Symptoms of pelvic floor dysfunction
Urinary or faecal incontinence
Pelvic pain
Sexual pain
Prolapse
Image- Australian Physiotherapy Association 2022.
Women's health physiotherapy is a specialized form of physiotherapy that aims to assist women in achieving optimal pelvic health, particularly during pregnancy and postpartum periods. The benefits of women's health physiotherapy are numerous and can improve women's quality of life by addressing issues such as urinary incontinence, pelvic pain, and other related conditions. It is essential to seek the help of a women's health physiotherapist as early as possible to ensure that any symptoms are managed and addressed promptly.
One of the primary benefits of women's health physiotherapy is its ability to prevent or treat pelvic floor dysfunction, which affects up to one in three women at some point in their lives. This dysfunction can lead to a range of symptoms, including urinary incontinence, fecal incontinence, pelvic pain, and sexual dysfunction. Women's health physiotherapy uses various techniques such as pelvic floor exercises, biofeedback, and education to improve pelvic floor muscle strength, endurance, and coordination. This, in turn, can alleviate symptoms and improve overall pelvic health.
Women's health physiotherapy can also help with a range of pre- and post-natal issues. During pregnancy, women's bodies undergo significant changes that can lead to discomfort and pain, particularly in the pelvic area. Women's health physiotherapists can provide advice and support on exercise and posture modifications to manage these symptoms. After childbirth, women's health physiotherapy can help with recovery, particularly if there are complications such as diastasis recti or pelvic organ prolapse.
Overall, women's health physiotherapy is an effective way to manage a range of conditions that can significantly impact women's lives, particularly during and after pregnancy.
Women's health at Physica
We treat a wide range of Women's health issues:
- Pregnancy related pelvic girdle pain, lumbo pelvic pain and pubic symphysis pain.
- Other common musculoskeletal conditions during the child bearing year such as carpal tunnel syndrome and de quervain’s tenosynovitis.
- Prescribe pre and post natal education regarding exercise and recovery from vaginal and caesarean birth.
- Assessment and management of DRAM
- Issues pertaining to the lactating breast such an engorgement and mastitis.
- Assessment and management of bladder and bowel conditions (urinary incontinence, urinary frequency, pelvic organ prolapse, constipation) as it relates to pelvic floor muscle dysfunction.
- Implement the use of real time ultrasound in the assessment of pelvic floor muscle dysfunction and use in as a biofeedback tool in rehabilitation.
- Perform an external visual anal examination in the assessment of pelvic floor muscle dysfunction.
Our team
Our Physiotherapists have completed level 1 training in women's pelvic health and possesses the expertise to attend to patients with pregnancy-related pelvic girdle pain, pre- and post-natal conditions, diastasis recti, lactating breast issues such as engorgements and mastitis, as well as pelvic floor dysfunctions like urinary and bowel disorders, pelvic organ prolapses, and dyspareunia.
Furthermore, our team are proficient in conducting external assessments and utilizing real-time ultrasound for assessment and biofeedback. Sarah is delighted to receive patients with any of these concerns at Knoxfield or Ringwood and encourages you to contact your nearest location for an appointment.
- Nevine is an experienced Physiotherapist with over 28 years of clinical experience. She has a special interest in vestibular rehabilitation for 18 years and continence and pelvic floor physiotherapy for 22 years.
- She is bilingual in Egyptian and speaks some Italian.
- Her expertise includes spinal and musculoskeletal issues, shoulder injuries, Cervical whiplash, pelvic girdle and hip pain, sports injuries, vestibular/neurological conditions, bladder and bowel health, gerontology, OA, balance or mobility problems, and vertigo/dizziness, gaze stabilisation training & blurred vision.
- Well-versed in a broad range of Physiotherapy programs: Spine Care rehabilitation programs: Core stability, Pilates & functional restoration programs for Chronic Low Back Pain, Cervical headaches & vertigo, Continence rehab for bladder & bowel conditions, falls prevention, vestibular & balance rehabilitation, BPPV, Vestibular neuritis, & strength training.
- Nevine has excellent interpersonal skills and is proficient in source- oriented patient assessments, time management and therapy-program design/execution.
Nevine’s experience in Vestibular rehab (having attained 4 vestibular certificates and an intensive competency based Vestibular course at Monash Uni ) spans over 18 years. Nevine can diagnose and treat:
- Dizziness, head spinning, light-headedness, balance disorders and associated double vision, mal de barque, vertigo and vestibular migraines
- BPPV – posterior, or horizontal- she uses FRENZEL goggles which record eye movements during the Dix Hallpike testing.
- Vestibular neuritis and hypofunction
- Cerebellar ataxia
- Cervical instability, headaches, and associated vertigo and vestibular migraines
- Persistent perceptual postural Vertigo.
With a Post Grad. Certificate in Continence and Pelvic Floor Rehabilitation attained at Melbourne Uni and many conferences run by the Continence Foundation of Australia Nevine helps women and men manage:
- Bladder conditions: Urinary urgency, Urge and Stress Incontinence, voiding dysfunction: incomplete bladder emptying, Pelvic Organ Prolapse, Bladder pain syndrome, and overactive bladder, and for men obstructed voiding associated with prostate enlargement or post Radical Prostatectomy.
- Bowel conditions: Constipation, IBS, Dyssynergic defaecation, Anismus, Incomplete bowel emptying and faecal/anal incontinence, Pelvic Organ Prolapse, post Obstetric Anal Sphincter injuries
- Vaginal conditions: vaginismus, dyspareunia which may or not be associated with gynaecological surgery.
- Musculoskeletal pain associated with ante/postnatal clients: Pelvic Girdle pain, symphysis pubis and SIJ dysfunction and Lumbosacral instability, DRAM, Perineal tears Grade 2-4, Tx dysfunction.
Nevine uses best practices and outcome measures to find the root causes of clients’ issues. She educates them on relieving pain, stiffness, weakness, leakage, and vertigo, aiming to improve strength, mobility, continence, balance, and reduce their dizziness.
For more information, please call PHYSICA – Chirnside Park on 9726 9977, or RINGWOOD on 9870 8193
Special Interests
- Women’s Health
- Neck & back pain
- Football injuries
- Post-op rehabilitation
- Clinical pilates
- Functional training
- Falls prevention
To read more about Sarah Goh click here
Why Physica?
At Physica, we are dedicated to providing exceptional women's health physiotherapy services in various locations, including Scoresby, Ringwood, Knox, Ferntree Gully, and Melbourne.
Our experienced team of women's health physiotherapists offers comprehensive care and personalized treatment plans tailored to meet your specific needs.
Whether you are seeking postpartum pelvic floor exercises, guidance for pelvic floor muscle exercises, or assistance with pelvic floor exercises during pregnancy, we are here to support you every step of the way. Our services encompass a wide range of pelvic floor exercises, including exercises for prolapse, incontinence, and strengthening.
With the use of cutting-edge technologies such as pelvic floor ultrasound and biofeedback, we ensure accurate assessment and effective treatment.
Whether you are a beginner or looking to enhance your current routine, our expert physiotherapists will guide you through step-by-step exercises to achieve optimal results.
Experience the best in women's health physiotherapy by choosing Physica for your pelvic floor health needs.