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Women's & Pelvic Health

Are you experiencing some leakage when you cough, laugh, sneeze or exercise? You’re not alone.

Incontinence affects around 30% of women and 20% of men in New Zealand. The good news? You don’t need to suffer with these issues - physiotherapy can help.

Are you experiencing any of these signs of dysfunction?

  •    Racing to the loo and leaking on the way 
  •    A heavy or bulging sensation in your vagina
  •    Frequent urinating and / or pain in the bladder 
  •    Leaking urine when you run, jump, sneeze etc. 
  •    Pain or discomfort in your lower abdomen or vagina 
  •    Pain during sexual intercourse

Nicole Griedanus, our Pelvic Health physiotherapist, is trained in looking after women with pelvic floor issues. Nicole will assess you and develop a treatment plan that’s just right for you. If you are have any questions, you can contact Nicole by email nicole@angleseaphysio.co.nz.

Physiotherapy is advocated as a first line treatment for urinary incontinence, pelvic organ prolapse, bladder pain syndrome and other pelvic floor disorders by professional medical bodies such as IUGA & FIGO.

How can physiotherapy help me?

  • A thorough assessment in everything related to pelvic health
  • Pelvic floor strengthening
  • Pelvic floor relaxation and down training
  • Bladder or bowel retraining
  • Exercises to regain normal pelvic floor muscle tone and strength
  • Advice on posture and back care
  • Assessment and treatment of musculoskeletal and other conditions during pregnancy
  • Advice and supervision of exercise in pregnancy and high-risk pregnancies
  • Assessment on your readiness to return to vigorous exercise following childbirth
  • Assessment and treatment of painful scar tissue
  • Assessment and treatment for pelvic pain and/or pain with sexual intercourse
  • Fitting of a pessary in the case of pelvic organ prolapse and/or stress urinary incontinence

What should I expect at my appointment?

Your Pelvic Health Physiotherapist will do their best to make you feel as comfortable as possible. You will be asked questions about your general health, lifestyle and exercise habits and medical history as well as questions regarding your current bladder, bowel or sexual symptoms.  This is an opportunity for your physiotherapist to understand your symptoms and to form an idea on what they think is causing them.

Your physical assessment is then completely individual depending on your symptoms and condition. It may include one or many of the following:
  • Posture and pelvic alignment assessment
  • Perineum examination (to check for scaring after a vaginal birth)
  • Vaginal examination (to assess for prolapse, pelvic floor function and vaginal wall health)
Please note that vaginal examinations are the most accurate way to assess the pelvic floor muscles but you always have the right to refuse a vaginal examination. We will a find another option if this makes you feel uncomfortable.
Your treatment plan options will then be discussed with you and you will be given lots of information about your condition and assessment findings. You will also get the opportunity to ask any further questions you might have.
If your Pelvic Health Physiotherapist thinks you need input from another health professional ( EG. your GP, Urologist, Gynecologist, Colorectal Specialist, Dietician, or Psychologist) they can arrange this referral for you.

What is causing these problems?

Many factors can contribute to pelvic dysfunction. These include hormones, pregnancy, child birth, menopause, weight gain, stress, radiation therapy, surgery, trauma, constipation, dietary factors or poor toileting habits. 

What will a consultation cost?

Initial Consultation (1 hour) - $125
Follow-up Consultation (30 min) - $70

Don't be shy.

Many women don’t seek help for pelvic floor issues. We are busy, embarrassed or think that it is normal. Our specialist Pelvic Heath physio sees clients every day with all sorts or minor and more complicated pelvic floor issues. You’ll feel very relieved once you have discussed your problems and have a plan for addressing them. No referral needed. 

 

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