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Concern

Pelvic & Women's Health Treatment in Central London — Move and Recover With Confidence

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.

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Pelvic & Women's Health

The concern

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 pregnancy-related pelvic girdle pain (PGP) and low back pain, diastasis recti (separation of the abdominal muscles), and stress or mixed urinary incontinence. Across these, the evidence points firmly to conservative, exercise-led care first: NICE guidance on pelvic floor dysfunction (NG210) recommends supervised pelvic-floor muscle training of at least three months as the first-line treatment for stress and mixed incontinence, and antenatal MSK pain responds well to assessment, education, and a graded programme. Care here is one-to-one and external — coaching correct technique and progressing load around your stage and your goals. 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.

What drives it

  • Pregnancy — biomechanical and hormonal changes loading the pelvis, lumbar spine, and pelvic floor
  • Pelvic girdle pain (PGP) from altered load through the sacroiliac joints and pubic symphysis
  • Birth and the postnatal period — recovery of the abdominal wall and pelvic floor
  • Diastasis recti — separation of the rectus abdominis that reduces core control
  • Pelvic-floor muscle weakness or poor coordination driving stress or mixed urinary incontinence
  • Deconditioning and a too-fast return to high-impact exercise after birth

Common
questions

Can physiotherapy help bladder leaks after having a baby?

Often, yes. NICE recommends supervised pelvic-floor muscle training of at least three months as the first-line treatment for stress and mixed urinary incontinence, and most women improve with correct technique and a progressive programme. We coach the movement properly and build it into your wider recovery rather than treating it in isolation or jumping to anything more invasive.

Is exercise safe for pelvic girdle pain in pregnancy?

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.

Do you carry out internal pelvic-floor examinations?

Our care here is exercise- and education-led and external. Where an internal (intra-vaginal) pelvic-floor assessment is clinically indicated, 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.

When can I return to running after birth?

There is no single fixed date — it depends on your delivery, healing, pelvic-floor symptoms, and prior fitness. Current guidance suggests a graded return, often building from low-impact loading before higher-impact running. We assess where you are, give you the milestones to progress through, and adjust the plan as your strength and symptoms allow.

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Soho Physiotherapy • 111 Charing Cross Road, London WC2H 0DT

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Appointments typically available within 1–2 weeks