Conditions
Perinatal - Pregnancy and Postpartum
Symptoms and conditions I treat:
- Musculoskeletal pain in pregnancy such as back pain pelvic girdle pain and rib pain
- Advice on exercise in pregnancy and returning to exercise after delivery
- Bladder issues in pregnancy or after delivery such as urge urinary incontinence (sudden urge to pass urine and leaking), stress urinary incontinence (leaking with exertion such as laughing, sneezing or running) or overactive bladder (going to the toilet very frequently and urgency)
- Pelvic organ prolapse
- Bowel issues in pregnancy or after delivery such as bowel incontinence, urgency or constipation
- Abdominal muscle separation after pregnancy (diastasis recti)
- Advice on perineal tears or episiotomy wounds
- Pain or discomfort during sexual intercourse
Gynaecology
Symptoms and conditions I treat:
- Urge urinary incontinence (sudden urge to pass urine and leaking)
- Stress urinary incontinence (leaking with exertion such as laughing, sneezing or running)
- Overactive bladder (going to the toilet very frequently and urgency)
- Pelvic organ prolapse
- Pelvic pain
- Pain or discomfort during sexual intercourse
- Faecal Incontinence or urgency
- Management of peri-menopause and menopause symptoms
- Post-operative rehabilitation following gynaecology surgery such as hysterectomy or endometriosis surgery
- Scar therapy following surgery
- Return to exercise and running rehabilitation
Female Athlete Rehabilitation
Symptoms and conditions I treat:
- Specific pelvic health assessment for females in sport (recreational to professional)
- Bladder leaking with running and exercise (stress urinary incontinence)
- Bladder leaking with urgency (urge urinary incontinence)
- Bowel incontinence with exercise
- Abdominal wall separation (diastasis recti) after pregnancy
- Pelvic organ prolapse
- Return to sport after delivery
- Continuing exercise and sport through perimenopause and menopause
What to expect from your consultation
Detailed history taking
Internal pelvic floor exam if required- this may be a vaginal examination or rectal examination depending on your symptoms
A thorough assessment of your strength, activation, and function of the back, hip, pelvis, abdominal muscles as required
After your initial consultation, the frequency of your follow-up consultations will depend on your specific circumstances but can vary between 1-2 times per week and 1-2 times per month
Possible treatment options:
- Rehabilitation exercise programme to address any findings from your consultation
- Internal pelvic floor exam if required and once 6 weeks after delivery
- Pelvic floor rehabilitation programme
- Abdominal wall rehabilitation and strengthening after pregnancy or surgery
- Exercise screening to assess readiness to exercise and programme advice
- Education and support to maintain exercise and fitness levels in pregnancy, after delivery and through perimenopause and menopause
- Advice on perineal wound and episiotomy care
- Scar therapy following c-section delivery
- Scar therapy following c-section delivery
- Pilates
- Taping or maternity belt application and advice
- Biofeedback training for pelvic floor exercises
- Birth preparation advice such as perineal massage and birthing positions
- Relaxation and breathing techniques
- Advice on toileting modifications to optimise pelvic floor
- Bladder retraining
