The Importance of Seeing a Pelvic Floor Physiotherapist During Pregnancy

Pregnancy is a transformative and beautiful journey, but it can also bring about a host of physical changes and challenges for women. One crucial aspect of prenatal care that often goes unnoticed is the role of a pelvic floor physiotherapist. These specialised professionals play a significant role in ensuring a healthier pregnancy and postpartum experience for expectant mothers. In this blog post, we’ll delve into the reasons why seeing a pelvic floor physiotherapist during pregnancy is a decision that can greatly benefit both you and your baby.

  1. Understanding Your Pelvic Floor:

Your pelvic floor is a group of muscles, ligaments, and tissues that support your pelvic organs, including the bladder, uterus, and rectum. During pregnancy, the pelvic floor experiences increased pressure due to the growing uterus and hormonal changes. This pressure can lead to various issues such as pelvic pain, incontinence, and discomfort. A pelvic floor physiotherapist can educate you about your pelvic floor, helping you better understand its functions and how to take care of it during this transformative time.

  1. Prevention and Management of Pain:

As your baby bump grows, you might start experiencing pelvic and lower back pain. This discomfort can stem from the changes in weight distribution, posture, and the strain on your pelvic floor muscles. A pelvic floor physiotherapist can provide exercises and techniques to alleviate pain, improve posture, and enhance overall comfort. These professionals are skilled in tailoring exercises to your unique needs, making your pregnancy journey more manageable.

  1. Addressing Incontinence Issues:

Pregnancy hormones can weaken the pelvic floor muscles and lead to incontinence issues. This can manifest as leaks when sneezing, laughing, or even just walking. Pelvic floor physiotherapists can teach you exercises that target these muscles, helping you regain control and prevent or manage urinary incontinence. By addressing these concerns early on, you can significantly improve your quality of life during and after pregnancy.

  1. Preparation for Labor and Delivery:

A strong and well-functioning pelvic floor can contribute to a smoother labor and delivery process. Pelvic floor physiotherapists can guide you through exercises that enhance the flexibility and strength of these muscles, making them more responsive during childbirth. Additionally, they can teach relaxation techniques that will help you release tension during labor, potentially leading to a more comfortable birthing experience.

  1. Postpartum Recovery:

The benefits of seeing a pelvic floor physiotherapist don’t end with childbirth. After delivery, your pelvic floor muscles may be stretched and weakened. Regular visits to a pelvic floor physiotherapist can aid in the recovery process, helping you regain pelvic muscle strength, reduce postpartum discomfort, and prevent long-term issues such as prolapse.

  1. Tailored and Personalised Care:

Every woman’s body is unique, and the impact of pregnancy on the pelvic floor can vary greatly. A pelvic floor physiotherapist will provide personalised care based on your specific needs and concerns. This individualised approach ensures that you receive the most effective exercises and strategies for your particular situation.

In conclusion, incorporating a pelvic floor physiotherapist into your prenatal care routine can offer numerous benefits for your overall well-being during pregnancy and beyond. From preventing pain and incontinence to preparing for labor and supporting postpartum recovery, these professionals play a pivotal role in enhancing your pregnancy journey. Remember, taking care of your pelvic floor is an investment in your health, comfort, and confidence as you navigate the beautiful path of motherhood. You can book your initial pregnancy consultation here.

Written by Karen Jamieson

Physiotherapist – Special Interest in Pelvic / Women’s Health



The Importance of Seeing a Pelvic Floor Physiotherapist After Giving Birth

The journey of pregnancy and childbirth is an incredible experience that brings joy and fulfilment to many women. However, it’s also a time of immense change for the body, particularly the pelvic floor muscles. These muscles play a crucial role in supporting the bladder, uterus, and bowels, and their health can be significantly impacted during pregnancy and childbirth. That’s why considering a visit to a pelvic floor physiotherapist postpartum can be immensely beneficial for your overall well-being.

Understanding the Pelvic Floor
The pelvic floor is a group of muscles, ligaments, and tissues that form a supportive sling at the base of the pelvis. Throughout pregnancy, these muscles undergo considerable stress due to the weight of the growing uterus and the hormonal changes that affect their elasticity. During childbirth, these muscles stretch to accommodate the baby’s passage, leading to potential trauma, weakening, or even tearing.

