Urinary Incontinence is any accidental loss of urine. Stress urinary incontinence is urinary incontinence that may occur with coughing, sneezing, laughing and exercising. Urge urinary incontinence is urinary incontinence that occurs with a sudden overwhelming desire to get to the toilet that can’t be contained. Physiotherapy treatment may involve education, lifestyle modifications, pelvic floor muscle training, behaviour retraining, other specialised intervention and/or a support pessary. This may involve one to one consultations and/or group classes.
Pelvic Organ Prolapse
Pelvic Organ Prolapse is descent of one or more of the pelvic organs into the vagina. Symptoms may include a vaginal lump, bulge, heaviness, incontinence, difficulty passing urine or stool, or back pain. Physiotherapy treatment may involve education, lifestyle modifications, pelvic floor muscle training and/or a vaginal support pessary.
OAB refers to symptomatic urinary urgency, usually with frequency and nocturia, with or without urge incontinence, that occurs in the absence of infection or other pathology. Physiotherapy management may involve lifestyle management, behaviour retraining, pelvic floor muscle training and/or electrical stimulation.
Pelvic Floor Dysfunction
The pelvic floor muscles sit in the base of the pelvis. They have a role in maintaining bladder and bowel control, supporting your pelvic organs and maintaining normal sexual function. Dysfunction in these muscles can result in incontinence, prolapse, bladder and bowel emptying concerns and pain. Physiotherapy management may involve education, pelvic floor muscle retraining and other specialised intervention.
Pre and Post Natal Care
Pregnancy and post partum is a time of hormonal and musculoskeletal change. Physiotherapy during this time may involve education, exercise prescription and management of musculosketal conditions associated with the pregnancy. Pelvic Floor Muscle assessment and management is recommended during this time also.
Post Natal Pelvic Floor Muscle and Abdominal Separation Check
Six weeks after your baby is born we recommend that you have an assessment of your pelvis, pelvic floor muscles and abdominal wall. Physiotherapy management may involve education, advice on return to exercise in the post natal period, pelvic floor muscle training and other specialised intervention.
Pelvic Girdle Pain
Pelvic Girdle Pain can include sacroiliac pain, pubic symphysis pain, coccyx pain or a mix of any of these. Physiotherapy management of these may include education, manual therapy, exercise programs to address muscle imbalances, taping or bracing.
Bowel Incontinence and Urgency
Loss of bowel control and urgency may occur if you have weakness in your pelvic floor muscles, changes in stool consistency or a change in sensitivity in the rectum. Physiotherapy management may involve education, lifestyle modifications, pelvic floor muscle retraining and specialised intervention.
Dyspareunia (Sexual Pain)
Sexual pain is pain that is experienced in or around the vagina or pelvis during intercourse. This pain can be related to overactivity in the pelvic floor muscles. These muscles can fail to relax, creating spasm and tension with resultant pain. Physiotherapy management may involve education, breathing exercises, pelvic floor muscle downtraining, pelvic stretches and other specialised intervention.
Post Prostatectomy Urinary Incontinence
Surgical removal of the prostate may be required to treat Prostate Cancer. Following this surgery it is not uncommon to experience urinary urgency, stress urinary incontinence and erectile dysfunction. Physiotherapy management may involve education, pelvic floor muscle training, bladder retraining and other specialised intervention.