Your Appointment

How to get an appointment

Your GP or another health professional can refer you. Currently we do not accept self-referrals.

If you are a clinician looking to refer into our service, please see the referral information page.

Changing your appointment

Please let us know at least 24 hours before your appointment.

You can reschedule your appointment in the following ways:

• Telephone via central booking on 0208 725 0007
• Via the Trust website here
• Using the prompts in the relevant text message

If you do not come to your appointment and have not contacted us, we may discharge you back to your referring doctor.

Where are the clinics held?

We provide appointments at, St John’s Therapy Centre, Battersea, Queen Mary’s Hospital, Roehampton, and St George’s Hospital, Tooting. Please see our welcome page for exact locations.

During your appointment

Please arrive 10 minutes before your appointment. You should allow between 45 minutes – 1 hour depending on the reason for referral and 30 minutes for a follow up.

You’ll be seen by a member of our pelvic health physiotherapy team.

In your first session we will ask you questions about your symptoms. You will also be asked about your past medical history, medications and social history as this information may be important to the management of your problem.

Assessments that may be included in your appointment (depending on your symptoms):

• Musculoskeletal tests, looking at range of movement, function and strength
• Internal vaginal examinations, to assess the power and endurance of your pelvic floor muscles
• Anorectal examinations, to assess the power and endurance of the muscles in your bottom

You’ll be told exactly what is going to be done and what to expect.

As this is a teaching hospital, students supervised by qualified staff might be involved in your care. It is valuable training for students and does not affect the quality of your treatment, but please tell us if you do not want students to be present or involved. We will always respect your wishes.

What do we treat?

Our pelvic health physiotherapy team helps to treat people who have a range of problems including:

Antenatal (16+ weeks gestation) and post-natal (up to 6 weeks post-partum) pregnancy problems:

• Pelvic girdle pain (PGP) due to pregnancy
• Lower back pain
• Pubic symphysis dysfunction
• Diastasis rectus abdominis
• Carpal tunnel syndrome
• De Quervains syndrome (thumb pain)
• Rib pain and thoracic pain

Pelvic floor dysfunction including:

• Urinary and bowel incontinence
• Overactive bladder: bladder urgency and frequency
• Bowel urgency
• Pelvic-organ prolapse
• Constipation
• Pelvic pain (acute and chronic)
• Vaginismus
• Bladder pain syndrome
• Bowel dysfunction
• Dyspareunia (painful sex)
• Vulvodynia
• Vestibulodynia

Men’s Health:

• Urinary problems before and after prostate surgery
• Male sexual dysfunction relating to pelvic floor dysfunction
• Bowel urgency
• Constipation
• Pelvic pain

What treatments do we offer?

The treatments we offer include:

• Antenatal and post-partum advice and rehabilitation
• Pelvic floor muscle training
• Anal sphincter muscle training
• Education and advice
• Manual therapy
• Bladder re-training
• Exercise rehabilitation
• Post-operative management
• Continence advice and management
• Acupuncture following assessment

We will refer you on to appropriate teams if required.