Women’s & Pelvic Health Physiotherapy

Women’s and Pelvic Health Physiotherapy Services in Tumut

What does a Women’s and Pelvic Health Physiotherapist do?
The pelvis and the pelvic floor is a combination of muscles, bones, organs, ligaments and other tissues that each have an important role to play in maintaining a balanced system.

Physiotherapists who undergo additional training to expand their knowledge into the complexity of a woman’s anatomy and hormonal system are known as Women’s Health Physio’s. They have the skills to understand and treat a variety of conditions specific to women across the lifespan; affecting young women into the childbearing years, leading up to and beyond menopause.

Our Women’s Pelvic Health Physiotherapist can assist with:

Bladder Complaints

  • Urinary incontinence
  • Either stress urinary incontinence
  • Overactive bladder/urgency or both

Pelvic Organ Prolapse

  • Anterior vaginal wall/cystocele where the bladder presses into the front of the vagina
  • Posterior vaginal wall/rectocele where the rectum pushes into the back of the vagina
  • Uterine (or vaginal vault) where the cervix descends down into the vagina.

Bowel Complaints

  • Fecal and Flatal incontinence
  • Functional constipation
  • Defecation disorders

Pregnancy Related Musculoskeletal Pains

  • Carpal tunnel
  • Pelvic girdle pain
  • Hip and low back pain.
  • As well as advice on commencing and/or continuing exercise during pregnancy.

Post-natal Checks & Rehab

  • Perineal & OASIS tears
  • Abdominal separation
  • DRAM assessment & rehabilitation
  • Advice and education for returning to sport/exercise
  • Tailored exercise prescription.

Your first appointment may be a daunting thought! A lot of complaints women have about their pelvic floor can be embarrassing to discuss and asking for help is sometimes the hardest step to take. Given it can be such a sensitive topic, Leah ensures privacy, confidentiality and no judgment in her consultations. To best understand where the problem is coming from, it is important to ask detailed questions of your bladder, bowel and sexual function. Each system is so closely united in the pelvis, often one system directly affects another, so using questionnaires can help direct where we need to target your treatment. Leah may ask you to fill out some information ahead of time or after your initial appointment, such as a bladder or bowel diary to help gain insight into what goes in and how it comes out!

Given the pelvic floor is made up of muscles, an effective way of testing the strength and function of these muscles can be either through external visualisation of the perineum or an internal vaginal and/or rectal examination. Internal examinations are also helpful for assessing the position of pelvic organs (bladder, bowel & cervix) within the pelvis. This can be quite confronting to be told these options are how we assess bladder function! They aren’t the be-all and end-all of every initial appointment and there are other options to test pelvic floor function. Gaining your consent for all procedures (before AND during) is important and you will be given reasons for the importance of these examinations as well as alternatives so you can make an informed choice about your health and your body.

  • Pelvic floor muscle training program
  • Urge suppression techniques and bladder or bowel retraining programs
  • Transcutaneous neuromuscular stimulation
  • Biofeedback for pelvic floor weakness or dysfunction
  • Education, advice and lifestyle modifications or changes
  • Initial appointment, 60 minutes $200.00
  • Follow up appointments:
    • 30 minutes $110.00
    • 45 minutes complex/extended $150.00

Private Health rebates when eligible.

Medicare rebates with a current GP referral on a chronic disease management plan.

DVA continence rebates with current GP referral and DVA pre-treatment approval.

You don’t need a referral from a specialist (eg. gynaecologist or urologist) however, if you have any relevant referrals or test results such as urodynamics, please bring these to your appointment.

Some of the conditions above may have been a problem for you for only a matter of weeks after giving birth, some you may have experienced for months or even years.

Treatments for some of these conditions can be relatively ‘quick fixes’, although it often takes work and time to see results. Empowering you with the knowledge and tools to make these changes is something Leah is passionate about.

You will likely have many questions for Leah too! There is no such thing as a silly question, if it helps to improve your knowledge of your body and how it works, then you’re one step closer to taking control of your health and making changes where it matters most to you.

For more information or to make an appointment contact us today…

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