Women’s Health Physiotherapy

women's health

Women’s health

Our specialised and very experienced Women’s Health Physiotherapist evaluates and treats pelvic floor problems and guides patients with active participation during the healing process. We also help clients with pelvic floor pain & dysfunction, diastasis recti, incontinence, acute & post natal physiotherapy, pelvic girdle pain & pelvic organ prolapse 

COMMONLY ASKED QUESTIONS

What does a women’s health physiotherapist do?

At our clinic, the initial meeting with the Women’s Health Physiotherapist will be between 45-60 minutes. During this time the physiotherapist will conduct a thorough subjective assessment with you (sit down and talk with you, usually taking 30 minutes). During this “chat” a clear picture of your symptoms and hence possible treatment approach will be outlined. Following this an objective assessment will be conducted. An internal pelvic assessment may be required during this session or subsequent treatment sessions; however this will always be discussed and agreed with you prior to any treatment proceeding. Several other assessment tools and treatment approaches may also be used such as Real Time Ultrasound, Biofeedback and other training and education modalities.

Follow-up sessions with the Physiotherapist will then be between 30-60 minutes depending on the treatment required.

How many sessions will you require?

It is difficult to answer this question, as each person’s treatment approach is individualised and subject to their personal treatment needs. Your Women’s Health Specialist will be able to give you a “broad” outline upon completion of your initial assessment.

Fees and Charges

  • The initial consultation (45-60 minutes)
  • Follow up consultation (30-60 minutes)
  • Shorter follow up consultation (30 minutes or less)
  • Home visits (inclusive of transport costs and travel time)
  • Loan/Purchase Equipment (perinometers, biofeedback, hot packs) – costs at time of treatment

At Physio Asia, our Women’s Health Physiotherapist has over 17 years of experience in the area of Women’s Health both as a clinician and as an educator in Australia, Singapore and UK.

Should you wish to talk directly to Danielle regarding your appointment or treatment please call either our clinic on 67364142 or alternatively email Danielle directly at dbarratt@singnet.com.sg.

Who should consult a Women’s Health Physiotherapist?

Any female at any age if you are experiencing any of the following

Musculoskeletal Dysfunctions:

  • Neck, back or pelvic ache/pain
  • Sacroiliac pain, SPD (Symphysis Pubis Pain)
  • Wrist or thumb/hand pain – Carpal tunnel Syndrome/DeQuervain’s
  • Osteoporosis (weakening of the bones)
  • Female age-related changes

Pelvic Floor Dysfunctions:

  • Urinary Incontinence – loss of urine with or without activity (stress, urge or mixed incontinence)
  • Giggle Incontinence – young girls may experience this between ages 8-16 years old
  • Bed Wetting at any age
  • Bowel Incontinence
  • Constipation, Hemorrhoids, Anal Fissures
  • Pelvic Girdle Heaviness or a  dragging sensation in the lower pelvic region
  • Pelvic organ prolapse – bladder, bowel or uterus
  • Dyspareunia (painful sexual intercourse)
  • Vaginismus/painful vulval dysfunctions

Pain or dysfunction in any other part of the body

Poor posture or scoliosis concerns

Discomfort while working on your laptop or computer (work station ergonomics)

 

GENERAL EXERCISE PROGRAMMES FOR:
  • Osteoporosis/Osteopoenia
  • Returning to work
  • Safe exercises during antenatal and postnatal periods
  • Chronic painful conditions
CHRONIC PAIN MANAGEMENT
  • Functional postures and movements
  • Specific exercise (return to sports/daily functional activities) plans
  • Use of TENS
  • Dry Needling Acupuncture – trained and licensed in Australia
  • Home visits to assess and treat all of the above
OUR HIDDEN CORE PELVIS

“OUR HIDDEN CORE” – YOUR PELVIC FLOOR MUSCLES

It usually takes around 2 to 3 months time frame after you have given birth, that most women decide it is now time to start returning to their fitness work out programs.

After a few weeks at the gym, it’s exciting to see your body muscles strengthening and toning up. When you look in the mirror and see your tummy muscles toning up and your pre-baby figure finally returning again, you think you’re on the right track and that your fitness regime is working. But is it?

