Women and Men’s Health
Pregnancy
During pregnancy the body undergoes a great deal of physical and hormonal changes to prepare for this journey. Lower back, pelvic girdle and thoracic pain is very common in pregnancy, but could be very limiting in normal daily life, at work and during physical activity. There are various different treatment options including maternity belts, strapping, special mobilisation techniques and exercises.
Breastfeeding
Breastfeeding problems: Cracked and sore nipples, engorgement / blocked ducts and mastitis.
Physiotherapy treatment includes laser beam therapy that promotes healing and relieves pain, ultrasoundtherapy which drains blocked ducts, improves milk flow and decreases inflammation and discomfort. Counselling and assistance through evidence based education, advice, latching assistance and breast / nipple care is available.
Ante-Natal classes
Exercise during pregnancy cannot be emphasized enough. Antenatal classes are a safe and effective way to exercise in a protected environment.
Urinary Incontinence
Stress incontinence refers to the involuntary loss of urine associated with an increase in the pressure inside the abdomen (increased intra-abdominal pressure).
Leakage occurs with particular activities such as cough, sneeze, laugh, run, jump, and other forms of exercise including sex.
Urge incontinence refers to the involuntary loss of urine associated with urgency (the overwhelming desire to pass urine); caused by a sudden increase in bladder pressure.
Urgency, and an associated episode of leaking, is often triggered by environmental factors such as seeing the toilet, hearing running water, getting in the bath/shower, and upon arriving home and putting your key in the lock.
Faecal Incontinence
Faecal incontinence refers to the involuntary loss of faecal matter (solid or liquid) between bowel motions. This may be associated with an awareness of loss, or it may not.
Prolapse
Prolapse refers to the descent of an organ.
This is usually due to insufficient support by the body in response to pressure being exerted on it. Common forces on the body include straining, lifting, and gravity – periods of standing, and jarring with running or jumping.
Prolapse of pelvic organs can cause pain and discomfort. This may also interfere with sexual function, and can disrupt bladder and bowel habits.
Constipation
A clear distinction needs to be made between an inappropriate evacuatory effort resulting in the anus tightening rather than letting go when trying to pass stool and an inability to pass stool due to hard stool (constipation).
Slow colonic transit is true constipation and refers to slow movement of faecal matter through the gut, resulting in hard stools.
Sexual dysfunction
Sex may be less enjoyable or satisfying after childbirth, which is understandable, but this should not continue for long periods.
Decreased sexual satisfaction can be due to weak or damaged muscles, decreased nerve supply or poor nerve conduction causing decreased sensory awareness.
Sex may be very painful for some women, usually due to very short or tight muscles that don’t allow enough flexibility of the muscles of the pelvic floor for pain-free penetration.
Prostatectomy
This is the removal of the prostate due to cancer. This could cause severe urinary incontinence problems in males and could contribute to sexual dysfunction and in some cases pain in the future.
Pelvic floor rehab
Rehabilitation of the pelvic floor involves intense evaluation of the pelvic floor and surrounding structures and then constructing the correct treatment and exercise plan depending on the nature of the problem. Evaluation and treatment will be hourly sessions.