Physiotherapy for Pelvic Health

Delaunay therapy offers Specialist Pelvic Health Physiotherapy, treating Women and Children, in and around York. Pelvic Health Physiotherapists have the skills and knowledge (achieved through post-graduate study) to treat a range of conditions such as pregnancy related pelvic issues, problems with bladder or bowel incontinence, pelvic organ prolapse, pelvic pain and pelvic floor weakness. During your appointment, you will be advised of the best course of action for your symptoms following a thorough assessment. 

Conditions we treat

  • Birth-related pelvic floor dysfunction

  • Sexual dysfunction

  • Dyspareunia

  • Post-operative care

  • Faecal and urinary continence problems

  • Pelvic organ prolapse

  • Persistent pelvic pain

  • Vulvar pain

  • Pregnancy and postnatal musculoskeletal related conditions

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Hands on Stomach

Treatments offered

  • Pelvic floor muscle training

  • Education and advice

  • Manual therapy

  • Bladder and bowel training

  • Exercise rehabilitation (including 1:1 Pilates and strength training)

  • Post-operative management

  • Continence advice and management

  • Acupuncture

What to expect during your Pelvic Health appointment

In the comfort of your own home, or in clinic, I will complete a thorough subjective assessment to determine the possible cause of your pelvic health problem. You may be asked to complete a bladder/bowel diary or health questionnaire(s) to assess how your problems affect your day-to-day life.

Following this, a physical examination will allow me to assess your posture, abdominal muscles, joint range of movement and strength. If appropriate and with your consent, you may be offered a vaginal or anorectal examination. This involves the palpation of both external and internal pelvic floor muscles.  You will be asked to contract your muscles to determine their strength and endurance, cough and bear down. This is the gold standard for assessment of the pelvic floor and will enable an accurate diagnosis of any pelvic floor dysfunction including the presence of pelvic organ prolapse.

After a thorough and complete assessment, I will be able to design your individualised treatment and exercise plan.  This may include bladder/bowel training, lifestyle and dietary advice and targeted muscle training including those of the pelvic floor.  I may offer specialised manual therapy to reduce muscle tension and sensitivity which has been shown to facilitate the correct muscle activation and reduce pain.

The length of your treatments and number of follow up appointments required is dependent upon many factors, including how chronic your problems is, your lifestyle and personal circumstances and how committed you are to your physiotherapy plan.