Everyone’s Pelvic Health

In the absence of disease, we can still experience chronic or persistent pain and dysfunction, even when tests and scans are normal. Specialist physiotherapy is widely acknowledged as being the preferred, evidence-based treatment for resolution and has high success rates. This might include precision training of the pelvic floor, acupuncture or re-learning bladder habits. Assessing how your lifestyle may also be playing a part and making realistic changes can help manage the problem. A clinical Pilates programme can also help bridge the gap between pelvic floor exercises and day to day pelvic floor function.

Conditions we treat include, but are not limited to:

Pelvic Pain

• Pelvic floor tension and spasm
• Coccydynia
• Perineal pain
• Radiotherapy induced
• Post-surgical complications

Bladder

• Stress and urge incontinence
• Overactive bladder
• Emptying difficulty
• Pain and post-surgical complications

Bowel

• Incontinence
• Urgency
• Constipation
• Emptying difficulty
• Pain and post-surgical complications

Women’s Pelvic Health

Also known as Obstetrics and Gynaecology, women’s specific concerns may arise in pregnancy, after childbirth, menopause or in older age. We believe all women should receive specialist care of their pelvic health for optimal wellbeing in the future. Particular women will be at increased risk of pelvic conditions, such as athletes and those having children.

Your treatment with us will include:

• Guidance for safe exercise including during the different stages of pregnancy and beyond.
• Assessment, including post-natal, to investigate in detail the impact of pregnancy, labour or activity on the pelvic floor and abdominal muscles. If appropriate this also includes internal examinations before and after loading.
• Rehabilitation to help optimise recovery following surgery or pain. This will address function, strength and flexibility.
• Communication with your Personal Trainer, Pilates therapist or anyone else involved in your return to activity.

Conditions we treat include, but are not limited to:

Pregnancy and Post-natal

• Pelvic floor muscle weakness and dysfunction
• Incontinence
• Prolapse
• Pelvic girdle pain
• Pubic symphysis
• Lumbar-pelvic, sacroiliac and coccyx pain
• Separation of the abdominal muscles (Diastasis Recti)
• Perineal tear or episiotomy
• Post caesarean surgery and traumatic delivery

Unrelated to Childbirth

• Pelvic floor muscle weakness and dysfunction
• Incontinence
• Bladder pain syndrome
• Prolapse
• Pain in the back, pelvis, hips, ribs and abdominal region
• Vaginismus and vulvodynia
• Post-surgical complications e.g. hysterectomy, prolapse repair or surgical treatment for endometriosis

Sexual Dysfunction

Pelvic floor dysfunction can lead to a variety of sexual issues and can affect your ability to enjoy intercourse and can lead to a lack of sensation. Issues we treat include, but are not limited to:

• Pain (Dyspareunia) following childbirth, surgical procedures or as a result of a hyperactive pelvic floor
• Leakage
• Reduced awareness during intercourse
• Psychosexual issues

Men’s Pelvic Health

Men’s specific concerns may arise in youth, during sporting activity or in older age and are also common following surgery. We encourage men to seek care for their pelvic problems and provide reassurance and solutions to often stigmatising conditions. Our treatment includes a full assessment to investigate the impact on the pelvic floor and abdominals as well as rehabilitation and guidance for exercise and recovery following surgeries. Conditions we treat include, but are not limited to:

• Complications following prostatectomy surgery
• Chronic pelvic pain
• Testicular pain
• Pain around the back and rectum
• Abdominal pain
• Incontinence
• Pain on passing urine
• Increased frequency and urgency to urinate
• Burning sensation in the penis

Sexual Dysfunction

Pelvic floor dysfunction can lead to a variety of common sexual issues and can affect your ability to enjoy intercourse. Exploring the psychological connection as well as the physical problem can help improve sexual function and pleasure. Issues we treat include, but not limited to:

• Pain, which can be worse with an erection and/or on orgasm
• Leakage
• Reduced awareness during intercourse
• Psychosexual issues

About Clare:

Clare is a Highly Specialist Physiotherapist in Pelvic and Women’s Health. Clare provides highly bespoke care and has an evidence-based approach to diagnosis and treatment. She enjoys using her expertise to support people of all ages, with a particular focus on women; from pre-pregnancy to menopause and beyond.

Clare has worked at London’s leading teaching hospitals, including King’s College, Imperial College and St. George’s, as well as the prestigious Lindo Wing and Portland Hospital. Clare works from our practice in Chelsea but can also see clients in one of our city clinics at request.

To book an appointment with Clare please email info@complete-physio.co.uk or call 0207 482 3875.

If you have any specific questions before making an appointment you can email Clare directly on clarep@complete-physio.co.uk

About Sophie Ellse:

For the past six years, Sophie has worked extensively in physiotherapy, now specialising in Pelvic and Women’s Health.

Sophie utilises only the most up to date and recognised evidence within her practice in order to provide tailored diagnosis and treatment to each of her patients.

Sophie has the knowledge and understanding to treat women of all ages, with a particular expertise and interest in helping women to return to sport and exercise.

Sophie has four years’ experience working at Guy’s and St Thomas’, one of the largest and most respected hospital trusts in the UK. She now divides her time between working as a core member of their industry leading women’s health department and our practice in Chelsea.

To book an appointment with Sophie please email info@complete-physio.co.uk or call 0207 482 3875.

If you have any specific questions before making an appointment you can email Clare directly on sophie.ellse@complete-physio.co.uk