Working Together For GSM: Oestrogen & Physiotherapy
Genitourinary Syndrome of Menopause (GSM) can be defined as a collection of symptoms and signs associated with a decrease in oestrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder.
Clitoral Curiosity
Every day, we speak with people who seek our support regarding painful sex. Often their stories include fear, confusion and a poor understanding of the vulva, clitoris and vagina. Many people hold unhelpful beliefs and perceptions of what is and isn’t normal. As Pelvic Health Physiotherapists, part of our role is to educate, enlighten and empower individuals to develop a healthier perspective...
Trauma Informed Care In Pelvic Health
Trauma, neglect and attachment disorders are common and create behavioural, physiological and cognitive adaptations that impact daily function and health via the effects on the neurological, endocrine and immune systems. The experience of trauma can result in loss of trust, feelings of guilt and shame, a decreased sense of safety and loss of hope for the future. These changes can affect the way...
How Can We Ensure Competency Standards In Pessary Management for POP?
Pessaries are being increasingly utilised as a component of the biopsychosocial non-surgical management of Pelvic Organ Prolapse (POP), in addition to pelvic floor muscle training, lifestyle changes and topical oestrogen. It is vital that these treatments are provided effectively and safely following evidence based and competency assessed standards.
The Science of Lubricants
As pelvic health physiotherapists treating people with sexual pain and supporting them to improve their sexual health, we are often asked what lubricants we use for examinations and what we recommend for personal use. We thought that maybe you might be asked the same thing by your patients – and so decided to research lubricants. Here we share what we discovered and wrote for our patients in...
Remapping Exercises For Sensorimotor Dysregulation: The What & The Why
The concept of sensorimotor retraining gained national and international attention in 2022 when a group of Australian researchers found promising benefits of graded sensorimotor retraining on pain intensity in patients with chronic low back pain. Known as the RESOLVE¹ study, they used a framework that included graded, novel precise exercises which showed statistically significant improvements in...
Highlights From The 23rd Asia-Pacific Prostate Cancer Conference
The 23rd Asia Pacific Prostate Cancer Conference gathered almost 400 of the leading Australian and international Urologists, Oncologists, Pelvic Health Physiotherapists, Prostate Cancer Specialist Nurses, Urology Nurses and other health practitioners in this field together to share the most recent advances in research and treatment and learn about the improved management of prostate cancer. Shan...
A Paradigm Shift In Pregnancy-Related Pelvic Girdle Pain
The need for a biopsychosocial, whole person framework to manage low back pain and persistent pelvic pain has a strong evidence base and this is also slowly being acknowledged for Pregnancy Pelvic Girdle Pain. Based on this, at WMHP we have changed our approach to PPGP, however we are aware a strong biomedical bias in the diagnosis, language and management advice regarding PPGP persists.
Looking Outside The Pelvis In Persistent Pelvic Pain
According to the 2022 European Association of Urology Guidelines on Chronic Pelvic Pain, Persistent Pelvic Pain (PPP) is persistent pain perceived in structures related to the pelvis of either men or women. PPP can be further categorised as Chronic Primary Pelvic Pain, where there is no obvious pathology and Chronic Secondary Pelvic Pain, where there is specific disease or pathology associated...
Breathe For Pelvic Health
Whilst commonly overlooked, dysfunctional breathing patterns contribute to many pelvic health disorders. In our clinical practice, we regularly screen for and notice altered and suboptimal breathing patterns in people that have pelvic floor muscle (PFM) dysfunction (with increased OR decreased resting muscle tone), persistent pelvic and sexual pain as well as urinary and anorectal dysfunction.
An Endo Story
This article is a personal story written by one of our patients (she/her) with Endometriosis who asked if she could share her experience in both our patient and referrer blog. Her journey highlights the significant impact that a multidisciplinary health care team that communicates regularly can have on supporting people with Endometriosis. We value being included in this MDT and learning from...
The Truth About Lactation Disorders
Lactation disorders may be considered by many to be simple and straightforward, however, they are actually quite complex. The guidelines for diagnosis and management of these conditions is regularly being updated based on emerging evidence. We explore common misconceptions and truths that surround lactation disorders.
