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The very best care at every stage of life!
Treat whatever problem is stopping you from doing the things you love right now.
My aim is to equip you with the confidence to do whatever, or go wherever, you wish - and for no element of your pelvic health holding you back...whether this be your bladder, bowel, prolapse or pain - or, in reality, a combination of the above
Pelvic floor exercises will form part of your daily routine to maintain the gains you make in the initial strengthening phase of your treatment, and help prevent any future complications
Pelvic health concerns can present at any stage of your life, but over a third of patients are aged 60-79, and around half are over 80. Treatment can be successful at any stage of life and will help you continue doing the things you love!
I'm a specialist pelvic health physiotherapist and I am passionate that women should receive the best possible care, at every stage of their lives.
I graduated from the University of Nottingham in 2003 and worked in the NHS for over ten years, specialising in pelvic health physiotherapy in the latter years.
I transferred to the private sector to cement and develop my speciality and I have been based at a flagship private hospital since 2014, from where I continue to practice, and where I enjoy established connections with top regional consultants.
I love what I do and what I can offer my patients because it really does work!
Pelvic health physiotherapy can have such a positive impact on the lives of women, without the need for more invasive treatment, medication, or surgery.
VB Health is a local health and well-being centre which focuses on making you feel physically and mentally at your peak. It has a CQC rating of 'Good' and you will receive a warm and friendly welcome throughout your visit.
Firstly I take a detailed account of your medical, gynaecological and obstetric history, followed by an in-depth assessment of your presenting symptoms and concerns, and, most importantly, your goals!
These issues should no longer be viewed as "taboo" and I give ladies the time, space, and confidence to discuss their symptoms and concerns. You are definitely not alone, and nothing that you tell me will shock me!
I offer a full examination of your pelvic floor following this, from where we discuss the findings together, and then develop a treatment plan for you going forward.
Conditions which I can help you with include:
- Urinary incontinence (stress and urge)
- Over-active bladder
- Pelvic floor dysfunction (weakness, tightness, muscle imbalance)
- Pelvic organ prolapse
- Faecal urgency, incontinence, constipation, muscle imbalance
- Post-natal assessment
- Female pelvic pain
- Vaginismus
- Painful sex
- Menopause symptoms
- Rehab pre/post-gynaecological surgery
These symptoms will not go away/get better on their own, but the good news is that around 80% of conditions will respond positively to pelvic health physiotherapy.
All treatment takes place in a private treatment room with a targeted hands-on approach. At Prime Pelvic Physio I use a combined approach of exercise therapy, education&advice, and manual therapy. I follow the NICE best practice guidelines and the most up to date evidence-based practice.
The treatments offered include:
- Re-education of correct pelvic floor function (this may involve relaxation as well as strengthening exercises)
- Bladder drill advice
- Trigger point release
- Pelvic pain management
- Bowel advice and strategies
- Menopause symptom management
- A combination of yoga and Pilates exercises, to help establish a strong, flexible core
Once your pelvic floor is getting stronger we can look at ways of incorporating other exercises into your regime/resume those which you highlighted in your original goals.
Peri/Menopause:
The menopause is unavoidable and occurs on average around the age of 51. It is caused be a reduction in hormone levels (oestrogen, progesterone and testosterone) which leads to physiological changes and can have an impact on your psychological and emotional well-being.
The severity of symptoms can be quite diverse and the experience can be very different for women. Some may have the odd hot flush and weight gain, whereas others are so affected that they may have to finish work, and then there are the lucky few who breeze through it with no symptoms whatsoever!
Women who suffer no/few symptoms during the menopause will still be susceptible to the physiological effects and the potential long-term health implications associated with the menopause.
The good news is that there is so much input that can help make the process as positive as possible
"Women's healthcare must focus on preventing ill health rather than 'fire-fighting' disease. Every women should have a Menopause MOT at 50 to address problems that could worsen later"
Dr Anthony Falconer, President of RCOG
Stress incontinence (SI):
1 in 3 women experience stress incontinence at some stage in their life. This is the involuntary leakage of urine with impact (coughing, laughing, sneezing, running, or the dreaded trampoline).
The main cause of stress incontinence is pelvic floor weakness secondary to pregnancy and childbirth; and it can also occur during the peri/menopause.
