PELVIC HEALTH PHYSIOTHERAPY

Wandsworth Town Osteopathy is proud to collaborate with Jennie Hughes of FourTherapy, offering specialist women’s and men’s pelvic health physiotherapy of the highest standard.

Pelvic health physiotherapy focuses on the assessment and treatment of conditions affecting the pelvis and pelvic floor in both men and women. Whether you’re experiencing incontinence, prolapse, pelvic pain, constipation, or other related concerns, targeted physiotherapy has strong evidence to reduce, and often resolve, these symptoms.

Pelvic health issues can arise at any stage of life. Jennie Hughes, our specialist pelvic health physiotherapist, has extensive experience supporting women from pre-conception, throughout pregnancy, post-natally, through menopause, and beyond. Her approach is patient-centred and collaborative, tailoring treatment plans to each individual’s goals and lifestyle.

With a strong background in musculoskeletal physiotherapy and Pilates, Jennie integrates her skills to support both ante-natal and post-natal women, as well as men, with pelvic floor dysfunction. She is particularly passionate about helping women return to exercise safely and confidently after childbirth.

Bladder Health

Around one in three women experience bladder symptoms at some point in their life, and pelvic floor physiotherapy can significantly improve them. Jennie supports patients with stress or urge incontinence, overactive bladder, urinary frequency or urgency, pain when urinating, nocturia, incomplete emptying, recurrent UTIs, and Bladder Pain Syndrome (BPS).

Bowel Health

Bowel concerns are more common than people realise, affecting around one in twenty individuals. Jennie works with patients experiencing faecal or wind incontinence, constipation, bowel urgency, faecal staining, pain with bowel movements, anal pain, incomplete emptying, and abdominal discomfort related to constipation.

Pregnancy

Pregnancy brings major physical changes, some of which can benefit greatly from physiotherapy. Common symptoms include pelvic girdle pain, back or rib pain, hip or groin discomfort, sciatica, pelvic floor symptoms, difficulties exercising safely, incontinence, and feelings of prolapse or vaginal heaviness.

Postpartum

Although the body is designed to heal after birth, persistent symptoms often need support. Jennie treats musculoskeletal pain, sciatica, abdominal separation (RAD), urinary or bowel incontinence, prolapse, and birth injuries or tears. She also provides scar management for episiotomy, perineal tears, and C-sections, and guides safe return to exercise and sexual activity.

Menopause

Hormonal changes during menopause can influence pelvic floor function in many ways. Symptoms may include leaking urine, urgency, nocturia, recurrent UTIs, bowel urgency, constipation, wind incontinence, vaginal dryness, painful intercourse, pelvic pain, and prolapse.

Pelvic Organ Prolapse

Prolapse occurs when the bladder, bowel, or uterus lose support and descend into the vaginal space. Jennie frequently treats cystocele, urethrocele, uterine prolapse, enterocele, and rectocele.

Men’s Pelvic Health

Pelvic health issues also affect men, with urinary incontinence impacting up to one-third of older men. Jennie supports men with bladder and bowel control concerns, nerve entrapment, pelvic pain, IBS, prostatitis, coccydynia, erectile dysfunction, and recovery after prostatectomy.

Pelvic Pain

Chronic pelvic pain—lasting six months or more—affects around one in six women. Jennie treats pain related to vaginismus, vulvodynia, vestibulodynia, dyspareunia, pudendal nerve irritation, interstitial cystitis/BPS, coccydynia, IBS, endometriosis, and scars following childbirth or gynaecological surgery, as well as pain associated with lichen sclerosusor lichen planus.