Pelvic health physiotherapist serving Tweed Valley and surrounds

The pelvic floor is a complex system that separates the interior of the body from the exterior of the base of the pelvis.

Pregnancy and childbirth, aging, surgery, illnesses such as cancer, and hormonal imbalances are some of the more common causes of pelvic conditions which can include but aren’t limited to:

  • Bladder and bowel increased toilet frequency, urine leakage, faeces leakage and constipation
  • Pelvic organ prolapse
  • Pre and post prostate surgery
  • Pain in the vulva
  • Pain during intercourse
  • Pre and post prostate surgery
  • Pudendal nerve pain

Our Services

During pregnancy, the woman’s body continually changes. The growing baby and hormonal changes can soften connective tissue impacting the distribution of load in the body. This can lead to pregnancy-related back pain, pelvic pain, pubic pain, pelvic floor load and increased strain in the bladder and bowel.

An assessment from a specialised pelvic health physiotherapist and engaging in a personalised program is shown to be a safe and effective way to decrease pregnancy-related joint pain, manage anxiety and depression, decrease post-partum dysfunction, decreased likelihood of gestational diabetes and improve sleep.

Before resuming a pre-pregnancy exercise regime, women must be assessed by a pelvic health physiotherapist and given clearance for body readiness to cope with load.

Rectus abdomen separation, pelvic floor muscle dysfunction, varied hormonal levels from pregnancy or breastfeeding, weight gain and repetitive lifting are all stressors that could strain the body and cause long-term, irreparable damage.

Not all conditions present symptoms initially. The strain can happen asymptomatically for a long time before symptoms like leaking urine or building and heaviness of the vagina become evident. It’s estimated that around one in three women experience leaking from the bladder during their daily activities post-partum.

There are three main levels of pelvic support: ligaments that hold the organs, fascia (connective tissue) that holds them in subdivided compartments and the pelvic floor that provides support from the bottom up.

A prolapse occurs when there is an alteration to these support systems and the pelvic organs (bladder, bowel, uterus) descend into the vaginal canal or in some cases,protrudes outside the vagina. 

Women have long endured the symptoms of urinary incontinence as a consequence of ageing or giving birth. A recent survey of women undertaking a gym program found that nearly 50% leak frequently during exercise and 80% had an occasional loss of urine during exercise.

Pelvic floor muscle training supervised by a qualified women’s health physiotherapist is proven as an effective way for women to regain control and means that women no longer have to ‘grin and bear’ urinary incontinence.

There are three types of urinary incontinence: stress incontinence, urge incontinence and mixed. They are more common with aging and affect both males and females. Come of the most common bladder complaints are increased frequency and sudden urgency to urinate.

In males, urinary dysfunctions are usually related to an enlarged prostate gland that can disrupt the normal flow of urine, or it is associated with the post operatory period after prostate surgery.

Pelvic pain can have great impact in an individual’s quality of life. It afects both males and females. Pelvic pain is experienced from the lower abdomen to the groin area. It can stem from the coccyx, sacrum, groin, vulva, endometriosis, pelvic floor muscles and nerves (pudendal neuralgia). Identifying the main cause of pain is detrimental to obtain longstanding relief. 

There are a number of complaints that can arise from intimacy. Lack of arousal, erectile dysfunction,  pain with penetration or during intercourse. Not only can they cause discomfort, but they can also lead to a strain on relationships.

Physiotherapy-lead intervention can help manage many symptoms that one can experience after or during cancer treatment. A personalised exercise program may help manage muscle tightness, improve loss of range of movement, improve sleep, reduce fatigue and improve overall quality of life. There are also a number of studies that have shown that being involved on a exercise program can also increase remission rates.

This includes general education and advice, manual lymphatic drainage and self-massage guidance, measuring the affected area and advice regarding compression garments.

Treatments

Your first visit to Renata involves a comprehensive initial assessment.

She’ll gain a thorough understanding of your history and conduct a movement and postural assessment, and pelvic floor muscle assessment.

The pelvic floor muscle can be assessed through vaginal examination, digital rectal examination or with the use of real-time ultrasound as indicated.

Treatment consists of addressing the main dysfunctions noted on assessment. The focus can be on pelvic floor muscle isolation and awareness, integration, automatisation and endurance or power.

There is often the need to learn to relax the pelvic floor muscles to gain flexibility (down train the pelvic floor) and improve its function.

Further interventions that are helpful when investigating and treating pelvic health conditions include:

  • Bladder diary
  • Bowel diary
  • Electrical stimulation
  • EMG
  • Breathing techniques
  • Bladder training

A hands-on approach, education and home exercises are all important components of treatment. Receiving a timely, specialised service for a specific program focused on your individual goals and requirements is extremely important for the success of treatment. Renata will guide, empower and support you to create or change daily habits to help you get back to doing what you love.

Pricelist

A hands-on approach, education and home exercises are all important components of treatment.

  • In-room initial consultation: $130 (allow one hour)
  • In-room follow-up consultation: $100 (allow one hour)
  • Home visits: $160 10 km radius of Tweed Heads South or 10 km radius of Mudgeeraba
  • Online consultation: $ 90
  • Pregnancy Package: $290 (instead of $ 330) **Three in-room sessions, see inclusions below
  • Five weeks PregMe workshop: Price available on request ***See inclusions below
  • Physio for two workshops: Price available on request 90-minute workshop suitable for mothers' group, antenatal classes, mums and bubs group. This is an interactive workshop delivered by Renata Asinelli, women's health physio

**First session is recommended around the second trimester for general education about the changing body that increases the load on the pelvic floor, abdominal wall, lower back and pelvis: One-hour assessment, exercise prescription and advice, posture education, considerations for pregnancy brace/ shorts, soft tissue release, joint release, sleep positions.

Second session is recommended at third trimester to prepare for birth: One-hour session, preparing for birth, assess perineum, exercise modification, early post-partum advice.

Third session is recommended at six weeks post-partum: One-hour session includes abdominal wall assessment, pelvic floor assessment, education, return to exercise and usual activities assessment

***1:1 physiotherapy assessment and five weekly group exercise and education classes. Themes discussed are pelvic pain, lumbar pain, pelvic floor, abdominal separation, immediate post-partum recovery.

Renata Asinelli

Pelvic health physiotherapist

Renata Asinelli is a dedicated pelvic health physiotherapist qualified in treating the causes and symptoms of all pelvic health conditions

Renata Asinelli is a dedicated pelvic health physiotherapist qualified to address the causes and symptoms of all pelvic health conditions. Based in Tweed Heads, Renata will recommend a correction program to manage the cause and symptoms of conditions associated with the pelvis, its structures and organs.

Renata is a pelvic health physiotherapist in the Tweed-Coolangatta area. With over 15 years’ experience as a physiotherapist, and eight years’ experience working as a pelvic health physiotherapist, Renata is completing a Postgraduate Certificate in Physiotherapy (Masters) with Major in Continence and Women’s Health at Curtin University. Renata is highly qualified, she puts patients at ease while diagnosing, treating and preventing short and long-term pelvic conditions.

For a discreet, comfortable pelvic physiotherapy service in a welcoming environment, contact Renata today for a no-obligation consultation.