Pelvic Health Physiotherapy

What is the Pelvic Floor?

At Midland physiotherapy we offer specialised care for pelvic health of both men and women. This includes the assessment of pelvic floor muscles, ligaments and connective tissue and the management of issues that impact bladder, bowel and sexual function.​

Assessment areas

  • Pelvic floor muscle assessment and training

  • Urinary incontinence (bladder leakage)

  • Bladder urgency and frequency, including

  • Overactive Bladder Syndrome

  • Faecal incontinence (bowel leakage)

  • Pelvic Organ Prolapse management

  • Difficulty emptying the bladder

  • Constipation

  • Pelvic/genital pain

    • Endometriosis

    • Tailbone, sacrum, hip and lower back pain

    • Vulva, perineal or vaginal pain (in females)

    • Scrotal, penile or perineal pain (in males)

    • Sexual dysfunction

    • Pain with sexual intercourse

    • Bladder or bowel pain

  • Pre and post bladder, bowel or gynaecology surgery

  • Pre and post radical prostatectomy surgery

Pre and post-natal Physiotherapy

If you are currently pregnant or are in the postnatal period our pelvic health physiotherapist can help you with:​

  • Pelvic floor assessment through pregnancy and postnatal
  • Maintaining appropriate levels of exercise during pregnancy
  • Active labour advice and preparation for birth
  • Pregnancy related lower back and pelvic girdle pain
  • TENS machine hire for labour
  • Post-natal return to exercise
  • Assessment and management of Rectus abdominis diastasis (RAD)/abdominal muscle separation.

What to expect in my appointment

All initial appointments are 1 hour in duration. A detailed history will be taken including questions about your symptoms, bladder and bowel function, fluid and food intake, sexual function, exercise and general health. The physiotherapist will also discuss your goals and determine what you hope to achieve.

A real-time ultrasound assessment is often performed to assess your pelvic floor and abdominal muscles.

This is done by placing the ultrasound on your lower stomach. If further information about your pelvic floor is required, an internal examination (vaginal or rectal) can be performed at the second appointment. This is not a compulsory examination however it is very useful and can provide valuable information for both the physiotherapist and yourself. Any queries or concerns about this can be discussed with the physiotherapist at your appointment.

What should I do to prepare for my appointment?​

Please bring along any referrals you may have from your doctor or Specialist. If you have had any relevant investigations or imaging please bring a copy of the report if you have it.

The real-time ultrasound requires you to have a full bladder. Approximately 1 hour prior to your appointment go to the toilet and empty your bladder, then drink 1 – 2 glasses of water. It is important that you don’t go to the toilet again until you see the Physiotherapist.

For more information on booking please speak to our friendly staff at 9274 1482

First off, what does a pelvic health physio do? A pelvic health physio treats and manages women and men suffering from problems related to bladder, bowel or sexual functioning.

I hear you ask…. “Is it really worth a visit to the pelvic health physio when all they are going to do is tell me to do pelvic floor exercises? I’m already doing these so I can’t see how much more I can gain from an appointment”.

Here are five reasons you should be booking in for that pelvic health assessment:

  1. Let’s get that technique right:
    • A thorough assessment of your symptoms and examination of the pelvic floor muscles will help guide whether these exercises are appropriate for you, how to do them with the best technique and how to incorporate them functionally into your day to relieve bothersome symptoms. It is very common (over 50% of women and men) to do these exercises with incorrect technique if not taught individually how to do correctly. 


  2. Maybe these exercises aren’t for you:
    • There are a number of symptoms and conditions related to bladder, bowel or sexual functioning where pelvic floor exercises could possibly make these symptoms worse, such as pelvic pain, pain with intercourse and difficulty emptying the bladder or bowel, to name a few. In these conditions, the pelvic floor is often overactive, or ‘too tight’ and learning to relax the pelvic floor is often the goal as opposed to strengthening these muscles. 


  3. It’s not all about the muscles:
    • There are a host of other lifestyle factors that may be contributing to your symptoms. Examples of these include drinking too much fluid, or not enough; drinking fluids that irritate the bladder or bowel; participating in certain types of exercise or with a certain technique that may be placing excess load through the pelvic floor; engrained habits that are wreaking havoc on your pelvic floor and symptoms such as urinating ‘just in case’, straining on the toilet to empty your bladder or bowel, your posture while seated on the toilet, or not sitting at all and instead hovering over the toilet. Excess body weight and smoking can be added to this list too.
  4. Guidance and motivation:
    • If pelvic floor exercises are recommended there is strong evidence that completing a training program under physiotherapy supervision leads to higher rates of symptom reduction compared to completing a self-directed program. Your physiotherapist is also able to help you work out ways to maintain your adherence and motivation with the exercise program to help you reach your goals. 


  5. Everyone has a pelvic floor:
    • Age is no barrier. Whether you are 18 or 81, whether you have had symptoms for a few days or a few decades, regardless of your gender, if you are suffering from bladder, bowel or sexual functioning issues, it is never too early or late to seek help.

Please don’t suffer in silence and reach out to us at Midland Physiotherapy to book in with our Pelvic Health Physiotherapist.