Pelvic Health Physiotherapy
The foundation, and the part of the pathway almost everyone has. Assessment and rehabilitation of pelvic floor function, breathing, movement and load, with a programme built from what we find.
Read more →Treatments
Assessment First. Then the Options That Fit.
Most people arrive at CoreGood having already been told what they need. Do your Kegels. Try this device. Consider surgery. Wait and see whether it settles.
We start somewhere else. Before anything is recommended, we work out what has actually changed and which system is limiting you. Two people with identical symptoms often need opposite approaches, and the only way to know which is which is to look.
Everything on this page is something we can offer. None of it means anything until we have assessed you.
What this page covers
- ✓What makes an assessment at CoreGood different
- ✓The four steps every pathway follows
- ✓Why most people do not need an intimate examination
- ✓Every option we can offer, and one honest sentence about each
- ✓How we decide which option suits you
- ✓What it costs, where ACC applies, and how to talk to us first
What Makes an Assessment Here Different?
An assessment at CoreGood is built to answer one question: what is limiting your function? Not which diagnosis fits, and not which piece of equipment we happen to own. We look at how your pelvic floor, breathing, posture, movement and daily habits work together, then we discuss what we found and what the options are.
That matters because a pelvic floor problem is rarely a pelvic floor problem on its own.
The pelvic floor is a group of muscles slung across the base of your pelvis. It works with your deep abdominal muscles, your back, your hips and your diaphragm. When something goes wrong, the muscles may be underactive and weak. They may equally be overactive and unable to let go. Both cause leaking. Both cause pain. Both cause changes to sexual function. They call for different work, and squeezing harder makes one of them worse.
Nathan Scott has been a physiotherapist since 1994 and has worked in pelvic health for more than a decade. Our practice is dedicated to pelvic health. That means we own the assessment equipment, we use it every day, and we know what its limits are.
What Are the Four Steps?
Every person who comes to CoreGood goes through the same four steps, in the same order. What changes is what we find and what we recommend.
01
Understand What's Changed
We start with a conversation. What you have noticed, when it began, what makes it better or worse, what you have already tried, and the health, surgical, obstetric and medication history that may be relevant. This is the longest part of a first appointment and it is not a form-filling exercise. It tells us where to look.
02
Objective Assessment
We then measure rather than guess. Depending on what you have described, that may include real-time ultrasound imaging of your pelvic floor and deep abdominal muscles, biofeedback that records muscle activation and control, assessment of your breathing and posture, and a musculoskeletal examination of your spine, hips and pelvis. Most of this happens with you fully clothed.
03
Personalised Pathway
We tell you what we found, in plain language, and what we think it means. Then we discuss the options that fit. You will hear why one approach is being recommended and why another has been ruled out. If we do not think we are the right people to help, we will say so and tell you who might be.
04
Ongoing Support
Change in muscle function takes weeks, not days. We reassess as we go, using the same objective measures, so that progress is something we can show you rather than something we ask you to take on faith. Home programmes are adjusted as you go. If something is not working, we change it.
Will I Need an Intimate Examination?
Usually not. Real-time ultrasound imaging and biofeedback let us assess how your pelvic floor contracts, relaxes and coordinates without an internal examination, and for most people that gives us the clinical picture we need. For biofeedback and abdominal ultrasound you stay in your clothes.
Some situations call for more detail than surface measures can give, and internal assessment or MAPLe HD EMG may then be recommended. If that happens, we explain exactly why, what it involves and what we expect to learn, and you decide. You can say no, you can change your mind partway through, and you can ask for a chaperone. None of that is unusual and none of it will be treated as difficult.
What Might My Pathway Include?
These are the options available at CoreGood, grouped by what they are for. Which of them, if any, suits you is decided after your assessment, not before it.
Assessment
Real-Time Diagnostic Ultrasound
Imaging through the abdomen or perineum that lets you and us watch your pelvic floor working on a screen. This is the reason most people never need an internal examination here.
Read more →
MAPLe HD Pelvic Floor EMG
An internal probe that records electrical activity from individual pelvic floor muscles, left and right, at different depths. Used when simpler assessment has not explained the problem, and only with your consent.
Read more →Rehabilitation
PelviPower Magnetic Stimulation
Repetitive magnetic impulses produce a pelvic floor contraction while you sit fully clothed. Nothing is inserted and you do not undress. It follows an assessment rather than replacing one.
Read more →PelviPower Biofeedback Trainer
Perception, coordination and control. Objective information about what your pelvic floor is actually doing, shown on a screen while you work.
Read more →Advanced options
Focused Shockwave Therapy
Acoustic energy applied to erectile tissue, used within a wider pathway for men where vascular and tissue factors are part of the picture.
Read more →
Acupuncture
Used as an adjunct within physiotherapy, not as a standalone service, and only where it fits what the assessment found.
Read more →Nutrition & Lifestyle
Bladder irritants, fluid, fibre, sleep, weight and activity. Supporting factors that influence pelvic health, discussed rather than prescribed.
Read more →Technology supports clinical reasoning. It never replaces it.