Pelvic Health Physiotherapy
At Empower Her Physiotherapy our Women’s Health Physiotherapist Sam is trained to treat many pelvic health conditions and concerns. Our vision is to provide a comfortable and safe space for women to open up about their concerns and to guide, support and empower them to take control of their health.
We believe that education is our greatest tool and in educating our clients about their bodies we want to reduce the stigma around pelvic health conditions.
What can a Women’s Health Physiotherapist treat?
- Stress Urinary Incontinence
- Urgency Urinary Incontinence
- Pelvic Organ Prolapse
- Bowel Dysfunction
- Voiding Dysfunction
- Sexual Pain including; vulvodynia, vaginismus, dyspareunia
- Endometriosis/Adenomyosis/PCOS
- Pre/Post Gynaecological Surgery Management
- Antenatal and Post Natal Pelvic Floor Check ups
- Chronic Pelvic Pain
What to expect in your first appointment
Talking
We always start by asking a lot of questions about your concerns, goals and pelvic health. These questions may include questions about your bladder, bowel and sexual function as these all make up very important functions of your pelvic floor.
These questions may seem personal however the information you share with us will always remain confidential and will only be shared with your health team if you consent to it.
We assure you there is nothing we haven’t heard before and nothing that is TMI.
Assessment
We then move on to the physical assessment. This will generally include a look at your posture, movement and range of motion. Again this will build onto our understanding of what may be contributing to your concerns.
We also have access to a Real Time Ultrasound Machine that can assist us in assessing your pelvic floor movement externally
We may conduct an internal vaginal examination. During this assessment we are looking for the pelvic floor strength, tone, any pain and assessing for prolapse.
We will always gain informed consent before beginning any assessment and know that consent can be withdrawn at any time throughout the consult.
Education & Plan
Once we have put together all the pieces of the puzzle from talking to assessing we will then educate you about your concerns, why they may be occurring and what your management and treatment options are.
We will work with you to build an evidence-based collaborative plan to get you on the road to better pelvic health.
What about if I am pregnant?
Pregnancy can be one of the best times to get your pelvic floor assessed. We recommend booking a Pelvic Floor Initial Appointment at any stage during your pregnancy if you are starting to have any concerns including leakage, constipation or heaviness. If you do not have any concerns then we recommend coming in for an assessment around 20 weeks. Here we can assess your pelvic floor function and provide you with a personalised pelvic floor exercise program. We will also ensure you know HOW to perform a correct pelvic floor muscle contraction.
We also recommend booking in around 35 weeks. At this stage we start doing Birth Preparation. This appointment includes:
- Pelvic Floor Assessment
- Assessment of lower back, pelvis and hips
- Teaching you how to perform perineal massage
- Education about positioning for labour and delivery
- Education about reducing risks
- Education about post natal recovery
- Birth Prep Package including resources for education, exercises and checklists
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