CLINIC

WHAT IS A PELVIC HEALTH PHYSIOTHERAPIST?

We treat all disorders affecting the pelvis and pelvic floor.

1:3 women leak when they laugh/cough or sneeze. That’s a third of the women in your office, on your bus and in your home are sitting on incontinence pads. Which is a shame because 70-80% can be cured with physiotherapy.

Most cases of vaginal prolapse can be managed with pelvic floor exercises and physiotherapy.

That’s more effective than any surgery or medication.

Many cases of incontinence, prolapse, pelvic pain, sexual dysfunctions or constipation are related to pelvic floor problems.

The muscles’ job is to keep our orifices shut, hold our guts up and, importantly, to relax during peeing, pooing, birth and sex. Sometimes the pelvic floor muscles can become too weak or too tight and so are unable to do their job properly - which means you will experience symptoms which are inconvenient at best and disabling at worst.

Re-training your pelvic floor will restore normal function and your symptoms will go away. Hurrah!

WHAT DOES PELVIC PHYSIOTHERAPY INVOLVE?

Firstly, listening! The most important part of any assessment is giving people time, after all, you are the expert on your condition.

We will ask questions for clarification, which might be about sensitive issues, like peeing, pooing and sexual function.

Then there is a full body assessment of your posture, breathing, spine and pelvis. We will assess the function of all your muscles, including your pelvic floor.

Then we will teach you how to properly contract your pelvic floor, how to let it relax and give you a personalised home exercise programme to follow.

HOW, EXACTLY, DO YOU ASSESS MY PELVIC FLOOR MUSCLES?

We would usually do an internal examination because it is the most effective way of establishing how well you can control and co-ordinate your pelvic floor. We can assess and treat you without doing internal work. It is not compulsory, which is particularly important for people with pelvic pain to know. The aim of physiotherapy is always to help and not hurt you.

HOW CAN I MAKE AN APPOINTMENT FOR PHYSIOTHERAPY?

Elaine is based in private practice from JW Physiotherapy in South Queensferry.