Pelvic Health & Pregnancy Care at Osteos of Noosa

We love helping women of all ages tackle issues and pain related to pelvic health. From pregnancy to hysterectomies and everything in between we have your back.

Pelvic Health

Pregnancy

Clinical Pilates

Pelvic Health

It’s hard to know what symptoms are normal when it comes to pelvic health and when they need to be addressed. That is where our pelvic health Osteopaths are here to help. We can help alleviate pain, educate and connect you to the right people to get you back to doing the things you love.

If you are suffering from any of the following - we recommend you book in to see one of our Pelvic Health Osteopaths.

  • Urine leakage or incontinence with a cough, sneeze, jump, change in position or when you laugh

  • Urinary urgency or difficulty starting or stopping urination

  • Constipation, bowel issues or pain

  • Period pain, menstruation issues, endometriosis

  • Pelvic Girdle Pain

  • Pudendal neuralgia

  • Fecal incontinence, constipation or urgency

  • Pelvic organ prolapse

  • Pain in the vulva during sex or penetration or for no reason

  • Vaginismus (involuntary contraction of vulva)

  • Coccyx or tail bone pain

  • Chronic pelvic, back or hip pain

How can we help?

Myofascial release to tight pelvic floor muscles

Treating the fascia (connective tissue) through the abdomen and lower limbs that attach onto the pelvic floor

Improve the neuromuscular timing of the pelvic floor. Your pelvic floor muscles might need to be trained for high load activities such as exercise, running, jumping, coughing or sneezing. 

Treating scar tissue contributing to pelvic pain eg. Caesarean section, abdominal and perineum scarring

Visceral treatment to the bladder, it’s attachments and surrounding structures within the pelvis 

Bladder diary - This is a 3 day record of your bladder habits

Bladder retraining, deferral strategies and addressing bladder triggers 

Addressing lifestyle factors such as hydration and removing bladder irritants

Optimising bowel and bladder health

Improve breath and pelvic floor connection 

Improve strength of the pelvic floor, lower back, core and hip strength 

What does a consult look like?

WE GET TO KNOW YOU

We ask questions about your symptoms, medications, medical history and other factors that may impact your health. This includes your obstetric & gynaecological history (bladder, bowel and sexual history) as well as lifestyle and general health questions, to look at the bigger picture. You may be asked to complete a Pelvic Health Questionnaire before your appointment to gather information about your bladder, bowel and sexual function. Understanding your story is important as it allows your Osteopath to know what examinations and treatment techniques may be helpful.

CREATE A TREATMENT PLAN

An assessment with one of our Pelvic Health Osteopaths may involve postural, movement and functional assessments, as well as orthopaedic and neurological tests. Osteopaths consider the entire body and will often assess spinal, pelvic and hip motion. Additional tests may include muscle testing, diaphragm and breathing, abdominal wall and muscle coordination. We will then explain your presentation to you so that we can create a treatment and management plan together that you understand and is tailored to you.

TREATMENT, ADVICE, EXERCISE PROGRAM & EDUCATION

Treatments can involve:

Hands-on treatment: myofascial release techniques (external only), to treat pelvic floor dysfunction. Other general osteopathic techniques may be applied to areas contributing to your condition. These can include techniques such as soft tissue massage, manipulation, stretching and strengthening,  joint mobilisation, dry needling and cupping.

Education: We use anatomical models to demonstrate the structure and function of relevant joints and muscles, to help you to better understand and manage your pelvic pain. We also want you to know what the latest research says about pelvic health, so that you are informed about all of your options. We may discuss exercise rehabilitation and lifestyle adjustments to optimise the effects of treatment.

Exercise Prescription: This may involve stretches, strengthening exercises, pelvic floor awareness exercises, bladder training, or breathing exercises. A personalised pelvic floor training program ensures that you are targeting your unique weaknesses or restrictions and not trying random exercises from the internet 

Further investigations: Bladder diary, menstrual cycle tracking, bowel diary, pad weight test, referral for other investigations.

Pregnancy

Osteopathic treatment can help to manage pregnancy aches and pains, support healthy blood flow and fluid drainage, and promote optimal health over the course of your pregnancy. Our Osteopaths have completed further training to optimise their treatment and management of pregnant and post-natal women.

pregnancy-osteo-noosa

Common pregnancy-related conditions Osteopaths can help

  • Lower back pain during pregnancy is quite common and can be attributed to several factors:

    Weight Gain: As the baby grows, your body gains weight, which can put extra strain on your lower back.

    Hormonal Changes: Pregnancy hormones like relaxin increase to help your pelvis expand for childbirth. This can cause the ligaments in your lower back to become more relaxed and less stable.

    Postural Changes: As your belly grows, your centre of gravity shifts, which can alter your posture and put additional stress on your lower back muscles.

    Increased Load on the Spine: The added weight of the baby can put extra pressure on your spine, leading to discomfort and pain.

