Lulu Physiotherapy

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Lulu Physiotherapy

Lulu Becker is a specialist Women's Health and Paediatric Physiotherapist based in La Lucia, Durban, Specialist Women's Health Physiotherapist.

08/09/2025

There is no question that the greatest gift in this profession of mine is the people. The ladies I treat and my Physio colleagues I get to work with.

What a privilege to do this “work” 💙 This is the advice I would have given myself 20 years ago if I could have.

Happy World Physio Day friends 💙

01/09/2025

I’ve just spent AGES making these slides and then went to choose the audio (how apt is the song!!) and realised I forgot to add -
NOT HOLDING YOUR P*E IN FOR A LONG TIME IS ESSENTIAL FOR REDUCING UTI’s TOO!

I usually say aim for 6-8 wees a day.

These tips are what I’ve learnt from treating women for the past 15 years, (and may not all be 100% evidence based).

I know the word “tight or hypertonic” is controversial these days with regards to the correct terminology of pelvic floor dysfunction, but I feel like it illustrates the point!

Ps. I know the numbering on the slides is off 🙈 apologies! By the time I realised I couldn’t face redoing them.

What tips have I left out?!

27/08/2025

I shared this on my stories last week and it resonated with so many of you, that I am sharing it here too.

What a joy to have girlfriends as our village. Invest time and effort into your friendships. Your own relationship will likely benefit from it too 💙

22/08/2025

I’ve never been entirely sure what “the algorithm” is with regards to social media, but it must be liking me of late (through no effort of my own) as I’ve never had so many views on stories or posts here like I’ve had in the past few weeks!

Or you ladies are just as fascinated by all the stuff I learnt in my s - e - x counselling course as I am 🤣

For those of you who are new here, thanks for coming to see what I share.

I am a Physio who works in pelvic and women’s health. Which means for the past 15 years I’ve assessed and treated many many pelvic floors (the pelvic floor is assessed through a v-ginal or re**al examination by a Physio trained in internal exams).

I am also lucky enough to get to teach the prac component of my incredible friend .roscher courses for Physios in SA.

I am a qualified Yoga and mindfulness teacher and FASCINATED by how emotions and trauma impact on the body (especially the pelvis).

A week ago I completed a s*x counselling course which I LOVED. I did the course because I feel like ladies are having and wanting less s-x. I’ve never talked about low libido in my treatment room as much as I have in the past year.

Pete and I have been married for almost 13 years and we live with our two daughters in Salt Rock. We moved into the home we have building for the last year a month ago and I’ve been amazed at the positive impact our new home has had on my nervous system.

Our girls are 10 and (almost) 8 and we are at the sweet spot of them being more independent and (still) thinking we are fabulous. Long may it last!

I love exercising and work out in our garage with 3 of my friends, 3 times a week. I have been obsessed with reading all my life and have finally accepted I will always be studying some kind of course - I am eternally curious.

I am launching a podcast in the next few weeks and have never had so many responses to any story, EVER, as I did this week when asking for help in naming my upcoming podcast. It will cover, s-x ed, mindfulness and pelvic health and I am so excited for it!

Thank you for all of you who engage on here with me - I can’t believe what lovely ladies see my posts.

Wishing you a Happy Friday!

19/08/2025

“I love your singing!” I said to the lady cleaning the bathrooms where I work this morning.
She lowered her head “thank you”, she smiled.

“Keep singing, it’s so lovely to hear”, I called to her as I went in to the adjacent bathroom stall.

I feel like in SA, we have multiple opportunities to have a warm and engaging interaction with someone we may encounter in our day. From baristas to car guards and petrol attendants, shop tellers and market sellers, there is ALWAYS someone who js willing to have some banter and a laugh with you in SA 🤩

It’s free to be kind and warm and to comment on the weather or any shared experience you may have with the person in front of you! We really are all such simple beings. We usually just want to be seen and connected with.

Kind and warm interactions really are there for the taking in SA. Aren’t we lucky to live here 🤩

22/06/2025

⭐️STOP SUCKING IN YOUR TUMMY PLEASE NEW MAMA ⭐️

I know—I did it too and STILL catch myself doing it today.�
That automatic pull-in of the belly the moment we stand up, pose for a photo, or just try to “feel” like our old selves again after having a baby.

But here’s the problem with it:

👉 Constantly sucking in your stomach after birth isn’t helping you “snap back.”�It’s actually potentially delaying your healing and putting MORE pressure on your already vulnerable pelvic floor. 😬

When you hold your tummy in all the time, you:

❌ Disrupt natural breathing�❌ Increase intra-abdominal pressure�❌ Prevent your core from reactivating the right way�❌ Put extra strain on your pelvic floor (hello leaks, increased tension & heaviness)

✨ Instead, focus on reconnecting with your deep core and breathing patterns.

