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Treatments

What happens at your appointment?

The first session is designed to be a longer session up to an hour, this gives plenty of time to get a lots of information to support any assessment or treatment that may be needed.

  • A thorough history of your symptoms - when they started and any triggers

  • Including any previous treatments, investigations, assessments and consultations

  • An examination - back, pelvis, tummy or pelvic floor

  • Any pelvic floor (vaginal) examinations will be fully explained - so you understand the relevance and need!

  • Appropriate treatment will be started and any personalised plans will be discussed - this may include soft tissue work, manual therapy, acupuncture, scar work or exercise prescription

  • Advice and information related to your condition or symptoms - to help support the treatment given - this may include lifestyle changes, habit retraining or inclusion of exercises and stretches

  • Good opportunity to answer any questions that you may have come with or come up during the consultation.

 

This initial assessment will then be followed up with 30mins sessions (as appropriate) to discuss progress, add to exercise programmes and will be tailored to your needs and goals.

Pregnancy - Musculoskeletal

During pregnancy it is common to get some aches and pains but these should not affect our day to day activities or impact sleep. Careful assessment and guidance on exercise, activity alongside where appropriate manual therapy, acupuncture and soft tissue work can see huge changes and improvements in pain and discomfort

Postnatal Scars

Whether you have a vaginal birth or cesarian section scars can cause issues, even once healed. Mangement and support in the early months can improve the longterm outcome, with reduced discomfort and improved 'look'.

Painful intercourse

This can be a symptom related to many causes - often related to the pelvic floor which physiotherapy can be instrumental at improving. Whether your goal is to be intimate, have a routine cervical smear or use a tampon for swimming - evidence has shown the role of pelvic floor physiotherapy in achieving all these goals.

Postnatal care

For issues related to childbirth injuries and assisted vaginal delievies - pelvic floor rehabilitation is essential to regaining good function and returning to good general fitness.

See the section on 'Postnatal Mum check' for general postnatal care

Diastasis Rect

Diastasis recti can occur commonly following delivery, infact 100% of women will have one by full term - 40weeks of pregnancy - however the recovery post-natally is important to alleviate the stress placed on the back and pelvis. This condition also occurs at other stages of life and can be treated just as successfully - good rehabilitation is key.

Prostatectomy support

1 in 100 men will struggle with longterm bladder symptoms post-surgery or radiotherapy for Prostate Cancer, however, in the short term the majority of men are likely to be symptomatic. Learning how to prepare and to be in the best shape pre-op and then learn how to  recover well are key to reducing symptom severity and longevity.

Urogynae Physiotherapy

1 in 3 women will struggle with bladder weakness and 1 in 4 with symptoms of pelvic organ prolpase - but this should not normalise the symptoms. Pelvic floor rehabilitation is shown to help over 70% of women when done correctly and with support. Preparation is also shown to be key to successful post-op recovery - and in fact should be the first line of treatment - see the NICE guidelines.

Bladder pain syndrome & Chronic pelvic pain

Both of these conditions can hugely impact quality of life and pelvic floor physiotherapy has been shown to be an important part of management and control with improving and relieving symptoms. Sometimes these symptoms are related to an 'overactive' pelvic floor and treatment can be required to help downtrain and target these sensitive muscles.

Colorectal Physiotherapy

Bowel issues associated with pelvic organ prolapse, as the result of difficult vaginal deliveries or following radiotherapy or other surgery are not uncommon. Pelvic floor physiotherapy, often alongside support from other healthcare team members can make significant improvements to goodrecovery and quality of life.

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