Head2Toe Womens Health2024-12-16T12:28:21+00:00

You do not need to suffer in pain

Head2Toe Womens Health

We’re here to help with Pelvic Obstetric and Gynaecological Physiotherapy

We have Head2Toe Physio clinics in Surrey and West Sussex, and run specialist Womens Health Clinics in Dorking, Leatherhead, Crawley.

Womens health physiotherapy is a specialist area of physiotherapy encompassing any woman related problem. From pregnancy, to menopause and beyond, our specialist womens health team are here to discuss your needs, giving you a holistic approach to musculoskeletal disorders.

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6 simple questions to find out if we can help you?

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Six common symptoms associated with
women's pelvic health issues.
Find out if you need help...
...with a few simple questions.
Start Quiz
Pelvic Pain or Pressure: How much discomfort in the lower abdomen or pelvis do you get?
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Do you suffer from any of the following symptoms: involuntary leakage, urgency, frequent urination, or difficulty emptying the bladder?
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Menstrual Irregularities or Severe Cramps: Do you suffer from heavy, irregular, or painful periods might signal endometriosis, uterine fibroids, or hormonal imbalances?
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Pain During Intercourse: Do you feel discomfort or pain during sexual activity?
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Vaginal Bulging or Heaviness: Do you feel a sensation of heaviness, pressure or a bulge in the vaginal area?
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Bowel health: Do you have trouble with bowel movements, such as constipation, straining, loose stools or incontinence?
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Check Answers

Our expert team

At Head2Toe Physio, we have a growing Womens Health team. It’s become a real speciality in our clinics, where as well as self referrals, we take referrals from a host of local doctors , consultants, sports clubs and gyms.

Low Back Pain

Anna Watson

Anna Watson is a member of Pelvic Obstetric and Gynaecological Physiotherapy (POGP) and has over 15 years experience in women’s health physiotherapy.

As a mum of 2 and a trained Doula, she can empathise with her patients and can contribute enhanced skills to fully understand and implement the best management for her pregnant patients.

Working in women’s health for many years, she can see the emergence of a need to address the changes women undergo through menopause and a need to support this. She is passionate about enabling women to be the best they can be.

Disc Injury Back Pain

Evie Spreadbury

Evie Spreadbury is a member of Pelvic Obstetric and Gynaecological Physiotherapy (POGP) and has undergone specialist training for women’s pelvic health and gynaecological issues.

Evie has played high level sport and understands the changes a woman goes through throughout her life, and how this can impact the pelvic floor and the rest of the body. Evie has the right skills, knowledge and passion to empower you and improve your quality of life.

Common issues with pelvic problems

Low Back Pain

Pregnancy Related Pelvic Girdle Pain

Pregnancy-related pelvic girdle pain (PGP) is a common condition affecting up to 1 in 5 pregnant individuals. It refers to discomfort, pain, or instability in the pelvic region, particularly around the sacroiliac joints, pubic symphysis, and sometimes the lower back. PGP can vary from mild discomfort to severe pain, significantly affecting mobility and quality of life.

Disc Injury Back Pain

Urinary Incontinence

Urinary incontinence is the involuntary leakage of urine often caused by weak or tight pelvic floor muscles. There are different types of urinary incontinence: stress incontinence (leakage with increased pressure like sneezing, coughing or exercising) and urgency incontinence (also known as overactive bladder, with a sudden and intense urge to urinate). It affects individuals of all ages but is more common in women, particularly during and after pregnancy, as well as in older adults. Despite its prevalence, many people hesitate to seek treatment due to embarrassment or the misconception that it is an inevitable part of aging or childbirth.

Sciatica Back Pain

Pelvic Pain

Pelvic pain refers to discomfort or pain in the lower abdomen or pelvic region. It is often caused by reproductive conditions (e.g. endometriosis and pelvic inflammatory disease), muscle tension, vaginal prolapse, surgery, vulvodynia or bowel health. It can be chronic or acute, affecting daily activities.

Low Back Pain

Diastasis recti

Diastasis recti is the separation of the abdominal muscles, often as a result of pregnancy. This condition can result in a visible bulge or gap in the middle of the tummy muscles and may lead to weakness in core strength and stability. The problem of split abdominals has been linked with negative body image and quality of life, highlighting the importance of its impact in the post natal population.

Low Back Pain

Constipation

Constipation is characterised by infrequent, difficult or painful bowel movements. It can be caused by a variety of factors such as: poor diet, dehydration, pelvic floor dysfunction, hormonal changes, pregnancy, lack of physical activity or underlying medical conditions. Treatment often involves dietary changes, fluid diary, regular physical activity, home exercise programmes and manual therapy.

Low Back Pain

Menopause related dysfunctions

Menopause-related dysfunctions occur as hormonal changes affect various bodily systems. Common issues can include: urinary incontinence, pelvic pain, tendon pain, vaginal dryness, muscle atrophy, reduced libido and vaginal prolapse. Physiotherapy can help manage symptoms through pelvic floor muscle training, home exercise programmes, manual therapy, advice and education on lifestyle changes to improve function, comfort and overall wellbeing during the menopause.

