Womens health Physiotherapy

‘Seeing Jess for a post-natal health assessment was the best thing I did after giving birth. Along with attending her Pilates classes, I was able to re-build my core and strength slowly and safely. I now feel like ‘me’ again and stronger than ever! Jess is a fantastic Physio and teacher and I’d recommend her to every new mother!’ 

– Francesca Londono-Richards @flamingo_nella_me

At APPI we aim to empower every women to understand their symptoms and guide them on their road to recovery. Our Women’s Health practitioners are all specialist postgraduate trained Physiotherapists in Women’s health, all have a strong musculoskeletal physiotherapy background as well as being APPI qualified Pilates Teachers. As a result, clinicians at APPI can put the whole picture together, not looking at the pelvis or pelvic floor in isolation. Many of our practitioners are mums themselves, and most of all; all are passionate about Women’s Health. Who better to help you on your journey to pain free confidence in your pelvic floor?

Women’s Health Physiotherapy

Do you know that 1 in 3 women experience urinary incontinence in the UK? 1 in 2 will develop a pelvic organ prolapse after childbirth? 60% of women will have diastasis recti at 6 weeks postpartum and 64% of women will have sexual problems at 6 months postpartum?

Whether you pregnant, a new mother, awaiting or recovering from gynaecological surgery or simply wanting to take control of your health and wellbeing, our specialized team of women’s health physiotherapists are here to help you. We treat a wide range of conditions including:

  • Bladder or bowel issues such as incontinence, urgency, overactive bladder, frequency, nocturia, constipation, pain and dyssynergic defecation
  • Pelvic organ prolapse
  • Pelvic and sexual pain or dysfunction such as vulvodynia, vaginissmus, interstitial cystitis, pain from endometriosis, dyspareunia, voiding pain, coccydynia, and pudendal nerve injury.
  • Pre and post- gynaecological surgery care (hysterectomy or prolapse repair)
  • Pelvic Floor Check
  • Perineal Massage
  • Osteoporosis management

Pregnancy and Postnatal

  • Postnatal check (6 weeks onwards)
  • Pelvic girdle pain (symphysis pubis, osteitis pubis, pelvic instability)
  • Back, rib and neck pain
  • Wrist or thumb pain such as carpal tunnel syndrome
  • Separation of the abdominal muscles (diastasis recti)
  • Perineal tears, pain and massage
  • Caesarean scar pain
  • Safe return to exercise and full function
  • Pregnancy massage
  • Treatment for Mastitis

Pilates

Both mat Pilates and reformer circuit classes are on offer at APPI. We also offer individualized 1:1 sessions tailored to suit your specific needs.

Pregnancy Pilates

Our classes are designed to prepare your body for the challenges of pregnancy and a smooth delivery. All mothers are encouraged to attend a pre-assessment and we recommend you wait until the second trimester before participation.

Post Natal Pilates

These classes are designed to assist your recovery and return to exercise in a fun, social and supportive environment. The classes focus on pelvic stability, tummy muscle recovery and pelvic floor muscle strengthening. We encourage all mothers to have a check with a women’s health physiotherapist before joining the classes. Babies are welcome to join until crawling age.

Pregnancy Yoga

Enhance your experience during this precious time by connecting with your mind, body, baby and other like-minded women. Minimize discomfort, strengthen and create ease of movement and breath in preparation for labour.

What to expect from my appointment?

Our specialist physiotherapists will take a detailed history of your concerns and goals for treatment. This will involve questions about bladder and bowel habits, as well as your obstetric, gynecological and medical history. Your assessment will then be tailored accordingly at your unique presentation. This will likely involve assessment of:

  • Musculoskeletal issues, as well as your back and pelvis
  • Posture and breathing technique
  • Abdominal muscles for diastasis recti, trigger points and breathing
  • Real time ultrasound imaging of the bladder or pelvic floor muscles
  • The pelvic floor muscles, if appropriate. This may be an internal vaginal or rectal examination to examine the skin, tone, structure and function of your pelvic floor muscles.

Following your assessment, a detailed explanation of your symptoms and diagnosis will be given, and a personalized management plan will be discussed and developed according to your needs. Our aim is to ensure you a speedy recovery to full health and wellbeing.

Treatment may include:

  • Re-education of correct pelvic floor function
  • Myofascial techniques
  • Diagnostic real time ultrasound imaging of the bladder, pelvic floor muscles and tummy muscles
  • Treatment for Mastitis
  • Trigger point acupuncture
  • Perineal and C-section scar massage, mobilization and de-sensitization
  • Restoring the appearance and function of the tummy muscles
  • Clinical rehabilitative Pilates
  • Chronic pain management
  • Use of biofeedback, vaginal electrical stimulation, pelvic toner and Elvie
  • Referral onwards to a specialist as necessary

Talks and Seminars

We regularly offer informative talks on key topics related to women’s health such as the postnatal pelvic floor and peri-menopausal period. This is an opportunity to hear from our knowledgeable specialists and ask questions regarding concerns you may have. To request a talk or see upcoming talks please get in contact.

Some interesting facts:

50 – 70% of women have low back or pelvic pain in pregnancy.
One in three women experiences bladder or bowel control problems at some time
Up to 15% of women suffer from internal pain
One in four women have pelvic organ prolapse
While these conditions are very common, they are not normal and are not necessarily to do with pregnancy or childbirth. Incontinence or pain can occur from childhood to our older years.

 

 

 

 

 

 

 

 

Meet our consultant partners

 

Mr Demetri C Panayi

Consultant Gynaecologist and Accredited Subspecialist Urogynaecologist

Areas of Expertise:

  • Urinary incontinence in women
  • Prolapse of uterus and vagina
  • Childbirth injury including anal sphincter injury
  • Women who have had previous surgery for prolapse or incontinence
  • Pelvic Floor Problems
  • Bladder and vaginal pain
  • Repeated urinary infections/cystitis/interstitial cystitis
  • Bladder emptying problems
  • Vaginal, Perineal and Labial distortion
  • Menopause

Click here to read Mr Panayi's full bio: 

Mr Demetri C Panayi

Mr Pandelis Athansais

Consultant Obstetrician and Gynaecologist

Areas of Expertise:

  • Minimally invasive surgery
  • Outpatient operative procedures
  • Abnormal smears and colposcopy examinations
  • Laparoscopic Hysterectomy
  • Early pregnancy complications
  • Management of fibroids
  • Menopause
  • Ovarian cysts
  • Labioplasty
  • Pelvic ultrasound
  • Endometriosis

Mr Pandelis Athanasias