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Pelvic Floor & Biofeedback Physiotherapy

Pelvic Floor Physiotherapy is a clinically proven treatment for a range of pelvic floor disorders from incontinence to pain in both men and women of all ages. 

Biofeedback is a term that encompasses the holistic management of functional bowel disorders such as difficulty with control, incomplete emptying of the bowel or anal pain.

 

 

 

Bowel / Gut 

Functional bowel disorder is a term used to describe a bowel that doesn’t function properly in the absence of disease. It can be greatly debilitating in its impact on daily life and affects far more people than we realise. 

Types of Functional Bowel Disorders I treat:

  • Incontinence​ - stool and/or flatus

  • Urgency

  • Constipation

  • Incomplete Emptying

  • Anal Pain

  • Anterior Resection Syndrome (LARS)

  • Irritable Bowel Syndrome (IBS)

I am able to offer Anorectal Physiology (manometry) testing at the clinics to assess the Anal Sphincter Muscle function and rectal volumes. For more information on Anorectal Physiology please contact me. 

Bladder

  • Stress and Urge Urinary Incontinence

  • Overactive Bladder

  • Urgency

  • Bladder Pain Syndrome/Interstitial Cystitis

  • Pre/Post Prostatectomy

  • Pelvic Floor Muscle Weakness  

Ante/Post Natal

  • Pelvic Girdle Pain (PGP/SPD)

  • Perineal Tear and or Episiotomy Recovery

  • Pelvic Floor Muscle Weakness

  • Diastasis Recti (Abdominal muscle separation)

  • Advice about safe exercise during and after pregnancy

  • Post Natal Check Up - includes assessment of the pelvic floor and abdominal

       muscles, rehabilitation programme and emotional support following traumatic

       delivery if appropriate

Gynaecology

  • Vaginal Prolapse

  • Pelvic Surgery - Hysterectomy, cancer treatment, Endometriosis, Prolapse repair 

  • Pelvic Floor Muscle Dysfunction

  • Vaginismus & Vulvodynia  

Pelvic Pain

Sexual Dysfunction

Pelvic Pain can be triggered by multiple factors in both women and men. Pain that lasts longer than 3 months is categorised as Chronic or  Persistent Pain and can be present even though tests and scans have been normal. My holistic approach to treating pelvic pain involves helping you to understand where pain comes from, manual therapy including myofascial release where indicated, psychological support and a rehabilitation programme devised to your individual goals. 

 

  • Pelvic Floor Muscle Tension/Spasm

  • Post Surgical Pain

  • Endometriosis

  • Radiotherapy induced

  • Anal Fissure/Post operative Haemorroidectomy

  • Perineal Pain

  • Testicular Pain

  • Coccydynia

 

  

Pelvic Floor Dysfunction can lead to a variety of sexual issues.

 

  • Pain during sex (Dyspareunia) can occur due to scar tissue following childbirth, surgical procedures or as a result of a non relaxing pelvic floor.

  • In men pain can be worse with an erection and/or on orgasm. If urological issues have been ruled out including acute infection then the pelvic floor muscle function can be the issue. 

  • Psychosexual issues can affect your ability to feel fully engaged during intercourse and lead to a lack of sensation. Exploring the emotional connection can help improve sexual function and confidence. 

If you have any questions regarding treatment please contact Lucy