Our highly trained Physiotherapists are here to help you by providing information and treatment for women, men and children’s pelvic related concerns – pain, prolapse, continence issues, pre or post surgery. By supporting you with a range of assessment and treatment options, we can ensure you receive the care you need no matter your life stage.
Our experienced team use a variety of treatment options, including "hands on" treatment, education, and exercise programs to help you address your pain and get you back to what you love doing
Our team help you achieve your goals with education and information to help you understand what is happening, treatment of the cause, and exercise programs to help translate the treatment into your day to day life
We understand the frustration of trying to perform in your sport or exercise when you have pelvic floor related issues. Our experienced team will help you achieve your goals of enjoying your sport without worrying about your pelvic floor!
Pelvic Girdle Pain
PGP is extremely common in pregnancy and refers to pain felt either at the back of the pelvis, on one or both sides and/or pain over the pubic joint. Pain is generally located between the top of the pelvis and the bottom of the buttocks. Pain may be felt into the buttock and/or down the leg, so is often confused with sciatica.
PGP involving the pubic symphysis joint (the joint at the front of your pelvis) can also refer pain to the groin, inner thigh, lower abdomen, and vaginal area.
There are many treatment options available to decrease the discomfort of pelvic girdle pain. Some of these might include physiotherapy treatment, functional exercises, compression garments, education, remedial massage and exercise advice.
A pelvic support belt may be prescribed by your physiotherapist to improve your comfort. Pelvic belts need to be fitted to the individual therefore it is not a good idea to just “buy a belt” or borrow a well -meaning friends’ belt. Not everyone with pelvic pain will need a belt and in some cases a belt can make your pain worse. An assessment with your physiotherapist is important to ensure:
a) you need a belt – you may not!
b) you have the right size belt fitted
c) you are instructed how and when to wear the belt
Tubigrip is an elastic tubular bandage that can be fitted to wear around your tummy, to give your tummy support. It helps to take some of the load of the baby’s weight off your lower back and improves your tummy muscles capacity to get you through the day. You do still need to use your abdominal muscles to help support the baby, but the tubigrip means they don’t have to work so hard, and their ability to contract is made a little easier.
There are also a variety of different support shorts and leggings available which can provide compression and support to your changing body. Talk to your Physiotherapist about which one might be best for you.
During pregnancy there are many changes that occur to your body that change the way it works. There are the obvious changes that include:
- Your growing tummy, which stretches abdominal and stomach muscles
- The weight of the baby sitting on your pelvic floor muscles for the duration of your pregnancy
- Your centre of gravity, or balance point, which moves forward as your tummy grows, adding increased load to your back and pelvis. This will also change your balance
The less obvious changes include the hormonal variations that occur from the first trimester. “Relaxin” is the hormone primarily responsible for this, creating “stretchiness” in the supporting ligaments of the pelvis. This therefore means the muscles surrounding the pelvis need to work a little harder to maintain good control of the pelvic joints. Therefore the right exercises can help improve your comfort and your ability to be active. Our team can help you with all of this!
For further information about pelvic girdle pain download our free “Pelvic Girdle Pain e-book”
See Also “Pregnancy Physiotherapy”
Women with PGP are often told, “having the baby is the cure”. However, sometimes the cure is not always immediate and may require some rehabilitation to achieve. Muscles that help, (particularly abdominal and pelvic floor muscles), have been stretched and weakened during pregnancy. Part of your post natal recovery will therefore need to include a strengthening program for these muscles. Our team are able to help you with this rehabilitation with a targeted exercise program.
See Also “Post Natal Physiotherapy”
Only a very small number of women who have PGP during their pregnancy go on to have persistent pain longer term. This is very treatable, however requires a different approach to acute pain. This will require individual consultation with your physiotherapist to develop a targeted management plan.
When you are pregnant your body is more physically challenged than at any other time! As your baby grows, your abdominal and pelvic floor muscles (your core) become stretched and have to carry the increasing weight of your growing baby.
