Notes
- When Physiotherapy Is Not Enough: The Honest End of the Conservative Pathway
July 24, 2026
A completed course that did not work is a result, not a failure. What a fair trial contains, how to tell it is over, and what the next conversation covers.
- Is Pelvic Health Physiotherapy Worth It? The Plain Trade-Off
July 21, 2026
Four months, two reviews, and no official price anywhere. What the trials show it does and does not do, set against what it costs in five health systems.
- Finding a Registered Pelvic Health Physiotherapist
July 19, 2026
Physiotherapist is a title you can check on a register. Pelvic health specialist is protected nowhere, which is why this page lists registers.
- Physiotherapy Before and After Pelvic Floor Surgery
July 15, 2026
Preoperative training does not help men before prostatectomy, at level 1b evidence. What prehabilitation and post-operative rehabilitation are actually for.
- Pelvic Health Physiotherapy Waiting Times: The Missing Numbers
July 13, 2026
Four of five health systems publish no pelvic health physiotherapy wait at all. Ireland publishes one number, and this page refuses to invent the rest.
- Mesh and What Changed After the Inquiries
July 10, 2026
A restriction, not a ban: the 9 July 2018 letter, six conditions of which one was met, and why conservative care moved to the front of the pathway.
- Vaginal Pessaries Alongside Physiotherapy: The Option Beside It
July 8, 2026
A pessary sits beside pelvic floor training, not after it. Who fits one, how it differs from surgery, and why no figures for it appear on this page.
- Chronic Pelvic Pain in Men: The Long Road Before the Physiotherapy
July 7, 2026
Years of tests and antibiotics before anyone examines the pelvic floor. What physiotherapy contributes, and why no effect size for it appears on this site.
- Men's Pelvic Health After Prostate Surgery: What the Evidence Really Shows
July 6, 2026
Cochrane found no benefit from pelvic floor training for established leaking after prostatectomy. What that result means, and what is still worth doing.
- Returning to Running and Lifting: What Ready Actually Means
July 2, 2026
No guideline sets a return to impact test and no trial here measured one. What ready means without a number, from someone who went back to running.
- Getting Referred to Pelvic Health Physiotherapy
June 30, 2026
Self-referral exists for pelvic health in some places and nowhere else, and the rules change by trust. Routes in five systems, and what to say.
- Menopause and the Pelvic Floor: What Changes and What Physiotherapy Addresses
June 26, 2026
More than 40% of women aged 70 and over report urinary incontinence. What tissue change means for training, and why this page carries no medication content.
- Pelvic Floor Trainers and Apps: What the Evidence Does Not Say
June 26, 2026
Not one consumer pelvic floor trainer or app appears in the evidence this site is built on. What that absence means before you spend money on one.
- Diastasis Recti and the Abdominal Wall: Conservative Rehabilitation Only
June 23, 2026
The gap is not the problem, the pressure system is. What conservative rehabilitation addresses, and why one NHS service excludes diastasis from self-referral.
- Biofeedback and Electrical Stimulation: What They Add
June 21, 2026
In the US the pelvic-floor-specific billing code is a biofeedback code. What these add on top of supervised training, and what the evidence says.
- Pelvic Girdle Pain in Pregnancy: What Physiotherapy Offers
June 18, 2026
Pain in the joints of the pelvis, not the pelvic floor. What physiotherapy addresses, what belts and crutches are for, and why the two problems get confused.
- Postnatal Pelvic Floor Recovery: The First Year, and What Is Not Normal
June 15, 2026
About a third of women leak in the first three months after birth. What settles on its own, what needs treating, and why WHO advises against routine PFMT.
- Antenatal Pelvic Floor Training: What It Prevents and When It Starts
June 12, 2026
Starting in pregnancy is the only high certainty prevention finding here: 29% less likely to leak at 3 to 6 months postpartum. What NICE triggers on.
- How Much Does Pelvic Health Physiotherapy Cost? Five Systems
June 9, 2026
Every average price in circulation is a survey or a clinic list: competition law bars the CSP from publishing rates. Real numbers from five systems.
- Bowel Habit and Defaecation Technique in a Pelvic Floor Programme
June 8, 2026
Straining loads the same floor every day. Why position, stool consistency and bowel habit are treated before a bladder or prolapse programme progresses.
- Perineal Tears and OASI Recovery: Degrees, Follow-Up and Rehabilitation
June 8, 2026
Obstetric anal sphincter injury affects 6.1% of first vaginal births and 1.7% of later ones. What the degrees mean, what follow-up covers, and what physio adds.
- Bladder Pain Syndrome: What Physiotherapy Contributes and What It Does Not
June 5, 2026
Persistent bladder pain is not treated by pelvic floor strengthening, and often worsened by it. What an assessment is for, and the figures that do not exist.
- How Many Sessions of Pelvic Health Physiotherapy Do You Need?
June 4, 2026
No guideline sets a session count. What NICE does require is two reviews, and Australia caps funded allied health at five services a calendar year.
- Prolapse Symptoms Versus Prolapse Stage: Why the Two Diverge
June 2, 2026
Symptoms put prolapse at 3% to 6% of women and examination finds it in up to 50%. Two questions, two answers, and why symptoms are what treatment aims at.
