Women’s Health Physiotherapy

Women’s Health Physiotherapy

Our Women’s Health Physio

 

bo-profile

 

Bo Li

Bo Li is our women’s health physiotherapist who, since having her own children, has developed a passion in this special area of physiotherapy. Bo has completed extensive training in pelvic floor, pregnancy and postnatal care.

Pregnancy & Postnatal

+ Pelvic Girdle Pain- Sacroiliac Joint Pain, Pubic Symphysis Dysfunction
+ Abdominal Separation
+ Pregnancy rib pain, back pain, carpal tunnel syndrome
+ Real time ultrasound assessment for abdominal and pelvic floor function
+ Perineal tears, Caesarean scars
+ Abdominal support and pelvic belts
+ Postnatal rehabilitation – returning to exercise safely
+ Individualised pilates prescription / exercise class
+ Perineal Tears/Caesarean Scars

It is a blessed time to be pregnant but some people “lose their glow” due to pain that often comes with being pregnant. Some people or even other health professionals say it comes “with the territory”. But it doesn’t have to be.

With a thorough assessment, looking at posture, alignment and muscle function using real time ultrasound, treatment can be tailored to the needs of the individual.

Some people need that extra support from belts and taping of the body. This can be assessed to see if these are appropriate for optimal function.

Postnatally, it is important to come for a check up to ensure if there are any pelvic floor issues such as prolapse, incontinence as well as check for any abdominal separation. Returning to exercise safely is important to avoid excessive strain while the body is recovering from growing and carrying a baby. A tailored exercise program can be given to ensure your goals are met as efficiently and effectively as possible. Healing of perineal and caesarean scars can be assisted to ensure that muscles and pelvic floor function can be optimised.

We can treat blocked milk ducts and mastitis with therapeutic ultrasound. Looking at feeding posture and attachment is really important to help minimise these issues from coming back.

Pelvic Floor Pain

+ Dyspareunia
+ Vaginismus
+ Endometriosis
+ Pudendal Neuralgia
+ Trouble inserting tampons
+ Vulvodynia
+ Lichens Sclerosus

Some of the conditions listed above can be debilitating stopping people from doing their normal activities of daily life including being sexually active. Yet majority of people do not get support for these conditions. Many people with pelvic floor pain have sought medical help with no answers given to them often because the muscles and fascial system have not been considered. It may not always be the only cause of the pain but can be a significant contributing factor of the pain. They have often been told “it’s all in your head”. This is why a thorough assessment is required to give the best treatment possible to manage these painful conditions. It can also involve a team approach with other health professionals such as gynaecologists, psychologists, pain specialists and nutritionists which Bo is very comfortable at communicating with, to provide holistic care.

Bladder and Bowel Issues

+ Stress Incontinence
+ Urgency with or without incontinence
+ Bladder pain syndrome
+ Pelvic organ prolapse
+ Pessary fitting
+ Pre and post gynaecological rehabilitation
+ Neuromuscular electrical stimulation
+ Nocturia
+ Bed wetting

Bladder leakage is common BUT is not normal. Research has found that physiotherapy can make significant changes in the symptoms of incontinence, urgency and prolapse. If you are preparing for surgery, it is important to do pelvic floor exercises to help support your surgery and normalise your pelvic floor function to enable it to take on the loads of daily life. Some people need a little more support for their prolapse by using a vaginal prolapse pessary. This can be used in the postnatal period or peri or postmenopausal period. Especially, if you are trying to avoid or delay surgery. There are many types and sizes of pessaries and Bo can fit these in the clinic. There are all different sorts of equipment that can be prescribed to supplement your therapy such as electrical stimulation, pressure biofeedback and vaginal weights. Thorough assessment is required to see if these are appropriate.