Diaphragmatic breathing (breathe in so belly rises and exhale so belly falls) and patience in the early days go WAY further than sucking in ever will.

❤️ Your body just created life. It deserves recovery, not restriction.

20/06/2025

🍌 Take aways from my s-x counselling course so far 🐱

1. I’ve confirmed just HOW conservative my upbringing was in regards to conversations around s-xuality and intimacy.

2. You need to be VERY aware of your own biases and perceived stereotypes of others when doing this work.

3. Hi**er had an impact on s*xuality today. HOW? His eugenics & plan to promote the “Aryan race” as being superior & the N***s also got rid of libraries of s*xological study, including Freud’s stuff that wasn’t so conservative.

4. Writing down my own “s*xual philosophy” was very uncomfortable for me and I talk about intimacy all day!! Made me even more in awe of the women who come to see pelvic health physios when battling with pelvic pain ❤️

5. The HIV pandemic in SA has had a bigger impact on my generation in terms of exploring s*xuality than I had ever considered. Intimacy requires not only emotional safety, but physical safety. I remember an Aussie friend in London asking me “why are all you South African girls such prudes?” I replied that it was because we were terrified of HIV. She was dumbfounded. I asked her how many people she knew of who had died from / contracted it and she said “zero”.

Whereas before ARV’s were freely available, we all knew someone in SA who has lost someone to it 💔 Especially working in hospitals in SA.

6. The s*xual stereotyping of people of different races is something I had naively never considered. Especially in the USA. Asian women are considered to be “hyper s*xual” and very s*xy, they are radically s*xualised as the “Lotus Blossom” or the “Dragon lady.” Whereas Asian men are considered to not be as s*xy and considered to be s*xually inept, des*xualised and to have smaller p-nis sizes. This links back historically in the USA to the Chinese exclusion Act in 1882 and the perceived “threat of Asian men to the American way of life.”
Latino men on the other hand are considered to be hot and passionate lovers.

It has been interesting for me to reflect on what automatic stereotypes I have in my own mind regarding the different races and religions of women I treat.

I am looking forward to getting into more of the actual tools to help my ladies 🤩

08/04/2025

Hi ladies, my case load is currently full and I don’t like having a long waiting list. I am also starting my s*x counselling course in a few weeks, so for now, I can only see new fertility ladies.

If I have treated you before, I would love to see you as a follow up appointment.

Thankfully we have some wonderful Physios who have been on our courses in the past few years and I can happily refer you on to them 🤩

I realised last week that it’s been 10 years this year since I started helping ladies on their fertility journeys. It’s such a joy and privilege to do this work. I have had 5 ladies in the last week ask me why there aren’t more Physios offering assistance to ladies struggling with fertility.

I think I am finally ready to create a course to help other Physios who are interested in this wonderful field of Physiotherapy.

I hope to offer this in the second half of this year.
(You will need to have attended our foundations or advanced course to join me for this).

Thank you so much for all your ongoing support of my practice and courses.

I am so grateful,
Lulu x

23/03/2025

And it’s live!

I have a new webinar available on my website. It’s all about how the Jaw and Pelvic floor (and in fact the feet and the tongue) are connected and how they can impact on each other.

It’s common to have pain and discomfort at a few points on this deep frontal line of fascia and I find that the best way to impact on this fascial line is through working on the diapraghm.

Join me see how I massage the diapraghm and abdominal wall and how you can release your own diapraghm at home.

For those of who you have signed up already, I have emailed you a bonus Body scan and Pelvic Bowl meditation.

*I will send this bonus recording to anyone else who signs up before the end of Wednesday 26th March 🤩*

You don’t need to be a Physio or Healthcare provider to sign up to it, it’s available to anyone who is interested in this topic. But if you are registered with the HPCSA, you can receive 2 CPD points for completing the quiz at the end of the videos 😊

You can sign up via my website, www.luluphysio.com, webinars or click the link in my bio!

17/03/2025

Stepping out of my comfort zone.

I’ve talked more about low libido in my practice than I’ve talked about anything else in the past year.

People seem to be feeling like and having inter course less than ever before.

I feel like us being more swept up in our busy minds and less present in our bodies in this frazzled world of ours is impacting on our intimacy.

I say to the ladies I treat “foreplay for women is not the few minutes before the act. It’s what has happened in the 2 weeks before.”

