Pelvic Health

A detailed, face to face first assessment and treatment plan. Suitable for people with pelvic floor dysfunction such as bladder and/or bowel problems, vaginal prolapse, persistent pelvic pain e.g. vulvodynia, bladder pain syndrome, endometriosis and/or painful intercourse symptoms.

This is a specialist post-natal assessment recommended for all women following delivery - whether 6 weeks or many years after. We will talk to you about your symptoms and any concerns you may have, perform a series of standardised tests and create a bespoke post-natal recovery programme plan and help you achieve your functional goals.

During your 60-minute assessment we will cover the following;

• Full postal screen
• Abdominal muscle assessment to check for any weakness or separation
• Healing of any scars or stitches
• Pelvic floor muscle assessment
• Screening for any bladder, bow or sexual dysfunction
• A bespoke post-natal recovery programme devised especially for you, your lifestyle and fitness goals. This includes specific and safe post-natal exercises to improve stability, posture, and core strength

If you feel would benefit from more hands on treatment and support then we would advise on our recommended follow up appointments

This is a specialist pre-natal assessment for all women during their pregnancy

During your 60-minute assessment we will cover the following;

• A pelvic and musculoskeletal assessment of your back, posture, pelvis and functional movement
• An external pelvic health check
• Address any symptoms during pregnancy, including pelvic girdle pain (PGP) or pelvic floor dysfunction, such as leaking, urgency, constipation
• A bespoke treatment plan
• You'll be taught how to correctly strengthen and relax your pelvic floor muscles, to keep you leak-free and prevent other pelvic floor dysfunction
• Provide information for labour, including perineal massage and assist you with your birth plan
• Discuss a plan of care and treatment options as necessary, to feel well and healthy during your pregnancy journey and towards the birth of your baby

A detailed, face to face first assessment and treatment session plan for men with pelvic floor dysfunction such as bladder and- or bow problems following prostate or rectal cancer. This assessment also covers any symptoms of erectile dysfunction, climacturia (leakage of urine at the time of orgasm) and any other side effects following prostate cancer treatment.

What happens at a pelvic physiotherapy appointment?

The assessment includes a detailed history of your symptoms and concerns, followed by a physical assessment of your posture, back, abdomen and if indicated perform an internal pelvic examination to assess your pelvic floor muscles.

What do you wear to a pelvic floor physiotherapy assessment?

Comfortable clothes are encouraged. If you need specific exercise clothes, your therapist will let you know. If an internal exam is required during your visit, you may be asked to disrobe from the waist down stop.

I have had these symptoms for years, can physiotherapy still help me?

Yes, physiotherapy can still help you regardless of how long you've had your symptoms. The body has the ability to change at any stage of life no matter how long you've had your symptoms. It may take a little longer to see results, but people do get better.

What if I'm already doing my pelvic floor exercises and it is not helping. How will physiotherapy be able to help?

We know that many men and women do not perform their pelvic floor exercises correctly, so having an assessment to ensure that you are performing them correctly is essential for successful outcome. A pelvic physiotherapist will focus not on just squeezing your pelvic floor, but to coordinate it with your breathing and the rest of your body and teach you how to incorporate it with everyday activities and exercises to allow you to move better.