Scence Physiotherapy

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Scence Physiotherapy

Pregnant & Postnatal Physiotherapy

03/09/2025

Hiatal Ballooning & Prolapse Risk

The levator hiatus is the “gap” in your pelvic floor muscles. How wide it is can indicate risk for pelvic organ prolapse (POP)

Mild: 25–29.9 cm²
Moderate: 30–34.9 cm²
Marked: 35–39.9 cm²
Severe: >40 cm²

Women with marked or severe ballooning are more likely to have or develop POP.

25/08/2025

Why Levator Hiatus Size is Relevant!

The levator hiatus is the natural “gap” in your pelvic floor muscles through which the urethra, va**na, and re**um pass.
The size of this gap matters — a wider hiatus provides less support for your pelvic organs, increasing the risk of prolapse and pelvic floor symptoms.

In clinic, we routinely assess the levator hiatus to understand your risk of developing or worsening prolapse symptoms. Knowing the size and function of this gap helps us tailor pelvic floor exercises and your return to activity.

19/08/2025

Urge Deferral Strategies 🚽🚽

When bowel urgency hits, it can feel impossible to hold on. But with practice, these strategies can help you retrain your body and take back control:

💡 Cognitive distraction – Count backwards from 100 by 3s or 7s.
💡 Sensory overload – Rub your hands firmly on your pants.
💡 Pelvic floor squeezes – Switch your pelvic floor muscles on and off repeatedly.
💡 Curl your toes / calf raises – Engage your leg and foot muscles to “switch off” the urge signal.

If urgency or accidents are impacting your daily life, pelvic health physiotherapy can help. You’re not alone!

05/08/2025

💩 3 TIPS TO KICKSTART YOUR MORNING BOWEL ROUTINE
Let’s get things moving — literally 😌👇🏼

💧 Warm Fluids
🍽️ Eat Something
🚶🏼‍♀️ Move Your Body

Your gut loves routine. And remember — never push or strain on the toilet!.
Your pelvic floor will love you 🫶

01/08/2025

FACT: 1 in 5 women have a retroverted uterus 💡
(That’s about 20% of us — and most have no idea)

A retroverted uterus simply tilts backwards toward your spine instead of forwards over your bladder.

25/07/2025

Leaking when you sneeze? Rushing to the toilet? Just hoping for the best on a trampoline? 😬

Let’s clear something up: not all bladder leaks are the same — and not all require the same treatment.

Swipe through to learn the 3 most common types of incontinence I see in clinic 💧
Spoiler: pelvic floor physio can help with all of them 💪🏼

If you're not sure what’s going on with your bladder, that's what we're here for 🙋🏼‍♀️

#

23/07/2025

A reminder to move a little more cautiously in pregnancy! 😱😱

15/07/2025

LAURA’S GO-TO HOSPITAL BAG ESSENTIALS 👜

As a pelvic floor physio (and someone who’s helped hundreds of women prep for birth), here are the must-haves I always recommend packing — beyond the usual onesies and nappies:

👶 Peri bottle – for soothing, sting-free hygiene after birth
👶 Compression shorts/leggings - crucial for protecting your perineum and helping with abdominal separation (DRAM)
👶 Cold packs – to ease perineal swelling in those first 72 hrs
👶 Tubigrip - Short term compression before moving into shorts/leggings
👶 Kiwi Fruit/Stool softener - trust me, your pelvic floor will thank you

**nalbirth

14/07/2025

Why do breathing dynamics matter postpartum? 🤰💨

After pregnancy and birth, your core system — including your diaphragm, abdominals, and pelvic floor — has gone through HUGE changes. ⁠
⁠
Breathing isn’t just about oxygen — it’s the foundation of pressure control, posture, core stability, and pelvic floor function.⁠
⁠
When your breathing is shallow or disconnected, your body can’t coordinate well — which can lead to:
✖️ Ongoing doming or coning
✖️ Pelvic floor tightness
✖️ Feeling unstable in movement
⁠
In this video, I walk you through breathing that reconnects your diaphragm and pelvic floor — step one in rebuilding your foundation postpartum.⁠

11/07/2025

C-section recovery is an important step in your recovery— and once your scar is healed, gentle massage can make a big difference.

✨ Why scar massage matters:
✨ Reduces tightness and pulling sensations
✨ Helps reconnect with your lower abdominals and core
✨ Can improve mobility and posture
✨ Supports healing by improving blood flow and breaking down adhesions

Start with light touch and build up over time — it should never be painful. Make sure your wound is full closed and dry before starting!

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09/07/2025

Intrapartum factors that can increase perineal tearing risk…

⚡️ Instrumental birth — Forceps or vacuum increase the chance of deeper tears.
⚡️ Prolonged second stage — Long pushing phase can fatigue tissues.
⚡️ Rapid second stage — Very quick pushing phase gives the perineum no time to stretch gradually.
⚡️Episiotomy — A cut to the perineum increases the risk of an extended or deeper tear.
⚡️ Birth position — Certain positions may limit perineal space or increase directed pressure.

✨ Many of these factors depend on how birth is supported and paced — but just as important is how you prepare your body during pregnancy.

Regular pelvic floor muscle training and perineal massage have both been shown to reduce the risk of tearing.

Let’s get you feeling strong, supported, and in control 💪🤰

08/07/2025

PROPAGANDA I’M NOT FALLING FOR 😮‍💨

✖️ "Bounce back" culture postpartum
✖️ No pelvic floor work if you're having a c-section
✖️ Straining to empty your bowels
✖️ If you leak when you laugh or run, that’s just part of motherhood
✖️ You can’t do anything if you have prolapse
✖️ Pain with s*x is normal after having a baby

Address

Suite 109, 320 Victoria Parade
East Melbourne, VIC
3002

Website

http://www.scencephysiotherapy.com.au/

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