Assess, treat, recover, perform

Evidence-based guided treatment following a thorough goals-focused collaborative assessment, sealed together with a plan you can understand and perform independently at home between sessions.

Book an assessment

What an assessment looks like

A thorough, unhurried session. I take a proper history to discuss the why, how, and when of what you're experiencing and anything physically or medically relevant, talk through your goals, and examine what is going on. Examinations are often external first, with internal examinations only recommended if it's clinically meaningful to better understand what is happening and how to best treat you, and with your consent. You can stop at any point. Nothing happens without your say-so.

  • A good chat about what has been happening, and how and when it is affecting you
  • Movement, strength, and (depending on what is going on) breathing and muscle co-ordination assessments relevant to your problem
  • External examination and palpation of the lower back, hip, pelvis, or pelvic floor
  • An internal vaginal or anorectal examination only where useful and consented - this might be if you have incontinence or superficial or deep pelvic pain as a female, when doing a pregnancy or birth preparation assessment, or if there is pain passing bowel movements, anismus / pain with receptive anal intercourse, or haemorrhoids or fissures
  • A clear explanation of what is going on and why, and commencing treatment to address both symptoms and the underlying reasons for the issue
  • A plan sent to you with realistic goals and timeframes, and the steps and exercises you'll need to do to get there

What I actually do

Pelvic floor rehab

Down-training for overactive muscles, strengthening for weak ones, and coordination work so everything fires in the right order.

  • Muscle down-training & relaxation
  • Strength & endurance programming
  • Real-time biofeedback
  • Complementary management of endometriosis, adenomyosis, and PMOS (PCOS) symptoms
  • Pregnancy, birth preparation, and post-delivery pelvic floor training

Pelvic, vaginal, and anorectal pain

Determining contributing factors and making tissue less sensitive or apprehensive, less tight, and less irritable to allow for comfort with day-to-day life.

  • Manual therapy & muscle release
  • Breath work and co-ordination of the pelvic floor with breathing and abdominal muscle use
  • Movement-based exercise for the lower back, hips, or pelvis to decrease protective holding of the muscles
  • Skin and soft tissue optimisation if scars or inflammation contributes to pain
  • Dilator / trainer programs for penetration comfort
  • Graded return to receptive vaginal or anal intercourse

Bladder & bowel dysfunction

Ultrasound of the bladder and pelvic floor muscles to help with co-ordination and strengthening, and minimise symptoms.

  • Bladder and bowel retraining for urgency and frequency
  • Pelvic floor co-ordination and strengthening
  • Fluid, fibre, and supplement review
  • Control in the context of sport and lifting

Sexual dysfunction

Combinations of muscle relaxation and co-ordination exercises, modifying responses to stimulation, and exercise to help make sex more enjoyable.

  • Management of erectile dysfunction and premature ejaculation
  • Desensitisation of the pelvic region for hypersensitivity, GPPPD / vaginismus, or PGAD
  • Return to orgasm and return to penetrative sex programs
  • Graded return to sex after pain or surgery

Athletic pelvic floor issues

Focused on gradually increasing tolerance to load, impact, and speed in co-ordination with the midsection and pelvic floor muscles as they recover.

  • Return to sport or running after pregnancy
  • Spotting or incontinence with weightlifting
  • Pelvic pain and hernia with lifting
  • Abdominal wall injuries
  • Adductor / groin injuries and pubic symphysis pain

Trans+ care

Conservative and surgical care for Trans+ and gender-diverse folk with both general musculoskeletal or transition-related presentations.

  • Binding, packing & tucking support
  • Pre-op pelvic-floor preparation
  • Post-op top & bottom surgery rehab
  • Dilation support & scar mobility
More on trans+ care +

A hands-on, active, and movement-based approach

Understanding

You'll leave the first session understanding what's happening and why, with a diagnosis, treatment started that day, a treatment plan, and the dos and "not-yets", all related to your goals.

Accountability

Home exercise plans and daily habit modifications that fit your life and lifestyle. The biggest changes happen between sessions, completing your tailored programme as prescribed.

Multidisciplinary

I liaise with your GP, specialists, and surgeons to make sure treatment aligns with the overall plan, and in cases where physiotherapy may not be the right fit, refer you on to another discipline or specialist that may be better suited.

Goal-focused

Reassessing your pain, movement, tolerance, and your self-perceived changes to progress you step-by-step to your goal. Oftentimes there are milestones to reach rather than going from the start straight to your final goal.

Initial consultations are 60 minutes, and follow-up consultations are either 30 or 45 minutes depending on the complexity of your case. All consultations are rebatable with Australian private health insurance (check with your provider if you have extras cover for physiotherapy codes 500, 505, and 593). Medicare EPC / CDM ($63.40 rebate per session) and DVA white and gold card referrals are welcome.

Book an assessment

Book now Talk to me first