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Pelvic health physiotherapy to treat a vast range of pelvic issues
• Problems with the function of your bladder or bowels
• Pelvic organ prolapse
• Persistent pelvic pain - pain experienced in the pelvic area (around and below the belly button but above the hips) lasting several months or longer
• Sexual dysfunction – pain during intercourse, vaginismus (difficulties with vaginal penetration), erectile dysfunction, hard flaccid syndrome, premature ejaculation
• Problems during or after pregnancy – e.g. pelvic girdle pain, pregnancy related low back pain, recovery from caesarean section, rectus diastasis (separation of the tummy muscle), sore scars following vaginal delivery
• Recovery from pelvic surgery - e.g. prostatectomy, TURP, pelvic floor repair, hysterectomy, myomectomy
Pelvic health physiotherapists have undergone specialist post graduate training to enable them to address the specific and unique needs of people with these conditions.
Circle Health Group aims to provide an all-inclusive service comprising of men’s health, women’s health and gender affirming care for non-binary, transgender and gender non-conforming people with pelvic problems. However, it is important to note that not all pelvic health physiotherapists are trained in both women’s and men’s Health. Book an appointment with the right specialist for you to ensure your physiotherapist has the appropriate training to best meet your needs.
Advice about appropriate use of adjuncts to facilitate rehabilitation – this includes a huge variety of adjuncts such as electrical stimulation of the pelvic floor muscle, biofeedback to improve pelvic floor muscle function, use of continence devices, use of dilators to help with pain during vaginal penetration.
The use of adjuncts will depend on the nature of your symptoms and any relevant medical conditions you have but many people with pelvic health conditions do not require any adjuncts at all.
Your initial assessment will be conducted in a private room and our physiotherapists will offer you the opportunity to have a chaperone if you wish.
As members the Health Care and Professions Council (HCPC), our physiotherapists have a professional and legal responsibility to protect the confidentiality of patients.
Your physiotherapist will begin by taking a detailed account of your medical history. They will want to know more about the nature of your symptoms and how they impact you.
They will often ask about your pelvic functions (your bladder, bowel and sexual functions), as well as any other medical concerns you might have. This is to ensure they take a holistic approach to your care, which considers many individualised factors in your treatment plan.
This conversation is followed by a physical examination. Depending on your symptoms, this could be to look at movements of your body, including your back, hips, and pelvis, as well as testing different muscle groups. This helps them to understand the movement of your body and whether this could be contributing to your pelvic problems.
The precise nature of the examination recommended will depend on the type of symptoms you have. If either of the internal examinations are recommended, your physiotherapist will discuss this in detail with you before asking for your consent to the examination and it is, of course, your choice as to whether you go ahead with an internal examination.
It is important to note that if you decide not to have an internal examination this does not mean that you will not be offered treatment. Once the assessment has been completed your physiotherapist will discuss the findings with you and work with you to develop an individual treatment program to enable you to meet your personal goals. This may sometimes involve referring you on to another clinician for further advice or assessment.
Pelvic floor dysfunction caused by hypotonicity (weak pelvic floor muscles) require pelvic floor strengthening exercises, known as Kegel exercises. Your physiotherapist will guide you through these.
Hypertonic muscles (tight muscles) require relaxing exercises called reverse Kegels or down-training.
If your pelvic floor muscles are tight and weak (which is possible), any tension is treated before weakness. After your muscles have reached a normal resting tone and are able to relax fully, their strength is reassessed and strengthening exercises are prescribed, if appropriate.
Regular home exercises can also be supported by breathing or core strengthening exercises.
It is important to remember that exercises can be both internal and external. Your physiotherapist will ensure you understand how to carry out each exercise (whichever type), in a relaxed and efficient manner.
If you want to know more physiotherapy and find out if it's the right treatment for you, call a member of our team directly.