Breech Babies: The Nitty Gritty Details

When I first started this practice, I always wondered why moms always waited until the last minute to reach out to me with a breech baby. Then I asked my friends who are midwives and OB/Gyns and they told me they don’t diagnose breech babies until 33 weeks. Cool. 

You see, when a baby is small and still pretty mobile, there is no reason to be concerned about them being in the right or wrong position. There are many factors as to why they may not be positioned correctly. It could be prior trauma, previous surgeries, multiple pregnancies, poor pelvic and lumbar bony and muscular function, and some freak accidents in between. 

As a chiropractor, I have been trained to evaluate the function of joints and soft tissues in the bony. As a Webster Certified chiropractor, I have been trained to zero in on the muscles, ligaments and joints that are found in the lumbar spine and pelvis. 

The Webster Technique looks is synonymous with the round ligament of the uterus, but it addresses (or at least should address) so much more than that. The round ligament is basically like an anchor for the uterus to the pelvis. It is one of the few ligaments that has muscular fibers within it in the human body, that’s why you can have a direct effect on it. Often pregnant women will feel round ligament pain when they sneeze, cough or laugh. You will feel it on the outside of the bottom of your belly. It is only ever felt in pregnant women, though it’s present in women all of the time. Another ligament that lives in the same area is the broad ligament of the uterus. Chiropractors who use the Webster Technique will also affect this ligament, but it isn’t thought of as frequently as the round ligament. 

But remember how I said the Webster Technique should address more than just the round ligament? 

Your chiropractor should be looking at how your low back and pelvis and how they are moving and functioning and if they are hyper- or hypo-mobile and then addressing the dysfunction via an adjustment, however that may be. Another important structure for a chiropractor to look at is the musculature. The psoas, the lumbar spine erectors and the muscles of the core are important for encouraging proper fetal positioning. 

If your chiropractor is trying to help your baby get into the right position and they are only addressing one of these elements, get yourself a new chiropractor who does. I can’t tell you how many moms I see who called because they were seeing a pregnancy and pediatric chiropractor during this pregnancy or a previous pregnancy with a breech baby and they saw me and had no idea what i was doing because their other chiropractor didn’t do what I was doing (which is more, from what I am told by the patient, than their other provider). 

Look at the ICPA’s website to find a Webster Certified Chiropractor in your area, but if you are local to San Antonio and would like to schedule with me to address whatever is going on in your pregnancy, low back pain, neck pain, breech presentation, just let me know...I’ve seen it all :) 

If you feel like I am a good fit for you, my number is (210) 323-2163, we can chat and get you on the schedule.

The Big Three: Muscles in Spasm During Pregnancy

PREGNANT WOMEN LISTEN UP!

Your muscles will inevitably go into spasm. Which ones they will be I don’t know, but I am willing to bet it will be one of The Big Three or all of them. These muscles all are intimately related to pelvic and low back stability. You have your lumbar spine erector spinae, your iliopsoas and the piriformis. 

The erector spinae muscles lay on either side of the spine and go from the low back all the way up into the neck. They’re a group of muscles including the iliocostalis, longissimus, and spinalis (try saying those three times fast). The names don’t really matter as long as we know what they are meant to do and why they aren’t working properly for you. So, normally these muscles are meant to only be spinal stabilizers and are only meant to keep you standing upright (and sometimes will help with rotation of the spine)...but guess what. During pregnancy you’re putting a lot on these guys, but don’t worry, it’s not your fault, it’s just the nature of the beast. Your center of gravity gets thrown off and these muscles wind up becoming strength muscles just trying to properly keep you from collapsing forward. Fun stuff, eh? 

Outside of being a fun word to try and say for the first time, the iliopsoas is your primary hip flexor and is responsible for bringing your knee to your chest. Sometimes it can be in such a spasm it is seen on x-ray. We don’t need to X-ray you though to know yours is in spasm, don’t you worry mama. The reason yours is going into spasm gets back to the whol center of gravity being thrown off again, however this is more related to your pelvic center of gravity. Your pelvis goes into what has been coined ‘Lower Crossed Syndrome’ by people smarter than me. Basically your pelvis tilts forward to accommodate a growing baby and indicates spasm in some muscles and weakness in others, in this case, we are talking about the iliopsoas. 

