Physiotherapist guiding a private pelvic floor and core assessment during a women's health physiotherapy session at Life Plus Physiotherapy Clinic

Some things are hard to bring up even with your own doctor — a stomach that still looks pregnant a year after delivery, leaking a little urine every time you laugh, or a pelvis that's ached since your second trimester and never quite settled after birth. None of that is something you just have to put up with, and none of it is awkward to bring to us. This kind of physiotherapy deals with exactly this: pelvic floor problems, pregnancy-related aches, and the slower work of rebuilding strength after childbirth, handled privately and without a shred of judgement.

What This Kind of Physiotherapy Actually Covers

It's a broad name for a fairly specific set of problems. Most of what we see falls into three groups — pelvic floor dysfunction, whether that's weakness or too much tension; pain around the pelvis and lower back that shows up during or after pregnancy; and the general process of putting your body back together once the baby's here. Pregnancy and delivery change how your pelvis, core, and pelvic floor work together, and that change doesn't always correct itself just because time has passed.

This isn't only for the first few weeks after delivery either. We regularly see women whose child is two or three years old and who are only now getting around to sorting out a stubborn ache or a bladder that still isn't quite reliable. There's no expiry date on getting this looked at properly.

What This Can Involve

  • Pelvic or lower back pain during or after pregnancy
  • Leaking urine when you cough, sneeze, laugh, or exercise (stress incontinence)
  • A pelvic floor that feels either weak or constantly tense and unable to relax
  • A visible gap or softness down the middle of your stomach after pregnancy (diastasis recti)
  • Pelvic girdle pain — a deep ache around the pubic bone or lower back, often worse with walking or turning over in bed
  • Feeling generally deconditioned or unsteady on your feet in the months after childbirth

Why This Happens During and After Pregnancy

Pregnancy changes a lot in a short space of time, and your pelvis and lower back carry most of that load. Hormones loosen the ligaments around your joints to make room for delivery, your posture shifts as your centre of gravity moves forward, and your pelvic floor spends months supporting a steadily increasing weight.

Labour and delivery add another layer of strain on top of that, whichever way the baby arrives. The pelvic floor can come out of it weakened and overstretched, or, just as often, gripped too tight from months of extra load — both cause problems, just different ones. Your abdominal muscles, meanwhile, have spent nine months stretching apart to make space for a growing baby, and they don't always knit back together on their own.

Who's More Likely to Deal With This

  • Pregnancy and childbirth, particularly across multiple pregnancies
  • Jumping back into high-impact exercise before your pelvic floor's had a chance to recondition
  • A previous pelvic or abdominal surgery
  • Tissue and hormonal changes around menopause

When You Should See a Physiotherapist

Don't wait for it to sort itself out, and don't assume it's just part of the deal. See a physiotherapist if pelvic or back pain during pregnancy is getting in the way of walking, sleeping, or picking things up, or if you're leaking urine with a cough, a sneeze, or a workout. A visible gap or bulge down the middle of your stomach after delivery is worth getting checked too, as is any pelvic discomfort that's stuck around well past the first few weeks. And if you're simply unsure how to get back to running or the gym safely, that's reason enough on its own to come in.

How Physiotherapy Helps

Every assessment starts from where you actually are, not from a generic checklist. Here's roughly how we take it from there.

1. Private Assessment

We look at pelvic floor function, posture, and check for any abdominal muscle separation, all in a private room and at a pace you're comfortable with. Nothing here is rushed, and you're free to ask questions at any point.

2. Targeted Retraining

Pelvic floor and core work gets matched to exactly where you are — pregnancy, the early weeks postpartum, or further down the line. What helps a body six weeks after delivery is different from what helps one that's six months out.

3. Progressive Return to Activity

Once strength and control improve, we build back up to daily tasks, exercise, or sport step by step, adjusting the plan as you get stronger rather than sticking to a fixed timeline.

Treatment Techniques Used at Life Plus Physio Clinic

We pick from these based on your stage and what your body needs right now — not every technique suits every week of recovery.

