Women’s Health Physiotherapy

Our women’s health physiotherapy program is run by physiotherapist Shana-Lee Abkin. 

What is women’s health physiotherapy?

Wome’s health physiotherapy is specialised physiotherapy for all women-specific problems.  Women’s health physiotherapists specialise in musculoskeletal issues associated with pregnancy, birth, post-partum, breastfeeding (including mastitis) and menopause. They also specialise in treating pelvic floor muscle issues including weak pelvic floor or an overactive pelvic floor. These pelvic floor imbalances can cause incontinence (urinary and faecal), prolapse, pelvic pain and/or sexual pain. Women’s health physiotherapists are trained in treating all of the above-mentioned conditions and will always refer on as necessary.

Pelvic related issues are often a taboo topic but are very common problems. At UprightCare we want to encourage our patients to come to us with any problems as we are here to help and will always refer on as appropriate if necessary. 

What kind of issues do we deal with?

Shana-Lee treats a diverse range of women’s health and pelvic floor dysfunctions including incontinence, prolapse, pelvic pain, pregnancy and post-partum related issues. Some of the pregnancy related problems include rectus diastasis, back pain, and SIJ dysfunctions, as well as breastfeeding issues including mastitis.

What would a typical first appointment involve? What kinds of questions might be asked?

In an initial appointment, we go through a thorough subjective history. This includes asking if you have any pain (musculoskeletal, pelvic, vaginal, rectal or sexual) and if you have any particular bladder or bowel habits. This is then followed by a thorough physical examination including a holistic body examination and pelvic examination which may include an internal examination if you are comfortable with this.

For post-partum ladies, Shana-Lee will also do an assessment of rectus diastasis (abdominal separation) and a breast examination for those experiencing pain /mastitis. If needed breastfeeding guidance and advice can also be given.

Shana-Lee takes a very holistic approach when seeing patients and uses a variety of methods including massage, ultrasound, and education. Her treatments will always include a home exercise program for her patients to follow to ensure they are healed as quickly as possible.

Scoliosis and pregnancy? How can we help?

Pregnancy changes a women’s body as the hormone relaxin creates a lot more laxity in our ligaments, and the growing foetus changes our body’s centre of gravity and hence creates further postural changes.

Women who suffer from scoliosis may find during pregnancy that their symptoms and/or posture change positively or negatively.

At UprightCare we use the Schroth Method for treating Scoliosis. For our patients who have been through the training, we encourage them to continue with all their scoliosis exercises during pregnancy to avoid further progression of scoliosis. For those who have not had specific scoliosis training, we always encourage you to continue activity as much as possible, under the guidance of their doctor/health professional. If needed, we are able to give you some coping methods for your scoliosis during pregnancy that can be followed after.

The Schroth method involves scoliosis specific exercises that can be completed in the comfort of your own home, at any time, and before, during and after pregnancy. To learn more about the Schroth method click here.

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