Common Issues Postpartum
After giving birth, many women experience a range of pelvic floor issues that can impact their quality of life. Some common issues include:

  1. Urinary Incontinence: This is the involuntary leakage of urine, which can occur when coughing, sneezing, laughing, or even during physical activities. It’s a prevalent concern for many women postpartum due to the strain placed on the pelvic floor during pregnancy and childbirth.
  1. Pelvic Organ Prolapse: Pregnancy and childbirth can weaken the pelvic floor muscles, leading to a condition where one or more pelvic organs (such as the bladder, uterus, or rectum) shift from their normal positions and bulge into the vaginal canal. This can cause discomfort, pressure, and a feeling of “heaviness.”
  1. Sexual Dysfunction: Trauma during childbirth can lead to pain during sexual intercourse. Additionally, changes in pelvic floor muscle tone can affect sexual sensation and satisfaction.
  1. Pelvic Pain: Some women experience pelvic pain postpartum due to muscle imbalances, scar tissue, or nerve issues. This pain can impact daily activities and overall well-being.

The Role of a Pelvic Floor Physiotherapist

A pelvic floor physiotherapist specialises in assessing and treating issues related to the pelvic floor. These professionals have expertise in understanding the intricate musculature of the pelvic area and can offer tailored treatment plans to address individual needs. Here’s how they can help:

  1. Assessment: A pelvic floor physiotherapist will conduct a thorough assessment to identify any muscle imbalances, weaknesses, or areas of tension. This assessment may involve both internal and external examinations.
  1. Education: They will educate you about the anatomy and function of the pelvic floor, how childbirth might have impacted it, and steps you can take to aid recovery and prevent future issues.
  1. Exercises: Pelvic floor physiotherapists prescribe specific exercises to strengthen and rehabilitate the pelvic floor muscles. These exercises can be tailored to your unique needs and can help with issues like incontinence, prolapse, and pain.
  1. Manual Therapy: Some techniques involve hands-on therapy to release tension, improve circulation, and promote healing of scar tissue.
  1. Behavioural Strategies: They can guide you on lifestyle adjustments, like proper posture, lifting techniques, and bladder habits, to minimise strain on the pelvic floor.


The journey of motherhood is undoubtedly transformative, and it’s important to prioritise your own health and well-being as you adjust to the changes postpartum. Seeing a pelvic floor physiotherapist can be a proactive step in ensuring that you regain strength, function, and comfort in your pelvic area. By addressing pelvic floor issues early on, you can enhance your overall quality of life and fully embrace the joys of motherhood. You can book your initial postnatal physiotherapy consultation at Agility Physiotherapy and Pilates   PH 38622322

Written By Karen Jamieson

Physiotherapist – Special Interest in Pelvic / Women’s Health


Understanding Stress Incontinence and the Role of Pelvic Floor Physiotherapy

Stress incontinence is a common medical condition that can have a significant impact on a person’s quality of life. It occurs when there is an involuntary leakage of urine during activities that put pressure on the bladder, such as coughing, sneezing, laughing, lifting, or exercising. This condition primarily affects women, especially after childbirth and during menopause, but it can also occur in men. Fortunately, there are effective treatments available, and one such approach is pelvic floor physiotherapy.

Stress Incontinence Explained:
Stress incontinence occurs when the muscles and tissues that support the bladder and urethra weaken, leading to decreased control over the urinary sphincter. The pelvic floor muscles, which play a crucial role in maintaining urinary continence, can become weakened due to factors like pregnancy, childbirth, aging, obesity, chronic coughing, and certain medical conditions.

Understanding Pelvic Floor Physiotherapy:
Pelvic floor physiotherapy is a specialised form of physical therapy that focuses on the muscles, ligaments, and connective tissues of the pelvic region. The primary goal of pelvic floor physiotherapy is to improve the strength, coordination, and function of the pelvic floor muscles.

