Our Services

Women’s Health

 Women's Health Physiotherapy

Women’s health is a specialist area of physiotherapy which focuses on problems related to the pelvic floor and the pelvis. These problems may be either gynaecological or obstetric (pregnancy) related and include conditions such as incontinence, pelvic organ prolapse, pelvic pain, constipation, painful intercourse as well as aches and pain during pregnancy. Our women’s health physiotherapists are highly specialised, approachable, empathetic and will make you feel comfortable when seeking treatment and advice from us.

IS WOMEN’S HEALTH PHYSIOTHERAPY FOR ME?
If you answer YES to any of the following questions then we may be able to help you:
Do you have to run to the toilet urgently or unusually often?
Do you leak urine, gas or stool when you cough, sneeze or at any other time?
Do you have pain with your bladder filling or emptying?
Do you have a feeling of heaviness or dragging in your pelvis, vagina or anus or feel does it feel like you have something like a lump down there?
Do you have pain with intercourse or inserting tampons or a doctor's pelvic exam?
Are you pregnant but experiencing aches or pains or any of the symptoms above?
Have you had a baby and are unsure if you have returned to normal down there?
Have you had a baby and want to get your body back and return to exercises but are unsure how to do so safely and effectively?
Have you had, or are having, pelvic surgery and what to prevent further issues?
Page 2  OBSTETRICS (Pregnancy Care)
Pregnancy is a wonderful time in a woman’s life and her body will undergo a huge amount of change. This change can create pregnancy related aches and pains as well as issues with bladder, bowel and pelvic floor dysfunciton. Afterbaby issues can remain or arise. At London Bridge Hospital we want to make this special time in a woman’s life as easy and pain free as possible and ensure that they recover optimally postpartum. 
CONDITIONS WE TREAT / ADDRESS 
Low back pain
Central back pain
Neck pain
Pelvic girdle pain
rib pain
carpal tunnel syndrome (pins and needles or pain in the hands)
posture education to minimise pain / issues
caesarean scar pain
separation of the abdominal muscles (rectus abdominus divarication)
bladder and bowel incontinence
pelvic organ prolapse
pain from your episiotomy or tear
optimising recovery following third and fourth degree tears
Postnantal reviews to optimise recovery and address return to exercise
PAGE 3 GYNAECOLOGY
Research has shown that 3.5 million woman in the UK suffer from pelvic floor problems in their lifetime and a study of 1,900 woman by Netmums, shows that a third of these woman developed urinary incontinence whilst pregnant with three quarters too embarrassed to seek help.
This embarrassment can lead to women making do, by avoiding activities such as exercise. This does not need to be the case. Women’s health physiotherapy has been shown to be an extremely successful, clinically proven, way to treat these problems.
 CONDITIONS WE TREAT / ADDRESS
Stress incontinence (leaking urine when you cough, sneeze or jump)
Urinary urge incontinence  (desperate urge to suddenly pass urine and not always making it to the bathroom)
Overactive bladder
Pelvic organ Prolapse
Pelvic pain
Pain or discomfort during sexual intercourse 
Faecal Incontinence
Rehabilitation pre / post gynaecological surgery
PAGE 4 WHAT YOU MAY EXPECT FROM A PHYSIOTHERAPY CONSULTATION
Detailed history taking 
Explanation regarding assessment procedure 
Postural and movement assessment 
Pelvic exam (external and possibly internal) 
Follow-up consultations can vary between 1-2 times/week or 1-2 times/month, depending on the circumstances. This will be discussed with you on your first visit and may be adjusted in subsequent visits.
POSSIBLE TREATMENT OPTIONS
Internal manual therapy techniques
Relaxation and breathing techniques
Advice on toileting and positional modifications
Rehabilitative pelvic floor exercise
EMG Biofeedback
Bladder retraining 
Safe rehabilitation following gynaecological surgery such as hysterectomy or prolapse repair
Education
Manual therapy
Advice
Antenatall and postnatal exercise programs including postnatal checks

Is Women's Health Physiotherapy for me?

If you answer YES to any of the following questions then we may be able to help you:

  • Do you have to run to the toilet urgently or unusually often?
  • Do you leak urine, gas or stool when you cough, sneeze or at any other time?
  • Do you have pain with your bladder filling or emptying?
  • Do you have a feeling of heaviness or dragging in your pelvis, vagina or anus or does it feel like you may possibly have a lump?
  • Do you have pain with intercourse or inserting tampons or a doctor's pelvic exam?
  • Are you pregnant but experiencing aches or pains or any of the symptoms above?
  • Have you had a baby and are unsure if you have returned to normal?
  • Have you had a baby and want to get your body back and return to exercises but are unsure how to do so safely and effectively?
  • Have you had, or are having, pelvic surgery and what to prevent further issues?

Find out more about our Obstetrics and Gynaecology Care Services