Women’s Health

Women’s Health 2017-05-31T21:15:56+00:00

Gemma has many years experience of working with pregnant and postnatal ladies and ladies suffering from pelvic floor related problems, both in the NHS and privately. She has led antenatal classes, active birthing classes, postnatal exercise classes and classes for ladies who have had 3rd or 4th degree tears. Gemma has worked on maternity wards with ladies with severe pregnancy related pelvic girdle pain and on delivery wards, seeing ladies once they have given birth to teach tummy muscle and pelvic floor exercises and give postnatal advice and information. Gemma now works on a 1:1 basis assessing and treating ladies with a variety of Women’s Health problems.

Gemma has close links with both NHS and Private Consultants locally so can refer you on if she feels you would benefit from seeing a consultant. She also works closely with a handful of specialist post-natal trained personal trainers, exercise instructors, Pilates and yoga instructors so can recommend a safe return to exercise when appropriate.

Gemma has received some excellent feedback from her clients but there is common theme and that is ‘I wish I had known about this sooner’. Gemma would encourage you to seek help sooner rather than later as often these conditions are far easier to treat the quicker you start to do something about them.

Common Symptoms

If you are suffering from any of the below, get in touch to find out how Gemma can help you.

  • Pregnancy related pelvic girdle pain (low back pain, sacroiliac joint pain, pubic bone joint pain, hip pain, groin and inner thigh pain, leg pain and buttock pain)
  • Morning sickness

  • Bladder weakness (going to the toilet more often, rushing to get to the toilet on time, getting up during the night to go to the toilet)
  • Stress incontinence (leaking from your bladder or bowel when you laugh,coung, sneeze, run or jump)
  • Urge incontinence (not making it to the toilet on time)
  • Constipation
  • Pain or sexual dysfunction

  • Prolapse

  • Tummy muscle separation

  • Pelvic floor weakness

  • Not sure if you are exercising you deep tummy muscles or pelvic floor correctly and need guidance

  • Needing advice on returning to exercises after having a baby or other gynaecological surgery

The initial assessment is one hour. It is completely confidential. Gemma asks a lot of questions at the initial assessment including questions about your problem, when it started and any treatment you have had so far. She will ask about your past medical history and any medication you may be taking. The better Gemma can understand your condition, the better she is able assess and treat it.

The assessment and treatment given will vary depending on the assessment findings but may include:

  • Early advice and education

  • Safe and functional exercise prescription for tummy muscles and pelvic floor

  • Soft tissue massage/release and joint mobilisations

  • Pain relief including ice/heat and acupuncture

  • Acupuncture for Hyperemesis (morning sickness)

  • Kinesiology tape

  • Tubigrip for tummy muscle support

  • Bladder retraining

  • Fluid/diet intake advice

  • Assess diastasis rectus and linea alba tension both by palpation and ultrasound imaging

  • Use of real time ultra sound scanning as a biofeedback tool

  • Kinesiology taping

  • Diet/nutritional advice

  • Safe exercises for the tummy muscles and pelvic floor

  • Postnatal advice and education

From 6 weeks postnatal

  • Assess pelvic floor strength and function by performing a digital vaginal examination and/or ultrasound imaging

  • Teach correct pelvic floor technique and advise on a tailored exercise programme based on assessment findings

  • Treat pelvic floor dysfunction (including urinary and faecal urgency, urinary and faecal stress incontinence, increased frequency and prolapse) using real time ultrasound scanning as visual biofeedback, Biofeedback using a vaginal probe and pelvic floor muscle stimulation if needed

  • Progression of pelvic floor muscle exercises/core synergy to then get the pelvic floor working whilst performing functional movement patterns that new Mums need to be able to do in daily life, such as bending, lifting and squatting as the lady progresses

  • Treat tummy muscle separation by instructing on safe, functional exercises progressing as able so that the client is strong enough to cope with the demands of motherhood and progressing back to sport and exercise as needed

  • Scar massage (perineal or C-section)

  • Ultrasound to aid in scar healing

  • Pelvic floor down training/massage/release for hypertonicity

  • Bladder diary and bladder retraining

  • Bowel/diet advice

  • Advice and education

What is a Mummy MOT?

The Mummy MOT is a specialist postnatal assessment recommended for all women following delivery – whether 6 weeks or many years after. Already part of every new mother’s standard postnatal rehabilitation in France, trained specialists assesses the strength and function of the tummy and pelvic floor muscles to help prevent long-term childbirth related complaints.

What does the Mummy MOT include?

  • 1-hour postnatal assessment with a Specialist Postnatal Physiotherapist

  • In depth check of pelvic floor strength and tummy gap

  • Assessment of any physical problems arising from pregnancy and birth

  • A bespoke post-natal recovery programme devised especially for the patient, their lifestyle and fitness goals. This includes specific and safe postnatal exercises to improve stability, posture and core strength

  • Cost: £80 including assessment and recovery programme. Follow ups £60/£40 for 45/30 minutes.

Who needs a Mummy MOT?

Everyone! After having a baby, half of all women have a weakness in either their tummy or pelvic floor area – over a third suffer with chronic pelvic pain. This creates instability and poor core strength and results in altered transfer load, back pain, pelvic pain, bladder and bowel weakness.

A Mummy MOT helps women avoid these distressing and often embarrassing symptoms. Having an assessment by Gemma our trained Mummy MOT practitioner of your tummy gap and pelvic floor will enable the creation of a bespoke postnatal recovery programme plan devised especially for you, your lifestyle and fitness goals, including specific and safe postnatal exercises to regain stability and optimum function.

Oh my god I wish I had done The Mummy MOT 5 years ago. My back pain has gone and my tummy gap is slowly improving
FS

I would highly recommend The Mummy MOT. It is the most comprehensive assessment and advice session I have ever had.

EW

Five years after my son’s birth I still couldn’t get rid of my ‘mummy tummy’. The MOT tummy gap exercises have made a real difference – more than anything else I’ve tried.

EM