Credence Therapy Notebook
 Not a clinic and not a waiting room: one woman's record of pelvic health physiotherapy, the exercises that actually work, and how long they take.
Pelvic health physiotherapy, what it involves and how long it takes.

After the course

Between appointments · 2 threads

Discharge, keeping it up, and what happens when it has not worked.

Two very different sets of threads land here. One is from people it worked for, discovering that maintenance is a permanent commitment and that a busy month undoes more than they expected. The other is from people it did not work for, discharged with symptoms they still have and no obvious next step. Both belong in the same section, because the honest answer is that a fair trial of conservative treatment has two possible endings and readers deserve to see both.

Two endings, and what follows each

For the readers it worked for, the recurring discovery is that the gains are conditional. Continuation with a home programme falls away sharply once the appointments stop, and the threads describing a relapse almost always describe a stopped routine first. Nobody here has solved that with willpower; the ones who kept it going attached the work to something already fixed in the week rather than to good intentions. Keeping it up after discharge and returning to running and lifting cover the practical side.

For the readers it did not work for, the important correction made repeatedly in this section is that a completed course which has not fixed the symptom is a result, not a failure of effort, and it is the specific result that opens the next conversation. Being discharged is not the same as being told there is nothing else. When physiotherapy is not enough sets out what that conversation covers, and physiotherapy before and after pelvic floor surgery explains why the exercises do not stop if an operation is discussed.

What nobody in this section will do is tell you which ending you are heading for. That needs a reassessment by somebody who can measure what has changed.