Pelvic Floor Muscle Training – Let’s Get It Right!
There is Level 1 evidence (recommendation A) that pelvic floor muscle training (PFMT) should be first line treatment for Urinary Incontinence (UI) and Pelvic Organ Prolapse (POP) in women. This high evidence base is only true in a clinical setting if PFMT is performed correctly and effectively.
Set Great Goals: Achieve Great Outcomes
Patient centered care is gaining momentum in the literature due to its positive impact on improving clinical outcomes, adherence and patient satisfaction. Characterised by considering the patient as a person, patient centred care utilises a biopsychosocial perspective, sharing power and responsibility and developing a strong therapeutic alliance1.
We Can All Support The Psychological Impact of Prostate Cancer
Almost one-third of men with prostate cancer will experience some form of psychological distress across the different stages of the disease and throughout the treatment spectrum.
What’s New in Male Pelvic Health? PPI + PPPS Updates
We see people with a range of pelvic health issues that impact those born with male genitalia and reproductive, urinary and ano-rectal anatomy. International Men’s Health Week 2022 aimed to increase awareness of mental health issues. A staggering 1 in 8 Australian men experience depression and 1 in 5 experience anxiety at some stage in their lives.
SUI and Athletes
Stress Urinary Incontinence (SUI) is defined as a complaint of involuntary loss of urine upon effort or physical exertion (eg, sport) or on sneezing and coughing and is often attributed to Pelvic Floor Muscle Dysfunction (PFMD). More and more, we are seeing that SUI as a major cause of reduced performance in female athletes. Why is this happening and how can we treat it?
Time To Re -Think Bladder Training?
Overactive bladder (OAB) is an idiopathic symptom-complex defined by urinary urgency (often with frequency, nocturia and incontinence) that appears to encompass multiple different underlying mechanisms. Despite support for behavioural therapy as first line treatment for OAB, the literature doesn’t address the specific impact of the cognitive aspect of bladder training. We need a better...
“My Vagina Is Broken” – Debunking Myths to Improve Sexual Pain
The inspiration for this article comes from one of our favourite books, “Come As You Are”, by Dr Emily Nagoski. In her book, Dr Nagoski pulls together years of research into women’s sexuality, relationships and wellbeing and shares an evidence based exploration of how female arousal, desire, autonomy, pleasure and orgasm works, and provides tools for women to create and sustain a fulfilling sex...
ICS 2021 Highlights
Shan, Leonie, Jane and Kathryn attended the ICS conference in October, which was held virtually this year. Associate Professor Helena Frawley, the original founder of Women’s...
Why You Should Consider Central Mechanisms When Treating Endometriosis
Recently, there has been an explosion of research into endometriosis associated pain and the influence of central mechanisms in the pain experience. Endometriosis-associated pain syndrome (EAP) is defined as “chronic or recurrent pelvic pain in patients with laparoscopically confirmed endometriosis”, and the term is used when the symptoms persist despite adequate endometriosis treatment.
POP and Exercise – Are We Too Cautious With Our Advice?
Traditionally, high impact exercise (including heavy weight lifting and running) has been discouraged in women with pelvic organ prolapse (POP). There is little research to support this, however, expert opinion hypothesised that high impact exercise results in significant increases in intra-abdominal pressure (IAP). This pressure may contribute to worsening POP symptoms by weakening the pelvic...
Adverse Childhood Experiences: Implications For Adult Health
Did you know that adverse experiences in childhood can have a big impact on health later in life? A landmark study in 1998 known as the ACE (Adverse Childhood Experiences) study followed over 17,000 participants, investigating the impact of emotional and physical trauma in childhood on physical and psychological health later in life. The results were overwhelmingly clear that childhood abuse and...
Impact of Gestational Diabetes on the Pelvic Floor Muscles
Gestational diabetes (GDM) is associated with increased incidence of pelvic floor dysfunction and urinary incontinence, both during pregnancy and post-natally. An interesting study was published late 2020 on this topic, exploring the effect of GDM on the pelvic floor muscles. 110 pregnant women with and without GDM were assessed with 3D ultrasound at 24-28 weeks and 34-38 weeks gestation, and...
