Pelvic Floor Physiotherapy.
For women and men.
Private rooms. No judgement. Just Optimum Care.
You have probably been putting this off. Most people do. Pelvic floor problems are common, treatable, and nothing to be embarrassed about, but that does not make it easy to pick up the phone. We know that. And we want you to know something: you will not be the first person to feel nervous walking through our door for this appointment. You will not be the last, either.
Pelvic Floor Physiotherapy helps with bladder leakage, urgency, pelvic pain, prolapse symptoms, and recovery after surgery or childbirth. It is not just a women’s issue. Men experience pelvic floor problems too, particularly after prostate surgery. Continence Health Australia reports that over 7.2 million Australians live with some form of incontinence, and 71% of them are under 65. This is not an old person’s problem. It is a human one.
Our physiotherapists treat pelvic floor conditions across 12 clinics in NSW and Tasmania. Every assessment happens in a private room. Everything is explained before it happens. Nothing is done without your say-so.
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How to Funding
Pelvic Floor Physiotherapy
Pelvic Floor Physiotherapy is covered under several funding pathways, so cost does not need to be the thing that stops you. Medicare Chronic Disease Management (CDM) Plans give you up to 5 allied health sessions per calendar year with a GP referral. Your GP writes the plan, you book with us, and Medicare covers most of the fee. NDIS participants can access Physiotherapy under Improved Daily Living or Capacity Building, and our team handles the service agreements and reporting.
DVA Gold and White Card holders are covered for Physiotherapy with a GP referral. Private health insurance with extras cover lets you claim on the spot with our HICAPS terminal, no paperwork to take home. Not sure which funding pathway applies to you? Call us. We will sort it out before your first appointment so there are no surprises at the front desk.
Conditions We Treat With Pelvic Floor Physiotherapy
1. Stress Urinary Incontinence
Leaking when you cough, sneeze, laugh, or lift something heavy. It happens because the pelvic floor muscles are not strong enough to close the urethra under pressure. A Cochrane review of 31 trials found that pelvic floor muscle training can cure or significantly improve stress incontinence symptoms. Your physiotherapist teaches you how to activate the right muscles, because most people get it wrong when they try on their own. Then you build strength over 8 to 12 weeks with a structured home program.
2. Urge Incontinence and Overactive Bladder
That sudden, overwhelming need to go. Right now. Sometimes you make it. Sometimes you do not. Urge incontinence is different from stress incontinence because the problem is the bladder muscle contracting when it should not be. Pelvic Floor Physiotherapy uses bladder retraining, urge suppression techniques, and muscle coordination work to give you back control. Your physiotherapist will also look at fluid intake, caffeine, and timing patterns that may be making things worse.
3. Pelvic Organ Prolapse
A feeling of heaviness, dragging, or a bulge in the vaginal area. Prolapse happens when the pelvic floor can no longer support the bladder, uterus, or bowel in their usual position. It is more common after childbirth and menopause. Physiotherapy can reduce symptoms and slow progression through targeted strengthening, posture correction, and advice on safe movement and lifting. For mild to moderate prolapse, many women find that a structured pelvic floor program makes a real difference to how they feel day to day.
4. Post-Prostatectomy
Incontinence
5. Pregnancy and Postnatal Recovery
Pregnancy puts enormous load on the pelvic floor. Vaginal delivery stretches it further. Pelvic Floor Physiotherapy during pregnancy helps prepare the muscles for birth, and postnatal treatment helps them recover afterwards. Leaking after having a baby is common, but it is not something you need to accept as your new normal. Your physiotherapist assesses the pelvic floor, identifies weakness or overactivity, and builds a recovery program around where your body is right now, not where anyone says it should be.
6. Pelvic Pain
Not all pelvic floor problems are about weakness. Sometimes the muscles are too tight. Chronic pelvic pain, pain during intercourse, and conditions like vaginismus or persistent vulval pain can all involve an overactive pelvic floor. Physiotherapy for pelvic pain focuses on relaxation, desensitisation, and gentle manual techniques to release tension. It takes patience. Your physiotherapist works at your pace, and nothing happens without clear explanation and your consent first.
What a Pelvic Floor Physiotherapy
Appointment Actually Looks Like
Your First Appointment
This is the part most people want to know about before they book. So here it is, simply and plainly.
Your first appointment runs about 45 to 60 minutes. Your physiotherapist will start by talking. What is happening. How long it has been going on. What you have tried. What bothers you most. There is no rush. If you need a moment, you take it.
