What is pelvic health physiotherapy?
Pelvic health physiotherapy is a specialised area of physiotherapy focused on the muscles, joints and structures of the pelvis, as well as bladder, bowel and sexual function. It can assist with concerns including pelvic pain, incontinence, prolapse, constipation, pregnancy and postnatal recovery, and rehabilitation following gynaecological surgery.
Do I need a referral?
No. You can book directly with us without a referral. If you have been referred by your GP or specialist, please bring your referral and any relevant information to your appointment.
What happens at my first appointment?
Your first appointment gives us time to understand what has been happening, your health history and what you would like to achieve. Your physiotherapist will discuss appropriate assessment options with you before developing an individual treatment and management plan.
Will I need an internal examination?
Not necessarily. Depending on your symptoms, your physiotherapist may discuss an internal pelvic floor examination as one possible part of your assessment. It will only be performed when appropriate and with your informed consent. You can decline or stop any part of an assessment at any time.
Can I attend an appointment if I have my period?
Yes. Having your period does not mean you need to cancel your appointment. There are many aspects of assessment and treatment that can still be undertaken. If an internal examination is being considered, whether you proceed is entirely your choice and can be discussed with your physiotherapist on the day.
What does treatment involve?
Treatment is different for everyone and will depend on what we find during your assessment. It may include education, pelvic floor rehabilitation, exercise, hands-on treatment, bladder or bowel strategies, lifestyle changes and a home program tailored to your needs and goals.
Is pelvic floor physiotherapy just about strengthening?
No. Pelvic floor muscles need to be able to both contract and relax effectively. In some people the muscles may be weak, while in others they may be overactive, tight or poorly coordinated. Your treatment will be based on what your pelvic floor actually needs rather than simply prescribing strengthening exercises.
How many appointments will I need?
This varies considerably depending on your symptoms, goals and individual circumstances. Following your initial assessment, your physiotherapist will discuss what they recommend and review your progress along the way. Our aim is to give you the knowledge and strategies to confidently manage your pelvic health over the longer term.
I’ve had my symptoms for years. Is it too late to seek help?
No. Pelvic health concerns are often present for a long time before people seek treatment. Whether your symptoms are recent or longstanding, an assessment can help identify contributing factors and determine what options may be available to improve or better manage them.
Can pelvic health physiotherapy help during pregnancy?
Yes. Physiotherapy during pregnancy can assist with pelvic and lower back pain, pelvic floor concerns, bladder and bowel symptoms and maintaining comfortable movement and exercise. It can also provide guidance as your body changes throughout pregnancy and in preparation for birth and recovery.
When should I see a pelvic health physiotherapist after having a baby?
We recommend booking your postnatal check around 6 weeks.
There is no single time that is right for everyone. You can seek advice at any stage after birth,
particularly if you are experiencing pelvic floor symptoms, pain, bladder or bowel changes,
abdominal concerns or would like guidance about returning to exercise.
I had a caesarean birth. Is a postnatal assessment still relevant?
Yes. Pregnancy itself places significant demands on the abdominal wall, pelvic floor and surrounding muscles, regardless of how your baby was born. Following a caesarean birth, physiotherapy can also assist with abdominal recovery, scar management, restoring strength and returning comfortably to everyday activity and exercise.
What should I wear?
There is no special clothing required, so wear whatever you feel comfortable in.
What if I feel nervous or embarrassed?
Pelvic health concerns can be very personal, and it is completely reasonable to feel apprehensive about your first appointment. We will explain your options, give you time to ask questions and involve you in every decision about your assessment and treatment.
Can I claim through private health insurance?
If your private health cover includes physiotherapy, you may be eligible for a rebate. The amount will depend on your individual policy, so we recommend checking with your health fund if you are unsure about your level of cover.
Can I attend under Medicare?
Eligible patients may be able to access a Medicare rebate when referred by their GP under a GP Chronic Condition Management Plan. We are a private billing clinic, so a gap payment will apply.
Do you offer Telehealth?
Telehealth review appointments are available for existing patients where appropriate. This can be useful when attending the clinic is difficult or when your physiotherapist feels your care can be effectively continued remotely.
Can I bring my baby or child to my appointment?
Yes. You are very welcome to bring your baby or child with you if needed. We understand that arranging childcare is not always possible and will do our best to make your appointment comfortable for you and your family.