    Muscle Strain: The muscles in your lower back may be working harder to support your growing belly, which can lead to strain and pain.

    Stress: Emotional and physical stress during pregnancy can also contribute to back pain.

  • Neck and shoulder pain during pregnancy can be attributed to several factors:

    Postural Changes: As your pregnancy progresses, your body undergoes changes in posture to accommodate the growing belly. This can lead to misalignment or strain in your neck and shoulders.

    Increased Weight: The added weight of your baby and growing breasts can affect your posture and put additional strain on your neck and shoulders.

    Muscle Tension: The physical stress and changes in body mechanics can lead to muscle tension and stiffness in your neck and shoulders.

    Hormonal Changes: Pregnancy hormones can affect ligaments and muscles, potentially leading to increased sensitivity or pain in various areas, including your neck and shoulders.

    Poor Sleep Position: Finding a comfortable sleeping position can be challenging during pregnancy, which might lead to poor alignment and discomfort in your neck and shoulders.

    Stress: Emotional and physical stress during pregnancy can contribute to muscle tension, leading to neck and shoulder pain.

  • Wrist and hand pain during pregnancy can be caused by a few different factors:

    Fluid Retention: Pregnancy often leads to fluid retention, which can cause swelling in the hands and wrists. This swelling can put pressure on nerves and lead to pain or discomfort.

    Carpal Tunnel Syndrome: Increased fluid retention can also lead to carpal tunnel syndrome, a condition where the median nerve is compressed as it passes through the carpal tunnel in the wrist. Symptoms include pain, tingling, or numbness in the hand and fingers.

    Postural Changes: Changes in posture and body mechanics during pregnancy can lead to stress on the wrists and hands, particularly if you’re holding or using your hands in ways that you’re not accustomed to.

    Hormonal Changes: Pregnancy hormones can affect the elasticity of ligaments and tendons, potentially leading to discomfort or pain in various joints, including those in the hands and wrists.

    Increased Load: The added weight and changes in body mechanics can sometimes lead to increased strain on your wrists and hands, especially if you’re engaging in activities that require repetitive movements.

  • Pelvic pain during pregnancy is a common issue and can arise from several factors:

    Hormonal Changes: Pregnancy hormones, particularly relaxin, help the pelvis and ligaments become more flexible to prepare for childbirth. This increased flexibility can lead to instability and pain in the pelvic region.

    Increased Weight and Pressure: As your baby grows, the added weight puts extra pressure on your pelvis and surrounding muscles, which can cause discomfort or pain.

    Postural Changes: The growing belly changes your centre of gravity and posture, which can lead to stress and strain on the pelvic joints and muscles.

    Pelvic Girdle Pain (PGP): This is a common condition where the joints of the pelvis become painful due to increased mobility or misalignment. It can cause pain in the front of the pelvis, lower back, or between the legs.

    Round Ligament Pain: The round ligaments, which support the uterus, can stretch and cause sharp or aching pain in the lower abdomen or pelvis, especially during movements or changes in position.

    Muscle Strain: The muscles and ligaments around the pelvis can become strained due to the extra load and changes in body mechanics during pregnancy. Muscles also work harder to counteract the shift in weight and can get tight and sore.

    Pre-existing Conditions: Conditions like previous pelvic injuries or issues may be exacerbated by the physical changes and demands of pregnancy.

  • Sciatica during pregnancy is characterised by pain that radiates along the sciatic nerve, which runs from the lower back down through the buttocks and legs. This pain can be triggered by several factors during pregnancy:

    Weight Gain: The added weight from the growing baby can put increased pressure on the lower back and pelvis, potentially compressing the sciatic nerve.

    Hormonal Changes: Pregnancy hormones, especially relaxin, increase the flexibility of the pelvic ligaments. This can lead to changes in spine alignment and added stress on the sciatic nerve.

    Postural Changes: As your belly grows, your posture shifts to accommodate the added weight. This shift can put extra pressure on your lower back and sciatic nerve.

    Pelvic Changes: The expanding uterus can exert pressure on the pelvic nerves, including the sciatic nerve, especially as the baby moves into a lower position in the pelvis.

    Muscle Strain: The muscles in your lower back may become strained from carrying the additional weight and from the physical changes occurring in your body.

    Compression of Nerve Roots: In some cases, the growing uterus or changes in the spine might compress the nerve roots that contribute to the sciatic nerve

  • Foot pain during pregnancy is a common issue and can arise from several factors related to the physical changes your body undergoes:

    Increased Weight: As your baby grows, the added weight puts extra pressure on your feet. This added strain can lead to discomfort and pain, particularly in the arches and heels. This commonly presents as plantar fasciitis.

    Fluid Retention: Pregnancy often results in swelling or edema, which can cause your feet to feel sore and heavy. The swelling can also increase pressure on the feet and exacerbate pain. We can help with decreasing fluid in the foot to alleviate these symptoms.

