Specialist Women's Health Physiotherapy IN Ealing.

Post-Surgery Pelvic & Gynaecological Rehabilitation in Ealing

Recovering from pelvic or gynaecological surgery involves far more than waiting for wounds to heal. Surgery in the pelvic region can significantly affect the pelvic floor, bladder, bowel, core strength and overall function, and without the right rehab the effects can persist long after the procedure itself.

Which pelvic and gynaecological surgeries can physiotherapy help with?

Hysterectomy, removal of fibroids and endometriosis surgery, pelvic organ prolapse repair or incontinence procedures can all benefit significantly from pelvic health physiotherapy.

Why surgery affects the body

Following pelvic surgery, considerable irritation and inflammation can occur, affecting the pelvic floor muscles’ ability to contract or fully relax. Even when the body has healed, these dysfunctions can result in post op pelvic pain or incontinence , even months or years later. 

As healing progresses, women may notice tight or sore scar tissue and adhesions, persistent pelvic floor tension, bladder or bowel changes, discomfort with sexual activity and changes in posture and movement leading to hip or back pain.

How does physio help after surgery?

Treatment is personalised to your surgery, symptoms and goals and may include:

When should I start physiotherapy?

Physiotherapy can be really beneficial pre-op to prepare the body and help prevent post-op issues, but post surgery, it can begin once cleared by your surgeon and your surgical sites are closed and healed.

What to expect

Your initial appointment focuses on understanding your recovery following gynaecological surgery. We’ll assess your symptoms, discuss your goals, and create a personalised treatment plan to support your recovery.

Detailed Consultation

Your first appointment will begin with a detailed discussion covering your surgery, your current symptoms and how they're affecting your daily life, activities and well-being. Your physiotherapist will also review your medical history and relevant surgical notes.

A physical assessment will be carried out and may include an assessment of the pelvic floor muscles, scar tissue, core strength, posture and movement. Any internal examination is always performed with your full consent and only if appropriate.

Treatment Plan

Following your assessment, your physiotherapist will discuss their findings with you and develop a personalised treatment plan tailored to your surgery, symptoms and goals. Your physiotherapist will review your progress regularly and adjust your programme as needed.

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Frequently Asked Questions

Why do I need physiotherapy after surgery?

Pelvic surgery causes irritation and inflammation that affects the pelvic floor muscles’ ability to contract or relax properly without rehab. These dysfunctions can result in pelvic pain or incontinence years later.

Yes. Scar tissue, pelvic floor tension and tissue sensitivity following surgery are all common causes of painful intercourse. Your physiotherapist will use a combination of manual therapies, scar mobilisation and pelvic floor retraining to address these symptoms.

Physiotherapy is beneficial before or after hysterectomy, removal of fibroids, endometriosis surgery, pelvic organ prolapse repair and incontinence procedures.

Book your Women’s Health Assessment today

Our Women’s Health Assessment will provide you with a comprehensive assessment and treatment plan to help you recover well from your surgery.