Assessment may include an internal pelvic floor examination, but only if you agree. It is always explained beforehand, you can ask questions, and you can say no at any point.
Some clinics use real-time ultrasound as an alternative way to assess pelvic floor function without internal examination. Your physiotherapist will recommend the best approach for your situation and your comfort.
From there, treatment typically involves learning correct pelvic floor muscle activation, a graded strengthening or relaxation program, bladder and bowel habit advice, and education on posture, breathing, and movement patterns that affect the pelvic floor. You will have a home program.
Follow-up sessions are shorter, around 30 minutes, and the frequency depends on your progress. Some people come weekly for a few months. Others come fortnightly and manage well between sessions.
Every appointment happens in a private room with the door closed. Your physiotherapist is experienced in pelvic health, and they treat these conditions every single day.
Whatever you are dealing with, they have heard it before. You do not need to be brave. You just need to show up..
A Multidisciplinary Team
All Under One Roof
Pelvic floor conditions do not always travel alone. Anxiety often sits right beside them, particularly around social situations. Pain conditions can affect sleep, mood, and daily function. Pregnancy and postnatal recovery involve the whole body, not just the pelvic floor.
At Optimum Health Solutions, our physiotherapists work alongside Exercise Physiologists, Occupational Therapists, Psychologists, and Dietitians. If your treatment plan benefits from input across disciplines, we coordinate that internally. One location. One team. Less running around for you.
Medicare Pelvic Floor Physiotherapy
A Chronic Disease Management Plan from your GP gives you up to 5 allied health sessions per calendar year. DVA Gold and White Card holders are covered with a GP referral. Private health insurance with extras cover lets you claim on the spot via HICAPS.
Pelvic Floor Physiotherapy Through the NDIS
If pelvic floor dysfunction affects your daily independence, your NDIS plan may fund Physiotherapy under Improved Daily Living. Think about what you are avoiding because of your symptoms: social outings, exercise, work, leaving the house without knowing where every bathroom is. Your physiotherapist writes functional goals around those specific tasks and tracks progress against them.
Reports are ready before your plan review. Self-managed, plan-managed, or NDIA-managed, we sort the admin. You just focus on the work.
Get In Touch
For All Appointments, Referrals, Questions And Feedback, Please Fill Out The Form Below
Referrer's Hub
Whether you’re a new referrer or you’ve used our services before, the Optimum referrers hub has all your needs. With one click you can make enquiries, make referrals and check all of our clinics’ service capacities.
Frequently Asked Questions
Is Pelvic Floor Physiotherapy embarrassing?
It is normal to feel nervous. Most of our clients say the anticipation was worse than the appointment itself. Your physiotherapist treats pelvic floor conditions every day. Nothing you say or show will surprise them. Everything is explained before it happens, you are in control the whole time, and the room is private. Many people feel relieved after their first appointment because they finally have a clear picture of what is going on and what to do about it.
Do men need Pelvic Floor Physiotherapy?
Yes. Pelvic floor problems are not only a women’s issue. Men can experience urinary leakage after prostate surgery, chronic pelvic pain, bowel control issues, and erectile dysfunction related to pelvic floor tension. The Australian Physiotherapy Association identifies pelvic floor training as a key part of recovery after prostatectomy. The assessment and treatment process is the same: private, respectful, and practical.
Do I need a referral for Pelvic Floor Physiotherapy?
No referral is needed if you are paying privately or using NDIS funding. If you want to claim through Medicare, you will need a Chronic Disease Management Plan from your GP, which gives you up to 5 allied health sessions per calendar year. DVA patients need a GP referral. Not sure which pathway fits? Call us and we will work it out before you book.
Will I need an internal examination?
Not necessarily. Internal pelvic floor examination is one assessment method, but it is not the only one. Real-time ultrasound can also assess pelvic floor function externally. Your physiotherapist will explain the options and recommend the most appropriate approach for your condition. You always have the right to decline any part of the assessment. Your comfort and consent come first.
How long does Pelvic Floor Physiotherapy take to work?
Most people notice changes within 6 to 12 weeks of consistent pelvic floor muscle training. Strengthening muscle takes time, the same way it would at the gym. Your physiotherapist sets realistic expectations based on your specific condition and starting point. Some conditions respond quickly. Others take longer. The key is consistency with your home program between appointments.
Can Pelvic Floor Physiotherapy help during pregnancy?
Where We Offer Pelvic Floor Physiotherapy
We aim to respond to all enquiries within one business day. If you need to speak with someone now, call us on 1800 678 647.
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