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Title: "From Pregnancy pains to blocked milk ducts. Babies with torticollis, flat-head, tongue tie and more." PART 1
Guest: Greg and Iqra from The Osteopathic Centre
Host: Kathy, Empowa
Recording Date: 23rd August 2023

Title: "From Pregnancy pains to blocked milk ducts. Babies with torticollis, flat-head, tongue tie and more." PART 2
Guest: Greg and Iqra from The Osteopathic Centre
Host: Kathy, Empowa
Recording Date: 23rd August 2023

0:00 [Music] hi guys and thank you so much for tuning 0:09 in I am super excited to be with an amazing pregnant and popped partner company today today I'm with Iqra and 0:17 Greg who are osteopaths with the osteopathic Center they have multiple 0:22 locations throughout Singapore and I am so excited to learn more about osteopathy and how in particular it can 0:30 help mums and babies today so first of all guys can you introduce yourself hi 0:35 yeah so thank you for having us my name is ikra Kazi a UK trained osteopath I've 0:41 been in Singapore for around five years now and I've been an osteopath 0:47 practicing for 10 years my Keen interest is in University was Sports Therapy and 0:54 pre and postnatal care so I chose this as one of my electives and once I graduated from uni I worked in a private 1:00 Clinic I treated everywhere from beginning stages of pregnancy to 1:07 postpartum and worked within private and NHS sectors 1:13 hello hi guys I'm Greg I'm also a UK trained Osteo I've studied in the UK 1:19 I've been in Singapore for now seven years almost I'm from France in the first place yeah be working here for uh 1:27 seven years now so my my interests or mostly around pregnancy and babies but 1:35 also work with sporty people and I see the average patient as well I've been 1:40 working a lot with the babies and and the moms since I've been in Singapore so 1:47 it's been a while now recently learned about you guys is that 1:52 you study together is that right yep we study together Greg was uh in University 1:57 with me he was one academic year below me and we had a buddy system in uni 2:03 where um you would shadow the the student on the year above and so I've known Greg 2:10 for over 10 years though so I used to I used to shadow shadowy craft I was the shadowing guy and learning a lot from 2:17 her at the time this would explain why I have so many pregnant and popped 2:22 attendees and clients that say how they transition often between the two of you a lot of people say that they see it cry 2:29 and they also see Greg yeah yeah exactly so it's really collaborative uh here and 2:35 a lot of the times if a patient can't get to their practitioner that they want to see we take thorough notes and 2:42 because we came from the same school we have the same style of treatment as well it's very you know a one week a patient 2:49 can't see Greg they'll come and see me and vice versa okay and that's really interesting because she said in terms of 2:55 style of treatment which leads me on to a question that I 3:01 get asked a lot yeah but also I don't always feel qualified to answer which is What is Osteopathy? 3:07 what is osteopathy and how is that different to Kairos and physios so yeah 3:14 we get asked this a lot okay a lot a lot a lot in essence it is difficult to describe 3:21 because they are all forms of manual therapy um it is the the main difference between 3:27 them is we try we treat osteopathically so osteopathically means we have our own 3:32 forms of examination diagnosis and treatment so 3:39 a chiropractor might treat a little osteopathically and a physio might treat a little bit chiropractically it's it 3:45 all merges together they're all in we're all in the same kind of bubble in terms of manual therapy and pretty much 3:52 treating the same types of issues as well so musculoskeletal issues the the 3:58 quintessential thing about osteopathy is We Believe structure governs function so we take structure very seriously and if 4:06 we help to make the structure of a person the optimal it will help with 4:11 their function later also very holistic in the way we treat so for example if a 4:18 patient a patient comes in with hand pain we're not just purely looking at hand we're looking at elbow is it is 4:23 there an impingement or issues coming from neck is there an issue with shoulder is there a referred pain is it 4:29 nerve is it muscle is it tendon we're looking at the whole picture and hand pain for each person can be different so 4:36 a hand pain for a rugby player compared to a boxer might be different or someone who's a sedentary person or someone 4:42 who's breastfeeding all the time who's kind of adopting very awkward hand positions it might seem a little bit 4:48 different to someone who's just done boxing like three times a week so we're looking at the person's individual uh 4:55 picture as a whole and then treat accordingly okay so it's a blended approach of some 5:01 of the things might seem similar to have chiropractors and some things might seem similar to how physios do but you're 5:09 looking at it from a whole perspective yep looking at how aligning and making 5:16 sure the structure is there so that everything works yeah and and there's also like like as 5:22 you said blend a little blend a little bit of overlapping between techniques so we might see a technique that is