THE NEIGHBOURHOOD CLINIC
PELVIC HEALTH PHYSIOTHERAPY IN FITZROY MELBOURNE
Pelvic Health Physiotherapy is a specialisation of the physiotherapy profession associated with pelvic health.
We treat men and women in Melbourne who may be experiencing issues with bladder control, bowel control, constipation, pelvic pain, sexual dysfunction, menopause, and prostate surgery.
Pelvic Health Physiotherapists provide assessment and treatment for people with:
Pelvic floor weakness and bladder incontinence including a feeling of not being able to “hold on”, of not being able to feel your pelvic floor muscles, or a feeling of weeing when jumping, sneezing or coughing.
Prolapse where the muscles and ligaments supporting your pelvic organs are stretched or weakened, which causes your organs to drop down. There are different types of prolapse, affecting the vagina, uterus, bladder and bowel.
Post natal bladder issues including how to restore your body safely to maximum pelvic floor function, and how to deal with any tearing or damage caused during labour.
Bowel issues including constipation or loss of bowel control.
Pelvic and abdominal pain including pain associated with going to the toilet, irritable bowel syndrome, endometriosis, painful sexual intercourse.
Coccyx issues including internal treatment and manipulation.
Pre and post prostate surgery treatment including exercises and techniques to support your pelvic floor.
Post-menopausal issues including weight gain, painful sexual intercourse, vaginal dryness.
Do I need a Doctors referral to see a Pelvic Health Physiotherapist?
No, a Doctor/GP referral is not needed to see our Pelvic Health Physiotherapist. However, you might initially discuss your concerns with your GP. You and your GP might agree together that seeing a Pelvic Health Physiotherapist will be useful. Alternatively, you may just know that your issues fall into the area of speciality of our Pelvic Health Physio, and you can book directly with us.
If you have a chronic health issue which a Pelvic Health Physiotherapist can assist you with, your GP can provide you with a referral for up to 5 physio sessions per year. For these 5 sessions, you will receive a rebate back from Medicare for part of the cost of the physio treatment.
How long will the first consultation be?
All of our Pelvic Health Physio appointments are 30 minutes
How to prepare for your first Pelvic Health Physio consultation
At your first consultation, your physio will want to find out exactly what you’re experiencing. This will help them to make an accurate diagnosis and know how to begin helping you.
Before your first consultation, you should think about:
How long you have experience the problem and whether it is getting better or getting worse
Whether the problem is there all the time, or comes and goes (and in what circumstances does it come and go)
What you have tried to do to improve things, and whether they have helped
Any past medical problems, including surgeries and injuries
Your childbirth history
Any questions you want to ask, e.g. What caused this issue? How long will it take to improve? If I don’t do anything, will my problem get worse or resolve itself?
Your Local Pelvic Health Physiotherapist
MENS and WOMENS PELVIC HEALTH PHYSIOTHERAPIST
Silvana is a passionate women’s and men’s pelvic health physiotherapist with special interest in chronic pelvic pain, sexual dysfunction as well as bladder and bowel dysfunction. She is also interested in working with pregnant and post-natal women, including assisting them to return to sport safely.
Silvana has completed her Post Graduate Certificate in Pelvic Floor Physiotherapy, and her Post Graduate Certificate in Women’s Health and Exercise at the University of Melbourne. She is currently completing her Masters in Pelvic Health at the University of Melbourne. Silvana is a certified member of the Australian Physiotherapy Association (APA) and Continence Foundation Australia (CFA) physiotherapy group.
Silvana has worked with diverse cultural backgrounds managing acute, chronic and complex conditions. She takes pride in working with her patients to reach their specific goals and needs as no two patients are alike.
When she is not at work, Silvana enjoys spending time outdoors with her family and shopping with her two girls.
Frequently asked questions
What happens in a Pelvic Health Physio appointment?
Bladder function – how often you go to the toilet, if you leak urine, if you have to rush to get to the toilet on time and the feelings you have when you are urinating.
Bowel function – how often you go, whether it is difficult or painful, your control over your bowel and any sense of having to rush to get to the toilet.
Childbirth history, if relevant – how many children you have had, the types of deliveries and the weight of your babies.
Symptoms of prolapse – if it feels like something has dropped internally or if you have any heaviness, a lump or bulging inside your rectum or vagina.
Sexual intercourse and any concerns, pains or difficulties you are experiencing.
Medical history including other current medical issues, medications, surgeries, accidents.
Employment and leisure activities – this will help your physio to understand how the pelvic issues you are experiencing are impacting your daily life.
Does a Pelvic Health Physio perform any examinations?
What happens at a Pelvic Health examination?
What treatments will the Pelvic Health Physio suggest?
How many times will I need to see the Pelvic Health Physio?
This will be as you and the physio agree, depending on the issues you are experiencing and the recommended treatment. You may only need to see the physio for a few times, with a few weeks between each appointment to allow you to practice the exercises and notice any improvements/changes.
Is Pelvic Health Physiotherapy covered by Medicare?
Is Pelvic Health Physiotherapy covered by private health insurance?
Generally, yes, but you should check with your health insurer for the specific details of your coverage.