Conditions treated

Pelvis to plinth to performance

Physiotherapy can manage and treat both common and uncommon pelvic floor, pelvic pain, bladder, bowel and sexual-health conditions; as well as care around gender-affirming surgery. These are some of the conditions we treat, but if you don't see what ails you, message us and we'll let you know if we can help.

Pelvic floor dysfunction

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. Just like any other muscle group, we assess it, treat it, and train it to do what it needs to do. While conditions affecting these muscles are often swept under the rug, they can be effectively treated.

What we 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
Pelvic floor & anorectal 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 we aim to destigmatise and treat these conditions before they ingrain themselves in your life.

What we treat

  • Vulvar and vaginal vault pain
  • Lichen sclerosis
  • 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
Bladder & bowel

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)
Sexual function

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 we 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

We work within a physiotherapy scope and refer to sexual-health medicine, urology or psychology when that's the right call.

Trans+ care

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. We 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

You won't have to educate your physio about your own body - come as you are and we can work together.

Not sure if it's us you need?

Talk to us first

Tell us what's going on. If physiotherapy can help, we'll say so plainly — and if someone else is the better fit, we'll point you there.