Bladder

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  • Urinary Incontinence (leakage), Stress, Urge, Giggle or Mixed Incontinence

  • Urgency

  • Frequency changes

  • Incomplete Voiding

Incontinence maybe experienced by more than 1 in 3 women at any stage of their life. There are different types of Incontinence. The more common being, Stress Urinary Incontinence (SUI) which occurs when you lose urine, with a cough, laugh, sneeze or jump. Urge Incontinence occurs, when you head to the toilet, but just do not make it and leak. You may also experience a sense of Urgency with the feeling of a full bladder and find you need to rush to the toilet more often than normal. Giggle Incontinence is when you leak with a good laugh or giggle, and occurs more often, in children and young teenage women.


You may experience a combination of one or more of the above, known as Mixed Incontinence as well.

The good news is that! There are numerous pain free assessments and treatment strategies, educational tools, supports and treatment modalities, we can use to retrain the pelvic floor muscles and bladder and improve bladder function.
 

 

Bowel

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  • Bowel Incontinence (leakage)

  • Constipation

  • Irregular bowel motions (IBS)

  • Flatulence

  • Incomplete empty

Bowel Incontinence (Faecal Incontinence) is an inability to control bowel movements, resulting in involuntary soiling. The symptoms and signs of Bowel Incontinence may vary from person to person. Some people feel a sudden need to go to the toilet but are unable to reach a toilet in time (Urge Bowel Incontinence). Other people may experience no sensation before soiling themselves (Passive Incontinence), or there might be slight soiling when passing wind. For many, the experience is multiple times a day or for others, it may only occur occasionally with diet, foods, and or stress.

 

Other bowel concerns may include constipation, flatulence, and incomplete clearance.

 

Bowel issues are often a symptom of an underlying concern such as pelvic floor muscles dysfunction, poor or incorrect diet, toileting posture or timing, reduced exercise and or a medical condition.

 

An assessment and treatment of your bowel concerns may involve Real Time Ultrasound, an anal digital examination, pelvic floor muscle releases and or a bowel management program. 

 
 

Breasts

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  • Blocked Ducts

  • Engorged Breast

  • Mastitis

Blocked breast ducts are not only an inconvenience, as they can dramatically slow down the flow of your breast milk, but they can be incredibly painful as well. And may lead to more severe inflammation of the breast ducts known as Mastitis.

There are many non-invasive pain-free techniques that can be utilized to clear the blocked breast ducts and treat Mastitis. Ultrasound is often a key to successfully clearing the blocked ducts. Ultrasound is painless, effective, and will assist to restore that much need milk flow. The number of sessions needed varies with every person.

 

Other treatment techniques such as Lymphatic Massage, Kineseotaping, and more, may be used to help clear your breast ducts and re-establish a good milk flow.

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Falling pregnant and the preganacy journey is varied and unique for every woman. However common to all pregnancy is the need to ensure your pelvic floor muscles, bladder and bowel function, and core muscles, are working well to support you throughout your pregnancy, birth and beyond. 

 

You maybe experiencing a sore neck, shoulders, wrists, back and legs or pain in your pelvic girdle with pubis or sacral pain. If you are, there are many physiotherapy supports and treatment modalities, we can offer to keep you active, strong and prepared for birth.

  • Pelvic Floor Muscle Assessment / strengthening

  • Pelvic Floor Muscle Release (prep for birth)

  • Neck, shoulder, back and pelvic gridle treatments

  • Fittings for Abdominal and Sacral belt supports

 
Mother and Baby

Sore necks, backs, knees, feet and general body aches and fatigue can often be connected to changes in your abdominal core and pelvic floor strength and functioning. Add hormonal changes, fatigue, and repetitive activities such as lifting and carrying your baby in and out of the cot, and pump or breast feeding, and you have the perfect storm.

 

Physiotherapy can provide you with education on good posture, self-correction and awareness, safer movement patterns for activities with your baby exercises, and a return to strength and fitness program, so that your spinal, core, and pelvic floor muscles, can work correctly to support your body well into motherhood.

