Antenatal Education Class Info: Education group for women with pelvic girdle pain and lower back pain Venue: Physiotherapy Department Time & Date: 2nd & 4th Thursday 10-11:30am Referral: Midwife, GP or self-referral Antenatal Exercise Class Info: Antenatal exercise group for women during pregnancy from 12 weeks Venue: Physiotherapy Department Time & Date: 4 sessions, every Tuesday 4-5pm Referral: Treating physiotherapist or attendance at antenatal education class Post Natal Exercise Group Info: 4 week exercise group for general strengthening (6 weeks after normal delivery and 12 weeks after caesarean section) Venue: Physiotherapy department Times & Date: Every Tuesday 1:30-2:30pm Referral: Self-referral Advocates in a variety of languages are available if we are informed prior to your appointment. Contact Information For any further information or if you cannot attend your appointment please contact: Melissa Millman (Women’s Health Specialist/Team Lead physiotherapist) 0208 510 7835/7871 Sarah Titman (Women’s Health Specialist Physiotherapist) 0208 510 7835/7871 Useful contacts: London Borough of Hackney Hackney Community Services at Homerton: 020 8510 7622 Hackney Community Services at Hackney Council: 020 8356 5000 www.hackney.gov.uk Patient Advice and Liaison Team (PALS) PALS provide information and support to patients and carers and will listen to your concerns, suggestions or queries. The service is available between 9am and 5pm. Telephone 0208 510 7315 or email: pals@homerton.nhs.uk For information on the references used to produce this leaflet, please ring 020 8510 5302/5144 or email Patientinformation@homerton.nhs.uk If you require this information in other languages, large print, audio or Braille please telephone the Patient Information Team on 0208 510 5302/5144 or email: Patientinformation@homerton.nhs.uk Women’s & Men’s Health Physiotherapy Service Information Booklet Information for women Produced by: Women’s & Men’s Health Physiotherapy Team Homerton University Hospital NHS Foundation Trust Homerton Row, London E9 6SR T: 020 8510 5555 W: www.homerton.nhs.uk E: enquiries@homerton.nhs.uk Physiotherapy Department IMRS Division Date produced: May 2014 Review date: May 2016 Incorporating hospital and community health services, teaching and research This leaflet provides information about the Women and Men’s Health specialist physiotherapy team. Bladder and bowel problems including: Who We Are: We are a team of specialist physiotherapists who specialise in the management of women during and after pregnancy with musculoskeletal problems and treatment of women & men who are experiencing problems with pelvic floor dysfunction. stress urinary incontinence urge urinary incontinence incomplete bladder emptying bladder and bowel urgency constipation sexual problems vaginal prolapse pelvic pain Services we Offer: What is Pelvic Floor Dysfunction (PFD)? Your pelvic floor is a complex set of muscles that support the organs in your pelvis and lower back, help you maintain continence and contribute to sexual function. PFD is the term given to conditions affecting one of the three systems in the pelvis bladder (Women & Men) bowel (Women & Men) vagina/uterus (Women) What do we treat? Pregnancy related: pelvic girdle pain low back pain & thoracic pain rectus abdominus diastasis (tummy muscle separation) carpal tunnel syndrome de Quervains (thumb pain) rib pain Obstetrics Services: 1:1 Physiotherapy antenatal Education Classes antenatal Exercise Class postnatal Exercise Group ward cover: Templar & Turpin post natal wards and 2012 Ward (Temporarily antenatal Ward) pelvic floor dysfunction education group core and floor exercise group to be assessed you can opt out at any point without your treatment being affected. Everyone is entitled to a chaperone of the same gender during your examination this will be discussed with you at your initial appointment. You are welcome to bring someone with you if you wish however they will not be classed as a chaperone. If you are concerned about any aspect of the assessment please call us before-hand, or discuss with your clinician on the day. You may need to be seen on more than one occasion and follow up appointments may vary between 2 -6 weeks apart. What to bring There is nothing specific that you need to bring with you, unless you are attending one of our exercise classes whereby comfortable clothes, trainer type shoes and some water would be useful. How to get referred What to expect In order to provide effective assessment and treatment you may be asked to undress for the physiotherapist to view how you are moving and hands on treatment may be proposed if appropriate. If you have a bladder or bowel problem, part of the assessment may include an assessment of your pelvic floor muscles which involves an internal vaginal and or anal examination. Any procedure carried out will be explained in full to you at the appointment and if you do not want If you are experiencing any of the problems listed, you can speak to your midwife, urogynaecologist, urologist, colorectal consultant or specialist nurse or other health care professional, who can then refer you to the women’s & men’s health physiotherapy team. Additional Information: We work very closely with the Adult Integrated Continence Service, uro-gynaecology, colorectal services and urology services.