How Pelvic Floor Physiotherapy Helps:

  1. Muscle Strengthening: A skilled pelvic floor physiotherapist guides individuals through exercises that target the pelvic floor muscles. These exercises help to strengthen the muscles, improving their ability to support the bladder and prevent leakage.
  1. Biofeedback: Biofeedback techniques are used to help individuals better understand and gain control over their pelvic floor muscles. By using sensors and visual feedback, patients can learn to contract and relax these muscles effectively.
  1. Behavioural Strategies: Pelvic floor physiotherapists provide guidance on behavioural strategies such as bladder training, which involves gradually increasing the time between bathroom visits to improve bladder capacity and control.
  1. Posture and Alignment: Proper posture and alignment can influence the functioning of the pelvic floor. Physiotherapists assess and correct any postural issues that might contribute to stress incontinence.
  1. Education: Patients are educated about their pelvic anatomy, how the muscles work, and factors that contribute to stress incontinence. This knowledge empowers individuals to take an active role in managing their condition.

Benefits of Pelvic Floor Physiotherapy:

  1. Non-Invasive: Pelvic floor physiotherapy is a non-surgical and non-pharmacological approach to treating stress incontinence.
  1. Customised Approach: Treatment plans are tailored to the individual’s specific needs and condition, ensuring a personalised approach to care.
  1. Improved Quality of Life: Successfully managing stress incontinence through pelvic floor physiotherapy can significantly enhance a person’s confidence and quality of life.


Stress incontinence can be a distressing condition, but it’s important to know that effective treatments are available. Pelvic floor physiotherapy offers a holistic and non-invasive approach to addressing this issue. By strengthening the pelvic floor muscles, improving muscle coordination, and providing valuable education, individuals can regain control over their bladder function and enjoy an improved quality of life. If you or someone you know is struggling with stress incontinence, consulting our qualified pelvic floor physiotherapist could be a crucial step towards managing and overcoming this condition.


Written By Karen Jamieson 


Understanding Vaginismus and the Role of Pelvic Floor Physiotherapy

Vaginismus is a distressing and often misunderstood condition that affects many individuals. It is characterised by involuntary muscle spasms in the pelvic floor muscles, which surround the vaginal opening. These spasms can make penetration, whether during intercourse, medical examinations, or even the use of tampons, extremely painful or impossible. Pelvic floor physiotherapy has emerged as an effective and holistic approach to managing and treating vaginismus. In this blog post, we will delve into the details of vaginismus, explore the benefits of pelvic floor physiotherapy, and discuss how this specialised therapy can provide relief and improve the quality of life for those affected by this condition.

Understanding Vaginismus:
Vaginismus is more than just physical discomfort; it has significant psychological and emotional implications. It often arises from a combination of physical, emotional, and psychological factors, such as anxiety, past traumatic experiences, misconceptions about sex, or a history of sexual abuse. The fear of pain and penetration exacerbates the muscle spasms,
creating a cycle of tension and avoidance.

The Role of Pelvic Floor Muscles:
The pelvic floor muscles are a group of muscles that provide support to the pelvic organs, including the bladder, uterus, and rectum. They play a vital role in maintaining continence, stability, and sexual function. Dysfunction in these muscles can lead to various pelvic floor disorders, including vaginismus.

Benefits of Pelvic Floor Physiotherapy:

  1. Education and Awareness: Pelvic floor physiotherapists are trained to educate individuals about their pelvic anatomy
    and function. Understanding how the muscles work can help demystify vaginismus and alleviate fear and anxiety.
  2. Muscle Relaxation Techniques: One of the primary goals of pelvic floor physiotherapy is to teach relaxation techniques for the pelvic floor muscles. These techniques can gradually reduce muscle tension and spasms.
  3. Biofeedback: Pelvic floor physiotherapists may use biofeedback tools to help individuals become more aware of their pelvic floor muscle activity. This can aid in learning how to control and relax these muscles voluntarily.
  4. Manual Therapy: Therapists may use gentle, hands-on techniques to release tension in the pelvic floor muscles. These techniques can help improve blood flow, flexibility, and reduce muscle tightness.
  5. Kegel Exercises: While relaxation is crucial, some individuals with vaginismus might benefit from specific exercises to strengthen and control their pelvic floor muscles. Pelvic floor physiotherapists can guide individuals on proper exercise techniques.
  6. Counselling and Emotional Support: Addressing the emotional and psychological aspects of vaginismus is equally important. Pelvic floor physiotherapists often provide counselling to help individuals cope with anxiety, trauma, and negative emotions associated with the condition.

The Healing Journey:
Healing from vaginismus through pelvic floor physiotherapy is a personalised journey that requires time, patience, and dedication. Progress may vary from person to person, but with consistent effort and guidance from skilled professionals, many individuals experience significant improvements in their symptoms and overall well-being.