Clinical Physio classes are a wonderful way to ensure your body is adapting to the challenges of pregnancy, and preparing for the physical demands of looking after a new baby.Read More…
Massage and Myotherapy during pregnancy and and after your baby arrives helps supports your physical and emotional well being, reducing stress while boosting circulation and muscle recovery.
Massage is a wonderful way of managing the increased physical load of pregnancy and looking after a new baby, to leave you feeling your best self.
Our wonderful massage and myotherapy team are very experienced at looking after women during this wonderful time of your life – you know you are in good hands!
At Fitwise Physiotherapy we understand that pelvic floor problems can interrupt your ability to enjoy a full active life. Fitwise physiotherapists ensure private and respectful management of pelvic floor dysfunction for both men and women.
An assessment will be done by one of our post graduate trained physiotherapists to determine your individual pelvic floor requirements.
There are different levels of assessment available, including discussion, real time ultrasound, and internal examination of your pelvic floor muscles. You have total choice regarding which assessment is right for you, and will be fully informed of the pros and cons of each type of assessment by your physiotherapist to allow you to choose.
A pelvic floor physiotherapy management plan will be provided to achieve your individual goals in agreed time frames.
Take our Pelvic Floor quiz below to see if you may have a pelvic floor problem and require a pelvic floor physio.
Quick quiz: Do I have a Pelvic Floor problem?
- Do you leak urine when you exercise, play sport, laugh, cough, sneeze, lift, or get out of a chair or bed?
- Do you need to go to the toilet very frequently?
- Do you have trouble getting to the toilet in time?
- Do you find it hard to empty your bladder or bowel?
- Do you have a sensation of heaviness, bulging or discomfort in the pelvic area?
- Do you have difficulty controlling wind?
- Do you lose control of your bowel?
- Do you have pain in the pelvic area?
- Do you have painful sex?
If you answered YES to ANY of these questions, then a pelvic floor physiotherapist can help you!
- Stress urinary incontinence (leaking with effort or exercise)
- Bladder urgency and frequency (needing to go to the toilet very frequently)
- Bladder urgency and urge incontinence (leaking when you feel the need to go -unable to control the urge to go)
- Painful sex / Dyspareunia
- Incontinence following prostate surgery
- Bowel incontinence
- Pelvic floor rehabilitation after having a baby
- Chronic pelvic pain
- Anal pain
- Constipation / obstructed defaecation
Many possible management strategies are available, and you and your physiotherapist will work together using a selection of the following to help you reach your goals:
- Teaching you how to use your pelvic floor muscles correctly
- An individual targeted pelvic floor exercise program
- An individually targeted, goal orientated Clinical Pilates program to help bridge the gap between pelvic floor exercises and day to day pelvic floor function
- Discussing any lifestyle changes that may help you manage the problem
- Looking at how your diet and fluid intake may be influencing your problem
- Bladder training
- Relaxation of the pelvic floor
- Improved continence
- Stronger pelvic floor muscles
- More choice of lifestyle options eg: running
- Pain free sex
- Improved bladder and/or bowel function
At Fitwise we understand that you have many activities you wish to partake in that may be limited by your Pelvic Floor. At Fitwise we help you to bridge the gap between where you are and where you want to be. Read More…
Men's Pelvic Health
Our men’s health physiotherapists provide structured and targeted programs to help you recover and optimise your pelvic floor function. Management involves an assessment, then a plan to help you achieve your goals in a timely manner to get you back on track.
- About to have surgery to remove your prostate?
- Recovering from surgery?
- Having trouble staying dry?
- Needing to go to the toilet frequently?
- Experiencing pelvic pain?
- Wanting education on how to optimise your pelvic floor function?
- Understanding your goals
- Understanding your current situation
- Ensuring you are doing your pelvic floor exercises with the correct technique
- Clinical physio classes to help train your pelvic floor to work well in daily activities (in our studio and also at home)
- Looking at how your diet and fluid intake may be influencing your bladder function
- A structured management plan to help you return to good physical health
If you have had, or are having prostate surgery, for more information we recommend you download our free Physiotherapy and Prostate surgery e-book, here.
The Sporting Pelvic Floor
Is your training or ability to compete limited because you…