What to expect at your Pelvic Physiotherapy Appointment?

We recommend that all people with any pelvic pain or complaints, reach out to a Pelvic Health Physiotherapist. It can be an essential part of diagnosis, treatment and management.

It can be a big deal talking about these things - it’s vulnerable and can even be embarrassing or distressing. We want to take the stigma away and let you know that there is really great help available, and practitioners who truly care about you.

Liz, our Pelvic Health Physiotherapist explains what to expect at one of these appointments.

“I want to learn about you, your health concerns and medical history. I will ask specific questions about your bladder, bowel, and sexual health, as well as about your diet and lifestyle.  We will agree on what you want to achieve and discuss how I can help.  Then I’ll probably do some physical tests to get more info to help with your treatment.  I may also suggest an internal vaginal examination as part of your physical assessment, which I will explain in detail before we proceed.  After the assessment we’ll put together a plan to guide us towards achieving your goals and start working together to improve your pelvic health and overall wellbeing.

Internal vaginal examination

Internal vaginal examination is widely recognized as the best way for a pelvic health physiotherapist to determine the probable causes of your concern and assess the health of your pelvic floor.  After you have shared your health concerns, I will know whether an internal examination will be helpful.  The examination requires me to place one or two clean, gloved, and lubricated fingers inside the vagina to gently palpate and assess the pelvic floor muscles and surrounding tissue and organs. I am most likely to suggest an internal examination as part of a second appointment.  Finally, just because I suggest an internal examination does not mean you have to have one.

Consent

Prior to undertaking any assessment or treatment I will explain what is involved, answer your questions, and make sure that you understand your options and any risks.    I may also require your written consent and I will bring any necessary paperwork with me.”

Common reasons to see Liz include:

  • Post natal:

    • Pelvic floor checks

    • Tummy checks

    • Supported return to exercise

  • Bladder and Bowel:

    • Incontinence

    • Frequency

    • Constipation

  • Pelvis

    • Pelvic pain

    • Pelvic organ prolapse

    • Post operative recovery

    • Sexual pain

    • Endometriosis pain

    • Pudendal Neuralgia

Pelvic Physiotherapy is a widely recognized part of pelvic management. You will be listened to, heard, and are in a safe space here at Fundamental Health. If you’d like to make a booking, please do so here.