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Pelvic Health Physiotherapy Services

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1 Pelvic Health Physiotherapy Services
We treat… Stress urinary incontinence: Leaking urine during a run/cough/sneeze Urgency and urge incontinence: The feeling of needing to empty the bladder frequently often accompanied with loss of control of urine Faecal incontinence: The loss of control of bowels and/or wind. Bowel urgency: The feeling of needing to empty the bowel with no warning. Obstructive defecation: Difficulty emptying the bowels Pelvic pain/Vulval Pain/Dyspareunia: Provoked pain on sexual intercourse and chronic pain in the pelvic region Perineal trauma: Injury to the pelvic floor from childbirth Pelvic organ prolapse: Anterior or posterior vaginal wall and uterine decent. Pregnancy and postnatal related musculoskeletal conditions : pelvic girdle pain, back pain, coccydinia and carpal tunnel syndrome Men's Health : Bladder and bowel care post prostatectomy, pelvic floor training for erectile dysfunction, bowel care following resection surgery, and pelvic pain How to refer …. Information for Health Care Professionals about Pelvic Health Physiotherapy Services All referrals are welcome to the Pelvic Health Physiotherapy service. For further information please contact: Therapy Services Royal Free Hospital Physiotherapy Department Pond Street Hampstead London NW3 2QG Tel: Barnet Hospital Woodlands Unit Wellhouse Lane Barnet Herts EN5 3DJ Tel: Chase Farm Hospital C2A The Ridgeway Enfield Middlesex EN2 8JL Tel:

2 Sexual Dysfunction We offer: Pelvic floor muscle training Myofascial release work Acupuncture/PTNS Relaxation techniques Our patients say:  “(physiotherapy) has made a significant difference to my personal life. My physiotherapist has consistently been very approachable and knowledgeable when helping me overcome a problem I found embarrassing and difficult to cope with” Recovery from Male Cancers Bladder & Bowel problems and sexual dysfunction are common side effects of surgery for prostate cancer We Offer: Pelvic Floor Muscle Training Bladder re-training Electrical Stimulation Biofeedback Bowel advice Outcomes: Improved symptoms Increased confidence Bladder and Bowel Dysfunction NICE clinical guidelines recommend 3 months of supervised pelvic floor exercises prior to consideration of surgery for incontinence issues We offer: Bladder retraining Dietary advice and health promotion Bowel advice Pelvic floor muscle training Electrical stimulation and biofeedback PTNS/Electro acupuncture Outcomes: Improved pelvic floor strength and prevention of incontinence Reduction in urgency and frequency Increased confidence MEN Recovery from Childbirth We support: Women after perineal injuries Women in regaining abdominal strength and control Women following nerve injuries Women with urinary or faecal problems Women who want a postnatal MOT Our patients say: “I felt empowered to manage my problems” “I’m very grateful to you for spending time helping me understand what to expect after surgery” Services available from the Specialist Pelvic Health Physiotherapy Team GYNAECOLOGY Musculoskeletal Problems in Pregnancy e.g. carpal tunnel syndrome, spinal problems, lower and upper limb conditions OBSTETRICS Chronic Pelvic Pain and Vulval pain We offer: Desensitisation work Functional rehabilitation Education Acupuncture/PTNS Outcomes: Most patients feel that their pain is at least 80% improved through specialist physiotherapy treatment Improved pain management strategies Pelvic Girdle Pain As many as 1 in 5 pregnant women experience pelvic girdle pain We offer: Advice and exercise Manual therapy Postural correction Education Acupuncture Outcomes: On average these patients get better in less than 3 appointments Women feel empowered to manage their symptoms with support and guidance


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