All sessions are completely confidential and involve initial questioning to ensure a thorough understanding of your history, concerns, and goals. An assessment using a mix of Real Time Ultrasound, external, and internal examinations will be done depending on what your main concerns are. You are in control of the process at all times and can direct what you are and aren’t comfortable with during the assessment and treatment. Margie believes in education throughout every step of the sessions so that you are fully informed and comfortable with the management plan.
Statistics indicate over 1 million New Zealander’s have continence issues, with 20% of these being men. Up to 80% of women will leak during pregnancy, and over 30% will continue to leak post-partum.
Incontinence is common, but not normal. It can be managed, if not fixed altogether. Margie will assess and help teach you how to use the correct muscles and daily habits to help you regain control.
Pelvic organ prolapse is referred to as the symptomatic dropping down of one or more pelvic organs. These can include either the bladder, uterus or rectum, or a combination. This is an uncomfortable symptom for many women, and there are many treatment options to consider.
Pelvic organ prolapse may occur following childbirth, during/post menopause, or as a result of chronic constipation.
Physiotherapy treatment for prolapse includes lifestyle changes, pelvic floor exercises and bowel/bladder management. We can also discuss the use of pessaries to support your prolapse and can refer you to an experienced provider to fit one if required.
Pre-natal checks of pelvic floor function, with advice and care for presentations of low back pain, pelvic girdle pain. Post-natal care for rectus diastisis, coccyx pain, recovery from caesarean section and episiotomies, urinary incontinence and urgency, with individually-tailored plans for return to exercise.
Pelvic floor muscle activation and endurance is essential to helping stay dry and in control pre- and post-prostatectomy. It can help improve recovery if a targeted pelvic floor muscle program has been implemented.
As women go through life we have changes in our hormonal profiles. The effects these hormonal fluctuations have on our mental and physical health can be significant. Margie has a special interest in helping you learn about your hormones and the role they play in each phase of our reproductive lives and how we can work with them.