Clinical Services
Jo is able to provide a hollistic assessment of pelvic floor problems including taking a detailed history of all the things you have tried, what worked and also importantly what didn't. She takes the time to understand how your symptoms impact your life on a day to day basis. She is able to provide internal assessments, biomechanical assessments, running review, gym technique modification, and takes a whole person approach to all symptoms including the physical, social and environmental factors which might be at play.
She offer pessary fitting, and has a broad range of referral pathways to different specialists both medical and fitness to ensure that you have the best possible treatment outcomes.
Bladder Health
Jo can help with bladder problems including
- Bladder urgency
- Increased urinary frequency
- Leaking urine
- Incomplete bladder emptying
- Weeing too frequently at night
- Recurrent UTIs
Treatment may including reviewing bladder diaries, bladder retraining, trigger retraining, lifestyle modifications, pelvic floor optimisation and transcutaneous tibial nerve stimulation.
Postnatal
A postnatal assessment includes an assessment of bladder, bowel and vaginal function, review of scars from birth, pelvic floor assessment and guidance on recovery going forward.
This can cover
- Return to exercise
- Diastasis (tummy gap)
- Caesarean recovery
- Scar management (perineal or caesarean)
- Pelvic floor issues
Worried about childcare? Bring your baby to your appointment!
Post Surgery
Jo can support both men and women after pelvic surgery including prolapse surgery, removal of fibroids, post prostatectomy and more.
Treatment can include pelvic floor muscles optimisation, scar management, pressure management advice, graded return to day to day activities and graded return to exercise. She can also help with the side effects of surgery including pain, leaking and constipation.
Men's Health
A men's health check is perfect for men suffering with pelvic floor dysfunction, I offer online and face to face appointments to help with the following symptoms
- Pelvic Pain
- Erectile dysfunction
- Hard Flaccid Syndrome
- Post Prostatectomy
- Bladder dysfunction
- Bowel dysfunction
Menopause
For women in the menopausal transition, a menopause check involves discussing all the changes which can occur during the menopause including bladder health, bowel health, vaginal dryness, sexual dysfunction and prolapse.
She also feels strongly about helping women at this stage of life start or keep exercising to ensure longevity into later life. This might be in a gym setting, at home, or in a class. Most importantly it should be something you can enjoy without worry about your pelvic floor.
Bowel Health
Bowel health is something that people often feel uncomfortable or embarased talking about, however having a healthy bowel can often improve all other pelvic floor symptoms too.
Jo can help with bowel issues including
- constipation
- incomplete emptying
- painful emptying of the bowel
Often the combination of a few simple lifestyle changes and a good understanding of how the bowel works is all you need to get the ball rolling.
Sexual Health
Pelvic Health physiotherapy can help with lots of different types of challenges with intimacy including pain, a feeling of blockage or difficulty achieving penetration, reduced sensation and reduced satisfaction.
Assessment and treatment for sexual dysfunction is hollistic and doesn't have to include any internal assessments if you do not want one. You can also bring your partner to a session if you think this would be helpful.
Pelvic Pain
Jo helps women who suffer from pelvic pain of all types, even if it hasnt yet been established what may be causing the pain. Conditions include
- Vaginismus
- Painful Sex (Dyspareunia)
- Bladder Pain Syndrome
- Vulvodynia
- Chronic Pelvic Pain Syndrome
Prolapse and Pessary fitting
A prolapse is where one or more of the pelvis organs descends to sit lower in the pelvis and can cause symptoms of heaviness, dragging, or a feeling like there is something in the vagina when there isn't.
Treatment can include
- pelvic floor muscle optimisation
- pressure management strategies
- general strengthening to support the pelvis
- fitting of a silicone pessary to support the organs
Pregnancy
A pregnancy check involves a full history taking, biomechanical assessment, internal pelvic floor check (if apropriate), and treatment.
Perfect for any new mums to be!
Let me help you with the following
- Pelvic Girdle Pain
- Back Pain
- Rib Pain
- Birth Preparation
- Postnatal Recovery Preparation
- Acupuncture if appropriate
Scars
Jo can help with scars across the body including c sections scars, perineal scars from tears or epesiotomies, or scars from surgery or injury.
Treatment may include
- manual therapy including teaching you how to use this at home
- cupping
- acupuncture
- silicone therapy
- guidance about home management
Diastasis
For some women after having a baby the abdominal muscles do not easily recover back to their original position. Physiotherapy can help to reduce the gap, improve the appearance, and improve the function of the abdominal wall.
Treatment can involve
- Optimisation of the core canister muscles
- Retraining of the whole abdominal wall
- Pressure management strategies
- Graded return to strengthening activities