Kirsty Nel

Kirsty Nel Women’s Health aka Pelvic floor therapist
Pain management

GSM - Genitourinary Symptoms of Menopause is a collective term for several bothersome niggles that start to occur during...
28/04/2026

GSM - Genitourinary Symptoms of Menopause is a collective term for several bothersome niggles that start to occur during perimenopause and can remain at/after menopause.

GSM is actually one of the earliest signs of perimenopause because of how sensitive this area is to the slow decline in estrogen.

Which area are we talking about ~ the va**na, l***a, bladder and urethra.

Symptoms under the GSM umbrella include:

☂️ Dryness and decrease lubrication.
☂️ Itchy, irritable and burning of the v***a
☂️ Bladder irritability ~ constant need to wee or feeling like you haven’t emptied.
☂️ Bladder infections
☂️ Leaking urine
☂️ Pain with in*******se.

As estrogen declines these tissues thin out, become more inflamed and fragile. The ph of the va**na also changes which means the happy mircobiome shifts.

Things that can help :

• Topical va**nal estrogen (available OTC)
• Vaginal moisturizers with HA in it.
• Lubrication for in*******se.
• Topical Testosterone (prescribed by medical Dr)

Seeing a pelvic floor therapist can also help relax the pelvic floor muscles that become guarded and strained when under stress.

Use my code with to get 10% off their natural lubricants and arousal oils. Perfect to support and perk up your lady bits!

🛍️ ANDHER10%

April is C section awareness month 🤍 Many women are under the impression that having a c section means that are spared o...
09/04/2026

April is C section awareness month 🤍

Many women are under the impression that having a c section means that are spared of certain pelvic niggles that only natural delivery can cause.

There is also a huge lack of support and info for ladies not only to be prepared for a c section birth but also to recover from one.

❌ In both these cases this is wrong and has to change as c sections can impact recovery and function hugely!

Follow along this month for more info and tips on c sections 🤍

What does the pelvic floor have to do with intimacy and in*******se?Well quite a lot actually. The pelvic floor is a gro...
25/03/2026

What does the pelvic floor have to do with intimacy and in*******se?

Well quite a lot actually.

The pelvic floor is a group of muscles at the base of the pelvis that are meant to relax during intimacy and arousal so that pe*******on can occur - not only comfortably but it also must be pleasurable.

During climax the pelvic floor rhythmically contracts to maximize the ultimate level of sensory pleasure.

Tension and weakness in these muscles could be impacting intimacy and derailing this process. This results in a negative cycle of pain, decreased arousal and loss of desire.

There are many ways to connect and include the pelvic floor in one’s secs life. Chat to a pelvic floor therapist to start the journey.

Don’t neglect your pelvic floor 🤍

Use my code andher10% with to explore their range of intimacy and arousal products.

Pain and discomfort during intimacy is a big reason many ladies don’t find Seggs much fun at all. It’s more common than ...
12/03/2026

Pain and discomfort during intimacy is a big reason many ladies don’t find Seggs much fun at all. It’s more common than what is spoken about but that doesn’t make it normal or something anyone has to settle for.

Decreased Vag lubrication is a big one when it comes to things not feeling all that good down south. But the good news is there are easy things to do to help fix it.

First step understanding why…

⚡️ Lubrication be hormonally driven - one of the earliest signs of perimenopause is deceased natural lubrication.

⚡️ Lubrication also declines in the second half of the menstrual cycle when we are less fertile.

⚡️ On a hormonal contraceptive? This can also stagnate natural s*x drive and decrease arousal.

⚡️ Stress! If your body is constantly unregulated and in over drive it is not going to prioritize pleasure.

⚡️ Other drugs - certain meds can decrease libido and ultimately lubrication.

⚡️ Lack of sleep and exercise - again these help the body rest and restore. This allows more space for our s*x drive to thrive and want pleasure!

⚡️ Your relationship - are you communicating your needs and concerns with your partner?