Conversation and connection. It’s quality time together and being present and listening to each other.

And so I have decided to put myself completely out of my comfort zone and do a s-x counselling course that starts in May. I’ve convinced my friend and colleague Kim to join me for it and I am equally fascinated and a little anxious about what is to come.

I don’t plan to offer it as a stand alone service, but will rather weave it into my existing work with ladies who are battling with pelvic and s-xual pain ❤️

I paid today. So no turning back now.

12/03/2025

⭐️When friendship changes from a group sport to an individual one⭐️

I am currently listening to Mel Robbins’ book, Let Them. I love her “Let Them” and then “Let Me” approach to when we are triggered by something. And how addressing and reflecting on our own inner response to something can be so powerful ❤️ it’s the premise that underlies mindfulness too.

Yesterday I was listening to her chapter on friendships and I found it fascinating. She talks about how as you get to your 20’s (for me it was actually my 30’s), friendship becomes more of an individual sport than a group sport.

She discussed how friendship is based on:

⭐️Proximity (how often you see each other)
⏰ Timing (are you at the same stage of life)
🌺 Energy (do you gel / get on with the other person)

When you are at school/university and living with your friends in London, you get all these things. For most people, the “great scattering” she talks about happens after University, where the people you’ve been close to move all around the country / world. For me, I still had the group sport version of friendship in London. My workplace at The Portland offered another amazing group of Physios at the stage of life as me.

Group sports friendships are SO much easier. You know where you belong, you are automatically included & invited.

Getting older and navigating individual sport friendships has been tough for me. I’ve realised that I love a group. I feel safe and like I know my place in a group. While my friends from my groups at boarding school, university & London now live all over the world, I wish they could all live nearer to me ❤️ There is nothing like that easy soul filling familiarity of the group reconnecting again. I felt this at my boarding school reunion and each time I see my London girls in the picture above.

I see now that I seem to continue to try and recreate group friendships to this day. Some, more successfully than others. Currently, I regularly see my book club group, my Thursday yoga ladies, my work ladies and my garage gym girls.

Hearing Mel’s explanation of how friendships change as we get older has been helpful for me. I wanted to share it here in case it helps you too ❤️

09/03/2025

And then it was too late.

She had focussed all her time and effort on everyone else’s needs. And in the midst of it, neglected to take care of her own physical body. The only body she had for her heart and brain to reside in.

The heart and brain that wanted to lift her grandkids and to be able to put her suitcase in an overhead locker on the plane while travelling to exciting destinations when she retired.

Her heart and brain cared deeply about human connection and being absorbed in the natural beauty around her. But while her soul longed to do these things, her physical body just didn’t have the capability to do so.

I received a beautiful message today from a lady saying she is now lifting weights after I shared how my exercise goals are now centred around what I am doing for my 70 year self.

Her message made my day.

We only have this one physical body and it’s so incredibly easy to put everyone else’s needs ahead of ours in the short term and not prioritise what we are eating and how we are exercising week to week.

When really it’s to the detriment of our loved ones in the long term 😢

It’s never too late to start.

What are you doing this week that your future self will be grateful for? ❤️

Address

Durban

Telephone

+27719032177

Website

http://www.luluphysio.com/

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Specialist Pelvic Health Physiotherapy

We moved back to Durban in December 2017 after 11 years in London and in May I opened my own Physio practice working from home 😊 It is so wonderful to be based at home and close to my 2 little girls. Also just AMAZING to be back in SA! In the UK I specialised in women’s health Physio, and I’m also a yoga teacher. So I treat women with incontinence and pain in the va**na or back passage. I also treat ladies that are pregnant, help with cracked ni***es and mastitis from breastfeeding, and check them post pregnancy to ensure their pelvic floors and tummy muscles are safe to get back to exercise! So I’m basically a gynae Physio, and as it’s all I’ve done for so long, I’m pretty hopeless with anything like a shoulder or knee issue, but I’m pretty knowledgable about the pelvis! I’m fascinated by how our emotions impact on everything to do with va**na, especially with making the pelvic floor muscles too tight (you can get knots in your va**na muscles too!) and this can make s*x and tampons really painful. (See a women’s health Physio if this affects you!) I also treat kids with incontinence and bed wetting. Since opening my practice here a few weeks ago, I’ve been amazed by how many awesome ladies I’ve been able to connect with working in the womens health space, how many of my clients have helped to spread the word about what I do and I feel soo fortunate to get to do what I love everyday as a “job”! If you think you amy benefit from seeing me, please do get in touch :) Lulu