About our women’s health physiotherapy service

Women’s health physiotherapy is a specialist area of physiotherapy which involves the assessment and non-surgical treatment of a range of women’s health problems affecting the pelvis and pelvic floor muscles.

  • Recent studies show that 1 in 3 women experience women’s health problems during their lifetime, but often they are too embarrassed to seek help.

  • If women’s health problems have developed during pregnancy or since childbirth, they tolerate them thinking they are a normal part of being a woman.

  • Pelvic organ/vaginal prolapse are experienced in up to 50% of women who have had children, yet many women are unaware that there are effective treatments available.

These problems can lead to women developing their own coping strategies, such as cutting out ‘high risk’ activities like exercise; going to the toilet more frequently than necessary; drinking less in the misguided belief it will stop them leaking; or relying on pads as an expensive solution to the problem.

Yet sometimes all it takes is some specialist treatment and advice to get women back on track.

Conditions we can help with

Physiotherapy can be a highly effective treatment for these symptoms and in many cases is the first line treatment recommended before exploring other more invasive options.

At Activ Physiotherapy, our specialist physios can help you with a range of conditions including:

Pregnancy-related musculoskeletal problems (antenatal and postnatal)

  • Pelvic girdle pain (previously known as symphysis pubis dysfunction or SPD)

  • Back pain and/or sciatica

  • Separation of the tummy muscles (rectus diastasis)

  • Carpal tunnel syndrome

 
Physiotherapy for women's health issues, Derbyshire

Gynaecological problems

  • Frequency passing urine – going to the toilet to pass urine more than 6-8 times a day

  • Urgency, urge incontinence and overactive bladder – a sudden compelling urge to pass urine, and maybe leaking on the way to the toilet

  • Stress urinary incontinence – caused by a rise in intra-abdominal pressure (e.g. coughing, sneezing, shouting, laughing, lifting, bending or standing up from sitting)

  • Rehab after gynaecological surgery, including hysterectomy

These conditions may have a number of causes but are usually associated with weak pelvic floor muscles although it’s always best to be assessed by a specialist therapist to see if pelvic floor muscle training is appropriate for you.

Pelvic health/ pelvic floor physiotherapy treatments are based around exercise and advice, which are tailored to you following a detailed assessment. It may also involve some manual therapy, relaxation and breathing techniques.

What to expect at your women’s health physiotherapy appointment

Women's health physiotherapy by Activ Physiotherapy, Hope, Derbyshire
  • Your physiotherapist will be female and you will see the same physiotherapist each time you come for treatment.

  • Your first appointment can last up to 1 hour and follow-up appointments up to 30 minutes. A detailed history will be taken about the problems you are experiencing.

  • Some of the questions may be of a personal nature to gain a full insight into the nature of your problems.

  • With your consent, your physiotherapist may offer an internal (vaginal) pelvic floor examination. This is not compulsory but forms a valuable part of your assessment and necessary to assess your pelvic floor function and establish the potential causes of your symptoms.

  • It also ensures that your treatment is tailored specifically to you and help us to improve the outcome of your physiotherapy treatment.

  • If you do not wish to be examined or if you feel at all anxious, please inform your physiotherapist. If you do not want to be examined that is fine, we can still provide you treatment.

  • At the end of your first appointment, the physiotherapist will discuss a treatment plan with you. You’ll also have chance to ask any questions you might have.

Treatment varies for everyone, but most people need to attend a course of between 3-5 sessions over a period of around four months.