The Link Between Sleep and Chronic Pain
Good sleep is hard to come by during this pandemic. The impossible juggle of work, kids at home, stress and isolation has challenged sleep for many. We know that poor sleep has a huge impact on many aspects of physical and mental health, and recent research also shows a relationship between sleep disturbances and chronic pain. According to Maslow, sleep is one of our basic physiological needs...
Treating Incontinence, Empowering Women
Urinary incontinence (UI) is a significant problem for Australian women. Affecting 1 in 3 women of all ages, this is an issue that needs to be taken seriously. When a woman is not able to control her bladder, it can affect her life profoundly. Women will often stop exercising, withdraw from intimacy, have reduced self-esteem, and avoid engaging in things they enjoy. Shockingly, a large population...
Stress, Anxiety & Pelvic Pain: A Challenging Combination
We have noticed a recent dramatic increase in pelvic pain presentations that appear to be triggered by higher levels of stress and anxiety during the COVID-19 pandemic. When a patient presents with chronic pain, it is no longer acceptable to view them through a narrow lens. More and more research now supports what we have long known, that chronic pain is driven by a sensitised nervous system....
Conservative Management of Prolapse
For women with pelvic organ prolapse, the lifestyle changes associated with being at home during COVID-19 are having a big impact on their symptoms. Women are home with their kids more, and doing heavier house and garden work. As the gyms and pools are closed, many have also turned to running or high impact online exercise programs, all of which are contributing. Given the strong evidence base...
Menopause, GSM And Painful Sex
Genitourinary Syndrome of Menopause (GSM) affects around 60% of post-menopausal women. It is characterised by vaginal dryness/discomfort and urinary issues, and often the first symptom is painful sex. Professor Beverley Vollenhoven, Head of Gynaecology at Monash Health, did a fascinating presentation on this topic at the 2019 ‘Let’s Talk Sex’ course run by the O...
FODMAPs: The Latest In Health And The Irritable Bowel
Irritable bowel syndrome (IBS) is the most common gastrointestinal disorder. Symptoms of bloating, abdominal pain and diarrhoea or constipation (or alternating) are frequent. These impact daily life, mental wellbeing, increase absenteeism from work/school and affect social activities.
Exercise: A Vital Part Of Cancer Management
Exercise is a vital part of cancer management. The benefits are not only physical. Exercise can improve mood, symptoms of depression, and also have an impact on the body’s immune system and chances of overall survival. The benefits of exercise in cancer are so widely supported that it is now recommended by the Clinical Oncology Society of Australia that exercise be a part of everyone’s cancer...
Explaining Pain Doesn’t Have To Be Painful
The research is now undeniable - educating a patient about the science of pain is an essential component of persistent pain care. Unfortunately, pain education is not easy and finding the right language is challenging for many health professionals. We know that education is therapy but just like all education, there is no one size that fits all. Everybody has a different story, different ways...
Let's Talk Sex
Life is complicated. Sex is complicated. Sex is profoundly influenced by everything that’s happening in our lives, and sex reciprocally influences what is happening in our lives. They are not separable. Many of the ideas that we develop about sexuality and our bodies begin with familial and socio-cultural beliefs, and the sex education we receive at school. Most of us went into puberty education...
New ‘Magic Pill’ For Treating Erectile Dysfunction
Erectile dysfunction affects up to 1 in 2 men. Current typical treatment options include medication and lifestyle modification. A systematic review published this year has found a new “wonder drug” for erectile dysfunction and premature ejaculation. This magic pill has no side effects, is affordable, and is easy to administer. And you will never guess what it is….. Pelvic Floor Exercises!
Is A Tight Pelvic Floor A Strong Pelvic Floor?
“Isn’t it good for my pelvic floor to be tight? Isn’t a tight pelvic floor a strong pelvic floor?” These are two questions we are often asked, and the answer to both is NO! More and more commonly we are diagnosing pelvic floor muscle overactivity as a contributing factor to bladder and bowel dysfunction, pelvic pain and dyspareunia. Shan and Leonie attended a workshop at the International...
