Continence Management and Pelvic Health
We can provide this service in person at our rooms, or via telehealth (video or phone) in the comfort of your own home. Check the Telehealth section for details.
About Continence Management And Our Pelvic Health Physiotherapists
Our Pelvic Health Physiotherapists have Post Graduate training in continence management and issues related to bladder, bowel and sexual function. They are also trained to manage conditions that occur as different life stages such as during pregnancy and during recovery after childbirth.
At Body Logic Physiotherapy Pelvic Health we treat:
- Bladder leakage and urgency
- Difficulty emptying the bladder or bowel
- Bowel incontinence and constipation
- Post prostatectomy incontinence
- Vaginal pain
- Vulvodynia and vaginismus
- Pelvic pain (endometriosis, urethral, bladder or bowel pain)
- Pelvic organ prolapse and fitting of vaginal support pessaries
- Back pain and pelvic pain during pregnancy
- Abdominal and pelvic floor weakness following child birth
- Sexual dysfunction and painful intercourse
All treatments are provided in a private and supportive environment by a specialised physiotherapist who will understand your problem.
New Pelvic Health Online Classes For Continence Management
The Body Logic Pelvic Health Clinic Subiaco is excited to support your recovery and encourage activity during this period of social distancing with our online Pelvic Stretch and Relax Class. All classes are instructed by our highly competent Continence and Women’s Health Physiotherapist, Sarah Kenagy. Classes are 40-45 minutes in duration. The first class is free and then they are $25/class. All classes commence at 7.30pm every Tuesday. Please feel free to chat to your Physiotherapist if you have any questions, you can book these classes online or by calling the clinic on 08 9381 7940.
Please click on the link to view our new Pelvic Health Class Timetable. If you have not attended any of our exercise classes before please contact one of our friendly reception staff prior to booking online for further information Ph: 08 9381 7940
Continence issues are more common in women, but can occur in men and children too.
Loss of bladder or bowel control occurs in 30-40% of women and 10% of men.
Incontinence problems tend to increase with age but should not be accepted as just a normal part of aging. Incontinence is common but it is never normal.
Incontinence can affect a person’s quality of life and therefore it is important to seek help early.
Conservative management including pelvic floor muscle training is recommended as first line treatment and up to 80% of people can be helped with performing correct pelvic floor muscle exercises and learning about good bladder and bowel habits.
Pelvic floor’s Role In Continence Management
Pelvic floor dysfunction occurs in women presenting with incontinence, pelvic organ prolapse and pelvic pain and in men with incontinence and pain. Pelvic health problems are complex and a number of factors can contribute to worsening of symptoms. These can include problems with pelvic support structures and the pelvic floor muscles, bladder and bowel habits, and lifestyle factors.
Our pelvic health physiotherapists recognise that the best way to manage your condition is to understand its complexity, and help you develop strategies to control your condition and learn ways to get back to the things in life we love.
At Body Logic Physiotherapy Pelvic Health we will complete a full assessment of your problem and design an individual program for you.
Assessment of Pelvic Floor Muscles
At Body Logic Physiotherapy Pelvic Health our Pelvic Health physiotherapists have completed advanced postgraduate training in the assessment of the pelvic floor muscles.
We will conduct a comprehensive assessment of your condition including assessment of your ability to perform correct pelvic floor muscle contractions. Assessment of the pelvic floor muscles can be done fully clothed using real-time ultrasound. For a more comprehensive assessment of pelvic floor muscles a direct assessment can be performed via a vaginal or rectal assessment. This method is recommended for an accurate assessment of the strength of the pelvic floor muscles and the urinary and anal sphincters. The method of assessing your pelvic floor muscles is always your choice and will be thoroughly explained and based on your consent.
Following the assessment, we will explain to you in simple terms the factors that may be impacting on your problem and design a collaborative treatment plan for continence management and to help you achieve your goals.
Approximately 25% of women and 5% of men experience pelvic pain. For some individuals pain is severe and significantly affects their quality of life.
Common examples of pelvic pain conditions in women are pudendal neuralgia, bladder or urethral pain syndrome, irritable bowel, vulval pain or vulvodynia, dyspareunia or pain with intercourse, and coccydynia or tailbone pain.
In men pain in the pelvis is often called chronic prostatitis, even though it is not often caused by an inflammation of the prostate, male pelvic pain syndromes include pudendal neuralgia, penile or testicle pain, coccydynia or tailbone pain.
Many people with pelvic pain experience more than one pelvic pain condition.
Persistent pain can be very distressing, exhausting and disrupt many important aspects of a person’s life.
Pelvic floor muscle tension and difficulty relaxing the pelvic floor muscles is found in up to 80% of individuals with persistent pelvic pain.
Please click on the link for more information on our Pelvic Floor exercise classes along with our new class timetable New Pelvic Health Class Timetable
Pelvic organ prolapse is common in women who have had a baby with 50% of women who have had a vaginal delivery experiencing some degree of prolapse. The bladder, bowel or uterus can descend into the vagina, with the most common symptom being “the feeling of a lump or bulge protruding into the vagina”. Not all pelvic organ prolapse is bothersome.
If you have been diagnosed with pelvic organ prolapse, pelvic floor exercise and lifestyle modification can reduce the bother of the prolapse or prevent the prolapse from worsening. If you do need surgery to correct your prolapse it is advisable that you see a physiotherapist before and after the surgery to optimise your recovery.
Following the birth of your baby, whether that is by vaginal birth or caesarean section, pelvic health physiotherapists can assist you in your recovery.
Some common symptoms new mothers experience that we can help you with include:
- Bladder or bowel control issues
- Heaviness/dragging feeling in the perineum
- Pain in the low back or pelvis
- Abdominal muscle separation
- Neck and upper back pain
- Wrist pain/numbness
- Pain with intercourse
Many women like to return to exercise and sport after having a baby. Our pelvic health physiotherapists will design a safe graduated exercise program, including pelvic floor and abdominal muscle exercises, that are suitable for you and work with you to help you meet your goals.
Pregnancy can be an exciting time in your life. However, it sometimes comes with physical challenges as your body undergoes hormonal and postural changes.
Some common symptoms pregnant women experience that we can help you with include:
- Pain in the back or pelvic region
- Abdominal muscle separation
- Bladder leakage or urgency
Exercise during pregnancy is very important for physical and mental health. Our physiotherapist can provide you with an individualised program, including pelvic floor and abdominal muscle exercises, that are suitable for you and work with you to help you meet your goals.
Painful intercourse or dyspareunia is common in women with 1 in 2 women experiencing some pain during their lifetime. Pain with intercourse is common after having a baby and at the time of menopause. In 20% of women the pain is persistent, and or severe, and can affect sexual relationships, desire and libido.
There are many causes of dyspareunia and increased stiffness or tension in the pelvic floor muscles is commonly associated with pain with intercourse.
One of the causes is involuntary contraction of the pelvic floor muscles during vaginal penetration which is known as vaginismus.
Another is pain and increased sensitivity in the vulval /vaginal area, known as vulvodynia which is a condition where the region just outside the vagina is painful with light touch or without any provocation at all.
Our physiotherapists are able to help you understand the factors that may be important for you and design a management program coaching you in pelvic floor muscle relaxation, general body relaxation, breathing techniques, and a graded return to pleasurable sexual activity.
Please click on the link for more information on continence management and our Pelvic Pain Stretch and Relax class along with our new class timetable New Pelvic Health Timetable