• Active Physiotherapy’s major clinical focus, which stands us apart from other practices, is our extensive interest in the pelvic floor and how this group of muscle and connective tissues effects the bladder, bowel, and sexual function. We are proud to provide quality and compassionate care to clients with these sensitive concerns. We make our best effort to allow you to be comfortable discussing any problems you may be having with pain, wee, poo or sex. We see these conditions on a daily basis, for women, men and children.

    Symptoms that would benefit from consulting a pelvic health therapist include leaking wee, wind or poo, frequent or urgent or painful weeing, incomplete emptying of the bladder or bowel, painful periods or intercourse, poor sexual tone, a lump/bulge/prolapse/hernia, and many more detailed below. These symptoms are treatable, with good evidence for pelvic therapy, and should not be dismissed as normal. Some symptoms may be mild but exacerbated by stress, illness, or around menopause, as examples. Some people should be very cautious carrying out pelvic floor exercises as this may exacerbate their condition – for example if their pelvic floor is already in spasm, if they have OAB, pelvic pain, constipation, difficulty weeing, or a feeling of tightness already. Relaxation exercises, internal manual therapy or instructing you how to perform therapy at home, may be required.

    The initial consultation is extensive, typically 1 hour, with an detailed interview to gain clarity of your concerns and symptoms, medical history, physical activity, work, diet, drinking, how you poo, your lifestyle and knowledge. If you are not comfortable with any topics you are entitled to decline answering, or may ask how this information impacts your recovery. Adults will be asked to consent to an internal examination, which allows many important observations and tests, however if you are not comfortable with this then we are able to offer many other options including visual inspection, external palpation, or not removing clothing at all with an abdominal palpation or abdominal ultrasound. However, not all conclusions can be as accurate without an internal assessment.

    Teenagers require their guardian to attend an initial consultation and possibly subsequent consultations. We will discuss which examinations are suitable. Children are rarely examined in the genital region, unless medically appropriate and with a parent present.

    You may be required to measure your urine or stools with a diary, to quantify your bodies output which helps to better tailor advice we can give you. We highly value communication and education, so there will be ample time spent discussing ideal habits, safe routines, use of anatomy charts and recommending further reading. It should be noted that physiotherapists are trained to recognise when physiotherapy won’t help and when to refer to a doctor or specialist. Your physiotherapist will discuss your options with you and wont commence until they understand your condition and what you wish to proceed with.

    Pelvic floor strengthening, endurance, speed, co-ordination, or relaxation exercises will be instructed and then reviewed at most sessions to accurately suit your current status. Correct breathing patterns are also important. Measuring equipment includes peritron (computer squeeze pressure of vagina or anus), EMG (muscle electrical output), real time ultrasound. Treatment tools can include pelvic floor indicators like the Educator, vaginal cones or balls, TENS to calm down a bladder, electrical stimulation to assist pelvic floor muscles to activate. Wands or dilators can be instructed for pelvic floor stretching or down-training.

    We have 3 tiers of clinicians within pelvic health:

    Consultant Pelvic Health practitioner:
    Danielle Bell has 12 years experience and is continuously updating and extending her knowledge base attending country wide and international training. Advanced conditions treated include Over Active Bladder (OAB, urinary urgency) and hip pain, overactive pelvic floor, painful intercourse, constipation, fecal incontinence, children’s continence. Interests also include coccyx (tailbone) pain, hysterectomy, endometriosis, and soon to add abdominal visceral adhesion manipulation for tummy pain, constipation, and infertility.

    Senior Pelvic Health practitioner:
    Emily and Ellie have attended several of WHTA’s advanced training modules and attended regular in-services with Danielle for 12 months. Symptoms to be treated include prolapse, stress incontinence, urgency, symptoms during or after pregnancy. Pessaries can be measured and fitted to support prolapse or help close the urethra for a leaky bladder. If you sustained a large tear to the perineum during child delivery, Emily or Ellie can also apply perineal ultrasound, helpful to calm inflammation and aid healing. Emily also has an interest in sexual arousal disorders (difficulty with arousal or pain on arousal).

    Pelvic Health practitioner:
    Joshua is our male continence physiotherapist with a special interest in post-prostatectomy recovery and erectile dysfunction.

    Pelvic Floor therapists/Pilates practitioners:
    Nicole, Sarah and Connie have attended pelvic floor assessment and treatment training, making them highly skilled Pilates instructors and ideally placed for wellness checks for instance if you have recently had a baby and want to know if your core and pelvic floor are activating correctly to safely return to exercise. If you have back pain then you may have difficulty rehabilitating your core. Our pelvic floor therapists are well positioned to check if the pelvic floor is activating correctly with a short internal examination, as part of your back rehabilitation. Pregnancy aches and pains throughout joints and muscles of the body can also be treated in depth by our pelvic floor therapists.

    Mastitis:

    Active Physiotherapy Mackay offer emergency appointments for mastitis clients. A typical course is 3-5 treatments of high dose therapeutic ultrasound including advice for rest, regular breastfeeds and cautious use of NSAIDS. Our priority is to increase mother's comfort and aid in preservation of breast feeding. For further information please click on our link below, or to book an appointment please phone us on 49533 557.

    Mastitis and Physiotherapy