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:

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: yvonne@evokerpps.com.au (Barangaroo Clinic) or caitlin@evokerpps.com.au (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.


Read More

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.


Our Women's Health Pessary Clinic

A pessary is a soft, silicone device that supports the walls of the vagina to manage symptoms of pelvic organ prolapse. It’s designed to lift the pelvic organ to help support the pelvic floor connective tissue and muscles as the heal and strengthen whilst you can undertake more successful pelvic floor muscle training.

Our experienced physiotherapist Caitlin has undertaken the gruelling and extensive 12 month university program to provide specialty and advanced pessary fitting for women across the lifespan including:

  • Resolving urinary incontinence and the feeling of incomplete bladder and bowel emptying
  • Reduce and prevent progression of pelvic organ prolapse
  • Help you return to the movement you love such as exercise and being active with your family
  • Prevent or delay surgical intervention

Expectations of a pessary fitting:

After an extensive advanced pelvic floor assessment to determine you would be a great candidate for this evidence-based treatment, including your prolapse severity, vaginal tissue quality and your ability to manage the pessary yourself day to day with a link with a recommended GP or gynaecologist for reviews as required.

There are many styles and sizes of pessaries and the process of finding the perfect fit is a bit like the perfect shoe, it may take a trial of a few options. We like to follow up with you soon after to ensure you have the optimal support from the pessary and teach you the skills to care for the silicone device.  A pessary can be a life changing experience, allowing you to bend, twist, lift and move with confidence and is a great low-cost and potentially long term option. We can also discuss with you the role of pessaries before or after surgery.


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


Read More