Do you suffer from heavy and/or painful periods?
Are you experiencing chronic (ongoing) pelvic, vaginal, back or abdominal pain?
Is sex or using a tampon painful?
Do you miss days of work, school or uni due to your period or pelvic pain?
Have you had a laparoscopy or ultrasound to diagnose endometriosis or adenomyosis?
Do suffer from IBS symptoms, abdominal bloating, leg or thigh pain?
What is Endometriosis & Adenomyosis?
Endometriosis is the condition where the lining of the uterus, known as the endometrium grows outside the uterus. There are many different places the tissue can grow, commonly it's found on the bladder, bowel, and ligaments which support the uterus and the pelvic floor muscles.
Adenomyosis is the condition where the endometrial tissue (the tissue that lines the uterus) grows inside the muscular wall of the uterus. The tissue that grows in the endometrial wall acts like the uterine tissue and each month it will thicken and break down and bleed during the
menstrual cycle.
How can my Physiotherapy services help you?
Physiotherapy can help you manage your endo/adeno and pelvic pain. I am passionate about providing you with a holistic approach to managing your condition, helping you to maintain your physical activity levels and reducing your pain.
I will provide you with an individualised assessment and treatment plan for your pelvic pain. Client's are often anxious about internal examinations when they have pelvic pain, the examination only needs to happen if and when you feel ready. I have many different skills and techniques which can help you, without any invasive assessments.
Treatment may include:
- Pelvic floor stretches and relaxation
- Dry needling and massage
- Relaxation techniques
- Exercise and pacing
- TENS
- Biofeedback techniques
- Dilator therapy
- Advice on managing sexual pain
- Advice and education on your bladder and bowel habits
- Referrals and liaising with GP's, Pain Specialists, Gynaecologists, Fertility Doctors, Gastroenterologists, Psychologists and Dieticians.
During pregnancy your body undergoes lots of physiological changes, to assist the growth and development of your baby. Pregnancy and birth are physically demanding, and having a reasonable level of fitness can help you better manage these demands, as well as help boost your mood and self image. What are some of the benefits of exercise in pregnancy? i mproved fitness reduced muscle and joint aches and pains improved mood and sense of wellbeing reduced risk of gestational diabetes and gestational hypertension reduced maternal weight gain and fat How much exercise should you do? The latest recommendations from the Royal Australian College of Obstetricians and Gynaecologists suggest that you should exercise most days of the week at a moderate intensity between 2.5-5 hrs per week. Ideally this would mean that you would exercise most days for around 30-45 minutes, where you feel like you are working hard, but not short of breath, e.g. brisk walking. What if you are inactive or don't exercise regularly? If you are currently not exercising regularly or you are inactive, it is recommended that you still start to exercise during your pregnancy. It is recommended that you start with second daily exercise and build up to daily as you are able to, e.g. Monday, Wednesday, Friday and start with 15- 20 minutes of exercise. As you feel that your fitness levels are improving, you can increase the time you are exercising for by 5 minutes until you reach 30-45 minutes each day and/or increase the number of days per week you are exercising for. What type of exercise should you do in pregnancy? Cardiovascular exercise brisk walking stationary bike riding swimming (avoid spas and hydrotherapy pools as these tend to be warmer and can lead to overheating of you and your unborn baby) Running (can be done if previously running prior to conception, speak to you Midwife, Obstetrician or Physio to see if they are happy for you to continue running during your pregnancy. Strength/resistance training maintaining and improving muscular strength in pregnancy is helpful for reducing muscle and joint pains during and after pregnancy avoid lying on your back to exercise after 16 weeks, as this can affect your blood pressure and blood flow to the baby aim for 2 sessions per week Exercise in Pregnancy Precautions 1. Do not exercise in the heat! Your body temperature is naturally higher in pregnancy and exercising in the heat or intensive exercise can cause your internal body temperature to rise to unsafe level for you and your baby. drink plenty of water