Treatment

What we treat

Click on options below for detailed information.

Women’s / AFAB Health

Bladder problems

Pelvic floor physiotherapy can assist you with the treatment of:

  • poor control of your bladder
  • frequent use of the toilet
  • wet pants eg when coughing, sneezing or exercising
  • urgency (sudden strong urge to empty the bladder)
  • urge incontinence

We will explain how your bladder works and teach you how to gain back control.

 

Did you know one in three women over the age of 45 experience urinary incontinence?

Evidence shows 60-80% of women can improve bladder control with pelvic floor treatment.

Bowel problems

Pelvic floor physiotherapy can offer help with:

  • loss of control of the bowel, or having accidents
  • escape of wind at the wrong time
  • prolapse of the bowel
  • difficulty fully emptying the bowel
  • constipation and straining
  • bloating
  • urgency (having to get to the toilet in a hurry)

Bowel dysfunction causes a lot of distress. Treatment involves a thorough assessment to determine whether relaxation or strengthening of the pelvic floor is required.

We will also give you basic dietary advice and education on positioning and techniques to aid full emptying and stop leakage.

 

Did you know….10% of New Zealanders have problems with leakage from the bowel??

Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the pelvic organs (bladder, bowel and / or uterus) slip down. Symptoms include a heaviness or dragging sensation in the pelvis or back, or a bulging or heavy feeling at the vaginal entrance.

Did you know?…. over 50% of women have some form of pelvic organ prolapse during their lives

Prolapse can result from a combination of factors including:

  • pregnancy
  • childbirth trauma
  • ageing
  • hormonal changes around menopause
  • straining and constipation
  • heavy lifting
  • repetitive coughing
  • inappropriate exercise

Sometimes a prolapse can be minor an there are no symptoms. Having a check-up and getting access to the right treatment may mean it never gets worse, and never causes you to have any symptoms.

Recent research has shown that a supervised pelvic floor muscle training programme, with a qualified pelvic floor physiotherapist, will help lessen or even get rid of all your symptoms. It can also delay or prevent the need for surgery.

Your pelvic health physio will provide you with a customised pelvic floor training programme. You will also be given advice on lifestyle modifications and self-help measures to reduce stress on the pelvic floor.  

If you do end up needing surgery, pelvic floor physiotherapy helps improve long term outcomes. Many surgeons now refer patients both prior to, and following, prolapse repair surgery. 

Our physios are trained in pessary management. We can trial out different ones before you buy, to find the type and size that is best suited to you.  

Pelvic Pain and Sexual Dysfunction

 

Pelvic pain and sexual dysfunction can be very distressing and it can be a challenge to find the right help. Our pelvic health physios work with other health professionals when necessary, and have a holistic approach to treatment.

Treatment is based on evidence from the latest pain science research. Goals are to relieve pain and promote optimum bladder, bowel and sexual function so that you can get back to living a normal life.

 

We treat patients with a range of diagnoses, including:

  • chronic pelvic pain
  • overactive pelvic floor
  • vulvodynia / vestibulodynia
  • vaginismus
  • dyspareunia
  • endometriosis
  • pudendal neuralgia
  • interstitial cystitis / bladder pain syndrome

 Treatment includes:

  • education on pain mechanisms
  • pain relief self-management strategies
  • pelvic floor relaxation strategies
  • general relaxation and breathing techniques
  • posture and movement advice
  • pelvic floor stretch and release techniques
  • use of biofeedback or TENS if required
  • dilator therapy if required

Did you know?… 20% of people experience pain with penetrative sex at some stage during their lives. Pelvic floor physiotherapy can help with this

Pregnancy and Postnatal Care

 

We have six highly skilled and experienced pelvic health physios who are passionate about helping people during pregnancy and after childbirth.

Our goal is to optimise health and movement during pregnancy, and get you safely back to enjoying your daily activities, sport and recreation.   

