Women's Health Physiotherapy

Sarah our Womens Health Physiotheraist is trained to deal with many women’s health issues including:

  • Incontinence

  • Pelvic Organ Prolapse

  • Pelvic Floor Weakness

  • Pregnancy and Post Natal Physio

Incontinence

Did you know that Women’s Health Physios are able to treat many different type of incontinence!! Incontinence can be a scary and very debilitating issue that many women are faced with. Most women think that you just have to live with it. This is certainly NOT the case. In most cases Incontinence can be treated without the need for medical intervention (surgery and medication).

Womens Health Physios are able to assess and diagnose the type of incontinence you may be suffering with and form a treatment plan to help to address the issues.

Most people don’t realise that there are many different types of Incontinence including Stress Urinary Incontinence, Urge Urinary Incontinence, Mixed Incontinence (combination of Stress and Urge) and Overflow Incontinence.

Stress Urinary Incontinence: Leaking of urine associated with activities that involve an increase in intraabdominal pressure pushing down on your pelvic floor. Activities include: running, jumping, laughing, sneezing, and coughing. In women this is usually caused by pregnancy, childbirth and menopause.

During pregnancy and childbirth the muscles and fascia of the pelvic floor are stretched and weakened causing your Stress Incontinence. During menopause a huge hormonal change occurs – Oestrogen reduces significantly. One of the roles of Oestrogen is to help to maintain the thickness and health of the urethra (bladder outlet tube). With a reduction of Oestrogen there is thinning of the urethra and consequently many women experience Stress Incontinence.

Urge Incontinence: Involves a strong and sudden need to go to the toilet associated with leakage of urine. Very commonly caused by an overactive bladder muscle. You will get the feeling that you won’t be able to make it to the toilet in time and sometimes you will leak a little.

Overflow Incontinence: Occurs when the bladder never fully empties and you will experience frequent leakage of a small amount of urine. There can be many causes of Overflow Incontinence including: prolapse of the pelvic organ, blockage of the urethra, neurological conditions (Parkinsons, MS), diabetes, enlarged prostate and some medications.

By having an assessment of your bladder function and pelvic floor strength Women’s Health Physios are able to identify factors that are contributing to your incontinence and formulate a treatment plan to address these factors. Incontinence is not something you need to just live with. There is so much that can be done to help you.

Pelvic Organ Prolapse

This means a slipping of the pelvic organs. Pelvic organs include: Bladder, Uterus and Rectum. This is a huge problem in Australia. It is estimated that approximately 75% of women will develop some degree of pelvic organ prolapse during their life. AND approximately 1 in 5 women will have surgery for this prolapse. There is an increased risk of developing Pelvic Organ Prolapse with any weakness or damage to the Pelvic Floor muscles. Especially:\

  • Any women who has given birth
  • Any women who has a history of chronic respiratory conditions
  • Any women who has a history of chronic constipation
  • Any women who has a history of regular heavy lifting
  • Any women who has been an elite or high level athlete

Common symptoms include:

  • Vaginal Bulge
  • Pelvic Pressure
  • Low Back Ache
  • Splinting / Digitation
  • Bleeding, discharge, infection

Physiotherapy Management of Pelvic Organ Prolapse

  • Increase Support
    • Strengthen Pelvic Floor Muscles
    • Teach “The Knack”
    • Provide vaginal support
  • Techniques to reduce strain down through organs and fascia
  • Provide advice and tips on how to manage the symptoms

If you are experiencing any of these symptoms and would like some help please don’t hesitate to make an appointment with Sarah.

Pelvic Floor Weakness

There are many causes of Pelvic Floor Weakness including pregnancy and childbirth, chronic constipation, chronic respiratory condition and pelvic surgery. The great thing is that the Pelvic Floor muscles are just that muscles!!! Most of the time we are able to rehabilitate them with an individualised program of exercises. Sarah is able to assess the function of your pelvic floor muscles and tailor a treatment plan specific to you. If you feel your Pelvic Floor isn’t as strong as it once was call us and book an appointment with Sarah.

Sarah also treats many pregnant and post-natal women

Please see our Pregnancy and Post-Natal for more information

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