Everything You Need To Know About Pelvic Health Physiotherapy

Pelvic health is fundamental to women’s overall well-being, yet it can be difficult to discuss with others. That’s why you need a dedicated pelvic floor physiotherapist to help you take control of your pelvic health and resolve any symptoms you may have been struggling with. If you’ve ever experienced pelvic pain, incontinence, or discomfort during intercourse, pelvic health physiotherapy might be the solution—and Papaya Clinic is here to talk you through the ins and outs.

What does a pelvic health physiotherapist do?

Pelvic health physiotherapists specialise in assessing and treating conditions related to pelvic floor muscles and tissue around the pelvic region. These highly skilled professionals are experts in addressing a wide range of pelvic health issues, including urinary and fecal incontinence, pelvic pain, pelvic organ prolapse, pain during intercourse (dyspareunia) and pregnancy or postpartum-related pelvic concerns.

What happens at a pelvic physio appointment?

Your initial appointment with a pelvic floor physio will typically begin with a thorough examination of your pelvic health history. This may include discussing relevant medical conditions, surgeries, pregnancies and symptoms. Your pelvic floor physio may also conduct a physical examination to evaluate your pelvic floor muscle strength, flexibility and coordination.

Based on the assessment findings, your pelvic floor physio will collaborate to develop a personalised treatment plan tailored to your unique needs and goals, ensuring you receive the care and support you need. This plan may include a variety of interventions, including manual therapy techniques, therapeutic exercises and patient education, designed to help you optimise your pelvic floor function and alleviate your symptoms.

Throughout your treatment journey, your women’s pelvic health physio will provide ongoing support, guidance, and encouragement and empower you to take an active role in your pelvic health and well-being.

How do I prepare for a pelvic physiotherapy appointment?

Preparing for pelvic floor physiotherapy is simple. Here are a few steps you can take to ensure you’re ready for your appointments and maximise the benefits of your treatment:

Familiarise yourself with your pelvic health history

This includes any past surgeries, pregnancies or medical conditions.

Wear comfortable clothing

You may be asked to perform exercises or undergo physical examinations, so comfort is important.

Write a list

Prepare a list of medications you’re taking and any questions or concerns about your pelvic health.

Be open and honest

We know it can be an awkward topic, but it’s important to be open with your pelvic health physio about your symptoms, concerns and goals for treatment. Don’t worry – we’ve heard it all before.

A note on internal vaginal examinations

In some cases, an internal vaginal examination is necessary. Still, we will always give you the option to opt out if you’re not comfortable with that for any reason (menstrual cycle, etc.).

How do you know if your pelvic floor is healthy?

Maintaining a healthy pelvic floor is crucial for overall well-being and can help prevent various pelvic health issues. Signs of a healthy pelvic floor include:

  • Being able to control your bladder and bowel movements effectively

  • Having good bladder and bowel habits, such as urinating regularly and without urgency and having regular, well-formed bowel movements

  • Experiencing comfortable and pain-free intercourse

  • Being able to engage in activities such as running, jumping or lifting without experiencing pelvic pain or discomfort

If you’re experiencing symptoms such as incontinence, pain or discomfort, we’d recommend booking an appointment with our Sydney women’s physiotherapy clinic for an assessment and personalised treatment plan.

When should you see a pelvic health physio?

You should consider seeing a pelvic health physiotherapist if you’re experiencing any of the following symptoms:

  • Urinary or fecal incontinence

  • Pelvic pain or discomfort

  • Pain during intercourse

  • Pelvic organ prolapse

  • Difficulty with bladder or bowel control

  • Pregnancy or postpartum-related pelvic issues

Even if you’re not currently experiencing symptoms, seeing a pelvic floor physio can benefit preventive care and optimise pelvic floor function.

How long does pelvic physio take to work?

The timeline for experiencing improvement with pelvic floor physiotherapy can vary depending on several factors, including the severity of your symptoms, your adherence to the treatment plan, and other considerations such as overall health and lifestyle habits. Some conditions also involve multidisciplinary care, such as liaising with psychologists, naturopaths, gynaecologists, etc. Some women may notice improvement within a few weeks of starting treatment, while others may require more time to see significant results.

It is essential to be patient and consistent with your pelvic physiotherapy exercises and treatment plan. Your physiotherapist will work closely with you to monitor your progress and make any necessary adjustments to ensure you’re on the path to achieving your pelvic health goals.

Getting started with pelvic floor physiotherapy

Pelvic floor physiotherapy is a valuable resource for women seeking to optimise their pelvic health and address any issues they may face. By taking an active role in your pelvic health journey and seeking support from a qualified pelvic floor physio, you’ll be well-placed to alleviate your symptoms and prevent future pelvic floor pain. Here at Papaya Clinic, you’ll find a complete pelvic floor physio solution – and with our help, you'll be able to live your life to the fullest. Get in touch with our pelvic floor physiotherapist in Sydney for a consultation today.

Winnie Wu - BPhysio, Grad Cert (Continence and Pelvic Health) APA

Winnie is the founder of Papaya and is our principal physiotherapist and team leader. Her special interests are in treating dance and women’s health issues. Her role in the clinic is to lead with mission, vision, and purpose; thus, she is evenly divided between treating, mentoring, and business development. She is currently completing her Masters in Pelvic Health and Incontinence at the University of Melbourne.

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Post-Natal Depletion Syndrome Prep Talk