We are dedicated to providing personalised and compassionate care to women of all ages. Our goal is to help you regain your quality of life and feel confident in your body. We provide assessment, diagnosis, and treatment of a range of conditions, including:
What to expect from your initial appointment
We will listen to your story and ask lots of questions to help us work out the problem and the best way to help you achieve your goals.
We will assess your body to help us understand the problem. We often assess not just the area of concern, but consider your whole body too. If the problem involves your pelvic floor you may need an internal exam.
What can we help you with?
This can include incontinence, urgency, nocturia (needing to pass urine through the night so that it interrupts your sleep) and bladder pain.
Stress incontinence – stress incontinence is leaking with things such as coughing, sneezing, laughing or with running / jumping. It is not only women who have given birth that suffer from stress incontinence, it is also common among those who have not had any children, including among female athletes.
URGENCY & URGE INCONTINENCE
Urgency is defined as “a sudden, compelling, difficult to defer
desire to pass urine” (for fear of leakage). Urgency is part of what makes up having an overactive bladder. Overactive bladder is urgency that is often accompanied by urinary frequency (needing to go to the toilet too often) and nocturia (needing to get up a couple of times in the night to wee). Urge incontinence is when you leak urine accompanied by an urge to go.
We are experienced with offering conservative treatment options to help manage these issues.
This can include constipation, a feeling like you are unable to empty your bowels fully, faecal incontinence, being unable to hold in wind and urgency related to your bowels.
We understand that these can be distressing issues and we are able to offer advice and treatment options to help you manage them.
A prolapse happens when one or more of the pelvic organs starts to descend into the pelvis. This is a very common condition that affects lots of women. Symptoms associated with
prolapse include a feeling of heaviness or pressure in the perineum, feeling a bulge vaginally and a dragging sensation in the perineum or lower abdomen.
We are experienced with managing these concerns as well as with the use of pessaries for pelvic organ prolapse.
We are very passionate about helping women through their pregnancy. We can provide treatment for any pain experienced during pregnancy, with some of the more common conditions including pelvic girdle pain (pain felt anywhere around the pelvis), pubic symphysis pain, back and rib pain and carpal tunnel syndrome (tingling and/or pain in the fingers and hand).
We are also able to offer birth preparation advice. We believe that every woman will benefit from getting their pelvic floor checked before giving birth, so that they have a good understanding of how these muscles work and what they are supposed to do during labour. During labour the pelvic floor needs to be able to relax and let go, but sometimes the pelvic floor can be holding too much tension to allow it to do this effectively. This is something we can check, and then if needed teach you ways to try and bring the tension down. We offer perineal massage, and can teach you how to push so that you feel you have prepared your body for birth in the best way possible.
We can also check your abdominal wall for any diastasis (separation of the abdominal muscles) and offer advice around this.
We feel really passionately that every woman should have access to a full body post-natal assessment after birth, irrespective of whether they had a vaginal delivery or caesarean.
During a post-natal check we can address any issues you are having including back, neck and shoulder pain, and wrist and thumb pain.
We will assess the abdominal wall to check that the abdominal muscles are functioning well after the stretching that inevitably happens during pregnancy. We will also check for any diastasis rectus abdominus (or abdominal separation) and offer advice and management for this where indicated.
We can assess the pelvic floor and help address any concerns, including concerns to do with incontinence, prolapse, urgency, perineal tears, pelvic pain and dyspareunia (pain with intercourse). It is usually recommended to wait until 6 weeks after birth before having a full post-natal check done, but it can of course be done later than this … it’s never too late!
We are also able to offer detailed advice on safely returning to exercise following pregnancy and birth. Everyone’s birth experience is different, as is their recovery, therefore it’s important to get an assessment so that can meet your body where it’s at and start exercising in a safe way. We understand the many benefits of exercise and are keen to find ways for women to be able to reach whatever exercise goals they may have post birth.
Chronic pelvic pain – this is pain experienced in the lower abdomen or pelvis that has lasted for more than 6 months. It can come and go, and is often diagnosed after tests have ruled out any underlying medical cause.
Other diagnoses that can fall under pelvic pain include vulvodynia, vaginismus, dyspareunia (pain with intercourse), bladder pain syndrome, pudendal neuralgia and coccydynia.
24 hour cancellation policy: For cancellations with less than 24 hours notice clients will be required to pay 50% of the appointment cost.
You may be able to claim the cost of your treatment back from your insurance company. You can check with your insurance company before booking your appointment. For further information please contact us.
You don't require a referral from your GP or consultant and you can self refer. Additionally we are happy to liaise and communicate with GP’s, consultants and any other specialists.