  • Post-natal Core and Floor Exercises

  • Diastasis Rectus Muscle Separation Assessment

  • Advice on good Posture and Ergonomics

  • Education on lifting and carrying your baby, in and out of Cots, Cars and on and off Change Tables

 
 
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Diastasis Rectus Abdominis muscle Separation (DRAM) is common and will occur in most pregnancies and in the post-natal period.

 

It occurs primarily due to the separation of the connecting tissue that joins the anterior Rectus Abdominus muscles. The cause of the separation is multifactorial (hormones, babies’ weight and utero position, individual collagen and more) and varies with all pregnancies.

Physiotherapy can provide an accurate assessment of the separation, using Real Time Ultrasound (RTUS) and provide a specific exercise program that can assist in reducing the gap and supporting the connective tissue.

 

The goal being, that you can as return to your favourite sports and activities feeling strong and confident.

  • Diastasis Rectus Abdominis Muscle separation (post pregnancy abdominal gap)

  • Mummy Pooch

  • Strengthening Exercises for the core and Floor

 
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If you are preparing to have surgery of any kind, be it abdominal (DRAM repair), hernia repair, pelvic or vaginal surgery, all major surgeries involve anaesthesia, bed rest and recovery.  Often bladder and bowel function may be affected. As well as your breathing altered and overall muscle deconditioning may occur.

 

Preparing for the surgery will better prepare you and your muscles for a better rate of recovery and reduce your anxiety and worry.

 

A pre – op visit to our clinic is a great opportunity to get detailed information, advice, education, and a management plan for your recovery. A conditioning and strength program, can then be planned for your return to fitness. 

  • Diastasis Rectus Abdominal Muscle (DRAM) Surgery

  • Tummy Tucks (Mummy Pouch be Gone!)

  • Hernia Repair

  • Hysterectomy

 
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  • Poly Cystic Ovarian Syndrome (PCOS)

  • Pelvic Organ Prolapse

Pelvic Organ Prolapse (POP)

Is when 1 or more of the organs in the pelvis (bladder, bowel, uterus) move down from their normal position and bulge into the vagina. Research frequently estimates that up to 50% of women experience pelvic organ prolapse. Severe prolapse may lead to surgery and or a hysterectomy that involves the complete or partial removal of the uterus.

Polycystic Ovary Syndrome (PCOS)

Is common and treatable. PCOS occurs in 1 in 10 women of reproductive age.  Women with PCOS may have a hormonal imbalance and often an altered metabolism, that may affect their overall health and appearance.

 

Most gynaecological women’s conditions will involve some form of pelvic floor muscles dysfunction, resulting in pain, possible incontinence, pain with sexual intercourse or total avoidance of intercourse.

 

​Physiotherapy can provide non-invasive re-education of the pelvic floor muscles using manual therapy techniques, provide pain management strategies and supports for treating PCOS.  If an additional vaginal support is required for pelvic organ prolapse, a vaginal support pessary maybe suggested.

 
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Every woman will experience some form of musculoskeletal pain in their lifetime. The cause is multifactorial and is often due to, hormonal changes, (pregnancy, breastfeeding, menopause), poor posture, repetitive strain, and or injury.  Muscles may spasm, nerves can become irritated, and pins and needles and pain may develop. The good news is that many musculoskeletal pains, can be treated, if addressed early.

 

Treatments such as mobilisation, tissue massage, electrical therapy, ultrasound, laser, and exercises maybe used to resolve your pain.

  • Neck, shoulder, and back pain

  • Pelvic Girdle Pain (Pubic bone or Sacrum bone )

  • Carpel Tunnel Syndrome

  • De Quervain’s Tenosynovitis

 
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  • Vaginal Pain

  • Pubic (front) and Sacroiliac pain (base of the spine)

  •  ‘Fire Crotch’

  • Coccydynia (pain in the coccyx)

  • Sciatica

Pelvic Gridle Pain (PGP) is commonly experienced at any age and stage of life and can be extremely debilitating. PGP may be described,  as pain felt within the pelvic area in the front of your pelvis, back of the pelvis, around the lower back and or sacral areas, or even deep internally within your pelvis.

