjusting her about every 2 weeks during the pregnancy and now they determined the fetus is in the breech position. 
Followed your procedure for 3 visits this week, has not turned yet put mom says the fetus feels like its more transverse now. (ultrasound was neg. for cord or placenta problems).  On exam today, the right pub checked superior and the left pub is tender.  Could she have a bilateral superior pub?

Yours in Health,

John  B.  II, DC

Hi Doc,

Thanks for writing.  Yes it can be possible for bilateral superior pubes, not too common, but not impossible either.  I would adjust the right one you are finding.  Then go back and check the left.  There could be residual tenderness because the round ligament is also taught so check there as well. 

I would also check C2 and coccyx.  These are major players in a transverse presentation.  Don't forget to check for TMJ dysfunction and Frontal Bone involvement. The frontal and pubic bones mirror image one another. 
I hope this helped.  Good Luck and please let me know if I can be of further assistance.  Until next time....
Love & Gratitude

Dr. Karen Gardner




Want to build, grow and perfect your Pregnancy Practice? Let's get on a call to discuss your strategy. The first call is on me! Schedule now


Dr. Karen, just wanted to say wow...I've learned so much and I'm only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull