La Femme Physio

Pelvic Health

Pain in the pelvis can result from scar tissue following gynaecological surgery including caesareans, hysterectomies, prolapse repairs and surgery for endometriosis.  Scars can be painful or feel numb. They can stick to nearby structures in what is referred to as adhesions. Adhesions can cause pain, tightness, restrictions in movement and lead to subsequent dysfunctional movement and reduced function. Scarworks is a very gentle technique that can stimulate healing, reduce pain whilst improving movement and function.  It can make huge changes and it’s never too late – whether your scar is a few months old or decades old!  

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Women’s Health Physiotherapy is an invaluable part of your optimal recovery from surgery and can often assist in enhancing the effectiveness and long-term benefit of the surgery .  I can see you before and after your surgery.

Many women will experience pelvic pain as a result of weak pelvic floor muscles but it is also possible to experience problems as a result of over-recruited muscles and pelvic floor muscles that struggle to relax fully.  Symptoms may include:

  • Pain or discomfort internally and or externally in the pelvis, lower tummy, bladder, vagina or anus

  • Difficulty inserting tampons

  • Pain with sex

  • Vulvodynia

  • Vaginismus

  • Pelvic organ prolapse

  • Reduced bladder or bowel control

  • Hip, groin or lower back pain



All women will at some point experience the menopause. It might be years away, something you are going through at the moment or a thing of the past. Wherever you are at on that journey, getting an assessment of your pelvic health is key and a menopause MOT does just that. It will involve:

  • An assessment of your tummy and pelvic floor muscles

  • Advice around sleep, stress and nutrition

  • A detailed history of your pelvic floor, bladder, bowel, hormonal and general health

  • Providing you with a range of solutions tailored specifically to you

  • Advice on exercise to ensure you are optimising your bone and cardiac health

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