before, during and after exercise exercise at a moderate intensity exercise in a cool and well ventilated space do not exercise if you are sick or have a fever 2. Avoid high impact exercise The pregnancy hormones make your joints and ligaments more stretchy and loose and thus predispose you to injuries and the extra weight can place extra stress on your joints. Ideally during pregnancy lower impact exercise will help you avoid injury. Medical / Pregnancy Complications that mean NO EXERCISE unless your Obstetrician or Midwife gives you clearance waters have broken (ruptured membranes) uncontrolled high blood pressure blood clots low lying placenta (placenta previa) intra uterine growth restriction uterine bleeding pre-eclampsia Warning signs to stop exercising immediately chest pain unexplained shortness of breath dizziness, feeling faint or headache muscle weakness calf pain, swelling or redness sudden swelling of the ankles, hands or face vaginal bleeding or amniotic fluid loss decreased fetal movement uterine contractions or pain in the lower back, pelvic area or abdomen (potentially indicating preterm labour) I can help design you a suitable exercise program tailored to your needs and fitness levels. Resources https://ranzcog.edu.au/wp-content/uploads/2022/06/Exercise-during-pregnancy-pamphlet.pdf
What is the Pelvic Floor? The pelvic floor is a group of muscles and ligaments that are about as thick as the palm of your hand and they create the “floor” of your pelvic attaching from your pubic bone at the front to your coccyx bone at the back. What does the Pelvic Floor do? The pelvic floor helps to maintain control of your poo and wee, they also help to support your pelvic organs (bladder, bowel and uterus), helping to prevent them falling down into your vagina (prolapse). The pelvic floor also helps your sexual function, contributing to orgasm and arousal. How to contract your Pelvic Floor Muscles? These muscles are hidden inside our body and it can be very hard to know if we are actually contracting the muscles the right way. A lot of women actually perform the wrong movement which results in straining and pushing down of the muscles. To contract your muscles the right way I suggest the following: Sitting down on a chair, feet and back well supported Let your belly relax Palms facing up Now imagine that you are trying to stop your wee, squeeze and lift your pelvic floor muscles If the muscles are being squeezed the right way, you should feel a very small movement of your vagina lifting up from the chair Try and hold for 2-3 seconds and then relax the muscles As you relax the muscles you should feel your vagina drop into the chair Repeat this 10 times Other cues for contracting your pelvic floor muscles Imagine holding in wind Imagine drawing a tampon up your vagina Remember to not hold your breath, avoid clenching your inner thighs, jaw and buttock area
What is an overactive bladder? An overactive bladder is a common condition that causes an individual to experience sudden and uncontrollable urges to wee. For some people the urge is so strong that they have a bladder accident (incontinence) either at the same time the have the sudden urge to wee or enroute to the toilet. Some people will experience the sudden urge to wee, but be able to make it to the toilet n time. An overactive bladder can be a stressful condition that can cause anxiety and fear around leaving the house, being able to find a toilet when out and being able to hold on when the urge comes on. What are the symptoms of an overactive bladder: Urgency Frequency Incontinence Nocturia (night time weeing) What can cause an overactive bladder? There are many factors which can contribute to an over active bladder. These can include: Small bladder size Extra strong bladder contractions Caffeine intake e.g. tea, coffee Carbonated drinks e.g. coke, Pepsi max Neurological conditions such as Parkinson’s, Multiple Sclerosis Hormonal changes Pelvic floor dysfunction Urinary tract infections What can be done to help an overactive bladder? There are lots of treatments which can be effective in reducing your symptoms. These can include: Bladder retraining TENS Pelvic floor muscle training (sometimes it’s about relaxing the muscles not just strengthening) Reducing caffeine and soft drinks Ensuring you drink enough fluid over the day Bladder emptying techniques Medications Rest assured you do not need to put up with your bladder symptoms. Your Pregnancy and Pelvic Health Physiotherapist can help develop you a tailored plan to restore your bladder control and life.
