“Can a physiotherapist help with pelvic organ prolapse? The simple answer is yes.” Physiotherapy is one of the most effective non-surgical treatments, recommended worldwide as a first-line approach.
This guide will show how pelvic floor physiotherapy can support and relieve prolapse symptoms — safely and without surgery.
In this article you’ll learn:
- What pelvic organ prolapse is and the symptoms to look out for
- How physiotherapy can help
- The role of pelvic floor exercises, breathing, posture, and lifestyle changes
- How physiotherapy can help even if you are having surgery for prolapse
- Common questions people ask about physiotherapy for prolapse
What Is Pelvic Organ Prolapse?
A pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the bladder, uterus, or rectum) – become weakened or stretched. This can cause the organs to drop lower into the vagina, creating prolapse.
Common types of prolapse:
- Bladder prolapse (cystocele) – where the bladder pushes into the vaginal wall.
- Prolapse of the uterus – when the uterus slips downward.
- Rectal prolapse (rectocele) – meaning the rectum bulges into the vaginal wall.
Typical symptoms include:
- Vaginal heaviness or dragging sensation
- Bulge or lump in the vagina
- Incomplete emptying of the bladder
- Trouble emptying the bowel
- Discomfort with exercise, lifting, or intimacy
While prolapse can feel overwhelming, it’s important to know: not all prolapse requires surgery. Physiotherapy can make a big difference.
How can a Pelvic Health Physiotherapist Help?
Pelvic floor physiotherapy goes well beyond just doing pelvic floor muscle exercises (also known as Kegels). Treatment may involve:
🟣 Pelvic floor muscle training (PFMT)
- Tailored pelvic floor exercises (not one-size-fits-all)
- Biofeedback tools may be used for guidance
- Helps strengthen and coordinate muscles to better support pelvic organs
🟣 Breathing and posture techniques
- Advice on reducing straining during daily activities
- Help with using breath correctly during lifting or exercise
- Minimising downward pressure on the pelvic floor
🟣 Exercise modifications
- Advice on returning safely to gym workouts, running, or lifting
- Learning what’s safe with prolapse and what to avoid in the short term
- Focus on core and hip strength for long-term pelvic support
🟣 Lifestyle changes
- Managing constipation to reduce straining
- Weight management if relevant
- Addressing issues such as coughing, that create extra pressure
Together, these strategies not only improve symptoms but also give you confidence to stay active without fear of worsening prolapse. Treatment is personalised and evidence-based. In New Zealand and internationally, guidelines recommend physiotherapy as the first step in treatment for mild to moderate prolapse.
Physiotherapy vs Surgery
Surgery is sometimes necessary for prolapse, but it’s not always the first or only option. It’s a good idea to start with physiotherapy.
- It’s non-invasive and safe.
- Many people see significant improvement in symptoms.
- Even if surgery is needed later, strong pelvic floor muscles support recovery and reduce recurrence risk.
Some people also use a pessary (a support device inserted in the vagina) alongside physiotherapy. Our pelvic health physios are trained to fit pessaries and we have a range of options available in our Wellington clinic.
Common Questions About Pelvic Organ Prolapse Physio
Does pelvic floor physio work for prolapse?
Yes – studies show physiotherapy improves symptoms for many people, particularly with mild to moderate prolapse. Consistency with exercises is key.
What exercise is safe with prolapse?
Low-impact activities (eg walking, swimming, pilates) are usually safe. Your physio can help modify gym workouts, lifting, and running to protect your pelvic floor until you are ready to get back to what you want to do.
How long does physiotherapy take to help with prolapse?
Everybody is different, but most people notice improvement after 12–16 weeks of guided pelvic floor muscle training. Continued exercises help maintain results long term.
When should I see a physio for prolapse?
As soon as you notice symptoms – heaviness, bulge, bladder/bowel changes. Early treatment usually brings better outcomes.
Who Should See a Prolapse Physiotherapist?
You may benefit from pelvic floor physiotherapy if you are:
- Postpartum and experiencing prolapse symptoms
- Perimenopausal or postmenopausal with new or worsening symptoms
- Experiencing heaviness, bulge, or bladder/bowel issues
- Keen to return to exercise safely after childbirth or surgery
- Looking to avoid or delay prolapse surgery
It’s also a good idea to see an experienced pelvic physio to learn how to avoid getting a prolapse in the first place. Prevention is always better than cure!
Finding Help in Wellington
If you’re searching for a pelvic organ prolapse physio in Wellington, we are happy to help. Many people in our region experience prolapse symptoms, and our specialised physiotherapy treatment can make a real difference.
At our Wellington Pelvic Health Physiotherapy clinic, our team of experienced physiotherapists works exclusively in pelvic health. We help people of all ages and life stages manage prolapse confidently and safely.
Conclusion
Having a prolapse can feel daunting, but physiotherapy offers safe, effective, non-surgical options that improve strength, reduce symptoms, and restore confidence. With the right support, many people return to exercise, daily life, and intimacy without fear.
If you’re in Wellington and wondering, “can a physiotherapist help with pelvic organ prolapse?”, the answer is clear: yes — and we’re here to help.
Key Takeaways
- Pelvic organ prolapse is common after childbirth, during perimenopause, and later in life.
- Physiotherapy is a first-line, non-surgical treatment proven to reduce prolapse symptoms.
- A pelvic health physio can guide pelvic floor exercises, breathing, posture, and safe activity modifications.
- Physio is recommended before surgery for prolapse repair
- In Wellington, our specialised pelvic health physiotherapists are available to help you feel stronger, supported, and more confident.
✨ Ready to feel stronger and more supported? Click here to book an appointment with our Wellington team today.
Further information and resources
ACC cover for birth injuries – click here
Pregnancy and postnatal physiotherapy – click here