Assessment
A full hour on your history and how your body actually moves. You leave with a working diagnosis you understand and a clear plan you can actually follow.
Pregnancy-related pelvic girdle pain, postnatal recovery, abdominal separation, and bladder symptoms are common, treatable, and not something to simply put up with. NICE recommends supervised, exercise-led care as the first-line approach: long before anything more invasive is considered. We deliver that one-to-one, in private rooms, across six central London clinics, antenatal through postnatal and beyond.
Overview
Pelvic and women's health covers the musculoskeletal and pelvic-floor changes that come with pregnancy, birth, and the years after. The common presentations are:
Across these, the evidence points firmly to conservative, exercise-led care first. National guidance recommends supervised pelvic-floor muscle training of at least three months as the first-line treatment for stress and mixed incontinence, and antenatal musculoskeletal pain responds well to assessment, education, and a graded programme.
Our women's health physiotherapy is one-to-one and external, coaching correct technique and progressing load around your stage and your goals, and it works hand in hand with our wider physiotherapy team for the low back and pelvis. Where an internal pelvic-floor examination or specialist obstetric, gynaecological, or continence input is indicated, we say so and help you reach the right clinician rather than stretching beyond our scope.
For a fuller explanation of the symptoms, the assessment, and what the evidence says about treatment, read our guide to pelvic floor physiotherapy and when to see a specialist.
Excellent
From 4 five-star Google reviews
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I had a fantastic experience working with Katrina as my physiotherapist. From the start, she was incredibly friendly and genuinely listened to my concerns. She adapted my rehab plan specifically to suit my individual needs and time frame, as I was preparing for a move and had a clear goal to be back playing football. Katrina not only helped me reach that goal right on time, but she also used a variety of techniques, including dry needling and massage, to relieve tightness in the surrounding muscles and support my overall recovery. Her attention to detail, encouragement, and tailored approach made a real difference in my progress. I would recommend her to anyone looking for a physio!
Katrina is outstanding. After struggling with a stubborn Achilles injury, she not only got me pain-free but back to running and sport. Her expertise in acupuncture, massage, and tailored rehab planning is second to none. On top of that, she brings great energy and conversation that make each session genuinely enjoyable. If you need a physio who combines real skill with a personal touch, Katrina is the one to see.
Great experience with Katrina. She helped me with a sprained ankle with a very doable and effective treatment plan. The exercises were not overcomplicated and easy to incorporate into my day to day life which meant that I actually did them and was able to recover within 5 weeks in time to do a tough mudder. Really easy to chat to! Would recommend.
Katrina was great with me! I had a hip injury and expected it to take ages to fix but with the exercises she gave me to do and acupuncture, it all went away quite quickly. I now have exercises I can do regularly in the future and knowledge on how to prevent. Great experience!
Pelvic girdle pain in pregnancy is common and treatable, and it responds well to hands-on care and specific exercise at any stage. You do not have to simply put up with it until the baby arrives.
The postnatal body needs a graded return to strength and activity. We build a plan around your recovery, your goals and the time you actually have, from the early weeks onward.
Separation of the tummy muscles is normal after pregnancy and improves with the right progressive exercise. We guide the loading that helps it recover rather than leaving it to chance.
National guidance recommends supervised, exercise-led treatment as the first-line approach for bladder symptoms, long before anything more invasive is considered. We coach the technique properly and build it into your wider recovery.
Care here is one to one, in a private room, antenatal through postnatal and beyond. Where a case calls for internal assessment or specialist input, we say so and help you reach an appropriately trained clinician.
Why it happens
Pregnancy, when your shape changes and hormones soften the joints, putting more load through the pelvis, lower back and pelvic floor
Pain in the pelvis itself, either at the back near the base of the spine or at the front over the pubic bone
Giving birth, and the months afterwards while your tummy muscles and pelvic floor recover
A gap down the middle of the tummy muscles after pregnancy, which leaves your core feeling weak
A pelvic floor that is weak, or does not switch on at the right moment, so you leak when you cough or exercise
Going back to running or other high-impact exercise too soon after having a baby
We work out what is really holding you back, then agree the plan with you before you leave.
Your first appointment runs a full 60 minutes: a detailed history, then a thorough examination of how you move, your strength, and the affected area. We explain what we find in plain English and agree a working diagnosis with you.
Treatment starts the same day, and you leave with the first exercises of a plan built around your goal.
Move well, move freely. That has been the idea since 1997. We settle the symptoms first, then rebuild the strength that stops them coming back, so you finish stronger than when you started.
You can book online directly, with no GP referral needed and same-week appointments across all six clinics. If you are using private health insurance, check your policy first: some insurers ask for a GP referral before your first session.
Everything is built around you. Whether the goal is a marathon or a comfortable commute, we find what is driving the problem, treat it, and build the strength that keeps the fix in place. Our aim is to get you better and give you the tools to stay better for the long term.
A full hour on your history and how your body actually moves. You leave with a working diagnosis you understand and a clear plan you can actually follow.
Hands-on care to settle symptoms and restore movement: joint mobilisation, soft-tissue work and dry needling where they genuinely help, in line with national guidance.
Progressive exercise that returns the strength, control and load tolerance your body needs for work, sport and everything in between. This is the part that makes recovery last.
A short home programme, sensible loads, and the habits that keep problems rare. Then we discharge you: we don't sell sessions you don't need.
Treatment approach
The dedicated women’s health physiotherapy service: one-to-one, exercise- and education-led care for pelvic girdle pain, postnatal recovery, diastasis recti, and pelvic-floor symptoms, the NICE-recommended first-line approach. Onward referral arranged where internal or specialist input is indicated.
See treatment detail →For the musculoskeletal side: pregnancy-related low back and pelvic girdle pain, manual therapy and a graded exercise programme address the lumbar spine, pelvis, and hips together, since pelvic-floor and MSK function rarely behave in isolation.
See treatment detail →FAQ
Often, yes. National guidance recommends at least three months of supervised pelvic floor training as the first thing to try, and most women improve once the technique is right and the programme builds properly. We coach the movement properly and build it into your wider recovery rather than treating it in isolation or jumping to anything more invasive.
Yes: pregnancy-related pelvic girdle pain responds well to assessment, education, and a tailored exercise programme, and staying active within comfortable limits is generally encouraged. We identify the movements and loads that aggravate it, give you strategies to manage daily activity, and progress a programme that keeps you moving through pregnancy as safely as possible.
Our care here is exercise- and education-led and external. Where an internal pelvic floor examination is the right next step, we tell you and ensure you see an appropriately trained pelvic-health physiotherapist or specialist. Please raise this when you book so we can plan your first appointment around the right clinician and setting.
There is no single date. It depends on your birth, how you are healing, your pelvic floor, and how fit you were before. Guidance suggests building back gradually, starting low-impact before you run. We assess where you are, give you the milestones to progress through, and adjust the plan as your strength and symptoms allow.
Get Started
Soho Physiotherapy • 111 Charing Cross Road, London WC2H 0DT
BookAppointments typically available within 1–2 weeks