Services & treatment options

Assess, treat, recover, perform

Real, evidence-based and evidence-guided treatment following a thorough assessment - sealed together with an active plan you can understand and perform at home.

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Your first visit

What an assessment looks like

A thorough, unhurried session. We 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

Consent is ongoing, specific, and yours to withdraw at any time.

Treatment options

What we 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

  • Manual therapy & muscle release
  • Desensitisation and progressive exposure to stimuli
  • Dilator / trainer programs for penetration comfort
  • Graded return to receptive vaginal or anal intercourse

Bladder & bowel dysfunction

  • 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

  • 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

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

Trans+ care

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

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

Understanding

You'll leave the first session understanding what's happening and why. Clarity does a lot of the healing.

Accountability

Home exercises and habits that fit your life - the training happens between sessions, not just on the plinth.

Multidisciplinary

We coordinate with your GP, specialists and surgical team, and refer on when someone else is the right fit.

Goal-focused

Progressing you step-by-step to your goal, not lumping everything into one program.

Sessions & rebates

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.

Ready when you are

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