Asma Pelvicare

23/09/2025

🌸🌸Offering a new service for mamas early post caesarean delivery 0-6 weeks 🌸🌸

C-section delivery is considered a major abdominal operation and recovery is always different for each individual. Some experiences can be simple and more straightforward while others can be a bit more traumatic and stressful. Whether it’s the physical trauma of maybe an emergency c-section or the psychological and emotional trauma of the actual operation and everything that went with it, your nervous system can become up-regulated and more sensitive which can impact healing recovery.

I’m providing this option for women who feel they need a bit of added support during their early weeks of recovery.

Using a holistic, guided approach to healing can help regulate the nervous system, calm tissues down while learning about scar tissue management and the importance of breath work - which can all have a positive influence on overall movements and general wellbeing.

*No direct scar treatment or internal pelvic floor assessment would be performed during this session. Desensitisation of tissues above and below the scar may be performed for scar mobility. After scar has healed and matured, direct scar tissue massage can then be performed around 10-12 weeks post delivery*

09/07/2025

Are you stuck in the ‘mum’ sway back posture since being pregnant and giving birth?

What one session of physio and breathwork
can do to your standing posture

🌸 Improve ribcage position and reduce ‘rib flare’

🌸 Improve breathing dynamics and core stability

🌸 Decrease load and strain on upper and lower back/pelvis which can help with back pain

🌸 Minimize intraabdominal pressure to help with pressure management and reduce load on pelvic organs to help prevent prolapse/stress incontinence or minimize symptoms

🌸 Efficiency in pelvic floor dynamic movement, strength and coordination

Of course this is just one piece of the puzzle. But it is a very important piece that needs to be addressed ! ❤️

14/04/2025

Pelvic Floor Dysfunction

IS COMMON but NOT NORMAL 🚫

The stats are real ☝️

Women continue to suffer in silence 🤫

DON’T! 🙅‍♀️

Pelvic floor issues can be happen to anyone 🙆‍♀️

Get the help you need 🙋‍♀️

It’s never too late ⏰❤️

🚫

07/02/2025

Excited to be leading a workshop today! ❤️

Opening up the conversation about Pelvic floor dysfunction with Asma Pelvicare
Asma, is a leading women's pelvic health physiotherapist.

In a recent client questionnaire 98% of clients were interested in a pelvic health workshop. Showing how common pelvic floor dysfunction is.

Many of us have some kind of pelvic floor dysfunction - prolapse, leaking, urgency, frequency, back/hip pain, or constipation. But, we rarely talk about it, let alone seek help for it.

There is help and support available, you don't need to suffer in silence.

These workshops are empowering women through knowledge and education.

If this is something you would be interested in attending then please pop a YES in the comments below.

16/01/2025

✨⭐️Menopause Wellness Visit✨⭐️

Introducing a new appointment for women who are in perimenopause, transitioning into menopause and/or post menopause -this one’s for you!

While menopause education is slowly coming on the rise, there is still a huge gap when it comes to how hormones affect our musculoskeletal and pelvic health!

Our muscles, tendons and bones 💪🏽🦴run on estrogen - a hormone that helps to build muscle and bones. It’s important for tissue resilience, sp*ed and recovery. When estrogen starts to decline during menopause, we tend to see more tendonopathies and an increase risk of bone fractures. OH btw, women start to lose muscle mass at the age of 31 (for men its 55 😳)

We see common symptoms such as hot flashes, night sweats, brain fog and insomnia - but almost 90% of women also experience symptoms of genitourinary syndrome of menopause (GSM) - which is a collective term for vaginal symptoms such as dryness, irritability, thinning of the tissues which can then lead to pain with s*xual activity, bladder incontinence, urgency symptoms and UTIs.

While hot flashes and night sweats do subside, GSM symptoms tend to be chronic, only 25% of women seeking treatment for it

In addition, pelvic health symptoms such as pain, bladder/bowel incontinence is a physical barrier to exercise in 1/2 women. Physical activity (especially strength training to combat muscle mass loss) is extremely important during this time, which is why pelvic health symptoms need to be addressed first.

This wellness visit will provide you with the knowledge and information to help you thrive during your journey through menopause. The visit will include a discussion of anatomy (the pelvis and pelvic floor), a thorough assessment of your movements, breathing patterns, your pelvis and examination of pelvic floor muscles to see how your pelvic floor is moving and tissue examination to see if you would benefit from vaginal estrogen.

Movement and strength will be key- so helping you get started or resuming fitness will be a priority. Breathwork, mobility and resistance training are vital for functional and pelvic floor strength

Let me know if I can help you on your journey! ❤️

29/10/2024

Menopause In-Service Training

I presented an in-service training to the physios, massage therapists and staff .scotland today

I have poured my heart and soul into studying and learning about the transitions of menopause for the last year now.