very 5:29 similar in the Cairo world compared to the osteopathic world and same with the physio so we use different manual 5:37 therapy techniques that are osteopathic but also sometimes similar to the other professions the idea of put it back not 5:45 put it back but like bringing back Mobility to the body is something that we share with chiropractors and also physios so it has 5:53 to be overlapping which is good as well because we can work together pretty well we're competing each other I would say 6:00 especially physios and osteos we more like in the what I like to explain that 6:06 to patients when I compare physios and osteos and if you want to make it a bit 6:12 black or white they work a lot in the rehab world and we have more Hands-On of course we can do a lot of rehab and they 6:19 can do a bit of Hands-On work as well but this is how we differentiate from 6:25 both professions and uh and that's why we can work all along together and that's why that's why like it's good 6:32 to to work closely with physiotherapists and sometimes chiropractors and am I 6:39 right in thinking that around the world this is becoming much more of a mainstream treatment solution that is 6:44 being recognized yeah so it's being a lot more recognized in the UK so obviously we trained from the UK and 6:51 it's now it's been accepted for a few years in the NHS so very much so before it was a complementary therapy something 6:58 you that is outside of the health module health model now it is uh in certain 7:04 Borrowers GP can refer you to an osteopath which is great for the profession but it also 7:10 shows to the level that we train and the amount of clinical hours that we do and how helpful we are for musculoskeletal 7:16 issues bringing it specifically to the audience in question at what point do When is the best time to see an Osteopath during PREGNANCY? 7:23 women and when they're pregnant typically come and see well when you think they should come and see you they 7:30 can come through our all trimuses but we are really careful before 12 weeks so before the 12 week Mark we are a little 7:37 bit more gentle in the pelvic and lower back region but it's not to say that you can't come in for an existing issue 7:43 either but very much so between the second trimester all the way to the fourth 7:48 post-natal very sleep deprived trimester we see people throughout their whole 7:53 pregnancy so we help alongside doulas midwives nurses we're pretty much there throughout your 8:00 whole journey and Beyond so you can come at any time a lot of the times people feel they need to come in just for a 8:06 pregnancy related issue and that's not the case so if you're already dealing with knee problems or or tennis elbow or 8:13 if you're having headaches yes by all means you can come it's just before that 12-week Mark we're a little bit careful 8:20 so what What the most common PREGNANCY related conditions you help with? 8:27 what period so there's many so some of the common things that we see is 8:33 probably pelvic girdle pain that's probably one of the big big factors it happens towards the second and third PELVIC GIRDLE PAIN 8:39 trimester it affects one in five women if you have pre-existing low back pain 8:44 50 to 70 percent of people might develop pelvic girdle pain it used to be called synthesis pubic dysfunction and 8:51 essentially what it is is as the pregnancy progresses the Curves in the lower back get even more deeper so we 8:58 call that a low doses so that low doses gets deeper when the uterus grows the baby kind of 9:03 projects forward and downward and one bony element at the front of the pubic 9:10 in front of the pelvis is your pubic bone pelvic Gilder pain basically is when 9:16 there's too much pressure on that pubic bone and it's really specific like a lot of the times patients will be like it's 9:22 a specific pain I can kind of pinpoint where it is and it typically manifests 9:27 as pain on one leg anything that forces you to wait there on one side so 9:34 turning in bed getting in and out of a car climbing stairs the most common 9:40 common thing I see is people putting on trousers or underwear because there is an element of being on one leg and 9:45 bending forwards and that is a lot of the times when you're like I have to sit and do it so this is a common very very common condition that 9:53 we see and how we go about treating this condition is there obviously there's advice and tips 9:58 that we give women so steering away too far from your center 10:03 of gravity so a lot of the studies suggests too much or too little exercise 10:09 can be a help or a hindrance so so you have to exercise within your realm of of 10:15 discomfort so you don't want to get out into the discomfort Zone so a lot of the times if you do squats 10:21 lunges don't take it too far if you're wanting to strengthen certain areas of your lower back putting a band or an 10:27 exercise band around knees while doing clams open and close shell that kind of stuff can help 10:33 the biggest thing that can help is obviously coming to see us because what we do is we do some indirect techniques 10:40 on the pubic area so it's not too invasive and we also try to calm down 10:46 the structures that are overworking so like I mentioned that pubic bone is kind of inflamed and anything that 10:52 attaches to that pubic bone