What is pelvic physiotherapy?

Physiotherapy is the assessment, treatment and management of physical conditions using physical modalities. It focuses on ‘levels of intervention’ – primarily what you can do to help yourself, and what the therapist can do to re-balance and restore function.  Pelvic physiotherapy aims to shift whatever imbalance is causing symptoms, thereby improving quality of life and general activity.

Why pelvic function?

The pelvis is complicated, with varied functional demands in one place. Many patients think of the pelvis in the context of bladder, bowel or sexual function. To others its all about the movement, or musculoskeletal function – this is particularly  true for sportsmen and women, and pregnancy-related pelvic girdle pain. This website aims to provide sufficient information for you to be able to identify if you have a pelvic problem that might respond to pelvic physiotherapy. It also seeks to reassure those who are apprehensive about the process and procedures involved.

Disclaimer:

Every sentence should begin with “As a general rule….”
No two patients are the same.

Although patterns, trends and signatures exist, all patients are unique and have their own (her)story and history.

If you have a problem where the doctors are saying “There is nothing wrong with you”, consider there might be nothing sinister or abnormal detected on medical testing, but there might be an imbalance in muscles, nerves, or even your behaviour. Get an assessment by an appropriately trained pelvic physiotherapist (Women’s Health and/or Men’s Health).

You can source a relevantly trained physiotherapist in your area by contacting the Women’s Health Physiotherapy Group, a special interest group of the South African Society of Physiotherapy.

Team:

Corina Avni pic3

Corina Avni M.Sc. B.Sc.(Hons) 
Registered Physiotherapist – special interest in Pelvic Function

Corina graduated with a B.Sc.(Hons) from University of Cape Town (UCT) in 1997 , and joined the brain-drain to the UK where she locumed in the NHS before getting a permanent post. She completed a postgraduate certificate in Women’s Health Physiotherapy at Bradford University in 2000-2001, before returning to South Africa. She has been practicing at Kingsbury Hospital since 2001, and has subsequently completed her M.Sc. at Stellenbosch University under the thesis titled “Pelvic floor muscle function during gait”. She serves as the pelvic physiotherapist for two local multidisciplinary teams:

She has particular interests in:

  1. chronic pelvic pain with multiple pelvic co-morbidity (everything going wrong all at the same time)
  2. pregnancy related pelvic girdle pain
  3. the role of weight-bearing on pelvic floor muscle function during gait (walking) and dynamic activities including sport
  4. the role of the hemi-pelvis during movement

She lectures nationally and internationally to physiotherapists, doctors and other medical and movement professionals. She has appeared on radio shows, and TV; and written multiple magazine and infotainment articles. She has contributed to local academic material (including books and pamphlets) on pelvic floor function and dysfunction.