Vaginismus can be an overwhelming and challenging condition, but it's important to know that help is available. Pelvic floor physiotherapy offers a comprehensive approach to addressing the physical, emotional, and psychological aspects of vaginismus. By promoting muscle relaxation, providing education, and offering emotional support, this specialised therapy
empowers individuals to regain control over their bodies and their lives. If you or someone you know is struggling with vaginismus, consider reaching out to a qualified pelvic floor physiotherapist to embark on the path to healing and improved quality of life. If you have been diagnosed with vaginismus or are experiencing pelvic pain you can book an appointment with our Pelvic Floor Physiotherapist here.

Written By Karen Jamieson
Physiotherapist – Special interest Pelvic / Women’s Health

De Mystifying the Pelvic Floor

Stress urinary incontinence, pelvic pain, urge incontinence, prolapse…what do all these terms mean? In this blog, we hope to clarify some questions you may have on this delicate topic. We also hope that if anything, you take home these three main points from this article: 

  1. Pelvic floor issues are not treated as simply as “squeeze and release” 
  1. Pelvic floor disorders are VERY COMMON among men and women, but is not a healthy part of ageing 
  1. Women’s and Men’s Health Physiotherapy offers effective solutions for these issues yet are they are highly underutilised

Anatomy –What is the pelvic floor? 

The pelvic floor is the tissue that physically supports the pelvic organs (bladder, bowels, prostate, uterus) –think of a sling or a floor! It’s an interplay of muscle, fascia and fibrous tissue. The pelvic floor muscles help you control movement of materials (urine and faecal matter) through the urethra and anus. They are also important for sexual function, and they work with your abdominal muscle ‘corset’ to help you stabilise and support your lower back.  


Figure 1: Superior view of the pelvic floor. 

Image adapted from:  

What can go wrong with them? 

There are several issues that can arise; it depends on the person and their experiences. For example, a woman that has had a difficult pregnancy and delivery may be susceptible to pelvic pain during intercourse, pelvic organ prolapse or incontinence while a man that has been diagnosed with prostate cancer may develop sexual dysfunction or incontinence. Some risk factors for developing pelvic floor disorders are pregnancy, menopause, obesity, prostatectomy/hysterectomy, and reduced mobility. 

Here is a list of more commonly seen disorders and a brief description: 

    • Stress Urinary Incontinence: leaking with activities such as coughing, sneezing, laughing, running and jumping 
    • Urge Urinary Incontinence: a sudden, compelling urge to urinate. Involuntary contraction of the bladder wall causing this sensation and urine loss 
    • Overactive Bladder: High frequency of urination, common with Urge Urinary Incontinence 
    • Faecal incontinence: Inability to control back passage  
    • Pelvic organ prolapse: Sagging down or protrusion of a pelvic organ such as either bladder, uterus, or rectum.  
  • Post-natal tears
    • Pelvic Pain: Also called vaginismus, an involuntary painful tightening or spasming of the pelvic floor muscles 
  • Constipation  
  • Sexual dysfunction

Understanding the Relationship between Pelvic Floor Strength and Pelvic Floor Disorders

Often times, multiple pelvic issues present simultaneously. For example, a prolapse may put too much pressure on the bladder and also cause stress incontinence or overactive bladder. Understanding the relationship between pelvic floor strength and overall pelvic health can be complicated so let’s use the Boat in the Dock Theory:





In the above schematic, 

The boat = Organs (bladder, uterus, prostate, rectum)

The ropes = Ligaments (fascial bands that hold everything in place)

The water = Pelvic Floor Muscles

When you have strong pelvic floor muscles, there is less strain on the ligaments that hold your organs up, thereby supporting your organs in place. However, if your muscles are weak, there is more strain on your ligaments and the organs sag down, placing pressure on unwanted areas.

How big of a problem is it?  

A few quick stats from the Continence Foundation of Australia 

  • Bladder incontinence affects up to 37% of Australian women 
    • 70% of these women don’t seek help  
  • Half of women between the ages of 45-59 are affected!  
  • 13% of Australian men are also affected by Bladder incontinence 
  • Roughly half of all women in nursing homes are there primarily because their incontinence is  unmanageable at home 

In 1998 the World Health Organisation stated,

“Incontinence is a largely preventable and treatable condition…it is certainly not an inevitable consequence of ageing” 

A recent Australian study found that 84% of women with stress urinary incontinence were cured with the help of pelvic floor muscle rehabilitation led by a Women’s Health Physiotherapist. 

