Women go through many cycles of life centered around the pelvis, including menstruation, pregnancy/child birth and menopause. Therefore, it is no surprise that they are more predisposed to pelvic dysfunction. Specialised physiotherapy is becoming more established in the literature as a first-line of defense against incontinence and pelvic pain. 

 

Pelvic Floor Dysfunction can be caused by:

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• Low Tone in the pelvic floor muscles i.e. hypotonicity which can contribute to stress incontinence and pelvic organ prolapse

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• High tone in the pelvic floor muscles i.e. hypertonicity which can contribute to urgency, urge incontinence, interstitial cystitis, dyspareunia, vaginismus, chronic pelvic pain, vulvodynia, pudendal neuralgia.

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Kegels, or pelvic floor contractions, are not always indicated for pelvic floor dysfunction and can often do more harm than good. In many cases kegels are taught via a pamphlet and are not performed correctly. Pelvic floor muscles must be assessed via a vaginal and/or rectal exam in order to determine the type of dysfunction occurring. Only then can the appropriate treatment plan be designed. 

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List of Conditions Treated/Managed in Clinic

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• Urinary Incontinence 

• Fecal Incontinence (including post episiotomy/injury to anal sphincter)

• Clitoral Phimosis

• Diastasis Recti

• Dysmenorrhoea (Primary)

• Dyspareunia

• Pain management for Endometriosis

• Interstitial Cystitis/Bladder Pain Syndrome

• Irritable Bowel Syndrome

• Pelvic Congestion Syndrome

• Pelvic Floor Dysfunction (including post surgical)

• Pelvic Girdle Pain (including Coccydynia,  Sacroiliac Joint and Pubic Symphysis pain)

• Pelvic Organ Prolapse

• Post Partum Perineal Pain

• Pudendal Neuralgia

• Scar Management Post C-Section/ Episiotomy/Abdominal Surgery

• Vaginismus

• Vestibulodynia

• Vulvodynia