Our approach is one of education and self-help advice for prevention of birth injuries, as well as treatment and rehabilitation afterwards

Pelvic Physiotherapy – Pregnancy Care

We offer our Pregnancy WOF assessment at 20 weeks to help optimise your health during pregnancy, and reduce risk factors for birth trauma. If you’re already experiencing pain or pelvic floor problems issues – do come in sooner.

Our WOF involves assessment and help with:

  • pelvic floor
  • bladder problems
  • bowel control, constipation
  • lifestyle modifications to help prevent bladder leakage or prolapse
  • abdominal care and help with prevention of diastasis (tummy gap)
  • posture advice
  • advice on appropriate exercise
  • help with any pain – back, pelvis, wrist, ribs etc

Having good PFM function helps with prevention of:

  • more severe perineal tears during labour
  • bladder leakage in pregnancy and postnatally
  • extended pushing stage of labour

See more information about our pregnancy WOF here

 

Pelvic Physiotherapy – Postnatal Care

Birth injuries are common, and can be stressful, but out physios all have specialised skills to help get you back to full health and daily function after childbirth – whether you had a vaginal delivery or Caesarian.

 Our Postnatal WOF assessment involves help with:

  • care after perineal tears or episiotomy
  • caesarean scar management
  • pelvic floor and abdominal / core rehab
  • prolapse, bladder and bowel control
  • sexual pain
  • coccyx pain, back pain, pelvic or other pain
  • diastasis (tummy gap)
  • safe, graduated return to exercise
  • scar release
  • help with reaching your sport and recreational goals
  • posture and back care

 We are ACC registered so we are able to help with filling out forms for you, to access help with funding treatment.

See more information about our postnatal WOF here

 

Did you know 60% of women experience problems with bladder control during pregnancy?

Pre and post surgery

Pre-operative care

Good pelvic floor muscle function reduces the risk of recurrence of symptoms following bladder, bowel or prolapse repair surgery. Your physiotherapist can assess your pelvic floor muscles and start you on an exercise programme.

You will also get advice on what to expect post-operatively, and how to care for and protect your pelvic floor during the first six weeks. You will be told how early it will be safe for you to start doing pelvic floor exercises.

Post-operative care
Even if you didn’t get to see a physiotherapist prior to your surgery, it’s never too late. Strengthening your pelvic floor muscles and learning to modify daily activities will help prevent recurrence.

Post-operative treatment involves:

  • pelvic floor and abdominal rehabilitation
  • general fitness and conditioning for both daily activities and exercise
  • advice on return to sport and exercise
  • advice on long term maintenance exercises and lifestyle modifications to maximise surgical outcomes.

General Exercise - is it appropriate for YOUR pelvic floor?

.Regular exercise has many known health benefits, but for some people, certain exercise may not be “pelvic floor safe”.

Did you know?……  there is a link between certain types of exercise and increased risk of pelvic floor problems (e.g. incontinence and prolapse)

Times when you may be more at risk include:

  • during pregnancy
  • after childbirth
  • during perimenopause and after menopause
  • as you get older
  • when you are participating in high impact or high intensity exercise training

We can help identify whether you are at risk of causing pelvic floor problems with undue stress and pressure on the pelvic floor as a result of inappropriate exercise.

You will be given a personalised pelvic floor strengthening programme, and advice on activity modification to ensure you do not damage your pelvic floor.

Your pelvic floor physio will also advise you on when it is safe to return to sport after childbirth, including return to running.

Click here for information on returning to exercise during the first 6 weeks after childbirth.
Click here for information on returning to high impact exercise after childbirth. 

 

Perimenopause, menopause and ageing

Most women / people assigned female at birth, begin to experience hormone changes in their early forties, with the onset of perimenopausal changes. This leads to thinning of tissues, and potential weakness in your pelvic floor muscles.

