top of page
Pelvic Health and Breast Cancer Rehabilitation Physiotherapy
Our specialist physiotherapists provide Pelvic Health and Breast Cancer Rehabilitation services to help patients manage conditions such as bladder and bowel issues, pelvic organ prolapse, antenatal and postnatal care, recovery after gynaecology and breast cancer surgery, pelvic pain, and more. We also offer Perinatal Pelvic Health Services to support women in managing and preventing pelvic health problems during pregnancy and after childbirth.
Obstetrics: Antenatal and Postnatal care
Obstetrics
Antenatal
Pelvic girdle pain (PGP) and lower back pain are common during pregnancy, often caused by hormonal changes, postural shifts, and the increasing load on your body. These symptoms can range from mild discomfort to significant pain that affects walking, sleeping, or daily activities.
Pelvic health physiotherapy can help manage and reduce this pain through tailored exercises, hands-on techniques, and practical advice for movement and posture. Early support can make a big difference in comfort, mobility, and overall wellbeing throughout pregnancy.
Further Resources:
Please click this link below for the Pelvic Obstetric & Gynaecological Physiotherapy Pelvic Girdle pain booklet:
Please click this link for the Pelvic Partnership Pelvic Girdle Pain Website Page:
https://pelvicpartnership.org.uk/get-support/living-with-pgp/ (https://pelvicpartnership.org.uk/get-support/living-with-pgp/)
Please click this link to the see My Health London video for more information on back and pelvic pain during pregnancy: https://www.youtube.com/watch?v=1arNYQ3Dcwg(https://www.youtube.com/watch?v=1arNYQ3Dcwg)
Perineal tears are common during vaginal birth, but there are ways to reduce the risk. Perineal massage from 34 weeks, learning optimal pushing techniques, and supporting the perineum during delivery can all help.
A pelvic health physiotherapist can guide you through these strategies, helping you prepare your body for birth with confidence and care.
Further Information:
Please click this link below for the Royal College of Obstetricians and Gynaecologists reducing severe tears video:
https://www.rcog.org.uk/for-the-public/perineal-tears-and-episiotomies-in-childbirth/reducing-your-risk-of-perineal-tears/ (https://www.rcog.org.uk/for-the-public/perineal-tears-and-episiotomies-in-childbirth/reducing-your-risk-of-perineal-tears/)
Please click this link below for our Antenatal Perineal Massage leaflet:
It’s not uncommon to experience incontinence during pregnancy — and if you had any symptoms before, such as leaking when sneezing, coughing or exercising (known as Stress Urinary Incontinence), these may worsen as your pregnancy progresses.
In fact, stress urinary incontinence affects up to one in three pregnant women. You may also notice an increase in urinary urgency or frequency.
Doing regular pelvic floor exercises is one of the most effective ways to manage and prevent these symptoms (see above for more info and resources).
If you’re experiencing leaks or concerns about bladder control, don’t hesitate to get in touch with us.
Please click this link for My Health London for more information: Bladder and vaginal problems during and after pregnancy (https://www.youtube.com/watch?v=p2g_AZhKLDg)
Postnatal
Diastasis Rectus Abdominis (DRA) is a separation of the abdominal muscles that commonly occurs during pregnancy as the body makes space for a growing baby. It can lead to a visible gap down the midline of the abdomen, core weakness, lower back pain, and changes in posture.
Pelvic health physiotherapy can help assess the extent of the separation and guide you through safe, effective exercises to restore strength, function, and confidence in your core. Early assessment and tailored support can make a big difference in long-term recovery.
Birth trauma can affect both body and mind and it's more common than many realise. Some women experience physical injury during childbirth, such as perineal tears, which can have lasting effects on pelvic floor health, continence, and overall wellbeing. Others may also feel emotionally impacted by difficult or unexpected birth experiences. Whether you're navigating recovery from a 3rd or 4th degree tear, looking for guidance, or just want to feel seen and supported - the further information below may be helpful.
Further Information:
Please click this link for the MASIC home page - https://masic.org.uk/ (https://masic.org.uk/)
Please click this link for the Tear hub RCOG - https://www.rcog.org.uk/tears (https://www.rcog.org.uk/tears)
Getting back to sport after having a baby is possible — but it’s important to do it safely and gradually. Pregnancy and birth place significant demands on the body, especially the core and pelvic floor, which need time and support to recover.
Key steps include rebuilding core and pelvic floor strength, gradually increasing impact and intensity, and watching for symptoms like leaking, pain, or a feeling of heaviness. With the right approach, you can return to your chosen sport feeling strong, supported, and confident.
Further Information:
Please click this link for the Fit for future POGP information: https://thepogp.co.uk/_userfiles/pages/files/resources/241419pogpfffuture_1.pdf (https://thepogp.co.uk/_userfiles/pages/files/resources/241419pogpfffuture_1.pdf)
Please click this link for: Return to running – Grainne Donnelly returning-to-running-postnatal-guidelines.pdf (https://absolute.physio/wp-content/uploads/2019/09/returning-to-running-postnatal-guidelines.pdf)
Please click this link for: PABL project return to running infographic PABL Return to running.pdf (file:///C:/Users/A.LORY1/Downloads/PABL%20Return%20to%20running.pdf)
• Pelvic organ prolapse can occur after childbirth when the pelvic floor muscles and tissues become weakened or stretched, leading to a feeling of heaviness, bulging, or pressure in the vaginal area. It’s more common than many women realise and can be uncomfortable or concerning — but there is help available.
• Pelvic health physiotherapy plays a key role in managing prolapse symptoms. Through guided rehabilitation, strengthening exercises, and practical advice, we can support your recovery and help you return to daily life with confidence.
• Do Pelvic floor exercises daily – when to start postpartum? If you have a urinary catheter, wait until it is removed and you are passing urine normally before starting these exercises.
Pelvic floor muscle exercises are needed to:
• improve muscle strength so that you can control your bladder and bowel
• support your pelvic organs, helping to prevent prolapse
Pregnancy and birth can affect the pelvic floor, regardless of the outcome. If you've experienced baby loss, you may still be dealing with physical changes — such as pelvic pain, bladder or bowel issues, or core weakness.
Pelvic floor physiotherapy can support your recovery by addressing these physical symptoms in a safe and respectful way. Your body matters, and taking care of it is an important part of the healing process.
Bladder
Bladder and Gynaecology
Bowel Management
Bowel
Breast Cancer / Oncology
Breast Ca
bottom of page