Women and Men’s Health
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 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.
Exercise during pregnancy cannot be emphasized enough. Antenatal classes are a safe and effective way to exercise in a protected environment.
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 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 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.
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.
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.
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.
We offer a limited domiciliary service for those who are unable to get themselves to our practice for physiotherapy treatments.
Please contact our reception for availability of these appointments.
Strapping and Kinesio Taping
The term dizziness is vague and is also known as disequilibrium, light headedness, rocking, swaying, spinning, motion sickness, nausea, vertigo and floating. Clarification of the behaviour of these symptoms (what brings them on, what makes them go away) along with how they all started (i.e. trauma, idiopathic, post viral) is very important if treatment is to be effective.
Cause of dizziness:
Many things can cause dizziness; which is why no one treatment is effective for all forms of this symptom. Causes can include: cardiovascular system impairments (problems with blood flow), musculoskeletal system impairments (problems in neck), Multiple Sclerosis, problems with your eyes, problems with your balance (vestibular system) and of course, as always, stress.
Input from the vestibular system (located in the inner ear and brain) is essential for equilibrium and dizziness can occur when the system is impaired. Vestibular disorders can be caused by trauma to the head, degeneration of the system itself, ear infections, ototoxicity (high dosage of certain drugs), acoustic neuroma, poor blood supply or trauma induced by pressure to the ear.
BPPV (Benign Paroxysmal Positional Vertigo is the most common cause of vertigo and is a peripheral vestibular disorder (occurs in the inner ear).Symptoms of this specific condition include:
Acute vertigo can be due to inflammation of the vestibular nerve or inner ear, loss of blood supply to the ear or part of the brain associated with he vestibular system and balance, Multiple sclerosis, Meniere’s disease or stroke. A consultation with your physician is always indicated prior to physiotherapy should you develop acute vertigo since many of these conditions require medical attention.
Chronic dizziness is dizziness that lasts more than 3 days and can be the result of unilateral or bilateral problems in the balance center. A complete assessment of vestibular function is required to determine the cause and subsequent best treatment.
Treatment of dizziness:
Treatment depends on the underlying cause of your dizziness and is highly individual. Specific manoeuvres for moving displaced crystals in your inner ear (BPPV) with or without exercise for your vestibular system and brain and/or movement and postural exercises may be part of your treatment program.
What is chest physiotherapy?
Specialist evaluation and sport specific treatment of injuries. We work in conjunction with the coach and other people who are involved during treatment and rehabilitation.
What is chest physiotherapy?
Chest physiotherapy is the removal of excess secretions (also called mucus, phlegm, and sputum) from inside the lungs, by physical means. It is used to assist a cough, re-educate breathing muscles and to try to improve ventilation of the lungs.
How is chest physiotherapy done?
Techniques include percussions, which are often accompanied by postural drainage. Chest percussion is the manual pounding to loosen secretions. Postural drainage relates to the positioning of a person to drain and remove secretions from particular areas of the lung. The specific positions involved in postural drainage allow different lobes to drain. Assisted coughing is a very important adjunct to chest physiotherapy and, when done well, is effective and comfortable. It assists the work of the diaphragm to increase the cough pressure and try and force the secretions out. In some cases it may be necessary to use suction to get the secretions out of the throat or mouth, using a suction machine. Other effective and self-management treatments include positive pressure devices, specific exercise regimes and relaxation positions.
What to expect?
Chest physiotherapy is not painful or uncomfortable! We try to create a comfortable and relaxed environment for our patients at all times. With children we will always incorporate games and toys to make it a “fun” experience for your child.
Postural Rehabiliation is an integrative, science-based approach to alleviating chronic performance problems and preventing musculoskeletal injury.
Post Operative Rehabilitation
We will ensure you receive the best post-operative care, by regular and on-going liaison with your surgeon and constant review of your progress and expectations.
Neurological physiotherapy is the treatment of patients who have a neurological disorder. Neurological disorders are those affecting the brain, spinal cord and nerves; such as stroke, MS and Parkinson’s disease.
Neuro physiotherapy involves improving function, mobility, balance and co-ordination, as well as prescribing individual exercises. We also make use of gait and balance re-education equipment specifically designed to assist even the severely impaired patient.
Hydrotherapy offers the great advantage of increasing freedom and ease movement in warm water. It is used for mobilisation of stiff joints, balance re-education, and rehabilitation following surgery.
Exercises are designed to use the properties of the water to give support and resistance as necessary in partial or non-weight bearing positions.
Patients are treated on an individual basis and in specific groups.
Lymphedema is an abnormal collection of high-protein fluid just beneath the skin. This swelling, or edema, can occur anywhere in the body where lymph vessels are damaged or lymph nodes removed. It can also occur due to hereditary condition.
We offer manual lymph drainage techniques, bandaging and compression garments.
