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Pelvic health physiotherapy

The pelvic health physiotherapy team provides specialist physiotherapy management to women, men, non-binary people and children with bladder, bowel, prolapse, prostate cancer, sexual pain and dysfunction.


COVID-19 has changed the way we all work. We continue to provide the best pelvic health physiotherapy service we can, safely and in line with the requirements of Public Health England and Trust policies.

Some of our services are running differently and we are offering both a face-to-face and virtual service. We are also offering some of our classes virtually. Based on your referral, the physiotherapy team will advise the most suitable appointment for you.  If you are shielding or would prefer a virtual consultation please get in touch to let us know.

What we do

The pelvic health physiotherapy team provides specialist physiotherapy management to women, men, non-binary people and children with bladder, bowel, prolapse, prostate cancer, sexual pain and dysfunction. We also treat patients in pregnancy and postnatally with musculoskeletal conditions. We work in both outpatient and inpatient settings.

Outpatient services

Conditions treated:

  • Bladder dysfunction—urinary incontinence, overactive bladder and voiding dysfunction (difficulty emptying bladder)
  • Prolapse—pelvic organ prolapse and rectal prolapse
  • Bowel dysfunction—faecal and flatal incontinence and bowel evacuation disorders such asconstipation
  • Sexual dysfunction—pain with sexual intercourse and also erectile dysfunction
  • Prostate cancer—pre and post prostatectomy
  • Persistent pelvic pain—bladder pain syndrome, vaginal and/or vulval pain
  • Antenatal and postnatal musculoskeletal dysfunction including lower back and pelvic girdle pain, diastasis of rectus abdominis, as well as carpal tunnel syndrome and De Quervain's tenosynovitis

Some of the treatments we commonly provide:

  • Pelvic floor muscle retraining
  • Biofeedback 
  • Bladder and bowel retraining
  • Lifestyle advice
  • Manual therapy
  • Core strengthening exercises and postural advice for musculoskeletal conditions
  • Antenatal physiotherapy advice and education class 
  • Antenatal/postnatal pilates classes 
  • Antenatal hydrotherapy class 
  • Acupuncture

Your therapist will decide with you which treatment is most suitable for you.

Inpatient services

On inpatient wards we provide treatment and advice postnatally for women who are experiencing, or are at high risk of, pelvic floor dysfunction following delivery of their baby.

We hold daily classes on the postnatal ward for women following caesarean section. You will be invited to the class and be given more information about the class by the ward physiotherapist or midwives on the day.

We also provide advice to women on the gynaecology ward following gynaecology surgery.

Our team

Our team is led by Miti Rach, Clinical Lead Pelvic Health Physiotherapist. If you wish to contact the team, please use the phone number or email in the contact section.


To access our outpatient service you must be referred by your hospital consultant, GP or midwife. We do not accept self-referrals for one-to-one outpatient appointments.

If you are pregnant and are experiencing lower back pain and/or pain in the pelvis or hips you can self-refer into our 1-hour physiotherapy advice class which runs weekly on Thursday afternoons in the physiotherapy department. You must book in advance to secure a space in the class. For enquiries or to book onto the class please contact the Therapy Services Department.

Your appointment

Please arrive promptly for your appointments. If you miss an appointment or arrive late to the appointment you will be referred back to you GP.

Your first appointment will last up to 40 minutes and any follow-up appointments up to 25 minutes. At your first appointment we will ask you lots of questions about your symptoms to get a clear idea of your condition and how it is affecting your life, and to help us formulate an appropriate treatment plan. We may carry out an assessment which may include an internal examination with your consent, if necessary. Please be aware that all the therapists in our team are female.

It's also helpful if you bring a list of any medicines you're taking, along with details of any previous hospital treatment.

If you require an interpreter, please inform the administration team at least 1 week prior to the appointment. Unfortunately, we cannot use family members or friends as interpreters and if an interpreter hasn’t been booked we will not be able to continue with the appointment.


Chelsea and Westminster Hospital

Your appointment will either be in the Therapy Services Department on the Ground Floor at Lift Bank C or in Gynaecology Outpatients on the 1st Floor at Lift Bank B.
When you book your appointment you will be informed where your appointment will take place.

Please be aware that public transport to the hospital and the hospital car park can be very busy, so please allow plenty of time to get to your appointment. If you arrive late or miss your appointment due to travel problems we cannot guarantee that you will be seen, and you may be referred back to your GP.

Contact information

If you have any queries prior to your appointment, or wish to reschedule an appointment, please contact us on the number or email below. Please ensure you give at least 48 hours notice if you are rescheduling or cancelling your appointment. Our opening times are 8am–5pm Mon–Fri.

T: 020 3315 8404


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