Even as a women’s health physiotherapist, my knowledge on it was very minimal.

I took a course on Female Hormonal Health created and led by , who really is the best of the best. She is a brilliant women’s health physiotherapist that is an educator, and uses an evidence approach in her coursework and really does all the research for you. She even goes as far as updating her curriculum with all the new evidence and research so we as students, can get the most up to do reasearch. I mean it can’t get better than that 🫶🏽

I have read books on menopause written by EXPERTS in their field and menopause specialists. I have listened to podcasts, watched webinars, and fed my brain with the gap in my women’s health knowledge where I was lacking.

Am I an expert in menopause? Heck no. We all have to start somewhere. I know a lot more than I did just even a couple of years back. I can certainly serve my mid-life women even better than before.

This is how we evolve as clinicians in our field. We will always be better than before with the right training, education, and yes it takes time. It’s certainly an investment of both time and money.

With all the misinformation on menopause, inadequate training, knowledge gap in women’s health in general, our women’s often get dismissed and their symptoms neglected for so many years.

We can do better. We have to. Our mid-life women’s symptoms are REAL and we must be able to give complete guidance so they can thrive in this period of their life

So am I trained in menopause? HECK YES I AM 🙌🏽🙌🏽

Happy Menopause Day - (for me it’s today because today I validated it for myself 😅)

Menopause experts to follow on IG

05/09/2024

Hello to all my new followers 👋🏽 and a shout out to all my new clients I’ve seen over the past few months 🫶🏽

Time to reintroduce myself 🙋🏽‍♀️

My name is Asma and I’m a women’s pelvic health physiotherapist helping women who have been suffering with symtpoms such as urinary incontinence, prolapse, pelvic pain, pregnancy and postnatal related issues, infertility, menopause and really anything that has physically changed within your body that is causing dysfunction !

As women, we go thru many physical and hormonal changes in the various stages of life. This can lead to changes in our postures, the way we breathe, how we hold stress and tension which can affect the way we move and function.

The good news is- there is help!

Pelvic health issues are not just a pelvic floor issue. Our pelvic floor works with our nervous system, abdominals, spine/low back and diaphragm (core system) to create an efficient and safe way to breathe, move, lift and daily life activities that require us to load and perform more strenuous tasks. The pelvic floor is the bottom layer of our core system so it usually takes the most load and the biggest hit when it comes to stress, build up of pressure in our body and generalised pain.

My holistic approach to treating women allows me to treat the person as a whole. I offer a safe space for you to discuss ALL of your concerns, your feelings, your experiences in life that may been traumatic and how that could all be related to your ongoing symptoms.

Yes, I want to know how you p*e, poo, about your s*x life, work, hobbies, your relationships, how is life being a mom and having to juggle work/life balance. I want to know what makes you stressed and how you handle it, how you sleep, what makes you happy and gives you peace.

In the end, it’s about everything..

I’m so grateful to educate women about their pelvic health and empowering them with more knowledge so they can take better control of their life 👏🏽 and of course helping to resolve symptoms.

If you’ve been a client of mine and I have helped you in some way or another, give me a 💖 in the comments. Let’s encourage women to seek the help they deserve 🫶🏽🫶🏽

04/09/2024

Abdominal scars + urinary incontinence

Whether you’ve had a caesarean delivery or a hysterectomy, it is a MAJOR operation.

What happens during a caesarean delivery?
7 layers of tissue gets cut through, your abdominals get pulled apart and then the surgeon needs to manipulate the uterus a bit to get baby out. Then your muscles are pulled back together and you are sewn and stitched at the top.

Then of course you are sent home with a baby and maybe very little guidance on how to care for yourself. And if you choose to breast feed, you have to work that into the equation as well.

Some mothers recover really well, but others still have pain or bladder issues.

This particular client is in her 60s and did not experience any issues following her c-section. But things are creeping up now.

Scar create scar tissue. Abdominal scars very closer to the bladder and linked to the uterus. This can create pulling, restriction and adhesions that can either change the position of your uterus or even start irritating your bladder. Your bladder needs space and room to fill and stretch, your uterus needs space to move as well - and if both are being closed off, urgency and stress incontinence is very likely a possibility. Your uterus can also be putting pressure on your bladder.

Your pelvic floor is trying to work so hard to respond to the pressure from above whether it’s during a sneeze, cough, jump or just trying to hold it in when you have to p*e really badly 🫣 But it can only do so much. It’s just one group of muscles

Doing pelvic floor squeezes won’t solve the problem.

Your organs needs space. Your scar needs to move. Your ribs and diaphragm need to work with the pelvic floor to create length and room with your breath. Once the tension starts to unwind and you have room to inhale, things start calming down. Your organs have room to breathe and function and stretch. Your pelvic floor starts to relax and can do its job. Then your symptoms start to change and improve.

Stress incontinence is not just a pelvic floor issue.

