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.

Doing the programme

Between appointments · 1 thread

Weeks four to sixteen, a sheet of exercises, and nobody watching.

This is the section the board exists for. A programme is prescribed in one appointment, progressed in another two months later, and performed hundreds of times in between with no feedback whatsoever. The threads here are people in the middle of that stretch: unsure they are contracting the right muscle, unsure whether nothing changing at week eight means it is failing, and unsure whether the ache afterwards is progress or a mistake.

The three things Bethan repeats most

The first is that a programme without a review date is not a programme. Nearly every thread in which someone drifted for months has the same missing piece, which is a booked point at which somebody measures again and changes the prescription. If you were discharged without one, that is worth a phone call.

The second is that more is not the fix. Several readers arriving here convinced they were undertraining turned out to be doing the opposite, and an overactive floor treated with harder squeezing gets worse, not better. That is the single most common wrong turn on this board and the reason hypertonic pelvic floor and downtraining exists as its own article.

The third is that the board cannot teach technique. Nobody here will talk you through an internal check or write you a set, because the whole point of an assessment is that a person with training put a hand on the muscle and told you what it was actually doing. What the threads can do is tell you what a prescribed course normally looks like, which is covered in exercise programmes explained and how long it takes.