 

The cause of PGP may be multifactorial and often may occur due to sporting activities, hormonal changes, pregnancy, after childbirth, pain experienced with sexual intercourse or arousal (vaginismus), or when using your bowel and or bladder.

Often pelvic girdle pains are associated with, but not limited exclusively to pelvic floor muscle (PFM) dysfunction. PFMs may have altered strength, tone, or be in spasm causing hypersensitivity, nerve pain, and muscle contraction. Several modes of treatment are available for PGP and may fully resolve the pain and allow you to resume pain-free activity.

 
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  • Vaginismus

  • Vulvodynia

  • Overactive Pelvic Floor Muscles

Returning to sex after childbirth can be a very daunting thought. It’s often been many months, since having any form of intimacy with your partner. Couples are often exhausted in those first few months to even a year or more, after the birth of their baby. Hormones can be playing havoc for many women and breast feeding and leaking breasts, can be very off putting for both partners, as they navigate the new role of parenthood and their relationships with each other.

 

Many women will say that sex is now painful and or feels quite different since giving birth. This is very normal.

 

With time and treatment this will resolve. The discomfort maybe due to reduced vaginal lubrication, often associated with hormonal changes with breast feeding, lack of sleep and or stress. Hypersensitivity of healing perineal scar tissue, from an episiotomy or tear. The pelvic floor muscles may have altered muscle strength, tone, activation, and sensitivity. Resulting in a form of Vaginismus (overactive pelvic floor muscles) causing pain with sexual penetration or arousal.

 

A pelvic floor muscle assessment and treatment program, aims to relieve your pain, and restore confidence and pleasure again back in the bedroom.

 

Real-time Ultrasound Imaging & EMG

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  • Pain Free

  • Non-invasive

RTUS is a pain free, non-invasive and a valuable biofeedback tool, that allows physiotherapist trained in this area, to view images of muscles, tissues, and organ both at rest and in functional movements. Information and imagery from the RTUS can then be used to create an individualised educational, exercise or training program. RTUS can be used safely while pregnant, as well as after you have delivered your baby. 
 

RTUS is often used to view the bladder, it's shape, and position, to measure pre and post voiding amounts, bladder, and bowel health, as well as muscle activation of the core abdominal and pelvic floor muscles. It is also an objective tool to measure Diastasis Rectus Abdominal Muscle (DRAM) separation. 
 

Everyone usually really enjoys seeing their body muscles and how they function from the outside in!

Other biofeedback tools such as EMG (electromagnetic imagery) allows the placement of probes and or pads on or near a muscles motor action plate to record the activity of a muscle. The transmission from the probe / pad is displayed in a graph or visual feedback unit, so that you can view the activation, timing, and strength of a muscle contraction.  EMG provides accurate feedback on quality and strength of your pelvic floor muscle and core muscles. 

There are no additional charges for the above services.

 

Exercise Classes

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  • Pilates

  • Fit and Fab Class

  • Stretch and Tone Class

  • Hydrotherapy Classes for back to fitness and pain management

Our exercise classes may consist of cardiovascular, strength and resistance training, flexibility, and or stretches. The focus may be a return to fitness or to maintain your fitness. We are not a fitness gym, and we approach our exercise classes from an evidence-based physiotherapy and fitness background.  We often work with other allied health professional in our community, to provide you with the most effective exercise regime.
 

Our classes can be 1:1 or small groups of 2-5 in a session. 
 

You will be asked to complete a Pre-class Exercise question sheet, outlining your level of past exercises, medical conditions, and any goals you have for your session. This allows your physiotherapist and trainer the opportunity to plan an individual exercise program for you and or tailored exercises in the class to suit your level of fitness.