Q and A with Toosie Bawden, our Womens’ Health Physiotherapist

What is Womens’ Health Physio?

Womens’ Health physiotherapy is the therapeutic treatment of all disorders relating to the pelvic girdle and the pelvic floor. Therapists are also know as Pelvic, Obstetric and Gynaecological Physiotherapists or Pelvic Dysfunction Physiotherapists if they deal in Men’s Health as well.

This would normally refer to a specialist physiotherapist who is trained in the both obstetric and gynaecological conditions as well as the musculoskeletal physiotherapy.

What sort of problems do you see?

  • Pelvic Organ Prolapse (POP)
  • Sexual Dysfunction
  • Urinary frequency/urgency
  • Incontinence
  • Voiding dysfunctions
  • Vagismus
  • Vulvodynia
  • Painful Bladder/ Interstitial Cystitis
  • Chronic Pelvic / Abdominal pain
  • Levator Ani Syndrome
  • Coccydynia
  • Diastasis Recti rehabilitation
  • Mastitis/cracked nipples
  • Pre Birth Preparation
  • Post Natal rehabilitation

When should someone come and see you?

At any stage you have a concern about your bladder, bowls or pelvic floor, or when you have pelvic/hip pain or where  any of the above symptoms are present. Normally post-natally I would suggest at 6 weeks where we can do the full check-up of abdominals and pelvic floor along with the plevic girdle assessment.  If you are prenatal, you can come at any stage of your pregnancy.

Do doctors know where and when to send patients?

Not all family doctors are aware of the benefits of Women’s Health Physiotherapy  although we are trying to change that. If you do have symptoms and they don’t suggest a referral, you can always ask them for it.

Is there different training for WH physiotherapy?

Womens health is a speciality of physio so we all have a degree in physiotherapy but then retrain via post graduate diplomas or courses into this specialist field.

What do you do in the treatment?

That depends on the condition but normally when we do an internal exam, we test the muscles for strength, endurance, range of movement to flag any movement dysfunction. We then test for tightness and strain in the muscle bellies themselves. Added to that we would always do an external pelvic girdle check, incorporating the ribs and abdominal functions.

Here is a testimonial we received for Toosie:

[testimonial client=”LB, Richmond”]“After discovering I had a prolapse, the consultant I saw suggested I see Toosie at Richmond Physiotherapy. Well, I had no idea what a womens health physio was or quite what they did as women don’t openly talk about the problems associated with a dysfunctional pelvic floor. I have to admit to dreading the first appointment as we ladies really don’t like ‘those’ examinations and I was feeling generally quite down about my situation. Toosie somehow managed to normalise the whole situation and I went from crying at our first session to having a great laugh with her and later joining her Pilates class to further reinforce the exercises she had taught me. My symptoms are much improved and I feel more confident about my condition. I wish such advice had been more available when I had my babies and would advise anyone post pregnancy to see a womens’ health specialist like Toosie. Obviously no-one else will be as good!!!!!!!!!!!!!:):):)” [/testimonial]


To find out more, please call 020 8332 1132 or email us.



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Lawton Gate House,
7 Hill Street, Richmond,
London, TW9 1SX

020 8332 1132