You were cleared at six weeks and told you were good to go, with no idea what good to go actually means. Return to exercise postpartum in Plymouth turns that clearance into a graded plan back to running, lifting and the training you miss.

The six week visit is a starting line, not a finish line. It clears you for activity. It does not tell you which activity, how much of it, or what to do when the first mile leaks or the first heavy set feels like your middle is missing. Return to exercise postpartum is the rehabilitation that fills that gap. It is a graded, progressive plan that starts from where your tissue actually is and builds toward the running, lifting or class you want back. Your doctor of physical therapy assesses the abdominal wall and how it manages pressure, the pelvic floor and its timing under load, hip and calf strength, single leg control, breathing, and how you tolerate a small dose of impact right now rather than in theory. From there the plan moves in stages: control and load tolerance first, then strength heavy enough to matter, then impact and speed, then the full session you have been missing. The rule is simple. Respect healing, but do not stall it. Doing nothing for months is not a safer plan, only a slower one.
You do not need a physician referral to begin. Massachusetts has direct access to physical therapy, so you can book an evaluation with us directly. Some insurance plans still require a referral for coverage, so we verify your benefits before your first visit and give you your copay in writing. We accept Aetna, ASHLink, Blue Cross Blue Shield, Cigna, Fallon Health, Harvard Pilgrim, Mass General Brigham Health Plan, Medicare and Tricare, along with Workers' Compensation and auto injury claims. Flat self-pay rates are available if you are not covered.
This is for anyone who used to train and wants that back, whether delivery was eight weeks ago or eight years ago. Postpartum has no expiry date, and neither does this work.
You have the green light and a vague instruction to listen to your body, which is not much help when your body has not sent a clear signal in months. We give you stages, tests and criteria for moving between them. Outcome: you train on a plan instead of guessing, and you know what the next step is before you take it.
The first run back brought leaking, a dragging heaviness, or pain that showed up at mile two and stayed. That is information, not a verdict. We adjust the dose, address the pelvic floor and hip strength behind it, and rebuild impact tolerance from there. Outcome: you run your usual route without planning around bathrooms or bracing.
You are lifting again and your midsection feels like it belongs to someone else, or you cannot brace the way you used to. We retrain pressure management first, then load it properly. Outcome: you squat, press and deadlift with a trunk that holds, and you stop quietly working around the lifts you used to enjoy.
Sessions run 30 to 60 minutes, one on one with your doctor of physical therapy, and the first one is a full hands-on evaluation.
We measure the things your plan should be built on: how the abdominal wall behaves under load, pelvic floor strength and timing, single leg control, calf and hip capacity, and how you respond to a small dose of impact in the room. You get the results in plain language, including which findings are the reason a particular exercise is or is not on the list yet.
Early sessions load you in ways that feel like real training rather than rehab theatre: strength work that gets genuinely heavy over time, breathing and pressure management practised under that load, and the single leg work running will demand later. Your therapist coaches technique in the room and adjusts the dose based on how you responded after the last visit.
Once your criteria are met we reintroduce hopping, then running or the barbell, in graded doses with clear rules for progressing and for backing off. Most patients notice improvement within about six visits, and a typical plan of care runs two to three visits a week for four to six weeks. You finish with a written program you can keep running on your own.
Get clearance from the provider who managed your delivery before you start impact or heavy loading, and tell us about a caesarean, a perineal repair, or any complication so we plan around it. Pause training and contact your medical provider if you have new or increasing vaginal bleeding, fluid leakage, fever, wound pain, redness or drainage, calf pain or swelling on one side, chest pain or breathlessness at rest, dizziness, or pelvic pain and heaviness that gets worse rather than better with rest. Leaking and heaviness during exercise are common, but they are not something to push through. They are a signal to change the dose and to tell your therapist.
Maritime PT, specifically Jake Rowland, met all my therapeutic needs in a friendly but challenging atmosphere. The sessions were focused and were progressively more challenging as we went on.

Care through pregnancy and the early weeks after delivery, before the return to training starts.

Return to sport programs built around your sport, your position and your timeline.

Private, consent-led treatment for the leaking, pressure and pain that show up under load.