like the inner thighs the adductors work really hard those muscles tighten and they 10:58 tense so we do a lot of techniques to loosen those muscles sometimes I get partners to come in and I teach partner 11:04 how to do at home for mother as well so uh it's it's easy it's basic you just 11:11 have to guide partner in that's one one element we work heavily on like psoas hip flexors glutes they tend to tighten 11:18 up and lower back involves a little bit of soft tissue a little bit of articulation but most importantly getting partner to come in getting 11:25 mother to do it regularly and that's the most common thing that you see is paying in that area pain in 11:32 your pube anything in and around that area but also anything involving the 11:37 lower back anything involving the glute one of the biggest things that we get is like we get this pregnant or not is disc LOWER BACK and DISK PAIN 11:45 problems so a lot of times patients will come in and be like my doctor told me had a disc problem and then it's like ah 11:51 I've got this problem for life not the case okay it is very much an umbrella term most discs retract so what people 11:58 refer to as a Slip disc it's a spectrum anywhere from a bulge to a complete herniation around six to one six months 12:06 to 18 months it will tend to retract anyway so that's one thing to know but if you do have a disc issue and you're 12:12 during pregnancy it can cause a bit more issue and that and we are known for 12:18 lower back so we have low loads of techniques to help alleviate the disc so a lot of traction techniques advice and 12:26 exercise and even in some cases using a brace if they need to so some of the 12:31 common common things we see is lower back disc pelvic pain another common thing that we see that I think is really 12:38 important is something called piriformis syndrome and that is basically a fancy way of saying there's a muscle in the PIRIFORMIS SYNDROME (a pain in the bum?) 12:43 glue it's called the piriformis the sciatic nerve is like a rope it goes anywhere from the lower back all the way 12:48 down the foot there's certain points within that nerve that can get impinged and during 12:54 pregnancy that muscle works really hard so this is why examination and case history is really important because if I 13:01 just keep treating the lower back it may not never help that issue because it's actually coming from your glute so we 13:07 work we try to analyze if that's the correct thing to do and then we'll work on that piriformis and obviously give 13:12 stretches as well so I haven't talked about some of the pain issue an issue that your problem 13:18 pregnant Alliance might be experiencing either something that they had before or something that's been aggravated during 13:24 the pregnant phase of their life and one of the things that I see with a lot of 13:30 pregnant women is that they're concerned about swelling be that in their lower SWELLING DURING PREGNANCY 13:36 extremities or other parts of their knees is that something that you help with or see a lot yeah yes I mean during 13:43 pregnancy it is super common to have swelling um obviously it's important to note that when it comes to swelling 13:49 sudden onset swelling hands feet face is it it can be high blood pressure must be 13:55 checked straight away because that could be a medical issue so definitely go to your OB GYN for those but aside from 14:01 that yes swelling in the ankle swelling in the hands and the way we approach 14:06 this it's actually a really nice rhythmic technique that we do it's called lymphatic drainage and 14:13 essentially what we're trying to do is all that excess fluid we're trying to get it from distally so feet for example 14:22 trying to move the fluid to up the upper lymph nodes so it drains so it's a very 14:28 rhythmic non-painful technique that we do and we we incorporate that with a little bit of muscle Contracting like 14:35 calf pump almost like mimicking a compression sock if that makes sense going back and forth at the same time 14:40 trying to drain fluid commonly we work from ankle to hip and then wrist to kind 14:47 of lit near the axillary the armpit area it is really effective it's really effective a lot of times 14:52 women coming in they're like I couldn't put my shoes on this morning and now I'm like I wow this is amazing and again 14:58 teaching this to mother and teaches this to partner to to help them do the same 15:03 thing at home super helpful giving advice on cough pump exercises and uh 15:10 laying with feet above knee knee above hip also really helpful so with the the 15:15 technique that we use is um rhythmic it's non-painful it feels 15:21 good at the end and a lot less swelling after so with the talking about the swelling 15:27 in pregnancy also something that you help out with in the postpartum phase because I see that 15:33 a lot with clients yeah absolutely um as you know postpartum swelling is very common especially if women have had POSTPARTUM SWELLING 15:39 a C-section we do the same techniques but also postpartum swelling can develop 15:45 into many other conditions such as carpal tunnel syndrome just based on the fact that you're holding baby awkwardly CARPAL TUNNEL SYNDROME 15:51 long periods of times a lot of compression of the wrist and the nerve that innovates the hand gets compressed 15:57 we do