Women’s Pelvic Health Physiotherapy
At Pittwater Physiotherapy and Sports Injury Centre, we understand that pelvic health concerns can be sensitive and deeply impact your quality of life. Prachi Bhanushali, a Director and Co-owner with over 14 years of international experience, leads our dedicated women’s health service. As a member of the Women’s Health Training Associates (WHTA) and the Australian Physiotherapy Association (APA), Prachi provides evidence-based, compassionate care tailored to your unique needs.
Our specialised services include
Bladder & Bowel Health
Regain control and confidence with targeted retraining and muscle rehabilitation.
- Urge Incontinence / Overactive Bladder: Managing sudden, strong urges to urinate.
- Stress Urinary Incontinence: Addressing leakage during physical activities like coughing, sneezing, or exercise.
- Bladder Retraining: Personalized strategies to improve bladder habits and capacity.
Pelvic Pain & Dysfunction
We offer a holistic approach to managing persistent pain and muscle tension.
- Pelvic Floor Relaxation: Specialised “down-training” for overactive or tense pelvic floor muscles.
- Persistent Pelvic Pain: Addressing chronic discomfort or pain during intercourse through myofascial release, biofeedback, and TENS.
Pelvic Organ Prolapse
- Non-Surgical Management: Tailored exercises and lifestyle modifications to manage symptoms and prevent the worsening of prolapse.
- Surgical Support: Guidance on the “Do’s and Don’ts” before and after urogenital surgery to optimize your recovery and long-term results.
Pregnancy & Antenatal Care
Stay active and comfortable as your body changes during pregnancy.
- Pain Management: Treatment for pelvic girdle pain, pubic symphysis dysfunction, sciatica, and back pain.
- Preparation: Pelvic floor muscle assessments, strengthening, and safe exercise prescription throughout your pregnancy.
Postnatal & Postpartum Recovery
Comprehensive support to help you navigate the “fourth trimester” and beyond.
- Abdominal Rehab: Expert management of Diastasis Recti (abdominal separation).
- Pelvic Floor Rehab: Recovery for perineal trauma, episiotomies, or tears following delivery.
- Return to Sport: Guided programs to safely return to high-impact exercise while protecting your pelvic floor.
- Ongoing Support: Treatment for Sacroiliac Joint (SIJ) dysfunction and lingering low back pain.
What to Expect in Your Consultation
- Private & Comfortable: All consultations are held in a private clinical setting to ensure your comfort and privacy.
- Comprehensive Assessment: This may include a pelvic floor assessment to accurately diagnose muscle function. Holistic Plan: You will receive a clear management plan involving education, manual therapy, and a home exercise program.
Book Your Pelvic Health Consultation with Prachi – Call 02 9997 2323
Frequently Asked Questions
Understanding Pelvic Floor Assessments: Patient FAQ
It is common to feel a bit nervous before your first pelvic health appointment. To help you feel prepared and comfortable, here are the answers to the questions patients ask most often.
What actually happens during a Pelvic Floor Assessment?
The assessment is divided into two parts. First, Prachi will discuss your medical history, symptoms, and goals in a private room. The second part may involve a physical examination to check how your pelvic floor muscles are functioning. This is done with your consent and at a pace you are comfortable with.
Is the physical exam mandatory?
No. While a physical exam is the “gold standard” for accurately diagnosing muscle strength, coordination, or prolapse, it is entirely optional. If you are not comfortable with it, Prachi can still provide significant help through education, lifestyle advice, and external assessment techniques.
What should I wear?
You can wear your normal clothes. For the physical examination part of the consult, you will be asked to undress from the waist down and will be provided with a towel for coverage to ensure your privacy and dignity at all times.
Can I come in if I am on my period?
Yes, you can. Having your period does not interfere with the assessment or the physical exam. However, if you personally feel more comfortable waiting until your period has finished, we are happy to reschedule your appointment.
How long does the appointment take?
An initial Women’s Pelvic Health consultation usually takes 60 minutes. This ensures there is plenty of time to talk through your concerns, perform a thorough assessment, and create a treatment plan without feeling rushed.
Can I bring my baby to the appointment?
Absolutely. Many of our postnatal patients bring their babies along. We have a pram-friendly clinic and are more than happy for you to pause the session if you need to tend to your little one.
Same day bookings generally available
