Pelvic Floor Physiotherapy


Vital Core Pelvic Floor Physios are highly qualified and experienced in this specialised area of pelvic health. Women and men no longer need to suffer in silence. Issues with Pelvic floor muscles and the pelvic health of someone can lead to incontinence (bowel or bladder control), prolapse, pain or intimacy issues are no longer taboo topics. If you find you are suffering from any of the above, please, come talk to us about our pelvic floor physiotherapy, we can help!

Pelvic Floor Physiotherapy

Pelvic Floor Physiotherapy is a highly specialised area of care. It considers all the structures of the pelvis (women, men and children) and how they relate together as well as a part of the whole person.

We often don’t know anything about our Pelvic Floor until it is put under stress and perhaps causes urinary incontinence or prolapse symptoms, or for the blokes when the prostate causes problems with doing a wee, or when deep pain occurs in the pelvis for seemingly no reason.

So if this has been you, don’t be embarrassed, or alarmed you’re not alone. So let’s start learning.

The roles of the Pelvic floor muscles include:

  • Supporting the Pelvic organs (Bladder, Rectum and Uterus in women).
  • Maintaining urinary, faecal and flatus continence.
  • Allowing effective urination and defecation.
  • Aiding in sexual arousal
  • Assisting in core control (working with your abdominals, back muscles and breathing)

What causes problems with the pelvic floor

There are a number of reasons that problems can develop in the pelvic floor. These may include (but not limited to):

  • Childbirth
  • Pregnancy
  • Bladder and Bowel issues especially constipation and straining.
    Incorrect exercising (unfortunately!)
  • Enlarged prostate (men only)
  • Chronic respiratory issues and coughing
  • Surgery, especially prostate surgery, urogynaecological surgery, gynaecological surgery and bowel surgery.
  • Weight gain through the tummy
  • Hormonal changes
  • Endometriosis
  • Life stress
  • Interstitial Cystitis


What sort of pelvic floor problems can occur

Any combination of these issues (above) can result in a range of pelvic health issues such as;

  • Incontinence – bladder and or bowel
  • General weakness or the pelvic floor
  • Prolapse – a heaviness or dragging through the pelvis
  • Pelvic pain – pain anywhere in the pelvis
  • Poor bladder/ bowel emptying
  • Sexual dysfunction

How can Pelvic Floor physiotherapy at Vital Core help?

Firstly we find out exactly what is concerning you. What your goals are. What you need or want to be able to do.

We ask you lots of questions to understand all the signs and symptoms that will help determine all the possible cause(s) of your problem. In many cases this is not limited to the immediate pelvic floor muscles.

We examine the Pelvic Floor and pelvic health including the surrounding muscles for correct alignment, tone, and activation, as well as control, strength and endurance. This may include an internal examination. We also examine your general movement.

We educate you on what is happening with your pelvic floor and why.

Together we will structure a pelvic health treatment plan to get you back on track and achieving your goals. Treatment techniques may include:

  • Pelvic Floor muscles training to improve coordination, strength, or endurance.
  • Functional training to learn to use your muscles in the real world.
  • Relaxation or ‘down training’ for muscles that are working too hard potentially causing pain or dysfunction.
  • Lifestyle education to help use and protect your pelvic floor throughout the day.
  • Exercise advice to get fit and strong without compromising your pelvic floor.


Other common pelvic floor problems we see at Vital Core:

Childhood bedwetting – from the age of 7,  most children should be dry at night.  With thorough questioning, we can determine just what is the best line of action to take for your child. Treatment options include;

  • Day time fluid management
  • Day time bladder and bowel habit training.
  • Bladder awareness training
  • Nighttime drones training program.
  • Referral to a GP for further medical advice.

Prolapse is a condition where an internal organ (usually bladder, uterus or bowel) are dropping down into the vagina. It is a common condition in women particularly after having children or after menopause. We can help to reduce symptoms, prevent progression and prevent or delay surgery. Common ways we do this are;

  • Pelvic Floor Muscle training
  • Pessary supply, fitting and management. Pessaries are flexible silicon devices inserted into the vagina to support a prolapse. Pessaries were once reserved for the very old and frail or those who had not yet completed their child bearing. Today we can use them as an alternative to surgery. They are simple to self manage and with the right education and management are extremely safe for most women.
  • Lifestyle advice. Certain activities will put more pressure down on a prolapse. Once you understand this you can decrease symptoms.
  • General exercise advice. Making other muscles stronger can take the strain away from a prolapse.

Persistent Pelvic Pain – is extremely common yet can be extremely debilitating for both women and men throughout the lifespan. Persistent pain means it just isn’t settling like it should. There are many possible reasons why this may be happening and it is often quite complex in the plan required for resolution. Vital Core Pelvic Health physio’s are extremely experienced is thoroughly assessing and managing patients with persistent pelvic pain.

If you suffering from any of these pelvic floor issues please come and see the team here at Vital Core Physiotherapy Adelaide. Our pelvic health physiotherapy services can help you start leading the life you deserve.


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