Treatments we recommend for pelvic pain

Your Head2Toe Physio will carry out a thorough assessment, looking at what you can do, what you can’t do and whether there’s anything that should be of greater concern. Most pains resolve if dealt with sensibly. A combination of exercise therapy and manual therapy often proves helpful. Combined with a little education on what’s happening and why, things can often improve pretty quickly.

Our frequently asked questions about back pain?

What is womens health gynaecological physiotherapy?2024-12-16T12:20:08+00:00

Gynaecological physiotherapy focuses on treating conditions related to the pelvic floor, reproductive health, menopause related dysfunctions and women’s health issues. It helps with problems such as incontinence, pelvic pain, prolapse, and recovery after childbirth or surgery.

Who can benefit from womens health gynaecological physiotherapy?2024-12-16T12:21:15+00:00

It is beneficial for women experiencing pelvic floor dysfunction, urinary or bowel incontinence, pelvic pain, sexual dysfunction, or issues related to pregnancy, menopause, or post-surgical recovery.

What conditions can we treat?2024-12-16T12:21:48+00:00

Common conditions include:

  • Menopause related dysfunctions
  • Pregnancy related Msk pain
  • Post or pre-natal rehabs & pelvic floor
  • Bladder & bowel health (constipation, incontinence, frequency)
  • Urinary incontinence
  • Pelvic organ prolapse
  • Pelvic pain syndromes (e.g., endometriosis, interstitial cystitis)
  • Diastasis recti (abdominal separation)
  • Painful intercourse (dyspareunia)
  • Recovery from C-section or hysterectomy
What happens during an initial consultation?2024-12-03T10:06:26+00:00

The physiotherapist takes a detailed history of your problem and medical history, discusses symptoms, and may perform a physical examination, including an assessment of the pelvic floor muscles. This helps develop a personalized treatment plan.

What treatment techniques are used in womens health physiotherapy?2024-12-16T12:23:02+00:00

Techniques may include:

  • Pelvic floor exercises
  • Manual therapy (massage, mobilization)
  • Postural and core stabilization exercises
  • Education on bladder and bowel habits
Is womens health and gynaecological physiotherapy painful?2024-12-16T12:23:46+00:00

Most treatments are not painful. If discomfort occurs, the physiotherapist works with you to adjust techniques or exercises to ensure they are tolerable and effective.

Do I need a referral to see a womens health or gynaecological physiotherapist?2024-12-16T12:24:28+00:00

In many countries, we accept self-referrals, but some insurance plans might require it for coverage. Check with your healthcare provider or insurer.

Can womens health gynaecological physiotherapy help during pregnancy?2024-12-16T12:25:09+00:00

Yes, it can address issues like pelvic girdle pain, back pain, and incontinence during pregnancy and prepare the pelvic floor for childbirth.

How long does treatment take?2024-12-02T10:19:43+00:00

The duration varies depending on the condition and its severity. Some issues may improve within a few sessions, while others require longer-term treatment over weeks or months.

Are the treatments private and confidential?2024-12-02T10:20:28+00:00

Absolutely. All consultations and treatments are conducted in a private, professional setting with strict adherence to confidentiality.

Jon-Pierre Blazek, Personal trainer

When referring my clients, I want to make sure they’re getting the best service possible and with Head2Toe Physio I know they’re in very good hands. I have referred to Sam Bowden and his team in Dorking since 2009 and I find them to be extremely knowledgeable, approachable and professional. They are an extremely valuable resource for me and we work well together in improving clients throughout the rehabilitation phase, helping them to get back to being injury and pain free

Jon-Pierre Blazek, Personal trainer

Graham H

After hurting my back (I had 6 sessions to help me out. I was able to book an appointment that day taking advantage of the multiple sites available for treatment. I subsequently transferred to a site closer to home and) Alex helped me get an increased range of motion, reduce pain and do some strengthening. A good mix of hands on manipulation and exercises. Plus it is always nice to have a chat in a session. I highly recommend Head 2 Toe Physio. Thanks for getting me moving and pain free! Graham H

Graham H

Was greeted by Sam having been referred from work for a back problem. The root cause was identified with a comprehensive history taken and physical symptoms investigated. I was given the explanation of how a plan of treatment would help and the rough time scale of recovery I could expect. I was left feeling informed and reassured.

Jani N

I had very bad back pain and friends suggested I see a physiotherapist. Luckily I found Head to Toe Physio and booked an appointment, through their website. The Leatherhead clinic is in a great location and friendly environment. I had a fantastic experience with Anna who is a very nice person and a brilliant physiotherapist with huge knowledge. I was very satisfied from the first minute. She explained my problem, and what is most important-helped me fix my back! I can sleep well and do daily tasks again. I am very grateful for her for the good advice and exercise programs. I left the clinic happy after my last session and highly recommend Head to Toe Physio!

Jani N

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