Pelvic and Women's Health Physiotherapy in Parsons Green and Queen's Park

Pelvic health problems are common, often treatable and far too often put up with in silence. At Beyond Health, our specialist pelvic health physiotherapists support women through pregnancy, birth, recovery, menopause and every stage in between, from our clinics in Parsons Green, Fulham and Queen’s Park.

Service

What is pelvic health physiotherapy?

Pelvic health physiotherapy focuses on the muscles, joints and nerves of the pelvis. It supports problems affecting the bladder, bowel, pelvic floor and reproductive health, from pregnancy and birth through to menopause and beyond. Several of our physiotherapists focus solely on pelvic health, each with their own areas of interest and expertise.

Depending on your symptoms, your physiotherapist may offer:

  • Hands-on (manual) therapy to release tension, improve movement and support pelvic floor muscle training
  • Real-time ultrasound to help you engage and train your pelvic floor correctly
  • A personalised exercise programme, including breathing, relaxation and pelvic floor down-training techniques
  • Bladder retraining and advice on lifestyle, gut, bladder and bowel habits
  • Guidance on aids such as weights, support pessaries, electrical stimulation or biofeedback
  • Exercises to relieve pain and help prevent it returning or getting worse
  • Referral for pain management or further medical advice, where appropriate

You do not need a diagnosis to get in touch. Many women come to us with symptoms such as:

  • Leaking urine when you cough, sneeze, laugh, run or lift
  • Needing the toilet often, including several times a night
  • A feeling of heaviness or dragging in the vagina, or difficulty keeping a tampon in
  • Pain during or after sex
  • Ongoing pelvic, hip or lower back pain
  • Recurring urinary tract infections
  • Changes to bladder or vaginal comfort around the menopause
  • Tightness or discomfort from a caesarean or perineal scar
  • Concerns about your tummy muscles after pregnancy
If any of this sounds familiar, it is not something you have to put up with quietly, and it is never too late to ask for help.
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Learn

Support for every stage of life

Pregnancy and birth bring big physical changes, and preparing your body well can support both labour and recovery. We help with birth preparation and labour readiness, and with pregnancy aches and pains including back, pelvic girdle and rib pain. Pelvic girdle pain is very common in pregnancy, and physiotherapy can help you stay comfortable and active.
A postnatal check is a full assessment of how your body is recovering after birth. We look at your pelvic floor, tummy muscles, posture, scars and movement, talk through any symptoms and give you a clear plan for returning to normal activity. We recommend booking around six to eight weeks after birth, but it is never too late to come in.
After a caesarean, scar tissue can leave the area tight, tender or restricted. Gentle hands-on scar therapy, movement and breathing work can help the tissue move more comfortably and support your return to daily life and exercise. This is also helpful for scars from other abdominal or breast surgery.
Hormonal changes around the menopause can affect your bladder, pelvic floor, joints and comfort. Common concerns include leaking, urgency, vaginal dryness or looseness, sexual discomfort and a feeling of heaviness. We assess what is going on and build a programme around your symptoms, which may include pelvic floor training, exercise and advice on daily habits.
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Conditions We Help With

Urinary and bowel incontinence

Bladder and bowel leakage is common after pregnancy and childbirth, and as women get older. It is often something you do not have to live with permanently. We look for the underlying cause and help with stress incontinence (leaking when you cough, sneeze, laugh or exercise), urge incontinence and bowel control problems.

Pelvic pain

Pelvic pain shows up differently for every woman, from pain linked to your cycle to pain with no obvious cause. We work to understand what is driving it and build a plan. We support women living with endometriosis-related pain, chronic or unexplained pelvic pain, and pain linked to the menstrual cycle.

Diastasis recti (DRA)

Some separation of the tummy muscles during pregnancy is normal, but for some women the gap does not fully close afterwards. We assess diastasis rectus abdominis (DRA), help with reduced core strength or stability after pregnancy, and guide a safe return to exercise after birth.

Painful sex (dyspareunia)

Pain during sex can follow childbirth, menopause or surgery, or come from muscle tension or tightness. It is more common than many people realise, and it is something we can help you with. We support women dealing with pain during intercourse, tension affecting sexual function, and changes to intimacy after breast cancer treatment.

Pelvic organ prolapse

Prolapse happens when the pelvic organs shift because of reduced support. It is common, especially after childbirth or around the menopause. We help women manage a feeling of heaviness or pressure in the vagina, difficulty keeping a tampon in, and menopause-related dryness, looseness or mild prolapse symptoms. Where it suits you, we can also talk through support options such as pessaries.

Overactive bladder

An overactive bladder causes frequent or urgent trips to the toilet, which can disrupt sleep and daily life. We help with night-time urination (nocturia), urgency and frequency, and recurring urinary tract infections, using approaches such as bladder retraining and pelvic floor work.

Perineal tears and scars

Scarring from a perineal tear or episiotomy can stay tight or uncomfortable long after it has healed. We treat perineal tear and episiotomy scars and ongoing scar discomfort, even years later. Caesarean scars are covered in our C-section recovery care above.

Aches, pains and returning to exercise

Your pelvic floor and core affect how your whole body moves. We support persistent back, hip or groin pain, and help you return to sport or exercise after pregnancy or injury. Our physiotherapy, Clinical Pilates and Clinical Strength & Conditioning teams can build on your pelvic health plan, and a biomechanical screening can show how you move.

The Beyond Health Difference

What to Expect at Your First Appointment

We start by listening: what you are noticing, when it started and what you would like to change. We then talk through your medical history, including pregnancy and birth where relevant, and look at your posture, how you move and your muscle strength.

If an internal pelvic floor examination would help, we will explain why first, and it only goes ahead if you are happy for it to. You can ask questions or ask us to stop at any point.

You leave with a clear explanation of what is going on and a plan, which may include manual therapy, ultrasound-guided pelvic floor training, exercises and practical advice. If another specialist would help, we will tell you. You can read more on our new patients page and see our pricing.

Your Specialist Team

Our pelvic health physiotherapists support women before, during and after pregnancy, through the menopause and beyond. You can read about the team on our team page.

Where to find us

We see pelvic health patients at both clinics: Parsons Green, 3rd Floor Brigade House, 8 Parsons Green, London SW6 4TN, and Queen’s Park, 2nd Floor, 105-109 Salusbury Road, London NW6 6RG. We also welcome women from Maida Vale and St John’s Wood.
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Frequently asked questions

Do I need to have had a baby to see a pelvic health physiotherapist?
No. Pelvic health problems affect women who have never been pregnant as well as those who have, and at any age.
We recommend around six to eight weeks after birth. If it has been longer, please do not let that put you off. Better late than never.
It is common, but it is often something that can be improved with the right assessment and plan. It is worth getting checked rather than putting up with it.
Not necessarily. It can give us useful information, so we may suggest it, but it is always your choice. If you would rather not, tell us and we will talk through the options.
No. Some people need strengthening, but others have muscles that are too tight or that need to coordinate and relax better, and squeezing more can make symptoms worse. An assessment tells us which applies to you.
In many cases yes. We will guide you on what suits you and can help you return to running, Pilates or strength training with a plan.

Get Started

Book Your Appointment

You do not have to keep putting up with symptoms. Book an appointment online, or call Parsons Green on 020 3848 9434 or Queen’s Park on 020 3848 9433.
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Our Services

From whole-body assessments to specialty services, we take you beyond recovery