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Pelvic floor clinic

(male and female patients)

Pelvic floor rehabilitation is for individuals who are suffering with dysfunction and /or chronic pain of the pelvic floor. Symptoms such as pressure, pain, cramping, muscle spasm, burning or stabbing pain can be treated with emphasis on using therapies effective to each individual's symptoms. Conditions such as pudendal neuralgia, pelvic floor myalgia, suprapubic discomfort, perineal discomfort or pain, groin discomfort, irritable bowel, urinary urgency / frequency, are once diagnosed and considered suitable treated with appropriate therapies. These include Trigger Point Release (which aims to ease areas of tension within the pelvic floor muscles), neuromodulation, acupuncture, manual therapy, exercise programs and individual treatment goals.

Pelvic Floor Rehab is offered for the treatment of:

  • Pelvic girdle pain and/or chronic Pelvic pain
  • Pelvic floor injury or pelvic organ prolapse
  • Fertility Issues
  • Pudenal neuralgia
  • Interstitial Cystitis
  • Trigger Point Therapy
  • Incontinence
  • Overactive bladder
  • Urinary/Fecal
  • Disorders of the bowel
  • Disorders of the gut - ie. Constipation
  • Anismus
  • Digestive Disorders - IBS, Crohns, Colitis
  • Diastasis of the Rectum Abdominus MS (separation of the abdominal muscles)
  • Prostatitis


(for pain and continence)

Neuromodulation techniques are used for treating individuals who suffer from persistent pain specifically in the area of bowel and bladder dysfunction and incontinence. The treatment uses electrical stimulation to the tibial or pudendal nerve for a 30 minute duration to induce learning changes in the nerve and alleviate symptoms. This technique is aimed at alleviating lower urinary tract symptoms, especially in patients with over active bladder and symptoms of faecal incontinence. This treatment is directed towards nerve stimulation so it can be an alternative to medication or surgery. Therapy is applied via electro-acupuncture or via percutaneous stimulation using the PC Uroplasty unit.

Continence management

(urinary and fecal)

Continence management is ideally suited for individuals who suffer from persistent pain and / or discomfort specifically in the area of bowel and bladder dysfunction. For the treatment of stress incontinence, over active bladder, faecal incontinence, constipation and irritable bowel syndrome. Using physiotherapy, exercise therapy, bowel training and neuromodulation techniques, individuals can take control of their symptoms resulting in improved quality of daily functioning.

Urogynaecological conditions

(prolapsed, incontinence, overactive bladder syndrome, interstitial cystitis, pelvic pain)

Treatment is for individuals with conditions such as pelvic floor disorders, prolapse of the uterus, heavy periods, cystitis, overactive bladder and stress incontinence. These can be caused by a variety of factors such as pregnancy, childbirth, sports injuries, menopause, familial history, smoking and prior surgery. Once the history, assessment, and physical examination have been conducted the next step is to decide on further testing. Treatments include electrical stimulation (neuromodulation) therapy which is designed to normalise bladder nerve signals and is based on approaches described in traditional Chinese Medicine. Behaviour therapy programs, manual therapies and exercises can create vast improvements and assist with return to normal functioning.

Men's Health

(post prostateceomy, prostatitis, pelvic pain)

Treatment is for the improvement of conditions such as bowel and bladder dysfunction, post prostatectomy incontinence, sexual dysfunction, injuries from physical work. Therapy can incorporate physiotherapy, acupuncture or neuromodulation either via subcutaneous or percutaneous applications. A detailed history - subjective and objective is undertaken before treatment prescription is applied. Therapy is conducted in accord to NICE guidelines and validated clinical research.


Treatments are tailored according to patients needs. Initially, a full assessment is made involving patients personal history and thereafter a comprehensive assessment by therapists. If required report of treatment and assessment will be forwarded to General Practitioner and or Consultant.

Dry Needling

A technique classified by World Health Organisation as an acupuncture technique is whereby the practitioner uses acupuncture, sterile needles to relieve myofascial pain or Myopain syndromes as present either as musculo-skeletal/ sports injuries or as a result of arthritic conditions i.e. osteo and rheumatoid arthritis or specific conditions as in the case of fibromyalgia. Recently the use of dry needling has commenced for pelvic pain or treatment of localised pain in the form of vulvodynia, pudendal neuralgia/entrapment/neuropathy. Presently Sylvia is reviewing the use of dry needling in the management of myofascial dysfunction in cases of urinary dysfunction in male patients post-prostatectomy who have undergone radiotherapy who experience an increase in voiding and or urinary dysfunction.