- Pelvic Organ Prolapse: What Physiotherapy Achieves and What It Does Not
June 1, 2026
Prolapse felt as a bulge affects 3% to 6% of women while examination finds it in up to 50%. What a 16 week supervised programme improves, and by how much.
- Endometriosis and Pelvic Physiotherapy: An Adjunct, Not a Treatment for the Disease
May 29, 2026
Physiotherapy does not treat endometriosis. What it can contribute to the pelvic floor and pain around it, what it cannot, and the figures that do not exist.
- Bladder Training and Fluid Advice: What It Is and What It Is For
May 28, 2026
Deferral, timed voiding, caffeine and volume: what bladder training is for, who it suits, and why this page will not hand you a fluid target.
- Questions to Ask at Your First Pelvic Health Appointment
May 26, 2026
Nine questions that change what happens next, from how progress will be measured to when you will be reviewed and what happens if nothing improves.
- Constipation and Obstructed Defaecation: The Bowel Side of the Same Floor
May 25, 2026
Straining is a daily load test no exercise programme can out-train. Why bowel emptying is treated before a bladder or prolapse programme is allowed to progress.
- Mixed Urinary Incontinence: Treating the Dominant Symptom First
May 22, 2026
Both patterns at once, in 36% of women with incontinence in one large survey. What treating the dominant symptom first means, and what the guideline offers.
- How Long Does Pelvic Floor Physiotherapy Take?
May 19, 2026
Three months for leaking, four for prolapse: where those guideline minimums come from, why they are measurement windows, and what a fair trial means.
- Urge Incontinence and Overactive Bladder: The Different Problem
May 16, 2026
NICE puts pelvic floor training first for stress and mixed incontinence, not for urgency. Why bladder training leads here, and what the Cochrane figures cover.
- Stress Urinary Incontinence: What Pelvic Floor Training Does for Leaking
May 14, 2026
Leaking when you cough, run or lift has the strongest treatment evidence in pelvic health: 56% cured against 6% untreated, and a 3 month guideline minimum.
- Faecal Incontinence and Anal Sphincter Training: What Physiotherapy Offers
May 11, 2026
The symptom nobody raises unprompted. What NICE recommends, why the postnatal evidence is null, and why new bowel leakage after birth is urgent.
- Hypertonic Pelvic Floor and Downtraining: When Kegels Make It Worse
May 8, 2026
Squeezing harder is the wrong treatment for an overactive pelvic floor. Why kegels make some people worse, and what downtraining does instead.
- Keeping It Up After Discharge: What the Adherence Figures Really Show
May 7, 2026
Long term adherence to pelvic floor training ranges from 10% to 70%, and the benefit does not collapse when it falls. The honest version of what happens next.
- Pelvic Floor Exercise Programmes Explained: Dose, Progression, Review
May 5, 2026
NICE puts the minimum at 8 contractions three times a day, tagged 2006. How a real programme is prescribed, progressed and reviewed against that floor.
- Pelvic Pain and Vaginismus: Why Strengthening Is the Wrong First Move
May 4, 2026
Pain-led pelvic presentations often involve a floor that will not release, so standard advice runs backwards. What physiotherapy offers instead, and its limits.
- Internal Pelvic Examination: What to Expect and How to Decline
May 1, 2026
Offered, not compulsory. What an internal pelvic examination is for, how consent and chaperones work, and how to decline one without losing your appointment.
- Sixteen Weeks of Pelvic Floor Exercises: What It Actually Felt Like
May 1, 2026
A week by week record of one supervised programme, including the six weeks when nothing changed and the review where I found out why that was expected.
- Pelvic Floor Physiotherapy: What It Is, What It Fixes, How Long It Takes
April 29, 2026
Guideline first-line treatment for leaking and prolapse, not a last resort: what pelvic health physiotherapy involves, what the trials show, and the cost.
- Why Pelvic Symptoms Get Dismissed, and How to Be Heard
April 27, 2026
Three clinicians told me leaking when I ran was normal after babies. Why that sentence is so common, what is behind it, and what to bring to the appointment.
- What Happens at a Pelvic Health Physio Assessment
April 24, 2026
History, a bladder diary, an examination and a measurement: what a first pelvic health physiotherapy appointment covers, and what you leave holding.
- How Pelvic Floor Muscle Training Works: Strength, Timing and Coordination
April 22, 2026
Strength is only one of three things training changes, and a stronger pelvic floor is not automatically a better behaved one. The mechanism, explained.
- Pelvic Health Red Flags: When to Stop Exercises and Get Checked
April 20, 2026
Some pelvic symptoms need an emergency department, not exercises. The red flags that stop a pelvic floor programme, and who to contact for each.
- How to Do a Pelvic Floor Contraction Correctly
April 17, 2026
A lift and squeeze inwards, not a push down. What a correct pelvic floor contraction is, why it is so easy to get wrong, and who should check yours.
- What Is the Pelvic Floor? The Muscles, the Job, and Why You Cannot See Them
April 17, 2026
A sling of muscle closing three openings and holding the organs above it. What the pelvic floor does, and why an invisible muscle is easy to train wrongly.