the same techniques and we ask mum to do or partner to help mum as well and 16:04 obviously give advice on more water low sodium diets and all that kind of stuff as well okay if there's anyone out there 16:09 that was multitasking and didn't quite pick that bit up I am going to say the carpal tunnel syndrome or mother's rest 16:16 as we quite often refer to it is something that so many of my clients 16:24 um experience so if you were multitasking rewind listen to that again 16:29 make sure you know about the fact that osteopathy is one of the manual therapy 16:35 treatments that you can do for that because I think every single parent will be experience yeah yeah also the dance 16:44 actually so when the forehands in the household are painful it's it's getting 16:50 hard to do anything with the hands so if everyone is suffering from their wrist 16:56 that's not ideal because everything you do as a pet he's gotten 17:03 yes you hold a baby for breastfeeding how 17:09 you hold a baby for bottle feeding when you're pushing a push chair as everything is there extended thumb and I 17:17 experience pain personally myself for quite a long period of time and I still have some weird nerve stuff that goes on 17:23 with one of my fingers as a result yeah and it could be in many things it doesn't have to be carpal tunnel a lot of the time it can be something called TENOSYNOVITIS 17:28 tinosynovitis which is the thumb um which is really easily identified if you just Place thumb under in the hand 17:34 and drop the wrist and if you patients complain of a tightness or a pain like you said there's many conditions this 17:40 carpal tunnel this trigger finger this trigger thumb there's tenosynovitis for both parents so it's a really 17:45 important one we work heavily on forearm for that some of us do ultrasound and maybe dry needling as well yeah and if 17:52 there's anyone anyone currently trying to handle this just by wearing a split 17:59 another or as a father trying to be trying to hold babies so do try and come in and see if you can get some manual 18:05 therapy so that you don't have to wear that splits because I know a lot of mums will quickly go to that yeah as a quick 18:11 fix and yeah yeah as you said like if you do that this close your fist and go down 18:17 with your wrist and you feel an instant acute pain there that's a sign that with 18:22 the elbow extended and then you drop the wrist that's a Telltale sign for tinosynovitis for carpal tunnel it's the 18:28 tunnels test so we we tap here and if they feel parrot like weird tingly electricy sensation usually these three 18:35 fingers can be a sign of carpal tunnel and the fact that we're using our wrists 18:42 for everything else so when you're done with the baby you're on your phone when you're done with your phone you're on your keyboard so you never let this 18:49 wrist rest and um that can last for for it's like a tendinitis the tennis elbow 18:55 type of thing that would last forever so you don't want that so 19:01 and Greg one of the things that I have a lot of uh pregnant women say is that 19:08 they're getting more headaches than they've previously experienced yeah is HEADACHES 19:14 that something that osteopathy can help explain yes yes help explain and hopefully help as well so headaches can 19:21 be for many reasons there's many types of headaches from migraine to tension headaches to something called 19:27 cervicalgenic headaches so there's loads of reasons why we get headaches a lot of the reasons can be from postural changes 19:32 and hormonal changes and post-natally lack of sleep okay so lack of sleep is a 19:38 big one and not feeling fully rested but in terms of postural changes a lot of 19:43 the times in pregnancy the neck is really extended and the the shoulders 19:48 tend to Veer forwards the same thing happens when we breastfeed or we hold baby we have long periods of time where 19:55 we're kind of leaning in repetitively that can cause a little bit of shortening and strain in certain 20:01 muscles that give nerve Supply to head shoulder down the back everywhere 20:07 headache is also can also be from the base of the head so we work through a lot of the structures cranially and 20:14 working for the structures with the neck the upper back shoulders uh giving 20:20 advice on sleeping positions pillow so it's a big one we do sometimes I do a 20:25 little bit of dry needling as well into that area it is obviously there's like I was saying there's many types of headaches 20:32 so it may not suit that particular type but in terms of tension cervicogenic postural strain or even TMJ issues 20:39 because a lot of time they're lack of sleep or stress a lot of women clench at all they grind their teeth at night and 20:46 we actually do a lot of techniques within the jaw afterwards you have a really great relief because we're trying to kind of Gap the Jaw from within and 20:53 that helps massively with people's head especially when headaches come from here and they kind of people usually complain of a headache going like a strip going 21:00 across the forehead it can also come from the Jaw so postural trains yes can 21:05 definitely lead to headaches and we can try and help with the posture to help with the headache so how soon after How soon AFTER BIRTH can someone come to see you? 21:11 having a baby can people come in