Conditions We Treat

Bladder and bowel

Leaking, urgency, frequency and difficulty emptying — for many people the most disruptive symptoms, and among the most treatable.

• Urinary incontinence — stress, urge and mixed leaking
• Overactive bladder — urgency, frequency and getting up at night
• Bowel incontinence — difficulty controlling stool or wind
• Constipation and obstructed defaecation — straining and incomplete emptying

Pelvic floor and prolapse

• Pelvic organ prolapse — cystocele, rectocele, uterine and vault prolapse
• Pelvic floor weakness and dysfunction — the full assessment and treatment service
• Pessary assessment and support — conservative prolapse management
• Pelvic floor exercises — how to do them correctly, and the common mistakes

Pregnancy and postnatal

• Pregnancy physiotherapy — antenatal care and birth preparation
• Pelvic girdle pain and SPD — pain at the pubic joint, sacroiliac joints or groin
• Postnatal recovery — the full postpartum assessment and programme
• Diastasis recti — abdominal separation that has not resolved
• Caesarean recovery — scar tethering, numbness and core rehabilitation
• Perineal tear and episiotomy recovery — including third and fourth degree tears

Pelvic pain and sexual pain

• Persistent pelvic pain — pain lasting beyond three to six months
• Painful sex (dyspareunia) — pain at entry or deep pain
• Vaginismus — involuntary tightening preventing penetration
• Endometriosis-related pain — physiotherapy alongside medical management
• Coccyx pain (coccydynia) — tailbone pain, especially on sitting

Menopause and midlife

• Menopause and pelvic health — genitourinary symptoms, continence and prolapse changes
• New or worsening urgency — a common perimenopausal change
• Pain with intercourse — related to tissue changes and reduced oestrogen

Men's pelvic health

Men have a pelvic floor too, and the same conditions affect it. These are under-recognised and under-treated.

• Men's pelvic health overview — what we treat and how
• Male urinary incontinence — leaking, urgency and post-void dribbling
• After prostate surgery — continence rehabilitation before and after prostatectomy
• Chronic prostatitis and male pelvic pain — persistent pain without infection

Back, joint and post-operative

General musculoskeletal physiotherapy, often closely linked to pelvic floor and load-management problems.

• Low back pain — acute and persistent
• Sciatica — nerve-related leg pain
• Post-operative rehabilitation — including after gynaecological and abdominal surgery

Treatments and techniques