How to Improve Life After Gynae Cancer
Gynaecological cancer is the third most commonly diagnosed cancer among women. Thankfully the survival rates are increasing, but, as a consequence, many women are now having to live with the adverse effects of treatment. These often include bothersome bladder, bowel and sexual dysfunction. Research and awareness in this area is improving, with Associate Professor Helena Frawley from Monash...
Case Study: LUTS following TURP
Anthony was referred to WMHP with incontinence and painful voiding 3 months after a transurethral resection of the prostate (TURP). This case study explores the complex and diverse aetiology of lower urinary tract symptoms (LUTS) and highlights the contribution of increased tension in pelvic floor muscles.
Endometriosis, No More Suffering In Silence
Endometriosis, a disease affecting 1 in 10 Australian women, is rarely spoken about but can have devastating effects on many aspects of a woman’s life. Thankfully, this should change, with the release of a National Action Plan (NAP) for Endometriosis, delivered by Health Minister Greg Hunt last year.
Fluid Intake And OAB: Less Is More!
Many health professionals endorse drinking 2 litres of water each day, despite a lack of scientific evidence to support this1. In patients with overactive bladder (OAB), excessive fluid intake is known to exacerbate urinary frequency and urgency. A new systematic review has just been published, investigating fluid intake and OAB, and the results are fascinating.
New Research On Vulvodynia Management
Vulvodynia affects 10-20% of women, and its prevalence is on the rise. It affects women across the lifespan, and its pathophysiology is still poorly understood. Associate Professor Melanie Morin, Canadian researcher and Pelvic Floor Physiotherapist, recently presented an update on Provoked Vestibulodynia (PVD) at the International Continence Society 2018 in Philadelphia. Her fascinating...
Case Study: Faecal Incontinence
Jill was referred by a Urologist to WMHP for management of Urgency Urinary Incontinence, but during subjective assessment disclosed that Faecal Incontinence was actually her most bothersome symptom. This case study highlights the absolutely devastating effect Faecal Incontinence can have on a person’s quality of life, and how a structured treatment program can cure this highly bothersome...
International Continence Society 2018 - Key Highlights
Leonie Yeap, Clinical Manager at WMHP, and I were fortunate enough to travel to Philadelphia, USA to attend the 48th annual meeting of the International Continence Society held in August. The meeting, attended by around 1500 delegates from across the globe, is a forum for researchers, clinicians and students to explore the latest research on urinary and faecal incontinence and pelvic floor...
Better Bowels With Rectal Balloon Biofeedback
Rectal balloon therapy is emerging as an exciting biofeedback tool to effectively treat a variety of benign anorectal disorders. Wald and co-authors recently published the American College of Gastroenterology Clinical Guideline: Management of Benign Anorectal Disorders1, and strongly recommended the use of biofeedback with rectal balloon therapy for treatment of defecatory disorders, chronic...
Case Study: Post Prostatectomy Incontinence
Fred was referred to WMHP with significant incontinence after surgical treatment for prostate cancer. This case study is a fascinating example of the complexity and diverse etiological factors which can contribute to post-prostatectomy incontinence, and explores Fred’s journey on the road to recovery of continence.
Faecal Incontinence: The Role Of Ageing And Gender
Faecal incontinence (FI) affects up to 1 in 5 Australian men and 1 in 8 Australian women. This is higher than the prevalence of diabetes (6%) and asthma (11%). Dr Danette Wright, colorectal clinical fellow, recently delivered a fascinating presentation at the Continence Foundation Australia NSW State Meeting, discussing the role of ageing and gender in FI. Males and females are both affected by...
Weight Loss: The "Wonder Drug” For Incontinence
Australians are getting fatter, with 7 in 10 Australian men, 1 in 2 women and 1 in 4 children now being overweight or obese. Unfortunately these numbers are continuing to rise. Dr Lucy Bates, Urogynaecologist at Westmead Hospital in Sydney, recently presented at the Continence Foundation Australia NSW State Meeting, exploring the relationship between obesity and incontinence, and what we can do...
