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 HCA Healthcare at The Shard 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. We also offer the postnatal assessment Mommy MOT.

Conditions we treat:

  • 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
  • Postnatal reviews to optimise recovery and address return to exercise


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:

  • 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

What you may expect from 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