21/06/2024

Birth prep 🤰🏽

Pelvic health physiotherapy can be extremely beneficial and valuable during pregnancy and closer to delivery time as we can get things ready for birth!

What did we do today for my young gals physio visit?

She’s 36 weeks and definitely feeling the weight of the baby which is creating low low back and groin pain making it hard to walk.

So we created space around her ribs, belly, the front and back of the pelvis giving baby room to move. She felt a lot lighter!

I did some work around the p***c bone, sacrum (back of the pelvis) which made things more manageable for walking.

We also covered the essentials for birthing:

1. Breathing - learning to inhale down into the pelvic floor to create length

2. Bearing down and pushing safely to prevent prolapse

3. Different birth positions for delivery

4. Kegel vs. Lengthening pelvic floor muscles- you don’t want to be contracting your pelvic floor while pushing baby out! Most women need cueing with this!

4. Perineal massage - to do at home to reduce risk of tearing and allowing for a smoother delivery

5. Caesarean delivery rehab and advice- because you just don’t know what your birth plan will end up being!! Even if you have your birth plan lamented, nothing is in your control. Better to be prepared 💖

6. Discussion in getting back in for a postnatal visit! Because the body go thru trauma and changes after baby comes out 👩🏽‍🍼

We can do so much!!! If you are pregnant, anytime between 34-36 weeks is a good time to start prepping 🎉

01/05/2024

Physiotherapy isn’t always about ‘fixing’ a patient.

Especially when you have a patient that has chronic symptoms of pain, poor gut health, stress, physical and emotional trauma from injuries and surgeries- we need to look beyond the biomedical part of therapy.

We need to look at the patient as an individual. What is their stress? How do they manage it? What are their fears and hesitations? What is THEIR story? And what are their goals?

Yes maybe they just want to get back to walking, or get their hip moving better. But what is holding them back?

My story today is about a woman who fell onto my schedule coincidentally (not for women’s health) for hip pain and stiffness which was causing limitation and a sense of imbalance (ungroundedness).

Little did I know she carried a life story with it where she spent almost 30 minutes sharing her history. And I LISTENED. And when the timing was right, I dug a little further and asked about her pelvic and gynecological history. And there was even more to share. By that time, I only had 10 mins to assess her.

The first area I looked assessed was her hysterectomy scar from 11 years ago. It was a place she never acknowledged, blocked out of her mind, and never though could be a place of emotional and physical trauma and contributing factor to her ongoing symptoms.

For the remaining time, I addressed very gentle scar mobility and performed mobility work to her pelvic bones.

She cried a lot. She didn’t know that her scar held so much emotion and possibly trauma.

In her email to me, she said she felt like skipping which she had not felt in a decade.

Then today we resumed work on her scar, hips, pelvis (all externally) and we ended the session with acknowledging her scar and creating closure in that region that she had blocked out for years. She cried more and she didn’t know why. But she felt a release of stress, emotions and an increase in energy.

And this is what healing and recovery looks like 💖

Until we meet again and unravel more 💖💖
*Pt lives out of town and has been in Dundee for a week holiday*

01/05/2024

Why every mom deserves a postnatal check!

Pregnancy and childbirth take a toll on our bodies. Our bodies change A LOT. During pregnancy as the uterus grows, you move into a swayback posture, your ligaments become lax and for some women become very sensitive, your organs get pushed around and your abdominals become stretched. There is also a lot of load being pushed down on the pelvic floor.

And then during childbirth, whether you've had to push for hours, had an assisted (forceps, vacuum) and/or cesarean delivery, perineal tearing, episiotomy- these can cause tension in the pelvic floor creating symptoms of urine or f***l leaking, pelvic and low back pain, constipation that can cause painful bowel movements and hemorrhoids, painful in*******se and organ prolapse. If these symptoms are left untreated, they can worsen over time.

Whether you currently presenting with symptoms or not, a postnatal check up by a qualified pelvic physio is highly recommended to help prevent issues from occurring. For many women, symptoms start to appear later in life when the changes that occur in the system start to create compensatory movement and tension causing a dysfunction.

I take a look at everything! Not just the pelvic floor.

It’s never too late to get a check 🌸

23/04/2024

My 77 y/o patient who is suffering with prolapse and is on the waitlist for gynae appointment came to see me for my opinion. While she does present with prolapse, I was able to suggest to her GP for a vaginal oestrogen to support vaginal tissue health and reduce irritability (which may help her prolapse symptoms - we will see) and also prescribe her exercises to help reduce her symptoms and pelvic floor strength!

We also went over how to breathe with each movement to reduce downward pressure on the organs as breath holding can be quite common which can aggravate symptoms.

Remember pelvic floor exercises is not just doing kegels! We move as a system and we need to start training out pelvic floor to move with that system!

Look at her downward facing dog though 👏🏽👏🏽