Case Study: The Power of “Explaining” Pelvic Pain
Tracey was referred to WMHP with dyspareunia, vulvodynia, and pelvic floor muscle dysfunction following gynaecological surgery. This case study explores the impact of psychological and social factors on Tracey’s pain experience. It highlights the importance of following a biopsychosocial approach incorporating therapeutic neuroscience concepts when developing an effective treatment program....
PFD In Sportswomen: A Silent Epidemic
Urinary incontinence and pelvic floor muscle dysfunction are too often considered disorders of post-partum and postmenopausal women. However, recent research shows an alarmingly high prevalence of urinary incontinence among nulliparous female athletes – particularly in those participating in repetitive, high impact sports such as gymnastics, netball and running. Urinary incontinence in women...
New Treatment Option For OAB: TTNS
Professor Suzanne Hagen, Scottish pelvic floor research guru, recently delivered a key note address at the 26th National Conference on Incontinence 2017. She discussed Transcutaneous Tibial Nerve Stimulation (TTNS) as a treatment option for overactive bladder (OAB). The research base supporting this treatment technique is growing. A systematic review published this year concluded that TTNS can...
Prolapse: Treat Early For Best Results
Pelvic Organ Prolapse (POP) affects HALF of all parous women, however it is still surrounded by taboo. At the recent 26th National Conference on Incontinence, Professor Suzanne Hagen, Scottish Pelvic Floor research guru and international keynote, presented her soon-to-be-published Cochrane systematic review on conservative management of prolapse.
Stacey: A Case Study Of Post-Natal Urinary Incontinence
Urinary Incontinence after childbirth is a very common problem. However, too often it is dismissed by health professionals and women as 'normal', with a reminder to 'do pelvic floor exercises'. This case study highlights the complexities than can exist after childbirth, and the importance of a thorough subjective and objective assessment.
Incontinence: Worse Than Death!
In a recent study, 55% of people considered having bladder and bowel incontinence to be 'worse than death'. Being incontinent was rated higher than 'relying on a breathing machine to live' (50%), 'being bed-bound' (45%), and 'being confused all the time' (40%). This result is staggering, and highlights the stigmatisation of incontinence. Professor Adrian Wagg, Canadian Geriatrician, shared this...
Does Cranberry Work For Preventing UTI?
Urinary tract infections (UTIs) are incredibly common, affecting 1 in 2 women and 1 in 20 men in their lifetime. Twenty to thirty percent of women who contract a UTI will experience recurrence. A common treatment for recurrent UTIs is low dose antibiotic prophylaxis, however such treatment programs can lead to antibiotic resistance. The increase in antibiotic resistance has re-ignited interest...
Highlights from the Post Prostatectomy Incontinence Masterclass
A Post Prostatectomy Incontinence Masterclass at the Asia-Pacific Prostate Cancer Conference 2017 was convened by Shan Morrison and Rachel Heerey. The masterclass brought together experts in urology, pelvic floor physiotherapy, nursing, and psychology. We were very lucky to have such an expert faculty presenting on the day, including surgeons Mr Daniel Moon, Mr Peter Sutherland and Mr Homi...
Case Study: Increased Tension In The Pelvic Floor Muscles
Sonya was referred to WMHP for obstructed defecation and pain with bowel emptying. However, following a thorough biopsychosocial assessment, it emerged that Sonya’s main concern was dyspareunia. This case study explores the complex inter-relationships of bladder, bowel, and sexual function, and highlights the sequela of increased tension in the pelvic floor muscles (previously termed an “...
CPPS: The ‘Black Hole’ Of Men’s Health
Chronic Pelvic Pain Syndrome (CPPS) is only recently being recognised as the “black hole” of men’s health. It’s not well understood by health professionals and has a huge impact on men’s physical, emotional and social health and wellbeing. A holistic management approach is needed to address the complex influences of psycho-social factors as well as the biological ones.
Case Study: Provoked Vulvodynia
Provoked vulvodynia is one of the many chronic pelvic pain syndromes we see presenting in women. This complex and multifactorial condition has a significant impact on every aspect of the lives of these women who are often young. There is increasing evidence supporting a multi-disciplinary, biopsychosocial approach. This case study illustrates Physiotherapy best practice.