The average number of visits required was only 5. 

What does a Women’s or Men’s Health Physiotherapist do? 

A Women’s or Men’s Health Physiotherapist is able to help people through various pelvic issues.  Some of the ways these healthcare practitioners help include: 

  • Pelvic floor retraining for stress urinary incontinence, prolapse, post-natal injuries, pre/post-operative management (prostate or gynaecological surgeries) or post menopause
  • Real-time ultrasound visual feedback for confirmation of pelvic floor musculature engagement
  • Bladder training to normalise urge incontinence
  • Lumbar and pelvic pain management throughout the lifespace –young athletes, during pregnancy, post-natal, return to sport, and menopause
  • Provide evidence based advice and education
  • Aid with sexual dysfunction or pain 
  • Antenatal fitness 
  • Breast mastitis management
  • Abdominal separation (DRAM)
  • Pelvic floor retraining for bowel function (constipation, straining and control of wind) 

Taking Action

We hope this article has addressed some of your questions. More importantly, we hope this has highlighted the importance of seeing a Women’s or Men’s Health Physiotherapist if you have any concerns regarding your pelvic health. There is no need to suffer in silence; we are here to help! 

Ring Agility Physiotherapy and Pilates and ask to see our women’s health physiotherapist Karen. 

PH 07 3862232

Managing Stress Incontinence in Athletes: Strategies and Solutions

Participating in sports and athletic activities offers numerous physical and mental benefits, but for some athletes, it can come with unexpected challenges, such as stress incontinence. Stress incontinence is the involuntary leakage of urine during physical activities that put pressure on the bladder. While this condition can be distressing, it’s essential for athletes to know that they are not alone, and there are effective strategies to manage and even prevent stress incontinence. This blog post aims to explore the causes of stress incontinence in athletes and provide practical tips for its management.

 Causes of Stress Incontinence in Athletes:
Stress incontinence occurs due to weakened pelvic floor muscles and poor control over the bladder. In athletes, this can be caused by: 

  1. High-Impact Activities: The repeated impact and pressure placed on the pelvic area during activities like running, jumping, and weightlifting can strain the pelvic floor muscles, leading to stress incontinence.
  1. Pregnancy and Childbirth: Female athletes who have given birth may experience stress incontinence due to the strain childbirth places on the pelvic floor muscles.
  1. Age: Athletes who have been participating in sports for years might experience age-related weakening of the pelvic floor muscles.
  1. Overtraining: Excessive training without adequate recovery can lead to muscle imbalances, including weak pelvic floor muscles, increasing the risk of stress incontinence.

Managing Stress Incontinence:

While stress incontinence can be bothersome, there are various strategies athletes can employ to manage or alleviate the condition: 

  1. Pelvic Floor Exercises: Regularly performing pelvic floor exercises, such as Kegels, can strengthen the muscles that support the bladder and prevent leakage. Athletes should consult a pelvic health specialist to learn proper techniques.
  1. Core Strengthening: Strengthening the core muscles can provide better support to the pelvic area, reducing the impact of stress incontinence. Pilates and specific core exercises can be beneficial.
  1. Hydration and Timing: Maintaining proper hydration is essential, but athletes should strategically time their fluid intake to avoid overloading the bladder before activities. Emptying the bladder before exercise can also help reduce the risk of leakage.
  1. Breathing Techniques: Proper breathing during exercise can reduce intra-abdominal pressure, minimising stress on the pelvic floor.
  1. Gradual Training Progression: Athletes should avoid sudden increases in exercise intensity or volume, allowing their bodies to adapt gradually and reduce the strain on pelvic floor muscles.
  1. Appropriate Clothing and Gear: Wearing supportive clothing and gear can help reduce the impact on the pelvic area during activities.
  1. Professional Guidance: Athletes experiencing stress incontinence should consult healthcare professionals, such as pelvic health physiotherapists, who specialise in treating pelvic floor issues.
  1. Biofeedback and Electrical Stimulation: These techniques can aid in retraining the pelvic floor muscles and improving their control.


