Women’s Pelvic Health Physiotherapy
Physiotherapy for Women’s Pelvic Health*
Have you ever leaked on a cough, sneeze or laugh? Have you felt a sudden, overwhelming urge to urinate or defecate that is difficult to defer, when you’re nowhere near the toilet? Does this stop you from leaving the house and living your life? A women’s pelvic health physiotherapist may be able to help you to regain your ability to stay dry and clean.
There are a range of conditions with which women’s health physiotherapy can help you manage pelvic symptoms and conditions.
*Some services may not be available in all locations. Please contact your nearest location to confirm the available services.
Common women’s health conditions we can assess and treat at Right at Home Allied Health:
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Incontinence / leaking (Stress urinary incontinence, Urge urinary incontinence, Mixed urinary incontinence, Faecal or flatus incontinence)
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Constipation (obstructive and/or fluid/fibre)
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Post-void urinary retention / residual volume
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Overactive bladder (OAB) (frequency and urgency)
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Urethral hypermobility
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OASIS recovery (obstetric anal sphincter injury)
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Prolapse management (non-surgical) (uterine, anterior, posterior and multi-compartment prolapse)
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Pelvic floor muscle training uptraining and downtraining
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Pilates matwork
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Reformer pilates
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Menopause related changes – exercise management
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Low bone density and osteoporosis – bone strength and falls prevention
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Return to exercise after joint replacement surgery
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Pregnancy related pain:
- Pubic symphysis syndrome (anterior pelvic pain in pregnancy)
- SIJ pain (low back/pelvis)
- Low back pain
- Hip pain
- Varicose veins of the leg
- Varicose veins of the vulva
- Excessive swelling of the legs and feet
- Carpal tunnel syndrome / wrist pain
- Pelvic floor strength
- Birth preparation for pelvic floor
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Postnatal pain and function
- de quervain’s / thumb pain
- OASIS recovery
- DRAM (abdominal separation)
- Mastitis management
- Functional strength and exercise
- Return to sport and exercise
- Return to work
Treating Women’s Pelvic Health
What to expect in your women’s pelvic health physiotherapy consults:
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Detailed discussion of your symptoms
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Assessment of the function of your pelvic muscles (if relevant)
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Initial management strategies
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Multi-day symptom tracking using validated assessment tools for specific diagnosis and analysis of bladder or bowel function
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Ongoing management strategies and treatments
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Home exercise program and / or lifestyle advice to reduce bothersome symptoms
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Referral for specialist assessment or management as appropriate
For referrers:
Women’s pelvic health training is through APA Women’s Pelvic Health Certification
Specific assessments may include
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Bladder diary (SR-BD)
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Bladder diary (SR-BD)
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external ano-perineal examination
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Internal examination (vaginal examination, DRE)
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TARTUS (coming soon)
Treatments offered:
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TTNS
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Sacral TENS
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PFMT for strength, endurance, speed, power
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EMG biofeedback
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Bladder training for urgency
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Bowel training for urgency
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Constipation management
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Fluid and fibre management
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Urge suppression
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Toileting positioning
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Lifestyle modification to reduce symptoms of urgency, prolapse, and incontinence
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Contiform