Vicky Keates of Women’s Health Physio sees patients at Hallamshire Physiotherapy Clinic

Women’s health physiotherapy can improve the quality of women’s lives by empowering them to take control of their problems. In fact research-based evidence and government health guidelines recommend supervised pelvic floor muscle training as a first-line course of action to treat urinary incontinence.

Pregnancy-related problems treated:

  • antenatal advice and exercises
  • back and pelvic girdle pain (formerly known as SPD) during and after pregnancy
  • postnatal problems eg separated tummy muscles (diastasis rectus abdominus)

Women’s health Physiotherapist, Vicky Keates explains how physiotherapy can help you:

Gynaecological problems treated:

  • bladder and bowel problems, including incontinence, frequency, urgency and overactive bladder, constipation and problems controlling wind.
  • pelvic floor exercises
  • pelvic organ prolapse advice
  • sexual pain or dysfunction

These conditions may have a number of causes but are usually associated with weak pelvic floor muscles.

Radio 4 Woman’s Hour – Hypertonic pevic floor:

Many women who suffer from pelvic pain have a ‘hypertonic pelvic floor’, which means that their pelvic muscles are in spasm.  We all know that we are supposed to strengthen our pelvic floor but what happens when they become too tight? Vicky Keates, our women’s health physiotherapist was recently interviewed by Jane Garvey on Radio 4’s Woman’s Hour to discuss how pelvic pain can make sex and even sitting down almost impossible, and why more GP’s need to refer women with this condition to a physiotherapist.l. Listen to the radio programme. Vicky has also provided some additional  information about the condition on her website hypertonic pelvic floor.

Visit Vicky’s women’s health physiotherapy website

Patient says womens health physio works!

Men’s Health Physio

Most men are not even aware they have a pelvic floor! Problems can be life changing or debilitating.

Did you know?

  • 1 in 10 men may experience continence or pelvic floor issues during their lifetime.
  • Up to 70% of men suffer from urinary incontinence following prostatectomy surgery, which can be cured by strengthening the pelvic floor muscles correctly.
  • 16% of males over 18 have overactive bladder.
  • Erectile dysfunction affects more than 20% of men under 40 years of age, more than 50% of men over 40 years of age and more than 66% of men over 70 years of age.

These issues can be life changing and debilitating. However many tolerate these problems, often for years as they are too embarrassed to seek help or unaware that there are treatments available.

We treat male incontinence and/or pelvic floor problems, including:

  • Frequency
  • Stress urinary incontinence
  • Urgency and/or urge incontinence
  • After-dribble (aka ‘post-micturition’ dribble) – leaking a small amount of urine leaving the toilet
  • Erectile dysfunction – inability to achieve or maintain an erection and/or premature ejaculation
  • Faecal urgency and/or incontinence
  • Difficulty controlling wind
  • Rehab after prostate surgery (prostatectomy or TURP*)

*TURP: transurethral resection of the prostate

These problems are often linked to weak pelvic floor muscles, although it is best to be assessed by a specialist therapist to see if pelvic floor muscle training is appropriate.

Men and women experiencing problems initiating the flow of urine, or who have to strain to empty their bladder, or have blood in their urine or pain on emptying their bladder, should always seek professional help.

Contact Vicky Keates at Hallamshire Physiotherapy for advice or to make an appointment for an assessment.