Pelvic Rehabilitation Programme

Pelvic problems such as incontinence, urinary urgency, pelvic pain, prolapse and difficulties with intimacy are common. All may benefit from access to specialist pelvic rehabilitation services.  

In Ireland, at least 1 in 4 women, and 1 in 10 men, experience debilitating pelvic health issues. 

52% of Irish people believe urinary incontinence to be a normal part of the ageing process. IT'S NOT...And professional help is available. 

 

Children & Teenagers

1 in 7 school age children are incontinent during the day or night. Common issues might include overactive bladder, urinary frequency and urgency, giggle incontinence, stress urinary incontinence due to obesity and chronic coughing, as well as bedwetting. Due to the close functional relationship between the bladder and bowel, constipation and incontinence can often coexist.

 
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Pre-pregnancy

Pre pregnancy is an opportune time to prepare both physically and emotionally for the change a new baby will bring. This is the case whether someone is considering either starting or expanding their family. Strive clinic can help a mother-to-be work through a range of both physical and emotional issues surrounding pregnancy, childbirth and beyond.

 
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Pregnancy

Pregnancy places an enormous physical impact on all systems within a woman’s body. Changes within the musculoskeletal system leaves a woman vulnerable to low back and pelvic girdle pain, rib pain, carpal tunnel syndrome and pelvic floor dysfunction to name but a few.

 
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Post-pregnancy

High adherence to a strength training protocol and close follow up with pelvic floor muscle training during and after pregnancy can prevent and treat urinary incontinence. While diastasis of rectus abdominus muscle is a normal part of pregnancy, many are still abnormally widened after baby is born. Up to 1 in 20 women may still suffer from pelvic girdle pain up to 2 years after delivery.   

 
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Menopause & beyond

A decline in circulating oestrogen following the menopause causes atrophic change and may give rise to symptoms such as urinary frequency, urgency, nocturia, incontinence and pelvic organ prolapse. 70% of women relate the onset of urinary incontinence to their final menstrual period. These pelvic floor symptoms have also been found to be significantly associated with sexual dysfunction, including reduced sexual arousal, infrequent orgasm and painful sex.

 

 
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Men

Over 3,000 men in Ireland are diagnosed with prostate cancer each year. Over half of men who receive radiotherapy to their pelvic region report issues of maintaining a sexual relationship. Urinary incontinence is a common but rarely discussed problem among men. Frequent night-time urination can affect rest in men. Up to 1 in 10 men will suffer from pelvic pain at some time in their lives. 

 

WHAT TYPES OF ISSUES MAY BENEFIT FROM PELVIC REHABILITATION?

All of the above mentioned problems may benefit from access to a specialist pelvic rehabilitation programme. In particular, the following:

  • Female pelvic pain
  • Male pelvic pain
  • Urinary incontinence (leakage of urine with coughing, sneezing, laughing, exercise or sex)
  • Urinary urgency and frequency
  • Constipation or defecatory issues
  • Reduced bowel control with difficulty controlling stools or gas
  • Pelvic organ prolapse (a feeling of bulging or something coming down in the vagina)
  • Incontinence and pelvic issues relating to pregnancy and childbirth
  • Pain or difficulty having sex
  • Continence problems after prostate surgery
  • Bed-wetting and incontinence in childhood
 

IS PELVIC REHABILITATION COVERED BY PRIVATE HEALTH INSURANCE?

VHI, Laya Healthcare, Glo Health and Irish Life Health will reimburse you for many of our services such as physiotherapy, occupational therapy and speech and language therapy if you have an outpatient cover on your health insurance policy. Please check your policy for applicable excesses, terms and conditions.

 

NEXT STEPS

We want to provide you with the best care possible and this may involve working with the people currently providing your care. We are happy for you to refer yourself to our Pelvic Rehabilitation service by calling reception, or you can be referred by your GP, Consultant or other healthcare provider.

For complex medical conditions, we suggest you obtain a referral letter from your consultant, GP, or clinical nurse specialist including your medical history and treatments to date. This will help us to better understand your unique health needs and create a personalised programme of care. 

You are also welcome to contact us directly to book your appointment. With your consent, we are happy to contact your network of healthcare providers on your behalf to collect the medical information required to create your unique programme of care.

We currently also provide access to our Clinical Specialist Physiotherapist in Pelvic Rehabilitation via our secure online telehealth platform, Strive At Home. You can access advice from the comfort, privacy and security of your own home. 

Strive Clinic gives you access to an opinion you can trust and the expert care you deserve.

So take action on the health issues that are important to you and book your appointment today!