What is women’s wellness?
What is a women’s wellness physiotherapist and how is it different from a sport physio?
Our women’s health physiotherapists have specialist post graduate training and extensive experience in managing issues of the bladder and bowel, pelvic floor and hips/pelvis, pre and post pregnancy care and issues with hormonal health.
All physiotherapists have a protected title gained after a university degree but in women’s health we have chosen to further our studies in an area we are passionate about.
We can see patients who are either referred by their doctor or choose to come themselves without a referral.
Some issues that we treat include:
- Leaking of urine (incontinence) or the fear of leaking which can happen with coughing, exercise or with no apparent reason.
- Frequent trips to the toilet to pass urine, including during the night
- Constipation and issues with bowel and gut dysfunction (including IBS)
- Tight pelvic floor – pain with insertion of a tampon or during intercourse
- Pelvic organ prolapse
- Pregnancy related concerns
- Postnatal abdominal separation (DRAM)
- Complex hip/pelvic/back pain
- Exercise in pregnancy and after birth
- Hand and wrist conditions of womanhood (Carpal Tunnel and DeQuervain’s Tenosynovitis)
If this sounds like something you want to find out more about please keep reading or let us know how we can help – feel free to send us an email: firstname.lastname@example.org (Barangaroo Clinic) or email@example.com (Martin Place Clinic) or give us a call. We can help you incorporate exercise and lifestyle strategies to help you build confidence and feel more comfortable and empowered.
WHAT ISSUES CAN BE ADDRESSED WITH A WOMEN’S WELLNESS PHYSIOTHERAPIST?
- Urinary control issues such as incontinence or poor bladder control
- Stress leakage with cough, sneeze, run, jump, etc
- Urge leakage or fear of such leakage, such as when you put the key in the door or hear running water
- Difficulty with emptying the bladder comfortably
- Bowel incontinence and constipation
- Straining on the toilet or the feeling of incomplete emptying, associated chronic constipation
- Urgency to open your bowel or reduced bowel and wind control
- OASIS injuries (obstetric tears)
- Assessment and treatment of pelvic organ prolapse
- The feeling of a bulge or heaviness around the vagina that can be associated with back pain and discomfort that improves after lying down.
- Assessment and treatment of pelvic floor dysfunction
- This is not just for women who have given birth but can include those with chronic respiratory conditions, long standing back pain, ongoing constipation or regular heavy lifting such as those doing crossfit, occupational lifting or those with caring duties at home.
What will i expect during the appointment?
Your Initial Assessment will involve a 60 minute private consultation with one of our women’s health physios and will include:
- A detailed discussion regarding all your personal women’s health concerns, symptoms and issues
- A physical assessment to identify contributing factors to your symptoms
- This may include an internal assessment to determine the strength and function of the pelvic floor muscles as well as the position of the pelvic organs
- It can also include an assessment of abdominal separation, back/hip/pelvis function
- Advice, education and guidance regarding any potential underlying diagnoses and what to do about them
- Treatment and management strategies to help you feel more confident moving towards your goals
- This may include pelvic floor re-education and strengthening
- The use of specific training items can be utilised where appropriate
- Education, advice and management strategies
We will work closely with your current referring doctor (if you have one) to ensure that you receive the best holistic care. We will also guide you if we think you may need onward referral to other specialist health professionals.
You can claim your private health insurance rebate on the spot using our HICAPS machine or if you have a GP plan you can receive a medicare rebate on the spot. Initial consultations are one hour and follow ups are 30minutes unless discussed otherwise. You can see a women’s wellness physiotherapist either at Martin Place (Caitlin) or Barangaroo (Yvonne).
What will I need to bring?
You don’t need to bring anything extra to the consult – we have everything that you will need. Should you have any further questions about what is involved, please feel free to reach out to us directly and we can talk you through any concerns.
What is the pelvic floor
What is the pelvic floor?
The pelvic floor is made up of fascia and muscle that extends from the base of the pelvis to the tailbone. Together this create a hammock of upward support for all our pelvic organs. This is particularly important when we have added downward pressure through the abdomen in the way of coughing, sneezing, standing up, jumping, to name a few. It is therefore the pelvic floor that has to match this downward abdominal force and create an supportive upward force in order to keep from straining a number of structures in the pelvis.
Fascia is a passive structure and muscle is active. There are many factors that effect the function of the pelvic floor and its ability to support the pelvic organs. One such part that many people are familiar with includes the pelvic floor muscles.
The Pelvic Floor Muscles: The active part of the pelvic floor