Preventing Stress Incontinence:

Prevention is key, and athletes can take proactive steps to reduce their risk of developing stress incontinence: 

  1. Cross-Training: Engaging in a variety of exercises can prevent overuse of certain muscles and reduce the risk of pelvic floor weakness.
  1. Proper Warm-up and Cool-down: Adequate warm-up and cool-down routines can prepare the body for exercise and promote better recovery, minimising the strain on pelvic muscles.
  1. Maintain Healthy Body Weight: Maintaining a healthy weight can reduce pressure on the pelvic floor and support overall muscle function.
  1. Stay Informed: Athletes should educate themselves about proper techniques, training progression, and signs of overtraining to prevent pelvic floor issues.


Stress incontinence might pose challenges for athletes, but with the right strategies and solutions, it doesn’t have to limit their performance or enjoyment of sports. By taking a holistic approach that includes pelvic floor exercises, core strengthening, proper hydration, and seeking professional guidance when needed, athletes can effectively manage stress incontinence and continue to pursue their athletic goals with confidence. If this sounds like you, book an appointment to see our Pelvic Floor Physiotherapist.  Ph 07 38622322

Written By Karen Jamieson
Physiotherapist – Special interest Pelvic / Women’s Health

Navigating Postpartum Exercise and the Importance of Pelvic Floor Physiotherapy

The journey of pregnancy and childbirth is a transformative experience for any woman. While the focus during this time is primarily on the health of the baby, it’s crucial not to overlook the well-being of the mother, especially in the postpartum period. Returning to exercise after giving birth requires careful consideration and a gradual approach to ensure the body’s recovery, particularly when it comes to the pelvic floor. This blog post delves into the significance of pelvic floor health, the role of pelvic floor physiotherapy, and how to safely reintegrate exercise into your postpartum routine.

Understanding the Pelvic Floor
The pelvic floor is a group of muscles that form a supportive sling at the base of the pelvis. During pregnancy and childbirth, these muscles undergo substantial stress and stretching, leading to potential weakening. The pelvic floor plays a crucial role in maintaining core stability, controlling urinary and bowel functions, and supporting the uterus, bladder, and rectum. Neglecting its recovery can result in complications such as urinary incontinence, pelvic organ prolapse, and lower back pain.

 The Role of Pelvic Floor Physiotherapy
Pelvic floor physiotherapy is a specialised branch of physiotherapy that focuses on rehabilitating the pelvic floor muscles. This therapy is especially vital for postpartum women to aid in the recovery of muscle tone, strength, and flexibility. A trained pelvic floor physiotherapist can assess the condition of your pelvic floor muscles, develop a personalised treatment plan, and guide you through exercises that target these muscles effectively. These exercises often involve both relaxation and strengthening techniques, helping you regain control and confidence in your body.

 Safe Return to Exercise
After receiving medical clearance from your healthcare provider, reintroducing exercise into your routine can be incredibly beneficial for both physical and mental well-being. However, it’s essential to approach this process with caution and prioritise the recovery of your pelvic floor muscles: 

  1. Start Slowly: Begin with gentle exercises such as walking, deep breathing, and gentle stretches. Gradually progress to low-impact activities like swimming or stationary cycling.
  1. Focus on Core and Pelvic Floor Activation: Incorporate exercises that engage your core and pelvic floor muscles, such as Kegels and pelvic tilts. These exercises help reestablish muscle strength and control.
  1. Avoid High-Impact Activities: Steer clear of high-impact exercises like running, jumping, or heavy lifting in the initial stages. These activities can place additional strain on weakened pelvic floor muscles.
  1. Listen to Your Body: Pay close attention to any discomfort, pain, or signs of pelvic heaviness. If you experience these symptoms, it’s crucial to modify or stop the exercise and consult a pelvic floor physiotherapist.
  1. Stay Hydrated: Adequate hydration supports overall tissue recovery, including your pelvic floor muscles.
  1. Include Rest Days: Give your body ample time to recover between workouts to prevent overexertion.