and see you if this 21:16 is something that's still ongoing so a lot of the times uh it depends on their delivery okay so if they had a natural 21:24 birth they can come within a few days literally as long as they're up for coming uh if it's C-section again we're 21:31 careful around certain areas we tend to say between four to six weeks depending on how the C-section went and being 21:38 really careful between lower back pelvic area and pubic and pelvic area 21:44 but if they're coming in with something like headaches or neck pain yeah and they've had a C-section and we're we're 21:50 very gentle around neck and shoulder they can come sooner and they don't need to be a pre-existing 21:55 claim for something that they had in pregnancy or before no not at all so a lot of these things might manifest 22:02 themselves after yes yes a lot like we spoke about the wrists and the forearms 22:08 that an area that doesn't really get used a lot is now heavily used the same applies to posture the posture that we 22:15 adapt breastfeeding a few times a day or holding baby up for long periods if you have colic baby or different types of 22:21 issues posture will change and adapt for those issues so yeah a lot of the times 22:27 people can come they don't have to come during pregnancy and they can come at any time postnatally it's just if you've 22:33 had a C-section it's good to wait about four to six weeks so Greg you are sitting here actually with a How does Osteopathy HELP BABIES? 22:41 very act sign Ed by you because you are increasing the 22:46 coming zone of the program Network for the work that you actually do with 22:52 babies so I would love it if you can explain to 22:57 the people that haven't yet thought about osteopathy for babies or who might 23:03 initially think that sounds like quite a scary um you know manual therapy babies what 23:09 what are we doing can you explain how osteopathy typically helps babies and 23:14 when they normally come and see you yeah when it comes to babies the eventually babies are like little 23:21 adults so we try to achieve the same thing that we try to achieve with the the adults but 23:28 when it's a baby and obviously you need to deal with the parents and you need to be reassuring and very gentle the 23:36 techniques are almost the same they're all very gentle there is no adjustment there is no cracks there is nothing like 23:43 that what we're trying to achieve is the same thing so as if I was explaining earlier 23:50 the muscle imbalance the general imbalances in the body that another can 23:58 encounter babies can also experience that is a list of conditions that we often 24:06 see but it's often due to something or some even that would happen during the 24:13 pregnancy during the delivery after the pregnancy if I give you just a little overview of 24:19 the condition it's basically head and flat head we work on the latching issues 24:24 as well and digestive issues that's that's the main thing that we see when we treat babies and can you explain to 24:31 us in more detail then how these things would be initially noticeable to parents 24:38 so maybe starting with the the fat head syndrome which I know a lot of parents 24:44 are concerned about either how to prevent it but also if they if they've noticed it how would they notice it and 24:50 what would be the approach that you would give so when like for any any condition in in 24:57 babies people are often wondering when to bring the babies so generally When should you bring your baby to an Osteopath? 25:02 speaking it's always good to come to cyanoco within a month so as you were 25:08 saying before depending on the type of delivery if it's been traumatic if it's been smooth the parents of feeding the 25:14 mom is feeling or not to come to see us earlier or later if there is a rush if 25:20 they want to get to take care of something specific then there is no issue coming very early so 25:27 often people are asking me how long should I wait until I bring the baby in it can go from three days to a month I 25:36 would recommend maybe a week or two that's that's a good usually a good uh 25:42 timing and then depending on the delivery obviously it can be sooner or 25:48 later back to your question so um the flat head syndrome so people we FLAT HEAD SYNDROME (Plagiocephaly) 25:54 use that term fat head syndrome but it's a bit of a harsh term and I like to use 25:59 the a lot of fancy but the specific term which is called plagio safari and this 26:04 is the definition of that is basically flattening of a part of the head 26:10 for some reason and we get into those reasons in a bit but the baby because of something that happened 26:17 during the pregnancy during the delivery or after the pregnancy end up with a bit of a flatness usually on this part as 26:25 osteos we really try as you mentioned before try to identify the root of the 26:31 problem what seems important to understand is is the the flattening happening 26:39 because of something specific and are we the right person to go to 26:45 when this happens so so depending on the reason for the flattening of the head we're 26:51 going to work on a different way different ways so I'll give you an example and it's what happens often 26:58 depending on on the positioning of the baby in the womb uh during the pregnancy 27:03 some pressure can be applied