Are you working out those often forgotten, yet vitally important pelvic floor muscles too? Of course you are! After all, your instructor has shown you how to work your core muscles and you spend hours doing so each week.

If you’re experiencing any of the following – chances are your pelvic floor muscles aren’t getting the work out you thought they were.

  • Lower back pain
  • A dragging or heavy feeling in the pelvic and groin area
  • Don’t quite make the toilet and leak a little – just a few spots or more perhaps?
  • When sitting on the toilet you are unable to stop and start your urine flow
  • Find yourself having a good belly laugh and does a few dribbles occur?
  • You have difficulty holding in your “wind” at times – it just slips out?
  • Sex isn’t pleasurable any more or just doesn’t feel the same as it did before you had your baby
  • Or you simply don’t feel your pelvic floor is working anymore or don’t even know what or where your pelvic floor muscles are located?

If you answer yes to any of the above questions, then chances are that your pelvic floor is being neglected, forgotten or simply not being trained correctly. So let’s go back to basics and progress from there on.

The pelvic floor muscles consist of group of muscles that are located deep in your body’s lower pelvic region. They are attached to your spine, tailbone areas, inner hip and loop around our bowels and bladder organs, forming a hammock shape within the pelvic girdle.

The role of your pelvic floor muscles for both women and men are much the same. These muscles support your pelvic organs, ensure normal sexual functioning and assist in preventing incontinence. They also function as one of the core muscles groups that support and provide stability and strength for your pelvic bones and spine. So as you can now see, they are vital to sustaining a healthy functioning body system.

Despite the importance of the pelvic floor muscle group, so often are these muscles forgotten or worked incorrectly, simply because we can’t see them on the outside of the body.

Pelvic floor exercises are simple to do – when you know how!

 

THREE STEPS

  1. Begin by lying on your back, knees bend up and slightly apart, and body relaxed. Tighten the muscles around your back and front passages, as if you were trying not to pass wind or urine.
  2. Draw this pelvic area upwards. Imagine an elevator or lift moving upwards towards your belly button. Do not hold your breathe!
  3. Aim for 3 sets of 10 each day. Initially it maybe difficult to feel these muscles working, but if you practice a few squeezes several times a day, it will get easier.

If these muscles are weak, over-worked or worked incorrectly, often people will contract other muscle groups as well. So if you feel that you are squeezing your gluteals and/or your thigh muscles, breathe holding or pushing down on your pelvic floor rather than upwards. Chances are you aren’t working your pelvic floor muscles correctly.

If in doubt, come and see a Women’s Health Physiotherapist that uses a Real Time Ultrasound machine. That way, we can see your pelvic floor and other muscle groups working on screen. Ultrasound is a great objective measure and training tool, especially for the visual learners out there.

DANIELLE BARRATT

Physiotherapist specialising in Women’s and Men’s Health
Physio Asia Therapy Centre
Tel: 67364142
Email: dbarratt@singnet.com.sg

PELVIC POETRY

TO TONE THOSE MUSCLES DOWN BELOW
REMEMBER THIS POEM WHEN YOU GO
WHEN TAKING A VISIT TO THE LOO
THIS IS WHAT YOU SHOULD DO

TAKE A SEAT, RELAX AND START TO GO
THEN STOP AND HOLD IN MID FLOW
DO THIS ONCE A DAY – NO MORE !
THINK OF THE BENEFIT TO YOUR PELVIC FLOOR

IF YOU’RE IN A PREGNANT STATE
DO NOT THINK YOU CAN’T RELATE
IF WE DON’T KEEP UP OUR NAGGING
YOU MAY FIND YOUR MUSCLES SAGGING

BY LOOKING AFTER YOUR PELVIC FLOOR
THE ENJOYMENT OF SEX IS SO MUCH MORE
WITH THOSE MUSCLES NICE AND TIGHT
THIS WILL ADD TO HIS DELIGHT !

SO DON’T FORGET TO STOP AND START
USE YOUR HEAD, BE REALLY SMART
CONTINUE FOR LIFE AND DON’T FORGET
WHEN YOU’RE OLD, YOU WON’T BE WET !!

Call us for an appointment or send your queries to: info@physioasia.com