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Women’s Health

 

Women’s Health — Pelvic Floor & Incontinence Care

Symptoms of urinary or fecal incontinence, sexual dysfunction, pelvic pain or prolapse can be highly distressing and have major impact on activities of daily living, relationships and general quality of life. Physiotherapists trained in this special area understand the life impact of pelvic floor dysfunction.

Physiotherapy aims to provide education on the presenting problem and strategies to gain more control and improve overall quality of life.

Pelvic floor problems amenable to Physiotherapy include:

  • Urinary and fecal incontinence
  • Constipation
  • Persistent pelvic pain
  • Vaginismus
  • Prolapse
  • Dyspareunia
  • Pre and post prostatectomy care
  • Pre and post prolapse surgery
  • Pelvic girdle and back pain during pregnancy
  • Weak pelvic floor muscles
  • Vulvodynia
  • Over active bladder (OAB)

Did you know that 36% of women over the age of 45 years suffer from incontinence? You will probably also be surprised to know that 12% of young women who have never had babies also have trouble with their waterworks!

 

Most women consider their toilet habits ‘normal.’ But are they?

Do you leak (even small amounts) when you cough/sneeze/lift/exercise?

Do you experience a very strong urge to pass water?

Can you always hold on until you get to the toilet or do you sometimes leak on the way?

 

If you answer ‘yes’ to any of these questions then we can help.

Antenatal and Postnatal Physiotherapy

 We can also assist with various musculoskeletal changes that occur in the child-bearing year. Basic antenatal or postnatal exercise programs are designed for each patient. In addition, further strategies are used to effectively treat:

Antenatally:

  • Low and mid back pain
  • Sacro-Iliac Joint pain (+/- sciatica), Pubic Symphysis pain
  • Piriformis muscle spasm
  • Difficulty/pain with movement
  • Rectus diastasis (abdominal separation)
  • Bladder control problems or constipation/straining
  • Carpal tunnel symptoms

Postnatally:

  • Back, shoulder and neck pain
  • SIJ, pubic symphysis or piriformis pai
  • Rectus Diastasis
  • Abdominal bulging during movement
  • Post caesarean pain (after healing)
  • Perineal pain and discomfort
  • Bladder/bowel control difficulties and constipation/straining

These conditions are often greatly relieved with various strategies including pain relieving modalities, deep massage and other manual therapies, core-stability muscle strengthening, postural stretches, specific muscle balancing and co-ordination techniques (including retraining, positioning and patterning) and sometimes external supports and splints.

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