Incontinence
Bladder and bowel leakage, urgency, and control, including nighttime incontinence and post-operative leakage.
Learn more +Pelvis to plinth to performance
Physiotherapy can manage and treat pain, bladder, bowel and sexual performance conditions; as well as care around gender-affirming surgery. If you don't see what is affecting you, send through a message and I'll let you know if I can help.
Dedicated pages for common presentations
Pelvic pain
Superficial and deep pelvic pain, genital (vulvar, vaginal, penile, and scrotal), and painful pelvic muscles.
Learn more +Erectile dysfunction & premature ejaculation
Erectile control and blood flow, sensitivity and control, and regaining bedroom confidence.
Learn more +Painful anal sex
Reducing muscle tension or spasm, or other sources of discomfort with bottoming / pegging / receptive anal sex.
Learn more +Before and after prostate surgery
Getting ready before surgery to optimise your final outcome, and returning to your normal bathroom and bedroom habits.
Learn more +Painful sex
Addressing muscular, nerve, and other soft tissue causes of pain with vaginal sex (dyspareunia, vaginismus, and GPPPD).
Learn more +Antenatal Physiotherapy (Birth Preparation)
Getting you, your body, and your pelvic floor ready for delivery and everything that follows.
Learn more +Transgender-affirming physiotherapy
Pre-op readiness and post-op recovery and return to day-to-day life after top and bottom surgeries.
Learn more +The muscles often overlooked and undertrained
Your pelvic floor is a muscle group just like any other, and can get tight, weak, irritated, overactive, or have difficulty working correctly. I assess, diagnose, treat, and train it to do what it needs to do. Many conditions affecting these muscles are swept under the rug, but can be effectively treated through combinations of education, manual therapy, and different types of exercise to regulate or train muscle activity.
What I treat
- Overactive (hypertonic) pelvic floor muscles
- Pelvic floor weakness from disuse or surgery
- Pelvic floor dyssynergy (clenching when they should relax)
- Muscle tension, pain (pelvic myalgia), and spasm
- Pelvic floor tension linked to stress, bracing, or gym loading
- Pregnancy-related pelvic floor awareness and training for birth preparation
- Coccyx (tailbone) pain
Managing pain from the front and the back
Pain in the pelvis, perineum (gooch), genitals or anorectal region can have muscular, vascular, and neural components that physiotherapy can help address and treat. People live with these conditions far longer than necessary, so I aim to destigmatise and treat these conditions before they ingrain themselves in your life.
What I treat
- Vulvar and vaginal vault pain
- Lichen sclerosus
- Deep abdominal and pelvic pain
- Endometriosis, adenomyosis, and PMOS (PCOS)-related pain
- Penile, scrotal, and testicular pain
- Chronic pelvic pain and chronic prostatitis-type pain
- Proctalgia fugax, levator ani syndrome, and sphincter spasm
- Haemorrhoid, fissure, and perianal surgery
- Persistent muscular pelvic, genital, and perianal pain
- Pudendal neuralgia
- Pain flare-ups related to glute, bladder, and nervous system sensitisation
Control, urgency & emptying
The pelvic floor provides both conscious and subconscious control of bladder and bowel control. When it isn't working well, symptoms can range from bladder leakage or urgency, to straining or incomplete bowel emptying. These are all common but not the norm, and can be remedied with bladder and bowel retraining.
Bladder
- Urinary urgency, frequency, spotting, and incontinence
- Stress incontinence with lifting, breath-holding, and exercise
- Incomplete bladder emptying and dribble
- Overactive bladder
- Incontinence or reduced control after surgery or pregnancy
Bowel
- Constipation, straining, and incomplete emptying
- Spotting and passing blood in bowel movements
- Faecal urgency and difficulty holding on
- Reduced bowel control after surgery or pregnancy
- Dyssynergia (spasm with defecation)
Getting back into your rhythm
A lot of sexual dysfunction in men and women has muscle, nerve, and blood-flow components that physiotherapy can help, whether the goal is pain-free sex, getting more lubricated or getting harder, lasting longer, better function and outcomes, or confidence after surgery.
What I treat
- Pain with vulvar stimulation (vulvodynia, vestibulodynia)
- Pain with vaginal intercourse (dyspareunia, vaginismus / GPPPD, colpodynia)
- Persistent genital arousal disorder (PGAD)
- Pain with receptive anal sex / bottoming (anodyspareunia)
- Erectile dysfunction and premature ejaculation
- Reduced sensitivity and difficult orgasms
- Ejaculation and orgasm-related pain and headaches
I work within a physiotherapy scope and refer to sexual-health medicine, urology or psychology when that's the right call.
Gender-affirming physio - before, after, and without surgery
Practical, judgment-free support for gender-affirming practices and for pelvic-floor preparation and recovery around top and bottom surgeries. I work alongside your GP, endocrinologist and surgical team to optimise your outcome.
Everyday gender-affirming practices
Support to do these safely and comfortably, and to manage any musculoskeletal or pelvic load they create.
- Binding - rib, chest-wall and breathing-mechanics support; posture and load management to reduce pain from long-term binding
- Packing - comfort, skin and pressure management, and pelvic-floor considerations
- Tucking - technique comfort, pelvic-floor and groin tension, and skin-health guidance
Around gender-affirming surgery
Prehab and rehab so you go in prepared and recover well - pelvic floor included.
- Pre-op preparation - pelvic-floor awareness, control, and down-training, dilation readiness (MTF), breathing and load education
- Top surgery - chest wall reconstruction and chest augmentation, and scar management
- Bottom surgery - post-op pelvic-floor recovery, incontinence recovery, scar and tissue mobility, dilation support (MTF), and pain management
- Return to exercise and sex - a graded, realistic plan back to penetrative intercourse following surgical recovery
Talk to me
If you aren't sure if physiotherapy is right for you, ask me and I'll let you know if this is right for you, or if someone else or a different approach (sexology, urology, OBGYN, endocrinologist, etc.) is a better fit, I'll point you in the right direction.