The piriformis is such a tiny muscle but is the biggest pain in the butt. This muscle is responsible for causing sciatic-like symptoms in many people, whether they are pregnant or not. Without having any kind of trauma in pregnancy, I just assume this is the culprit if a patient comes in complaining of numbness/burning/tingling going down their leg. It is responsible for external rotation of the hips (opening your leg up). In pregnancy it acts as a sacral stabilizer and is just trying to keep your pelvis glued together, because let’s face it, your ligaments are drunk on Relaxin. 

We have a video about how you can stretch these muscles out available to our followers on Facebook and Youtube. If you’re experiencing low back spasms and are pregnant (or not) these are pretty easy and reliable stretches to help while you wait to get into see us.

Give us a call at (210) 323-2163 to get on the schedule, we are always happy to help you have a comfortable pregnancy :)

Natural Family Planning: BBT and Charting

Whether you want to have a baby or are trying to avoid it altogether and also want to avoid hormonal birth control, you’ve come to the right blog! 

When I first learned about charting in my obstetrics class, I couldn’t understand what each point in the chart meant, but you can learn a ton. 

First things first, you need a way to measure your basal body temperature. This requires a special thermometer that measure to the hundredth of a degree because we are talking small but significant changes in temperatures. Luckily you can get them almost anywhere and prices vary greatly. Now that you’ve got your thermometer, you have to make sure to take your temperature at the same time everyday. Make sure it’s before you get up and start moving around, this temperature is measuring when you’re at rest, so it’s best to do it after about 4 hours of no activity, like in the morning before getting out of bed. 

There are different tools that try to make it easier for you to track your BBT, like the Ava or OvuSense, which are wearable trackers. One you wear on your wrist like a watch while you’re sleeping and the other is inserted like a tampon. 

So, now you’ve gotten your chart going, but now what are the key points you should be zeroing in on? Before ovulation, your temperatures will be lower and then there will be an exponential spike and then them temps will continue to stay high. Sometimes there will be a slight dip in temperatures before the spike, which is called an ovulation dip. 

There is so much more to track, and we will save them for another post, this should get you on the right track though on starting to track your ovulation. Check back later for more ways to track your fertility. 

Tongue Ties: Sally Isn't Selling These by the Seashore

I will be honest, when I first started working with babies and tongue/lip ties, I had no idea what I was talking about (sorry to my first few patients, I know so much more now). I honestly thought they meant tongue twisters and had to go home and look them up. 

I still send people to the professionals on the subjects, IBCLCs and pediatric dentists as I can only tell when they are really bad. I always say we all would do better for our patients if we just stayed in our lanes. 

Are you like I used to be and confused? 

I got you! Tongue ties and lip ties are a common diagnosis I hear about from patients when they are having breast feeding issues with their babies. When there is a tie of the tongue or the lip, it changes the way the mouth and tongue can work. If the tongue and/or the mouth can’t work at their best, then breastfeeding will be difficult for the baby (and in turn, the mom). Oftentimes, there will be pain on the mother’s part and frustration and colic on the baby’s end. Luckily, there are almost instantaneous ways to fix them via tongue/lip tie revisions as well as adjustments and soft tissue work.

When I’ve spoken with the dentists in town that do tongue tie and lip tie revisions, they prefer that their patients get body work done prior to and following the treatment. The exercises they give you following a revision are important to prevent scar tissue from forming, which opens up a whole other can of worms when it comes to breastfeeding. 

As a chiropractor, I am always trying to get a patient’s body to move as close to optimum as possible. When we can do this, everything just goes smoother, including breastfeeding. However, when it comes to tongue ties, looking at breastfeeding is SO SHORT-SIGHTED. It can affect someone their entire life (just ask me). It can lead to TMJD, texture issues, speech problems, etc.

I was a formula baby and never had a problem eating or gaining weight (Awesome.), I was happy all the time and never showed any signs of discomfort, so my parents (and many at the time) never even heard of tongue ties or lip ties. So now I am one of the lucky ones who gets to deal with TMJD, a texture problem and neck tightness. Sure, I could get it revised, but I’ve figure life out now and am lucky to be married to someone who can fix it. 

My adult patients who have had their ties revised have some pretty amazing things to say about it. 

What I typically look for and notice is that a baby may only open one side of their mouth or have a side preference. They may also have tightness at the top of their neck. By using an adjustment and some soft tissue work, we are often able to get them back to feeling better quickly and their recovery following a revision is quick. 

If you suspect your child has a tongue tie or a lip tie, please reach out to see if we can help and as always, if not, I will be glad to give you the names of our favorite professionals. 

Our number is (210) 323-2163.