long term pelvic pain that may be associated with:

• Endometriosis

• Polycycstic ovarian syndrome

• Painful menstruation

• Trauma

Pudendal neuralgia is a painful condition where the pudendal nerve is irritated or compressed. The pudendal nerve innervates both sides of the pelvis, supplying the perineum, rectum, clitoris, the vulva, labia and vagina as well as the sit bones. Common symptoms of pudendal neuralgia include "nervy," "burning" or "sharp" pain in any of these areas, on one side or both.

Symptoms can be aggravated by intercourse, orgasm, bowel movements, pregnancy, sitting on hard surfaces, and cycling.

Dyspareunia is pain in the vagina or lower pelvis, with penetration. Symptoms can be superficial or deep and they can happen before, during or after penetration, which may last for a prolonged period of time. Tampons or vaginal exams (Pap Test) may also be painful.

Dyspareunia can be due to many causes, including:

• Lack of lubrication/hormonal

• Vaginismus

• Vulvodynia

• Lichens sclerosis or other connective tissue/skin disorders

Including:

• Overactive Bladder

• Stress Urinary Incontinence

• Leaking

• Frequency

• Mixed Incontinence

• Bladder pain syndrome

• Interstitial cystitis

Including:

• Constipation

• Urgency

• Control issues

• Fecal and/or wind incontinence

• Rectal pain, or other bowel pain

When one of more of your pelvic organs; uterus, bladder, and rectum, drops lower in the pelvis, towards the vaginal opening, it is called a “prolapse.” You may feel it as a bulge or heaviness in your vagina. It can be achey and cause you issues with bladder, bowel and sexual function.

Assessment, management and pessary if required. Working with your gynaecologist if needed to support an outcome specific to you

PREGNANCY RELATED ACHES AND PAINS: including rib pain, hip pain, pelvic girdle pain, pubic symphysis pain, sciatica and SIJ discomfort.

BIRTH PREP & SKILLS: Physiotherapy can educate to help increase and maintain strength throughout your pregnancy. It can also provide you with tools to manage your labour and delivery. The aim is for more effective pushing and reduced risk of childbirth injury.

POSTPARTUM RECOVERY: Every postpartum body is different. From rebuilding your pelvic floor and abdominals to preventing pain and returning to intercourse. Physiotherapy can help you feel more confident in your self.

ABDOMINAL MUSCLE SEPARATION: (Diastasis rectus abdominis): This is common postpartum and can also be the result of overworking your abdominals. It’s never too late to repair abdominal muscle separation, but the earlier you access physiotherapy for it, the greater your outcome.

C_SECTION AND PERINEAL SCAR TREATMENT: Some scars may cause numbness, pain, and tightness. It is never too late to include physiotherapy management for your scar, but a newer scar responds faster to intervention. Find more information below.

MASTITIS & BLOCKED DUCTS: With breastfeeding comes the risk of clogged milk ducts or leaking of milk into the surrounding breast tissue which can lead to redness, swelling, and pain in the breast. This inflammation is known as mastitis and can result in infection and fever. Sometimes a lump can be felt where there is a blockage. Find more information below.

Coccydynia, or tailbone pain, usually presents as focused pain at the tailbone. It is intense, dull, and achy. It is usually aggravated by sitting, particularly on hard surfaces, standing up after sitting, standing for long periods of time, intercourse. Having a bowel movements can also be very painful as well.

Issues associated with hormonal changes including bladder dysfunctions, painful intercourse or prolapse symptoms. Physiotherapy can help to prevent the mild symptoms that may arise during perimenopause, which would often worsen in menopause.

Preparation and rehabilitation associated with surgery for

• Prolapse

• Endometriosis

• Hysterectomy

• Laparoscopy

• Fibroid

Self Physiotherapy is a welcoming clinic for transgender, nonbinary, and gender nonconforming patients.

You may be preparing for neovaginal and/or gender affirming surgery, recovering, or experiencing other pelvic floor issues. Whatever your concern, you’ll be treated and managed with specialised support.

Education, exercise and manual therapy to manage issues causing pain and restriction or loss of movement. May include massage, exercise programs, dry needling and/or taping.

Issues include, but not limited to:

• Carpal tunnel

• De Quervain’s Tenosynovitis

• Headaches

• Neck Pain

• Back Pain

• Shoulder Pain

• Hip Pain

• Knee Pain