Pelvic Health Physiotherapy
Pelvic health physiotherapy is a specialist area of physiotherapy aimed at treating symptoms of pelvic floor dysfunction as well as caring for women during and after pregnancy.
Pelvic health physiotherapy can treat common symptoms such as incontinence (leaking of wee, poo or wind), pelvic organ prolapse (mostly commonly felt as heaviness or a bulge within the vagina) and pelvic pain.
1 in 3 women suffer with incontinence and up to 1 in 2 women will develop pelvic organ prolapse.
Sadly, a lot of women feel they have to accept these symptoms as just something that happens after you have children and don't realise that a lot of these symptoms are treatable, even after years of suffering.
What is pelvic health physiotherapy?
Pelvic health physiotherapy is physiotherapy relating to assessing and treating problems within the pelvis. This may include: pain in and around the pelvis, lower back and hip bones; problems with the pelvic floor; problems during and after pregnancy.
What does a pelvic health physiotherapist treat?
A pelvic health physiotherapist may treat many things including:
Leaking wind/wee/poo (incontinence)
Tummy muscle separation
Pelvic pain in pregnancy
Pain during sex
Loss of sexual function (such as reduced ability to reach orgasm)
Pain around the lower back and hips
How is this assessed?
There are many parts to a pelvic health assessment but it may include:
Looking at your posture
Looking at you do daily movements such as bending, squatting, standing up etc
Observing your breathing
Observing your tummy muscles
Feeling your tummy
Feeling how your hips move
Testing how your pelvic floor is working using a vaginal examination with one finger
Observing how your pelvic floor is working just by looking around your vulva
How do you assess the pelvic floor?
The best way to assess the pelvic floor is via a vaginal examination by a specialist physiotherapist. This is a normally painless assessment using one finger to gentle feel the pelvic floor muscles at the entrance of the vagina and test their integrity, strength and function. There are of course other ways to assess pelvic floor strength and function if this is not something you feel comfortable doing, and there is still plenty of advice which is likely to be beneficial to you. We will be happy to discuss these options with you during your appointment.
Can I bring somebody with me?
As a small, independent clinic, we are unable to provide a formal chaperone without a request in advance of your appointment, however you are welcome to bring a family member or friend along for support if you wish.
Can I bring my baby?
Non-mobile babies are welcome to join you at your appointment - we have space for them to lie on the floor, you're welcome to breastfeed and we have baby change facilities available for you to use if needed. Please be aware that we will be unable to extend your appointment should the baby need more attention than anticipated during your assessment but you will of course be welcome to book a follow up to complete any assessment or treatment.
Pelvic health services:
Pelvic health initial consultation
Up to 1 hour assessment of pelvic floor function for those with symptoms of pelvic floor dysfunction such as incontinence, pelvic organ prolapse, pelvic pain or pregnancy related symptoms. £60
Pelvic health review
Antenatal advice session
Pelvic health review - 30 mins or 1 hour review following initial consultation to help support through progress and rehab. £40/£60
A one hour session dedicated to teaching you all about your changing body in pregnancy, how to keep active and how to look after your pelvic floor in pregnancy and labour. £60.
Return to running assessment
Post-natal assessment for those patients looking to return to running. Assessment of dynamic core and lower limb strength in relation to running form. Not suitable for those with significant symptoms of pelvic floor dysfunction who would require a pelvic health initial assessment first. Please note this assessment does not involve an internal pelvic floor examination. 60 mins. £60.
The Mummy MOT is a specialist postnatal assessment for women following vaginal and C-section deliveries. For mums of 8 weeks to 10 years and beyond. It is never too late to achieve your postnatal goals.
60-90 min assessment
Full movement and postural screen
Abdominal muscle separation check
Pelvic floor muscle assessment
Detailed screening for bladder, bowel or sexual dysfunction.
Following your assessment you will receive:
Full written report of your assessment
Comprehensive rehab plan
Future treatment plan to help you achieve your goals
Price : £90
How long after birth can I have a Mummy MOT?
Our postnatal checks can be completed any time from 8 weeks postpartum, after your 6-8 week GP check. Even mums who had a baby many years ago can benefit from a Mummy MOT, with or without symptoms, to help to treat any problems but also keep you injury free.
Do I have to have any symptoms to have a Mummy MOT?
No! If you are lucky enough to be feeling like you don’t have any issues postnatally, you can still benefit from a Mummy MOT screen. This can help to prevent problems occurring later on and help you to safely return to exercise and sport.