⚡️ The pain cycle - expecting pain from an activity is not going to motivate anyone or anything to partake fully.

arousal oil is a great option to help support, stimulate and revive the lady bits.

Massaging the oil into the tissue not only stimulates the tissue and improves blood flow but it can also help desensitize any up regulated nerves. It’s also a great way for a partner to be involved. For-play is a huge part of the journey.

All this acts as a pre-l**e to get the party going and with better vag lubrication many of the niggles just become a distant memory. And if you need a bit extra also have a l**e available.

Use my code andher10% off the nectar website and give it a whirl 🤍

This one is for the cycling laydeeees! and myself will be presenting a webinar next week all about pelvic floor care in ...
23/02/2026

This one is for the cycling laydeeees!

and myself will be presenting a webinar next week all about pelvic floor care in the female cycling world. Often overlooked and unsupported these muscles are really important to support the female athlete within this arena.

We also have an added bonus of .performance joining us to give some insight into the cycling world from a mental aspect as a pro cyclist.

There are some big cycling events coming up soon so don’t miss out on prepping yourself with these additional tools 🚴‍♀️🚴‍♀️🚴‍♀️🚴‍♀️

Date: Thursday 5th March
Time: 7pm
Via zoom
R250 (recording included)

To book DM me or email info@knphysiotherapy.co.za

Can’t wait to see you online 🚴‍♀️

Join us this Thursday in the mamma tribe group for some exercise and stretch followed a special guest joining us 🩷Clair...
09/02/2026

Join us this Thursday in the mamma tribe group for some exercise and stretch followed a special guest joining us 🩷

Claire Bracher , professional nurse, midwife, lactation consultant and perinatal health coach . After a 10 year stint in academia she returned to clinical practise and was struck by how stressed and anxious new parents had become. She saw how negatively this was impacting their early parenting experience this awareness led her to train as an integral life coach through UCT and to offer coaching to pregnant and new parents. Claire works in group settings or with individuals and has had a profound impact on supporting new moms in finding more support in the new normal and chaos of early mommy life.

Join via the alchemy website www.alchemystudiosa.co.za and select the drop in class for this weeks &her mother’s connection.

This AI thing looked like fun so here I am according to chatGPT 🤍I am Kirsty Nel- Kirst to most. I am a pelvic/women’s h...
06/02/2026

This AI thing looked like fun so here I am according to chatGPT 🤍

I am Kirsty Nel- Kirst to most. I am a pelvic/women’s health physio based in Joburg South Africa.

My focus is purely all things female however I do see the odd patient’s husband who feels like they have stepped into some secret club and have privy to the inner world of all things women.

Next month will be 7 years in my own practice and at the end of this month I renew my lease for another 3 years.

When I started on my own it was meant to just be a few hours a day kinda gig and I hardly looked at my instagram. However that quickly changed when I unexpectedly fell pregnant with my second child, went through COVID lockdown with a newborn + toddler and kept a baby practice a float. Somehow within that space of uncertainty my practice grew 🌱 and I grew.

I am now blessed to do the work I enjoy, still be a mom to my kids busy schedule, teach others interested in the same field, run a class to support moms in a space that I once was, give talks and lectures and so much more than the few hours a day that I had in mind initially.

My day to day practice focuses on abdominal and pelvic rehab post pregnancy, child birth and surgery.

I work with a lot of athletes and runners who battle with hip/groin pain.

I dry needle everything that can be needled! (With consent of course)

Fertility support with Accupunture is also a big part of my work. Along with chronic pelvic pain issues.

Oh and I love c section scar management - the more complicated the better for me 🤍

My practice is very pink and has lots of va**nal/boobs and vi*****rs models on full display (why the guys come back I am sure) It also always has something nice smelling in my treatment room!

Outside of my practice I run educational webinars, teach module 3 of the women’s health course, mom my two boys and run a weekly postpartum group .

Life is full and beautiful at the moment - I educate and empower women daily to take the plunge, uplift themselves and live their best lives!