Whether you’re recovering from an injury or operation, suffer from chronic back pain or just want to stay in the best health and fitness possible, our pilates sessions can be tailored to your needs. All sessions are led by a physiotherapist with qualifications in clinical pilates, ensuring you are in a safe, expertly-monitored environment.
*Individual sessions by appointment only.
Physiotherapy management for chronic pain can include any of the following:
Rehabilitation following amputation is the responsibility of the multidisciplinary team, with the patient focused at the centre. Working with a specialist team will produce the best outcome for the individual who has undergone life-changing amputation surgery. The physiotherapist is a key member of this team, involved at all stages of the process from the pre-operative phase, through amputation, into prosthetic training and during life thereafter.
BSc in Physiotherapy (UCT 2017)
Student awards: Best performance in Clinical Physiotherapy and the Jannes Karl Wilhelm Binnewald Trophy for best final year student in Clinical Physiotherapy (2017)
Introduction to the Clinical Analysis, Treatment and Management of Children with Cerebal Palsy (2018)
Paediatrics, Neurological conditions, Ballroom, Latin Dancing (Current Adult Rhythm champion)
Anika Janse Van Vuuren
BSc in Physiotherapy (US 2017)
Enrolled in a MSc degree at Stellenbosch University
Physiotherapist at Brackenfell High School
Women’s Health, Sport Injuries, Orthopaedics, Paediatrics, Running, Hiking
Nicole Steenstra Jobin
BSc Physiotherapy (US 2008)
Paediatric neurodevelopment therapy, Adult neurological rehabilitation, Neonatal intensive care physiotherapy, Parent/Carer training
BSc Physiotherapy (US 1989)
Post Graduate Orthopaedic Manual Therapy Certificate (OMT1 1999)
Post Graduate Neurodevelopmental training Certificate (NDT 2004)
Post Graduate Pain Management Course PMPG (Mod 1 – 5)
Chronic pain management, Amputation rehabilitation, Orthopaedics, Post-operative rehabilitation, Cerebral Palsy, Geriatrics, Dryneedling, Pliates, Karate, Tennis
Community work: Teach children self-defence techniques
BSc in Physiotherapy (US) 2005
Post Graduate Orthopaedic Manual Therapy Certificate (OMT 2008)
Post Graduate Adult Neurodevelopmental Certificate (Bobath 2007)
Respiratory Paediatrics, Adult Neurology, Post-operative rehabilitation, Sport injuries, Dryneedling
BSc Physiotherapy (US) 2017
Enrolled in MSc program at University of Stellenbosch
APPI Pilates Matwork levels 1, 2, 3 (advanced teaching)
Worked for private cycling teams during the Cape Epic (2017, 2018)
Physiotherapist at Durbieland nursery school
Paediatric respiratory physiotherapy, Women’s Health, Post-operative rehabilitation, Orthopaedics, Dryneedling
Triathlon, MTB, Trail running. (Aiming for the Iron man 70.3 in Durban 2020)
BSc Physiotherapy (UP 2004)
Senior Physiotherapist in the UK (2006 – 2009)
Basi Pilates Matwork (2012)
Pilates, Paediatrics, Orthopaedics, Intensive care physiotherapy, Dryneedling
2Oceans Ultra Marathon finisher
BSc Physiotherapy (UWC 2009)
Post Graduate Orthopaedic Manual Therapy Certificate (OMT 1 2015)
Equine Physiotherapy APDL2 (2013)
Physiotherapist at Rosen Castle Curro nursery school
Paediatric respiratory physiotherapy, Post-operative rehabilitation, Orthopaedics, Dryneedling, Animal rehabilitation and animal lover, Art, Tennis, Hiking, Horse-riding
BSc Physiotherapy (US 2003)
Post Graduate Sport Physiotherapy Certificate (SPT1 2017)
Physiotherapist for Brackenfell High School (Sport)
Sport injuries and rehabilitation, Injury prevention and screening, Paediatrics, Breastfeeding, Vestibular rehabilitation, Dryneedling, Kinesio Tape, SA Biathlon, Swimming, Running, Netball
BSc Physiotherapy (US 2003)
MSc Physiotherapy (US 2017)
Topic: “Urinary Incontinence in Adolescent Gymnasts”
Post Graduate Women’s Health Physiotherapy Certificate (WHP1 2011) (APDL1)
Physiotherapist at Westcombe Park Rugby Club, UK (2006 – 2008)
Physiotherapist at Tygerberg Hospital Urogynaecology Department (2008 – 2012)
Physiotherapist at Brackenfell High School (Sport)
Women’s and Men’s Health physiotherapy, Breastfeeding and pregnancy,
Orthopaedic and sport rehabilitation, Dryneedling, Paediatrics
Half Ironman finisher, Trail Running, MTB, Hockey
All our physiotherapists are also trained in Dry Needling which can be very useful in relaxing spasm in over worked muscles and switching off active trigger points to give lasting pain relief.