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PREGNANCY

 

ANTENATAL

Pelvic girdle pain can appear anywhere around the pelvic ring; the back, hips, buttocks, thighs or groin. Treatment involves an assessment to identify the causes of you particular symptoms.

 

Specific interventions may include:

- manual therapy 

- exercises 

- lifestyle changes 

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POST NATAL MOT

Specialist postnatal examination following vaginal or caesarian deliveries 

This may include:

  • an assessment of bladder, bowel, sexual function and rehabilitation of the pelvic floor 

  • rectus diastasis check 

  • this may include internal examination to establish pelvic floor muscle function

  • advice and education regarding return to exercise or sport 

  • an individual holistic approach 

  • core stability review 

 

I can assess you after your 6 week post-birth check-up​​​​​

If you would like to speak to me first then please feel free to email or ring

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HOW CAN WOMEN’S HEALTH PHYSIOTHERAPY HELP ME POSTNATALLY?

The pelvic floor is a complex structure made up of a group of muscles that support the pelvic organs and form the birth canal and passages for urine and stool. These muscles need to be able to contract to keep us continent, but also they must relax to allow for urination, bowel movements, childbirth and sexual intercourse. 

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Problems with the pelvic floor can occur when these muscles are too weak or too tight or are injured during childbirth. With pelvic floor weakness, the hammock of muscles become less effective at supporting the pelvic organs and symptoms such as urinary or bowel incontinence, urgency and pelvic organ prolapse can occur. For pelvic floor weakness, the good news is that a structured exercise program to strengthen the pelvic floor muscles is effective in reversing the symptoms in 80% of women.

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Pelvic floor muscles which are over toned and unable to relax create a variety of issues which may include urinary and bowel problems including frequency, urgency, incomplete emptying and pelvic pain on intercourse and orgasm as the muscles are unable to relax fully. Other symptoms may include interstitial cystitis (painful bladder), vulvodynia, pudendal nerve neuralgia, and repeated cystitis.

 

Correctly identifying that this is the cause is very important in order to choose the right line of treatment and be able to teach relaxation techniques.

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Educational advice on returning to exercise with an individualised programme

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