The current NICE Guidelines are 3-4 months of supervised pelvic floor exercises. Unless you have ever been assessed how do you actually know that you are doing them correctly? The reality is that around a third of women are doing them wrong.
Pelvic health physiotherapy helps to improve muscle tone and elasticity, to help increase muscle mass within the pelvic floor, but it is not just about "tightening" the pelvic floor...a large proportion of ladies actually present with hypertonic (too tight) muscles - which need to be released through exercises and manual therapy, before strengthening exercises will have any impact.
There is a wide array of technical gadgets that promise to solve all your pelvic floor woes, but these should be approached with caution. More often than not these are simply not needed. As long as you are doing the exercises correctly you should see substantial gains in 4-6 weeks and significant improvements in your symptoms in 3-4 months.
Another marketing approach which doesn't sit easily are the adverts which seek to normalise incontinence. Yes, it's great that there are so many products out there to help when needed, but one mustn't accept their current symptoms as their future way of life...there is so much which can be done to help!
Over-active bladder (OAB):
This is also known as urinary urgency/frequency, and is often in conjunction with urge incontinence. A common name for it is "latch-key bladder", and many women are currently taking anti-cholinergic tablets to help control their symptoms.
Pelvic health physiotherapy can have such a positive impact on ladies suffering these, often debilitating, symptoms; and over time you may feel you are able to stop/significantly reduce the medication you are taking.
I will ask you to complete a bladder diary so we can study exactly what is going in and what is coming out; and from here management strategies are used in conjunction with strengthening exercises to help control your symptoms and take back control of your bladder!
Pelvic Floor Dysfunction (Muscle imbalance):
Pelvic floor muscles can actually be too tight, but this does not mean that they are strong. Muscles need to have full flexibility to generate optimal power, and a deficiency can lead to a muscle imbalance with consequent symptoms. This is why it is so important to have a detailed pelvic floor examination as over tightness/trigger points must first be treated before working on strengthening exercises
Pelvic Organ Prolapse (POP):
A POP occurs when one/both/all of your pelvic organs (bladder/bowel/womb) slip down onto your vagina.
Around 50% of women will experience a POP at some stage in their life.
Causes of prolapse include pregnancy, vaginal childbirth, hormonal changes, pelvic floor weakness, prolonged heavy lifting, chronic cough, constipation, hypermobility, and a raised BMI.
Symptoms can include the feeling of a "lump"/ "egg"/"dragging sensation" in the vagina, abdominal+/- back pain, lack of urinary +/- faecal control, and a feeling of incomplete emptying from the front/back passage.
Treatment centres on pelvic floor strengthening exercises and also lifestyle-modifications to help prevent prolapses from returning in later life.
Faecal urgency/incontinence:
Much of my hospital work is with patients with lower bowel dysfunctions. So much can be done to help with these symptoms, including muscle retraining, education, and strategies to help improve quality of life for these patients.
Post-natal assessment:
Women can be assessed 6 weeks post-birth. This includes checking abdominal muscles for any separation, with appropriate exercises and advice if so; and a pelvic floor examination to check for pelvic floor dysfunction post-delivery. Pelvic floor exercises are key to improving muscle power and endurance, and general exercise is then tailored to your current capacity and progressed as you get stronger over the coming weeks and months.
Female pelvic pain/Vaginismus:
Chronic pelvic pain is a condition which is increasingly being made aware of through Netflix, the media, and word of mouth. This can be an extremely painful and upsetting condition, but the good news is that there is so much that can be done to help patients gain relief from their symptoms. I have vast experience with this and over the years have seen excellent results.
Painful sex:
This can be caused through a combination of pelvic floor dysfunction, anxiety, and genitourinary syndrome, often associated with the menopause. I have had excellent results with patients suffering this complaint through a combination of trigger point release, advice and reassurance, and specific stretching exercises.
Rehab post-gynaecological surgery:
I see many patients following gynaecological surgery and help steer them towards optimal pelvic floor recovery and general fitness following their surgery.
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To schedule an appointment call 01457 237 171 or for more information please email
1 Mossley Road, Grasscroft, Saddleworth, Oldham, Manchester, OL4 4HH
Saturday: 9-5
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