Together with age related changes, this can cause symptoms such as:

  • Bladder and bowel leakage
  • Difficulty emptying the bowel
  • Prolapse
  • Painful sex

Pelvic floor physiotherapy can help to lessen the impacts of these changes as you age. We will help you to strengthen and rehabilitate your pelvic floor. You can also get help with improving flexibility and general strengthening, and advice on pain relief.

We all know that exercise is beneficial for good health, but as we age there are certain things that should be avoided – to help stop pressure on the pelvic floor that may result in incontinence and prolapse. We can help you choose safe exercise options, to protect your pelvic floor and keep you in control.

Men’s / AMAB Health

Bladder problems

Pelvic Health Physiotherapy can assist you with the treatment of:

  • poor control of your bladder
  • frequent use of the toilet
  • wet pants e.g. when coughing, sneezing or exercising
  • urgency (sudden strong urge to empty)
  • urge incontinence

We will explain how your bladder works and teach you how to gain back control. This includes teaching you how to use your pelvic floor correctly, a progressive strengthening programme, and other self-help strategies.

Bowel dysfunction

 Pelvic Health Physiotherapy can offer help with:

  • loss of control of the bowel, or accidents
  • loss of wind at the wrong time
  • prolapse of the bowel
  • difficulty fully emptying the bowel
  • constipation / straining
  • bloating
  • urgency to get to the toilet
  • pain associated with bowel function

Bowel dysfunction causes a lot of distress. Treatment involves a thorough assessment to determine whether relaxation or strengthening is required.

We give advice and education on normal bowel function and help with establishing good bowel routines. We also advise on positioning and techniques to aid full emptying of the bowel.

Did you know….10% of New Zealanders have problems with leakage from the bowel?

Pelvic pain

Pelvic pain and sexual dysfunction can be very distressing and it can be a challenge to find the right help. Our men’s health physiotherapists have extensive training in treating men with these issues. They work with other health professionals when necessary, and have a holistic approach to treatment.

There has been evolving research over the past 5-10 years showing a clear link between tightness in the pelvic floor muscles, and pelvic pain. The pain can be debilitating and often the men we see have been to numerous health professionals with little relief. Addressing pelvic floor dysfunction can make a huge difference.

     

     

    We treat patients with a range of problems, including:

    • genital and groin pain
    • sexual pain and dysfunction
    • associated bladder and bowel pain and dysfunction
    • abdominal / pelvic pain
    • overactive pelvic floor
    • pudendal neuralgia

      Treatment uses evidence from the latest pain science research. Goals are to relieve pain and promote optimum bladder, bowel and sexual function to enable you to lead a full life.

       

      Treatment includes:

      • education on pain mechanisms
      • pain relief strategies
      • pelvic floor relaxation techniques
      • general relaxation and breathing training
      • posture and movement advice
      • pelvic floor stretch and release techniques
      • use of biofeedback or TENS if required

      Prostate surgery

      Following surgery for removal of the prostate, most men experience significant loss of bladder control, and erectile dysfunction. This can be very distressing.

      There is good evidence that improving pelvic floor muscle strength can make a big difference in:

      • reducing the amount of urinary leakage
      • reducing the time it takes to become dry again

      An appointment with an experienced pelvic floor physiotherapist means that you can be sure that you are doing your pelvic floor exercises correctly. We have various biofeedback options to help with this if necessary.

       

      We are able to:

      • check you are doing a pelvic floor muscle contraction correctly
      • customise your pelvic floor muscle exercise programme
      • progress the exercises appropriately
      • provide feedback and motivation
      • teach you how to use your pelvic floor muscles with daily activities (eg walking, sit to stand, bending and lifting) so that you don’t leak
      • give advice on pad use
      • help with return to exercise
      • give you help on return to sexual function

      Your pelvic floor physiotherapist can guide you with penile rehabilitation to help with earlier return of erectile function.

      Contact us today!

      If you have any questions or queries please drop us a line!