on the skull or on the neck and create some 27:08 tensions so if a baby comes out with tension and flat head and with 27:15 osteopathic gentle techniques and everything that is related to the musculoskeletal system that's what we're 27:21 working on here we're trying to loosen up everything to put the baby on in the 27:27 right direction to recover and for the for the all the system to develop itself 27:34 and the flattening to go away as fast as we as we can 27:39 or potentially not develop in the first place from what you're talking about so if a delivery has resulted in babies 27:49 having some tension I'm assuming that that could also mean that they might then have a propensity 27:56 to sleep on a certain side lie a certain way which could then lead to more of a 28:02 flat head am I right yeah from what you said yeah and it's usually I think the 28:07 most common reason for flattening of the head because I mentioned before what could happen in the womb but what can 28:14 happen after is like yeah the baby end up with the bad habit turning the head 28:19 to one side and people need to not forget that from zero 28:25 to six months baby skulls are very malleable very soft so it can go both 28:31 ways it can flatten very easily but it can unflatten very easily as well so if they turn their head to one side and 28:37 keep sleeping on their back uh they're gonna flatten and they're gonna flatten more so that's why it's important and 28:45 that's what we do during sessions and after as well to do exercises to engage them the other way try to recommend to 28:53 people to get their baby to move around and to spend hours less as possible time 28:59 on their back when they're not fit and what other typical things so you 29:06 mentioned I think previously that there's three main areas that you typically see months with babies or 29:13 daddy babies coming in with concerns so what is the the flat head syndrome 29:18 aesthetically how how that might display itself but also with feeding and in particular 29:27 latching so what what do you see most commonly people's concerns coming in and around 29:33 the digestion and the feeding what's what's the top concern sort of but it's 29:39 interesting because there's a strong connection between the Flathead possible syndrome the neck and the latching as LATCH and FEEDING 29:47 you were mentioning before like people having headache because of the jaw issue so for babies it's also you can have a 29:53 latching issue because your neck is taken on one side so there is a strong connection between all those elements 30:00 and this is what we see the most a mix of those elements as well I want to 30:06 mention first that we work a lot with uh the whole 30:11 Healthcare World professional one pregnancy so this is like this big ecosystem that is amazing in Singapore 30:18 as you know so we work with people like you a lot of lactation Consultants midwives of Guyanese and all and 30:25 dentists as well and all those people are usually redirecting the patient to 30:32 us so it's kind of easy for us because when parents come with the babies 30:38 they already know what to address because they would have seen a lactation consultant that they would have 30:43 recommended to see us because they spotted an issue that can be 30:49 treated by us so apart from working on the actual head we also work on the 30:57 whole neck and jaw area so if and I give you like an example if the baby and the 31:03 moms in the lactation consultant the technique the second technique is good but the jaw feels a bit tight the 31:09 lactation consistent gonna send the baby to us for me to work on the jaw muscles basically this is one option there is 31:17 also something that's very common and this is more to do with the dentist so baby who would be born with a tongue tie TONGUE OR LIP TIE 31:24 with a lip tie would obviously have a normal restriction not allowing them to 31:30 latch correctly I work with the dentist for them to diagnose we wait for the 31:38 dentist to operate if it's needed or do an intervention and then work on loosening 31:45 up everything so that's that's for latching issues and then with the parents work on the tone ORAL FUNCTION 31:53 technique try to explain to them and show them how to work on that at home 31:58 and give a bit of a workout plan to do with their baby at home 32:04 so that would be things that both a mother and father 32:10 and father that maybe has been identified by a lactation consultant or a dentist ideally it's been identified 32:16 by one of them and then for us to try to apply what they ask us to do and a lot 32:24 of those exercises that you would be doing at all of the exercises you will be doing and then you could instruct 32:30 parents to do at home are genital ways like you say to work on the structure 32:37 the the muscles that are in the jaw yeah so yeah keep it gentle explain to the 32:43 parents reassure the parents and explain that nobody is suffering but it can be a bit unpleasant and it's exactly the same 32:50 with a neck tension or a totally so athletically is a TORTICOLLIS 32:56 too much muscle tension on one side of the neck and that would push the baby to 33:01 turn the head to one side rather than the other I imagine that is very similar 33:08 but how I often have to explain things to a lot of parents which is imagine how How does it feel for BABIES? 