Pelvic Floor Physiotherapy Clapham

Pelvic Floor Physiotherapy Conditions and Treatments

• Overactive Bladder

  Overactive bladder, Painful Bladder Syndrome, and Interstitial Cystitis (IC) can be triggered by or mistaken for recurrent UTIs. These conditions are often linked to a hypertonic pelvic floor, where muscles remain in a guarding state in response to non-threatening stimuli, or a hypersensitive bladder developed following repeated infections or stress.

• Chronic Constipation

  Chronic constipation, incomplete emptying, and painful bowel movements — including rectal or coccyx pain — can significantly impact quality of life and contribute to wider pelvic floor complications. Because the pelvic floor supports the bladder, vagina, and rectum, dysfunction in one area often affects others, with tight or overactive muscles frequently making comfortable, complete emptying difficult.

• Sexual Disfunction

  Female sexual dysfunction — including painful sex, difficulty reaching climax, or disrupted sensation around the vulva — can deeply affect confidence and relationships. A common underlying cause is an overactive pelvic floor, where excess muscle tension makes intercourse painful and can compress the pudendal nerve, resulting in altered or reduced sensation.

• Urinary Incontinence

  Leaking when you cough, laugh, sneeze or jump? Rushing to reach the toilet in time? You’re not alone — and it’s not something you have to live with. Pelvic floor muscles can weaken through childbirth, ageing, or changes in activity, leading to stress incontinence or an overactive bladder — though tightness can also be a cause.

• Endometriosis

  Pelvic health physiotherapy offers a non-invasive, complementary approach to managing endometriosis, PCOS, and other gynaecological conditions. By optimising muscle balance, joint mobility, and posture, we can help reduce chronic pelvic pain. Treatment includes myofascial release, gentle stretching, and education on pain management and relaxation techniques to improve mobility and quality of life.

• Menopause

  Declining oestrogen during menopause causes the pelvic floor to weaken and vaginal tissues to become thinner, drier, and less elastic — known as Genitourinary Syndrome of Menopause (GSM). This can lead to vaginal dryness, discomfort during sex, and urinary urgency or incontinence. With specialist pelvic health physiotherapy, these symptoms can be significantly improved.

The Clapham Clinic

Frequently Asked Questions

• What is Pelvic Health Physiotherapy?

  Pelvic health physiotherapy is a specialist branch of physiotherapy focused on assessing and treating conditions related to the pelvic floor — the group of muscles, ligaments, and connective tissues that sit at the base of the pelvis. These muscles play a vital role in bladder and bowel control, sexual function, and supporting the pelvic organs.

  A pelvic health physiotherapist uses a combination of hands-on therapy, tailored exercise programmes, and education to help you understand and manage your condition. Treatment is always personalised to your needs and carried out in a safe, supportive, and confidential environment.

  Pelvic health physiotherapy can help women with a wide range of conditions, including:

  • Bladder leakage when coughing, sneezing, or exercising
  • Pelvic organ prolapse
  • Pelvic pain or pressure
  • Painful sex (dyspareunia or vaginismus)
  • Constipation or bowel dysfunction
  • Pregnancy-related pelvic girdle pain
  • Postnatal recovery and rehabilitation
  • Diastasis recti (abdominal separation)
  • Menopause-related pelvic floor changes
  • Recovery after gynaecological surgery

  Whether you are pregnant, newly postnatal, navigating menopause, or simply noticing changes in your body, you don’t need to just put up with your symptoms. Pelvic health physiotherapy can make a real and lasting difference to your quality of life.

• Can pelvic floor physiotherapy help with pain during sex?

  Yes. Pain during sex is never something you should simply accept. Pelvic floor physiotherapy can address many of the underlying causes, including muscle tension, nerve sensitivity, and scar tissue.
  We can also provide advice on the best lubricants to use and best sex positions for your complains.

• Can physiotherapy help with leaking?

  Yes — research consistently shows that pelvic floor physiotherapy is one of the most effective treatments for stress and urge incontinence. Many women see significant improvement within a few months.
  We can also provide education on supportive underwear, change of posture and use of pessaries to help manage symptoms whilst you’re get stronger.

• I've had symptoms for years — is it too late?

  It is never too late. Whether your symptoms developed recently or have been present for years, pelvic floor muscles can be retrained and strengthened at any stage of life.

What our patients say

 
 
 
 
  EXCELLENT  
  
 Based on 32 reviews 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
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 Sana Bukhari 
 
 
 
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I’ve recently started working with Liv and have found the few sessions helpful so far. She’s very knowledgable and experienced and has been able to provide me with new ways of relaxing my muscles, things I would not have thought to try had it not been for her recommendations. She’s very understanding and patient as well which helps me to relax during our sessions.
  
 
  
 
 
 
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 Sandie Dunne 
 
 
 
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After years of bladder weakness and stress i continence trying years of yoga, pilates and medication I found Olivia Denman at Liv Physio a specialist women’s and pelvic floor physio in weeks this has been miraculously transformative and I’ve only just started to make the changes so essential to improving my quality of pelvic floor and life  more generally still more to do but wholeheartedly recommend Olivia
  
 
  
 
 
 
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 Laura Perez Millan 
 
 
 
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Incredibly professional. She gives you a holistic view of the body and your condition. By following her advice, I’ve seen an improvement in less than a week
  
 
  
 
 
 
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 Charlotte 
 
 
 
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The support and reassurance has been so helpful, not to mention how knowledgeable Liv is. Highly recommend!
  
 
  
 
 
 
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 Charlie Cole 
 
 
 
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Liv has been incredible during my marathon journey. I came to her with some knee pains during my training which was stopping me from running. Not only did Liv know what the problem was instantly, but provided the support and plan to get me back to running the marathon! I could not have asked for a better physio during this time and would recommend her to anyone.
  
 
  
 
 
 
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 Katy Davis 
 
 
 
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Liv is a really great physio! She listens really carefully and is very thorough in her initial assessment. She’s created such a helpful and easy to follow exercise programme. After just 1 session I’m already feeling the benefits.
  
 
  
 
 
 
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 Charlie Bowker 
 
 
 
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An amazing experience for a sore knee. Really thorough assessment, clear advice, and an effective treatment plan. Saw a big improvement in pain and mobility within a few weeks. Highly recommend!
  
 
  
 
 
 
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 Gizem A 
 
 
 
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Liv is an excellent physiotherapist. During my third trimester I was dealing with excruciating SI joint pain due to pregnancy. I could barely walk, would get stuck after just 5 minutes, and was in pain all day. After working with her for just 3 weeks, my pain decreased immensely. Now I have almost no pain and I feel much more comfortable going into labor, all thanks to her. She is very professional and knowledgeable, and you can clearly tell she is very passionate about her work. I highly recommend her to any pregnant woman experiencing similar issues!
  
 
  
 
 
 
 Posted on Google  
 
  
 
 
 May 
 
 
 
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Having suffered lower back pain for years and tried everything including physio with no avail, I was recommended seeing Liv by a friend. After only 3 sessions I started to see changes and now 3 months on I’m pain free. Liv picked up small important details no one else had identified which had made all the difference. She’s an expert in understanding the female body!
  
 
  
 
 
 
   
 
 
 

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