Do you go to the toilet more than 4-6 times a day or more than 2 times a night?
Do you leak a little urine when you laugh, sneeze, cough or jump?
Do you feel an urgent need to pass urine?

Do you have pain with intercourse?

If you answered yes to any of the above questions you may have a pelvic floor dysfunction. The good news is that there is a lot you can do to improve this and that by discussing this with your pelvic health physio you are on the right track to not only improving your pelvic floor function but also preventing deterioration later in life.

Women:

1 in 3 women who have had a baby suffer from incontinence. A lot of women consider this to be the norm or expected after having a baby, as it is so common. However, it is definitely not the norm and may indicate that you have a pelvic floor dysfunction.

A pelvic health physiotherapy assessment involves an internal assessment along with extensive questioning about your pelvic floor, bladder and bowel to enable accurate diagnosis and the best management plan to be put in place. Treatment is specific to each and every patient as for some women the problem is an overactive pelvic floor, causing spasm, sometimes pain and the inability to achieve a good contraction as the muscle is already overworking.

It has also been shown through studies that a large percentage of women do not correctly contract their pelvic floor when given verbal or written instruction of what to do.

Hence, it is of great importance to get an accurate diagnosis, a tailored program and feedback on correct technique.

Conditions treated:

  • incontinence, urinary, faecal, stress, urge, mixed
  • overactive bladder (going more often)
  • constipation
  • pre natal:
    • back, pelvic and neck pain;
    • rib pain
    • carpal tunnel
    • pelvic floor weakness
  • post natal:
    • back, pelvic and neck pain;
    • abdominal separation and core strength
    • wrist and thumb pain
    • pelvic floor education and strengthening
    • prolapse
  • pelvic and vaginal pain: painful sex, painful urination, coccyx pain
Men and Prostate Cancer:
Following prostate cancer surgery the majority of men will experience some level of incontinence.
Incontinence, the involuntary leakage of urine following prostate cancer surgery,  may be aggravated by coughing, sneezing, laughing, passing wind, lifting, bending, twisting or getting up out of the chair or bed. It may also occur with every day activities such as gardening, mowing the lawn,  playing golf or bowls.
What Can I do about it?
Exercise your pelvic floor muscles.
Physiotherapy guided pelvic floor training has been shown to reduce the longevity and severity of incontinence following prostate cancer surgery. For best results training should start 4-6 weeks prior to surgery but it's never to late to learn and start practising!
A pelvic health physio will assess your pelvic floor using real time ultrasound and give you a home program to work on that will include strength, speed and endurance for your pelvic floor muscles.

What and where is your pelvic floor?

Your pelvic floor is a sling of muscle and connective tissue that runs from your pubic bone at the front to your tail bone at the back. It's role is to squeeze the openings of bladder and bowel closed to help maintain continence, to lift and support the organs in your pelvis ie. bladder, uterus and bowel and to help maintain pelvic and spinal stability.