    Hormonal Changes: Pregnancy hormones like relaxin cause the ligaments and tendons in your body to become more flexible in preparation for childbirth. This increased flexibility can affect the stability and support of your feet, leading to pain.

    Postural Changes: As your belly grows, your centre of gravity shifts, which can alter your posture and gait. These changes can put additional stress on your feet and lead to discomfort.

    Increased Pressure on the Feet: The growing uterus can exert pressure on the pelvic nerves, leading to discomfort that may radiate down to the feet. Additionally, standing or walking more than usual during pregnancy can contribute to foot pain.

    Changes in Foot Structure: The weight gain and hormonal changes can affect the arch of your foot or exacerbate pre-existing foot conditions, such as flat feet or high arches, leading to pain. Did you know your feet may even grow a size throughout pregnancy!

    Footwear Issues: Pregnant women might not always wear the most supportive footwear, and high heels or unsupportive shoes can contribute to foot pain.

Pre & Post Natal Clinical Pilates is a specialised form of Pilates exercise designed for pregnant women. It incorporates modified Pilates movements tailored to the needs and physical condition of pregnant individuals.

At Osteos of Noosa, Natal Clinical Pilates is run by our Osteopaths who understand the physiological changes that occur during pregnancy. These one-on-one sessions focus on building strength, stability and mobility to help the body adapt to the demands of pregnancy. Our qualified instructors have experience in prenatal fitness to ensure exercises are appropriate and tailored to individual needs.

Clinical Pilates

The benefits of Natal Clinical Pilates may include:

  • Strengthening the muscles of the abdomen, back, and pelvis can help support the growing uterus and reduce discomfort associated with pregnancy.

  • Pregnancy often causes changes in posture due to the shift in the body's centre of gravity. Pilates exercises can help pregnant women maintain muscular strength and endurance to reduce postural strain and alleviate back pain.

  • Pilates exercises can target the pelvic floor muscles, which play a crucial role in supporting the bladder, bowel, and uterus. Strengthening and conditioning these muscles may help prevent urinary incontinence and other pelvic floor issues. The pelvic floor needs to know how to contract and relax. Your Osteopath will assist you to achieve optimal pelvic floor function.

  • Pilates is an excellent form of exercise for promoting stability during pregnancy and enhancing overall body awareness. The demands and changes of pregnancy Gentle stretching exercises incorporated into Natal Clinical Pilates can help pregnant women maintain or improve flexibility, which can be particularly beneficial during labour and delivery.

  • Engaging in regular exercise, such as Pilates, can help reduce stress and anxiety during pregnancy, promoting overall well-being for both the mother and the baby.

Meet our Pelvic Health Osteopaths

Pregnancy-pain-osteo

Dr Chelsea Mill

Osteopath | Clinical Pilates | Pelvic Health

Hey I’m Chelsea. I am passionate about all things womens health and what osteopathy can do to assist you with your health needs. I have done extra training in pregnancy and Pelvic health, and am always continuing to build my knowledge in this space.

I love working with incredible women to help them understand what is going on in their bodies so they feel educated, empowered and supported. I’m particularly interested in preparing mummas for birth of any kind, providing support with the post partum journey, assisting young females with common (but not normal) period related pain, endometriosis and PCOS pain, as well as any pelvic, hip, spinal pain, including bowel and bladder issues.

Dr Amanda Bell (Bowden)

Founder | Osteopath | Clinical Pilates | Pelvic Health

Hey, I am Mandy. I love helping women of all ages with a range of issues but I am especially passionate about post partum women (being one myself) and the issues that arise around this stage.

Being an Osteopath I thought I was well prepared for this stage but was surprised at how little I knew and how intense recovering from any type of birth is. This fuelled me to do further training in Pelvic Health so I could assist other women to navigate this time. I enjoy helping women with spinal, hip, groin or pelvic pain and bladder and bowel issues. I want to empower you to get back to doing the things you love and have the best recovery possible.

I can’t wait to talk all things mum and bub with you!

Our Services

Pelvic Health Consultation

Consultations are for those with pelvic floor concerns or who are pregnant or post partum. These concerns include but arent limited too- bladder and bowels issues - bladder leakage, prolapse, constipation, coccyx pain, bladder pain syndrome, pain with intercourse and other conditions associated with chronic pelvic pain. This appointment is with Amanda or Chelsea.

Initial Consult

Up to 60 mins
$200

Return Consult

Up to 45 mins
$180

Clinical Pilates

1 on 1 Clinical Pilates classes are just you and your Clinical Pilates certified Osteopath. We take a history, do a thorough assessment and take you through specific exercises tailored to your needs.

1:1 Class

Up to 45 mins
$120

Private Health rebates available on all our services.

Unsure if this is right for you? Please give us a call or send us an email and we will happily discuss the right treatment for you