Returning to exercise postpartum is a journey that requires patience, awareness, and a focus on holistic recovery. Prioritising pelvic floor health through pelvic floor physiotherapy and gradually reintroducing exercise can significantly contribute to your overall well-being. By taking the time to understand and care for your body during this transformative phase, you can set the foundation for long-term health and vitality. Always remember that seeking guidance from healthcare professionals, including pelvic floor physiotherapists, is an essential step in your postpartum fitness journey. If you have just had a baby and are looking to return to exercise, consider booking a consultation with our pelvic floor physiotherapist to help guide you along the way.  PH 07 38622322

Written By Karen Jamieson

Physiotherapist – Special interest Pelvic / Women’s Health

Pelvic Organ Prolapse and the Role of Physiotherapy in Recovery


Pelvic organ prolapse (POP) is a common condition that affects many women, often resulting from weakened pelvic floor muscles and connective tissues. While POP can be distressing and uncomfortable, the good news is that there are effective non-surgical treatments available, with physiotherapy playing a crucial role in the management and recovery process.

Understanding Pelvic Organ Prolapse:

Pelvic organ prolapse occurs when one or more of the pelvic organs—such as the bladder, uterus, or rectum—descend from their normal positions and bulge into the vaginal canal. This can lead to various symptoms, including pelvic pressure, discomfort, urinary incontinence, and even difficulty with bowel movements. Factors like pregnancy, childbirth, aging, obesity, and chronic heavy lifting can contribute to the weakening of the pelvic floor muscles and the development of POP.

The Role of Physiotherapy:

Physiotherapy, particularly pelvic floor physiotherapy, plays a crucial role in helping women manage pelvic organ prolapse. This specialised form of physical therapy focuses on strengthening the pelvic floor muscles, improving muscle coordination, and addressing any dysfunction in the area. Here’s how physiotherapy can aid in POP recovery:

  1. Pelvic Floor Muscle Training: A skilled physiotherapist will guide patients through targeted exercises to strengthen the pelvic floor muscles. These exercises include kegels, bridges, squats, and various stretches that help restore muscle tone and function.
  1. Biofeedback and Muscle Awareness: Many women with POP have lost the ability to contract and relax their pelvic floor muscles effectively. Physiotherapists often use biofeedback techniques to help patients regain control over these muscles by providing real-time visual or auditory cues.
  1. Breathing Techniques: Proper breathing techniques are crucial for pelvic floor health. Physiotherapists teach diaphragmatic breathing and its coordination with pelvic floor muscle contraction, aiding in better support for the pelvic organs.
  1. Posture and Body Mechanics: Physiotherapists assess a patient’s posture and body mechanics to identify any habits that could exacerbate POP symptoms. Correcting these habits can alleviate stress on the pelvic area and support the healing process.
  1. Education and Lifestyle Modifications: Patients receive education about factors that contribute to POP, including weight management, proper lifting techniques, and maintaining regular bowel habits. Lifestyle modifications can significantly reduce the risk of recurrence.
  1. Manual Techniques: Physiotherapists may use gentle manual techniques to release tension and improve muscle function in the pelvic floor and surrounding areas.

Benefits of Physiotherapy for POP:

  1. Non-Invasive: Physiotherapy offers a non-surgical approach to managing POP, making it a preferable option for many women who want to avoid surgery.
  1. Personalised Approach: Each patient’s treatment plan is tailored to their specific condition, ensuring that they receive the most appropriate exercises and techniques.
  1. Holistic Management: Physiotherapy addresses not only the physical aspect of POP but also the psychological impact it can have on a woman’s life.
  1. Improved Quality of Life: Successful physiotherapy can lead to reduced symptoms, improved pelvic floor function, and a better overall quality of life for women dealing with POP.


Pelvic organ prolapse can significantly impact a woman’s life, but with the guidance and expertise of a skilled physiotherapist, recovery is attainable. Through targeted exercises, muscle re-education, and lifestyle adjustments, women can regain control over their pelvic floor muscles, alleviate symptoms, and prevent the recurrence of POP. Physiotherapy offers a holistic and non-invasive approach that empowers women on their journey to better pelvic health. If you suspect you have pelvic organ prolapse, consulting with a healthcare professional, preferably one experienced in pelvic floor physiotherapy, is the first step toward a healthier future.  If you are experiencing POP symptoms, book an appointment with our Pelvic Floor Physiotherapist, Karen   PH 07 38622322.


Written By Karen Jamieson

Physiotherapist – Special interest Pelvic / Women’s Health