33:13 this would feel yourself you know like these these are exercises that you're doing in a much more gentle version but 33:21 very similar to how they would be on adults am I correct yeah so you can imagine how that feels to you we know 33:26 how it feels 33:32 gently so like you said they're not suffering and in actual fact they do get 33:38 used to this don't they like over over a period of time they become to learn that 33:43 this is ultimately going to make them feel better roll forward a few sessions 33:48 and those babies are entirely different during those sessions and 33:54 really noticeably happy at the end of each session I mean I think that's one 33:59 of the key things I want people to understand is actually the benefit at the end of this you can have almost 34:07 totally different baby hopefully yeah yeah yeah um I mean I'm sure you'll get into this 34:13 but babies that or feeling better because of the tension 34:18 that you've been able to release for that but also sleeping better I don't have you had any requests to do SLEEP 34:25 appointments that are a particular time of day just because it's nap time I'm sure you have yeah yeah and people yeah 34:31 and people would like come because they just want to there's no no specific issue but baby it's not tripping and the 34:39 parents are not tripping so why not do a little session to calm them down and 34:44 sometimes that's what we do as well it's like bringing a baby to the spa to show them that the world is not stressful and 34:50 it's all good and and to turn them down and calm the nervous system and gun everything and if you count them down 34:56 come to parents and it's a good feedback loop and everything everyone is doing better just to get back to the to the to 35:04 the feeding because the relationship of the baby and I know that it can be it can be very emotional and very hard for 35:11 moms when they struggle to feed their baby whatever reason it's for and um and 35:17 it's not just coming from the baby but sometimes it can be also uh on the mom's 35:23 hand who would be a kind of a low mix milk supply or overflow or milk supply 35:29 and that those elements are also take into consideration from my point of view that's why we talk about it all together 35:36 and we we talk about this topic so even if you can get a bit emotional it's important to to take into consideration 35:44 what the mom is going through as well um I don't know if you mentioned it before but uh we also see a lot of uh uh I 35:52 thought it doesn't have to do with the babies with the mom but of medic blocked dots and that can be excruciating you BLOCKED MILK DUCTS and Mastitis 36:00 want to talk about it yeah so so block milk that works is obviously a real 36:05 hindrance to feeding and and a lot of times it can if left if the milk duck is 36:10 left uh alone it can lead to something called mastitis which is like an infection in that blocked milk duct and 36:17 a lot of time mothers will come in and it's painful localized red swelling and 36:22 they just can't unblock it heat can help a gentle massage can help but what's 36:28 really really super effective is the ultrasound so we use an ultrasound therapy and in that ultrasound therapy 36:35 it's non-invasive non-painful you might feel slight warmth therapy on the duct and about eight to nine times out of ten 36:43 it unblocks and it'll unblock within the session or an hour or two after so these so if you are suffering from pain for 36:50 like can not get that milk out of that area swelling redness as long as you 36:56 have the infection taken care of from a GP ultrasound is probably one of the most effective 37:02 things that you can do so you're able to do that taunting a particular problem from two different angles so if a 37:09 mother's concerned about feeding and at the same time if the latch hasn't been great which may be a reason why she's 37:17 getting blocked milked up one osteopath is able to kind of address 37:22 both of those issues and talk about it and work together with the family yeah yeah everything is connected right 37:29 everything is is connect is connecting so working with the whole family that's why also like we talk about about the 37:37 moms and the and the babies but the dads are also something to take into consideration you can get back to it 37:43 later uh oh I wanted to mention the digestive uh issue a word that a lot of 37:49 people use called colic that's the main big umbrella world to 37:55 explain something that we don't understand so it's what colleague is basically a COLIC 38:02 abdominal area reaction to something we don't really know why but a 38:10 very irritable abdominal area for the baby we don't really 38:15 know what's causing it but as osteos what we try to do is identify it 38:21 understand that yeah this is some this is a colic symptom and try to 38:28 help ease the baby through it I'm not saying that we're going to get rid of one 38:34 colleague but we can still work on can mean everything done around and it's a 38:39 bit like what you were explaining before where we don't you we don't look at a 38:45 simple single area we look at the body as a whole and when a baby is distressed because of some colicky symptoms it's 38:53 important to work on the rest of the body as well to show them that everything is going to be okay