Disclaimer

This article provides general information only and is not a substitute for professional healthcare advice, diagnosis or treatment.

 

Pelvic floor issues are far more common than most people realise – yet they’re still rarely talked about.

At Revolve Physio, we see women every week who say things like “I thought this was just normal” or “I didn’t know physio could help with that.”

The truth is, pelvic floor physiotherapy can make a significant difference to comfort, confidence and quality of life – at many different stages of life.

This guide explains what pelvic floor physio is, what it can treat, when to seek help, and what actually happens in an appointment, so you can feel informed and at ease.

What is pelvic floor physiotherapy? 

Pelvic floor physiotherapy focuses on the muscles, ligaments and connective tissue that support the bladder, bowel and reproductive organs.

These muscles play a role in:

• Bladder and bowel control
• Core stability
• Sexual function
• Pregnancy, birth and postnatal recovery

When the pelvic floor isn’t functioning well – whether it’s too weak, too tight, or not coordinating properly – it can lead to symptoms that impact everyday life.

Pelvic floor physios are specifically trained to assess and treat these muscles safely and respectfully.

 

What conditions can pelvic floor physio help with?

Pelvic floor physiotherapy can help with a wide range of concerns, including:

Bladder and bowel issues

• Leaking urine when coughing, sneezing or exercising
• Urgency or frequent trips to the bathroom
• Difficulty emptying the bladder or bowels 

Pregnancy and postnatal concerns

• Pelvic pain during pregnancy
• Abdominal separation
• Postnatal weakness or discomfort
• Returning to exercise safely after birth

Pelvic pain

• Pain with intercourse
• Persistent pelvic, hip or lower back pain
• Pain that hasn’t improved with general physio

Pelvic organ prolapse

• Heaviness or dragging sensations
• Changes in pelvic support
• Managing symptoms conservatively

Many women experience these issues quietly for years – but support is available, and improvement is often very achievable.

 

How do you know if you need pelvic floor physio?

You don’t need to wait until symptoms feel “severe”.

You may benefit from pelvic floor physiotherapy if you:

• Leak urine or feel urgency
• Avoid exercise due to fear of leaking or pain
• Feel pelvic heaviness or discomfort
• Have ongoing pain in the pelvis, hips or lower back
• Are pregnant or have had a baby and want guidance
• Feel unsure about how to safely return to movement

If something doesn’t feel quite right, that’s reason enough to seek advice.

 

What happens in a pelvic floor physio appointment? 

A common concern we hear is “I don’t know what to expect.”

Your comfort, consent and understanding always come first.

Your appointment will usually include:

• A detailed conversation about your symptoms, history and goals
• Education about how the pelvic floor works
• Assessment of posture, breathing, movement and muscle coordination

If an internal examination is recommended, it will always be explained first, is optional, and only performed with your full consent. External assessments can still provide valuable information, and we tailor care to what feels right for you.

There is no “one size fits all” approach – treatment is individual, respectful and paced appropriately.

 

Is pelvic floor physio painful?

Pelvic floor physiotherapy should not be painful.

Some techniques may feel unfamiliar at first, but treatment is always gentle and guided by your comfort. If something doesn’t feel right, we adjust immediately.

Our aim is to help you feel more comfortable and confident, not overwhelmed.

 

Pelvic floor physio during and after pregnancy

Pregnancy and birth place significant demand on the pelvic floor, and physiotherapy can be beneficial both before and after birth.

During pregnancy, pelvic floor physio can help with:

• Pelvic and lower back pain
• Preparing the pelvic floor for birth
• Maintaining strength and coordination

After birth, it can support:

• Recovery of pelvic floor and core muscles
• Managing bladder or bowel changes
• Returning to exercise safely
• Addressing pain or discomfort

Whether it’s weeks, months or years after having a baby, it’s never “too late” to seek support.

 

Do you need a referral?

No referral is required to see a pelvic floor physiotherapist.

If you’re using private health insurance, a rebate may be available depending on your level of cover. If you’re unsure, we’re always happy to help you check.

 

Why see a women’s pelvic health physio in Cairns?

Seeing a physio with specific training in women’s pelvic health matters.

At Revolve Physio, our approach is:

• Evidence-based and clinically focused
• Individualised – no generic exercise sheets
• Supportive, respectful and judgement-free
• Designed to fit real life, not just the clinic

We work with women across Cairns and surrounding areas who want practical, effective care they can trust.

 

If you’ve been putting up with symptoms you thought were “just normal”, help is available.

Pelvic floor physiotherapy isn’t about pushing through discomfort – it’s about understanding your body and restoring confidence in how it moves and functions.

If you’d like to book an appointment or ask a question, our team is here to help.

 

About Revolve Physio 

Revolve Physio is a locally owned and operated clinic in Cairns focused on clear communication, personalised care and movement-based rehabilitation. The team supports people across a range of physiotherapy areas, including general musculoskeletal concerns, sports-related strains, women’s health, paediatrics and post-injury recovery. Revolve’s approach is centred around helping people understand their bodies, build confidence in movement, and work towards meaningful goals in a friendly, supportive environment.

Disclaimer

This article provides general information only and is not a substitute for professional healthcare advice, diagnosis or treatment.