Exercise Therapy

Guided pelvic floor and core exercises that build strength and control without overloading tissue that's still healing.

Strengthening

Progressive strength work for the deep core and hips, built up gradually as your body's ready for more load.

Manual Therapy

Hands-on techniques to ease pelvic, lower back, or scar-related tightness and improve how everything moves together.

Stretching

Targeted stretches for tight hips and lower back, which often go hand in hand with pelvic girdle pain.

Posture Correction

Practical adjustments to how you stand, carry, and feed your baby, since posture habits formed early tend to stick.

Ergonomic Advice

Guidance on lifting, carrying, and daily movement that protects your pelvic floor and abdominal muscles while they recover.

Benefits of Physiotherapy

  • Reduces pregnancy and postpartum pelvic or back pain
  • Improves bladder control and cuts down on leaking
  • Helps close or improve abdominal muscle separation
  • Builds the confidence to return to exercise without second-guessing every movement
  • Supports a steadier, more complete recovery after childbirth overall

Recovery Timeline

Most women notice a real difference in pelvic and core strength within six to eight weeks of consistent, correctly guided exercise. That said, pelvic floor and abdominal recovery can keep improving for several months afterwards — this isn't a process that switches off at the eight-week mark. How quickly things move along depends on the type of delivery you had, how early rehab started, and how consistent you are with the exercises at home. Your physiotherapist will give you a clearer timeline once they've actually assessed you.

Home Care Tips

  • Practise your pelvic floor exercises correctly and consistently — doing them right matters far more than doing a lot of them
  • Hold off on heavy lifting or high-impact exercise until you've actually been given the all-clear
  • Keep an eye on your posture while carrying or feeding your baby; that hunched-forward position adds up over a day

Prevention Tips

  • Work on pelvic floor conditioning through pregnancy, not just afterwards
  • Ease back into exercise gradually and under guidance, rather than jumping straight back to where you left off
  • Get pelvic or back discomfort checked early instead of assuming it's just normal after having a baby

Frequently Asked Questions

Often within the first couple of weeks, once you've had your postnatal check and there are no complications to consider. Early sessions are gentle and focus on the basics — breathing, posture, and safe pelvic floor activation — rather than anything strenuous. If you had a C-section or a more complicated delivery, we'll factor that into how soon and how gently we start.

It's common, but common isn't the same as normal, and you don't have to just live with it. Stress incontinence responds well to properly guided pelvic floor rehab in most women. It's worth getting assessed rather than assuming it's simply part of the deal now.

It's a separation of the abdominal muscles down the midline of your stomach, which happens naturally as they stretch to make room for a growing baby. We check it by feeling along the midline while you engage your core in a few specific positions, measuring the width and depth of the gap. Most cases improve well with the right exercise progression, without needing surgery.

Sometimes, but a lot of women are doing them with the wrong technique without realising it — over-gripping, holding their breath, or engaging the wrong muscles entirely. An assessment tells you whether what you're doing is actually working, and adjusts it if it isn't. Guesswork isn't a great substitute for someone actually checking.

No, not at all. We see women dealing with pelvic floor issues years after their last pregnancy, around menopause, or with no pregnancy involved at all. If it involves your pelvic floor, your core, or pain connected to any of that, it's fair game.

It's done one-on-one, in a private room, and we explain every step before we do it, so nothing comes as a surprise. You're in control of the pace throughout, and it's completely fine to ask us to stop or slow down at any point. Most women tell us it felt far more comfortable than they expected.

There's no single answer that fits everyone — it depends on your delivery, your recovery so far, and how your pelvic floor and core are holding up under load. As a general guide, many women can start a structured return-to-running plan from around three months postpartum, but only after checking you're actually ready for the impact, not just because a date on the calendar has passed.

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You Don't Have to Just Live With This

Whether it's pain, leaking, or a stomach that doesn't feel like yours yet, it's worth getting looked at properly. Come in for a private assessment and a plan that actually fits where you are.