The Role of Pelvic Floor Physiotherapists and What to Expect During an Appointment

For many women in Australia, pelvic floor issues can feel isolating and overwhelming, but seeking support from a pelvic floor physiotherapist can have a profound impact on their everyday lives. Pelvic floor physiotherapists are dedicated professionals trained to address a range of women's health concerns, from urinary incontinence and pelvic organ prolapse to pelvic pain and sexual dysfunction. They possess an in-depth understanding of female anatomy and utilise evidence-based techniques to provide comprehensive care and support.

During your appointment, your pelvic floor physiotherapist will begin with a comprehensive, open, and empathetic discussion about your health history and any symptoms or concerns you're experiencing. Depending on your specific concerns, your physiotherapist will discern the most suitable assessments to identify the underlying causes. These assessments may encompass postural and movement evaluations, external palpation of muscles or joints, and internal examinations conducted via the vagina or rectum.

Before proceeding with any internal examination, your physiotherapist will thoroughly explain the procedure, ensuring you're fully informed and comfortable every step of the way. Using one or two gloved fingers and lubrication, your physiotherapist will gently examine your pelvic floor muscles internally to assess their tone, strength, coordination, and any areas of tenderness or discomfort. In addition to the pelvic floor assessment, your physiotherapist may also check the position and support of pelvic organs like your bladder, uterus, and rectum to identify any signs of pelvic organ prolapse. Functional movements, such as coughing, sneezing, or specific exercises, will also be evaluated to assess your pelvic floor muscle function in real-life situations. Throughout the assessment, you're in control, and your comfort and well-being are paramount. Your privacy will be respected at all times, and your physiotherapist will ensure you feel empowered and supported throughout the process.

These assessments help the physiotherapist tailor a personalised treatment plan to address your specific needs. Treatment plans often incorporate pelvic floor exercises, lifestyle adjustments, bladder and bowel management strategies, and education about pelvic health. Pelvic floor physiotherapists work collaboratively with other healthcare providers to ensure holistic care and support for women. Follow-up appointments allow for ongoing monitoring of progress, adjustments to treatment as needed, and continued guidance and support. Through pelvic floor physiotherapy, women are empowered to take control of their pelvic health and reclaim their quality of life.