🤍🩷🤍🩷🤍🩷

Jumping on this social trend at the moment. Many of my colleagues have posted great points so here are a few of my hot f...
30/01/2026

Jumping on this social trend at the moment. Many of my colleagues have posted great points so here are a few of my hot fave’s.

Thinking about it these are the ones that seem to come up constantly and will continue to do so!

Always remember your friendly pelvic physio has your back and under carriage 🤍

Jumping on this social trend at the moment. Many of my colleagues have posted great points. As pelvic physios there is a...
30/01/2026

Jumping on this social trend at the moment. Many of my colleagues have posted great points. As pelvic physios there is a lot we see in practice and feel passionate about to rant on about non stop!

Here are a few of mine that I feel keep coming up and I will keep bringing up again and again.

Always remember your pelvic physio has got your back and under carriage 🤍

Let’s be honest nobody likes going for one of these but Pap smears are a very important screening tool that women need t...
28/01/2026

Let’s be honest nobody likes going for one of these but Pap smears are a very important screening tool that women need to be aware of and use.

Cervical cancer is caused by naughty cellular changes in the cerical tissue. HPV is the culprit here and the truth is we are all exposed to HPV at some point in our lives. Sexual in*******se is an obvious transmitter but there are other ways too. Generally our immune system fights it off but certain strains are precancerous and early intervention is key to nipping it quickly.

Pap smears are done every 1-3years depending on what your Dr says and your risk profile. A GP can do a Pap smear so you don’t have to see a Gynae for this.

The va**nal canal is stretched open as the speculum is inserted and this can be very uncomfortable. A long tiny brush is inserted to collect a sample from the cervix. Kinda like how the throat COVID test was done but this is down under.

Here are some ways to navigate this with a bit more ease:

~ slow breathing down to regulate better. The faster you breathe the more sensitive you will become.

~ I recommend 4x4 breathing : Inhale 4sec, hold 4sec, exhale 4sec, hold 4 sec and repeat until you feel more relaxed.

~ if you are worried about lubricant take one with that you like and feel comfy to use.

~ relaxing your pelvic floor can also help. Think about letting go of your a**s - like relaxing for a fart 🙊 you won’t actually fart.

~ try and focus on keeping your regular breathing abdominal as this helps relax the pelvic floor.

~ let your Dr know to take it slowly.

~ remember the reason why you are doing it and the health benefits for that.

Keep your lady bits happy and healthy! If low risk this only happens every 2-3 years 🤍

Running is amazing and very popular way to blow off some mental steam. And there is no better time like postpartum to wa...
14/01/2026

Running is amazing and very popular way to blow off some mental steam. And there is no better time like postpartum to want to have options to navigate mental wellness.

But before you hit the road take a moment to think about a few things?

1. Slow and steady at first gets you further in the long term.

2. Starting with gentle movements, breathing and stretching helps the body reconnect in a safe space.

3. If there are any niggly symptoms those need to be seen to first.

4. Don’t underestimate walking and building distance, fitness and strength there first.

5. Recovery also includes the 9months of pregnancy prior to the birth trauma - give yourself time.

Hello MammasMy mother’s connection group starts again this Thursday 15th at 10am.The group is weekly get together at the...
12/01/2026

Hello Mammas

My mother’s connection group starts again this Thursday 15th at 10am.

The group is weekly get together at the Alchemy Studio in Dunkeld West shopping Centre.

Here are a few questions I get asked but if you have any more please DM me.

Booking is easiest off the FIT app - here is the link below 👇🏻

Hey, join me at “Alchemy Studio” to easily book classes, pay for plans, and stay updated on the go.
Join with this link:
https://www.mobileapp.app/to/oFYgYKB?ref=m_so.

Got the app? Use the invite code: TWUEDQ

Looking forward to seeing all the new mommies and babies this year 🩷🩷🩷

Address

204 Oxford Road Illovo
Johannesburg

Telephone

+27824114026

Website

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