Pelvic Floor Dysfunction Treatment in Richmond

Pelvic floor dysfunction is a muscular condition that can produce a wide range of distressing symptoms, from leakage and urgency to a constant ache deep in the pelvis. Because the muscles involved are hidden, many women assume nothing can be done. In reality, the pelvic floor responds extremely well to targeted, expert rehabilitation.

At Richmond Physiotherapy, our women’s health specialist assesses these muscles directly and builds a plan to restore their strength, coordination and relaxation.

happy female physiotherapist working with young

What Is Pelvic Floor Dysfunction?

The pelvic floor is a sling of muscles that supports the bladder, bowel and uterus and helps control continence. When these muscles become too weak, too tight, or poorly coordinated, the result is pelvic floor dysfunction. Symptoms commonly include urinary leakage, a frequent or sudden need to pass urine, and pain felt within the pelvis.

The condition affects women at every life stage, and it is rarely something that simply resolves on its own without the right guidance.

How We Assess and Treat It

A women’s health physiotherapist is able to examine the pelvic floor both externally and internally, which gives a far clearer picture than guesswork alone. From there, treatment is tailored to whatever the assessment reveals.

  • Pelvic floor muscle training: to retrain strength, endurance and the ability to fully relax.
  • Manual therapy: hands-on techniques to release tension and improve function.
  • Education and lifestyle guidance so you can keep managing symptoms confidently at home.
consultation of gynecologist doctor

Why Expert Assessment Matters

A pelvic floor that leaks is not always a weak one. Some women leak because their muscles are overly tight and cannot respond when needed. Prescribing strengthening exercises in that situation can make things worse. A direct, specialist assessment identifies what is actually happening so the right approach is used from the start.

Where to Find Us

Pelvic floor dysfunction is one of the most common reasons women are referred to our clinic. We are based at Lawton Gate House, 7 Hill Street, Richmond, TW9 1SX, a short walk from Richmond Station and easily reached from Twickenham, Kew, Sheen, Teddington, Kingston and Barnes.

Meet Our Women's Health Physiotherapist

Breanna Walker is our Women’s Health Specialist and a Chartered Physiotherapist, with advanced training in exactly this area of pelvic health.

She has completed the Australian Physiotherapy Association Women’s Pelvic Health Level 1 to 3 courses, which cover the internal and external assessment skills that make accurate diagnosis of pelvic floor dysfunction possible.

Originally from Brisbane, Breanna has helped many women resolve pelvic floor muscle dysfunction and regain control and confidence. She is registered with the Health and Care Professions Council under registration number PH154328.

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Frequently Asked Questions

An internal assessment often gives the most accurate diagnosis of the pelvic floor, but it is only ever carried out with your consent and is not essential for every condition.
Yes. For most women, a structured programme of pelvic floor muscle training, manual therapy and education is highly effective and avoids the need for surgical intervention.
Many women feel a difference within a few weeks of consistent training, though the full programme is tailored to your individual presentation and goals.