Acupuncture involves the insertion of extremely fine pre-sterilised needles at predetermined points on the bodys surface to restore health. Acupuncture is an ancient medical system used to diagnose, treat and prevent disease and improve well being. It centres on physical, psychological, emotional or spiritual problems. Having originated in China over 3,000 years ago, acupuncture has been embraced worldwide due to its proven effectiveness.

Commonly treated ailments at CPAC include:

  • Pain - Back, Pelvic Girdle, Neuralgia, Muscular
  • Continence
  • Fertility
  • Neurological Conditions - ie. Multiple Sclerosis, Parkinsons
  • Sports Injuries - Sprains, Hamstring Injuries

Bowen Therapy

An Australian osteopathic technique used to improve blood and lymphatic flow used in the management of respiratory, musculo-skeletal and neurological conditions- most particularly helpful as an adjunct to other therapies.

Rehab following Surgery: post orthopaedic surgery, post mastectomy or generalised rehab clinic provides facility of fully equipped gymnasium to allow patient undergo full rehabilitation after surgery. Programmes specific to the patients needs are constructed using computerised programmes in conjunction with gym programmes tailored to an individuals needs.

Orthotic prescription

Orthotics - devices placed in the shoe to encourage correct alignment of the foot. Misalignment of the foot causes imbalance in posture and places stress on parts of the foot and rest of the body leading to symptoms such as: foot pain, arch or heel pain, leg & knee pain, lower back pain, bunions & blisters, toe deformities and calluses & corns.

The correct prescription of orthotic at the right time is important in the management of certain conditions. There are many types of orthotics available ranging in price, foot control and material used to provide comfort and support as needed. A comprehensive assessment where the persons individual lifestyle and demands are taken into account. In the clinic patients are assessed and if necessary a cast taken (plaster of paris) and, following assessment and measurements with tractograph and musculo-skeletal assessment, casts are forwarded to a podiatric laboratory for construction of devices pertinent to a patients requirements.

Treatment of back/neck pain

A physiotherapist plays a big role throughout all stages of back and neck pain. Initially, it is imperative for the physiotherapist to identify a patient with a serious spinal pathology and refer them to the appropriate specialist. A physiotherapist is well placed to recognise patients who are developing psychosocial barriers to recovery, provide reassuring advice, explanation and education and encourage early return to daily activities. In the advanced stages, physiotherapists are well positioned to provide intensive rehabilitation interventions like exercise and manual therapy.

Treatment techniques used for neck or back problems are in accordance with careful assessment. The clinic is equipped with electrotherapeutic modalities (ultrasound/interferential/LASER) and the option of traction in alleviating pain and promoting healing. In addition, the use of manual therapy, acupuncture and individualized exercise programmes facilitate improved functional movement of the spine and strength of relevant muscles. Time is given for education and implementation of preventative measures to further problems.

Treatment of musculoskeletal/arthritic conditions

The clinic offers thorough personalised care to the individual where assessment of musculoskeletal conditions sustained through injury (e.g. sports, fall), trauma (e.g. road traffic injury) or overuse can be used to guide treatment and management in order to strengthen and avoid re-occurrence. A range of techniques are available including manual therapy, soft tissue therapy, acupuncture, biomechanical/muscle imbalance work and electrotherapy (e.g. TENS, LASER, muscular stimulation to aid strengthening of muscles). The fully equipped gymnasium in the clinic allows development and practice of specific exercise programmes where progress can be monitored and goals set.

Symptoms arising from arthritic conditions, including pain, swelling and fatigue, may be treated using a number of modalities including acupuncture, electrotherapy (interferential/LASER/ulstrasound) and manual therapy/soft tissue massage.

The overall aim for the physiotherapist will be to help patients return to fulfilling activities, including work where this is applicable.

All our treatments are tailored according to patients needs.
Acupuncture is an ancient medical system used to diagnose, treat and prevent disease and improve well being.
Pelvic Floor Clinic
Whether you have recently had a stroke or major surgery, we can help you restore your fitness and improve your recovery.
Orthotic Assessments
Orthotic Assessments
We offer many types of orthotics, ranging in price, foot control and material used to provide comfort and support as needed.