so just to give us we'll give you a bit 39:01 of a uh a technical technical information about the colleague we call it a colleague when a baby is crying 39:08 three hours a day three days in a row for three weeks that's quite extreme I don't see many 39:15 babies that are suffering that much but the parents would call colleague a non 39:21 understandable and un understandable file basically so we don't know why it's crying we don't know they look a bit in 39:28 pain but they've been fed they're eating well they're gaining weight why are they trying always at the same time before 39:35 going to bed especially when we want to go to bed and this is explainable because at this age 39:42 the baby's gut is very very new very immature and everything every little 39:48 detail can be irritating it and often the feeding can be irritating it 39:54 so that causes a lot of tension and other 39:59 sales that's what we do working on undoing loosening the tensions and try to ease the baby towards uh more cut 40:08 so to treat colleagues that's what I would that's what I would do work on 40:14 this area but also work on the upper neck area Camden nervous system and work 40:20 on everything that has a direct and indirect connection to the digestive issue tissue and that's in our system 40:26 honestly say that I had periods of time where they've been 40:33 trying quite heavily you know that that really noticeable people cry that they 40:39 can sometimes have which leads to words like colic being used I can 40:46 feel in the baby yeah their body has got tense and tights yeah and that is one of 40:52 the the main reasons why I actually refer and suggest people haven't seen 40:58 osteopaths is because if you can reduce that tension in their body it makes 41:03 everything else around easier it makes feeding easier it makes 41:10 sleeping easier and when you start to make all of these elements easier because they're not so tight and tense 41:16 you should be able to get to either the cause of the problem or they're going to move through this phase 41:24 in a much happier way with a with a lot more sleep hopefully for everyone involved exactly that's that's exactly 41:31 what we're aiming for like go live through this phase in a happy way so you 41:36 can't get rid of all this little issue that you're gonna encounter like this is 41:41 part of the journey but you can't make it very livable and very more pleasant than what it is at the at the moment 41:49 so I hope everyone has got a lot out of this session 41:54 I think the most important thing is for me is understanding that this is a 42:01 manual therapy method that can go with you throughout your transition from 42:09 pre-pregnancy through pregnancy and then also you're postpartum and then going on 42:15 and supporting that Journey with your baby and for your baby and the fact that it can become and is such potentially a 42:24 normal part of what you would do in that fourth trimester phase and the babies 42:30 can get so much support out of this and mums can do too is there any lasting 42:36 thoughts that either of you would like to leave a Mothers or fathers or 42:41 pregnant people out there with yeah you don't need to have a typical pregnancy 42:46 or postnatal or baby related condition to come in a lot of people just come in for a checkup as well so it doesn't 42:53 necessarily mean that and it forms a good Baseline if if anything and just give you tips and advice that 43:00 you probably didn't even know you know watch out for this or you know watch out for this posture or make sure that when you're holding baby you just do it in 43:06 this angle even if you're not having any pain but yeah it's like you said I think you summed it up really well it is just 43:11 a form of manual therapy and we can work from head to toe and help you throughout your journey so yeah yeah and it's also 43:18 important to to tell people that they don't if they're not sure they can get in touch get in touch email send the 43:26 message ask us if if something that we treat and they should come come and 43:31 visit us as I mentioned before the dads you guys are not alone and they also can DADS too 43:37 come and they can also experience the same pain as a pregnant woman some in 43:43 some ways of course not not all of them and yeah it's important to to to just 43:49 understand that osteopathy is uh part of the healthcare world and we need you 43:56 guys we need the midwives we need the we need the location consultant to work all 44:01 together and the dentist as well so it's more like a teamwork around the ecosystem of the pregnancy and uh 44:09 Pediatric well thank you so much guys I've really 44:15 really enjoyed speaking to you and I'm really looking forward to not only the 44:20 pregnant and Pops Network out there learning more but also reach more wider audience so that they know you're doing How to find The Osteopathic Centre 44:27 it in Singapore you've got multiple locations I know so tell me again the locations that you've got so right here 44:33 right now in the arcade CBD the Raffles place and then Sigler and River Valley 44:40 at Valley point 44:48 sites plus people could reach you in the normal ways VIA website yeah yeah any 44:54 question guys just like click on the link and send us a question 45:00 thank you

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