Hot Off The Press: The ICI Book
The recently published and highly anticipated 6th edition of the ‘International Consultation on Incontinence’ book highlights the very strong evidence base supporting pelvic floor muscle training as an effective treatment for many bladder and bowel disorders. Pelvic floor muscle training is Grade A recommended treatment for female urinary incontinence and pelvic organ prolapse.
10 Tips For Managing IC / PBS From Professor Curtis Nickel
Interstitial cystitis / painful bladder syndrome (IC/PBS) is a complex condition, and often difficult to treat. Professor Curtis Nickel, urologist and pelvic pain guru from Canada, was a key note speaker at the recent USANZ conference, and shared ‘10 Tips For Managing IC/PBS’. His overwhelming message, loud and clear, was that IC/PBS is a multi-factorial condition, and a multidisciplinary...
Exciting New Resource For Nocturia Management
Dr Wendy Bower, physiotherapist and researcher at Royal Melbourne Hospital, is leading a research team in Australia, Europe and Asia, investigating nocturia, its multifactorial aetiology, and how to most effectively treat it. They have developed a new screening tool TANGO, which aids the user in targeting the aetiology of nocturia and guiding individualised treatment.
Painfree Sex After Childbirth
Sexual dysfunction after childbirth is incredibly common, with nearly two thirds of women experiencing sexual problems six months after delivery1. Physical and psychosocial factors both play a role in its development. Unfortunately, only 15% of women with sexual problems reported discussing it with their healthcare professional1 which is very sad as it can be successfully treated!
Transperineal Ultrasound (TPUS): An Exciting Technology
Real time 2D transperineal ultrasound imaging is emerging as an exciting technique for both pelvic floor muscle assessment and training. Far superior to the transabdominal approach, it’s a valuable tool to use with patients before or after radical prostatectomy, prolapse, pelvic pain, obstructed defecation, or voiding dysfunction.
Understanding Urgency And Centralisation In OAB
There is an emerging body of research that supports the role of centralisation in patients with overactive bladder (OAB). Urgency is no longer considered a direct representation of detrusor overactivity, rather it’s a multidimensional sensory experience. This knowledge enables reconceptualisation of current first-line conservative treatments for OAB, with the potential to improve their efficacy.
The Importance Of Pain Science Education
Chronic pain is a huge health problem, and is expected to cost the western world as much as diabetes and cancer combined. Dr David Butler and Professor Lorimer Moseley have pioneered the understanding and treatment of chronic pain internationally and, luckily for us, they live right here in Australia and work at the University of South Australia. Their latest research tells us that...
The Evolution Of Bladder Diaries
I recently received an email from a referring GP asking for a copy of our bladder diary. This request made me think about the importance of bladder diaries because patients are typically very poor historians regarding their bladder function. Often their subjective history will be quite different from what is actually happening! Bladder diaries are an extremely useful diagnostic tool and...
Patient Adherence: The Key To Success
Patient motivation and adherence is the most important predictor of treatment success. The International Continence Society (ICS) acknowledges the importance of this and recently invited an expert panel to review the literature in this area and provide recommendations for research and clinical practice.
When Patients Don't Listen
A 2010 Harvard Medical School study showed that about 20 percent of first-time prescriptions are never filled. This means that 1 in 5 patients don’t follow their doctor's recommendations. This was reinforced recently when we received some feedback from a patient who had been struggling with bladder symptoms for two years. She was seeing both a urologist and gynaecologist and had been referred to...
A Small Muscle With Big Impact
When I first graduated from Physio I never imagined I would spend my career rehabilitating one small internal muscle and that it could be so interesting and rewarding! Pelvic floor disorders can impact social and physical activities, intimate relationships and workforce participation, leaving sufferers isolated, embarrassed and lacking confidence. Together we can help them.
PPI – The Benefits Of Prehab Pelvic Floor Training
Urinary incontinence is a common problem after surgery for prostate cancer and it has a huge impact on quality of life. Over 15 years ago, when we started seeing men post-operatively, there was minimal research and understanding of the contribution of the pelvic floor to the male continence mechanism. Since then we have learnt so much about how to optimise recovery of post-prostatectomy...