CST relieves compression of the head (by aligning the cranium bones), neck and lower back. This can decrease pain and release both emotional and physical stress and tension. The gentle technique restores cranial mobility, release restrictions of the head, neck and nerves. Relieving tension in the central nervous system promotes the feeling of well-being by eliminating pain and boosting health and immunity.

Conditions that CST can help:

• Neck and back pain
• Headaches and migraines
• Stress and tension
• Tinnitus
• Temporomandibular joint dysfunction (TMJ)
• Depression and anxiety
• Insomnia
• Brain & spinal cord injuries
• Colic for babies

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Yek has highly specialist training to work with men of all ages to assess, diagnose and treat a wide variety of health conditions, including:

• Pelvic floor weakness
• Urinary and faecal incontinence
• Pain in the pelvic floor and pelvic region
• Urological conditions such as urge frequency & over-active bladder
• Prostate issues such as non-bacterial prostatitis
• Post radical prostatectomy
• Erectile dysfunction
• Ejaculatory dysfunction and pain
• Sexual dysfunction
• Bowel dysfunction & constipation
• Pudendal nerve pain
• Bowel dysfunction such as constipation

These conditions are often caused by musculoskeletal dysfunction and pelvic floor muscle imbalances, which can be addressed with a thorough holistic assessment using a combination of a biomechanical assessment, pelvic pelvic girdle alignment and where necessary, an internal pelvic floor assessment.

After a thorough assessment, a diagnosis is made and treatment will consist of:

• Manual therapy for any musculoskeletal causes
• Manual therapy release of specific muscles related to the cause of your symptoms including the pelvic floor when there are areas of tightness
• Pelvic floor muscle re-training using biofeedback & electrical muscle stimulation when necessary
• Bladder training for an overactive bladder
• Effective rehabilitation and return to exercise following prostate surgery or urological procedures
• Acupuncture for bladder, bowel and sexual dysfunction or pain
• Advice for slow deep breathing exercises and stretches for self-management

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Yek has specialist training related to the issues that pregnancy and child birth can cause. Our services include:

• Whole body assessment and treatment of any musculoskeletal issues related to pregnancy such as lumbo-pelvic pain (could be presented as low back, pelvis, sacro-iliac joint or hip pain)
• Ante & post-natal Pilates core exercises
• Post-natal exercise programs and returning to sports after giving birth
• Rectus diastasis assessment and treatment
• De Quervain’s thumb tendonitis

It is recommended that at 6 weeks post-partum, mums should have a post-natal physio check where the pelvis alignment, rib alignment, and rectus abdominus diastasis is measured and the alignment can be corrected. Six weeks post-partum is normally when your Obstetrician advise you can start exercising again. Its very important that your pelvis and ribs are in good alignment before you start exercising again as pregnancy and childbirth affects these. Very often new mums have many musculoskeletal pains such as upper back pain from feeding positions, and lower back pain from lifting the baby in non-optimal ways. Everyone is so focused on the baby and often the mother gets neglected. We get mums functional again and back to their preferred exercises and advise on the best postures to avoid pain. The rectus diastasis can vary from a superficial tear that is only a few centimetres long to a deep, full thickness tear from the chest to the pubic bone. Physiotherapist will conduct a detailed assessment, skilled palpation and functional tests to determine the extent and severity of the rectus diastasis. We would then be able to advise clients specifically on how to optimize healing, prescribe rectus diastasis corrective exercises to aid closing up the gap and appropriate types and levels of exercise.

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Conditions We Treat:

• Pelvic girdle pain including sacroiliac joint, hip, and pubic symphysis pain
• Pelvic floor weakness and tightness
• Urinary and faecal incontinence
• Pelvic organ prolapse
• Coccydynia (coccyx pain)
• Sexual dysfunction
• Dyspareunia (painful sexual intercourse)
• Vaginal pain (vulvodynia)
• Vaginismus (inability to penetrate during intercourse)
• Urinary frequency and urgency –“overactive bladder”
• Bowel and constipation issues
• Pudendal nerve injury
• Interstitial Cystitis
• Rectus abdominus diastasis – tummy muscle separation post-natally
• Perineal/episiotomy and caesarean section scarring
• Post-operative gynaecological rehabilitation

Treatments We Offer:

• Pelvic floor muscle exercises or how to relax the pelvic floor using your best cues
• Biofeedback and electrical muscle stimulation for pelvic floor muscle retraining
• Internal pelvic floor muscle release
• Perineal and internal scar massage
• C-Section scar massage
• Post-natal physio check at 6 weeks to check the alignment of your body (especially the pelvis, lower back & ribs); rectus diastasis check and corrective exercises if necessary; pelvic floor check; and posture advice for breastfeeding and picking up your baby
• Post-natal rehabilitation and returning to exercise advice

In addition to pelvic health, we offer a comprehensive range of general physiotherapy and acupuncture to provide a truly integrated approach to optimising women’s health.

What Can I Expect From My Women’s Health Appointment?

Your assessment and treatment will be tailored specifically to you and your presenting complaints. A comprehensive subjective and objective evaluation is conducted to identify all the factors that are contributing to your symptoms.

A detailed subjective assessment history will be taken in complete privacy. This would include reviewing your past medical history and asking appropriate questions relating to pain, bladder and bowel, and sexual function. We are very sensitive to the fact that these conditions may be difficult to discuss, but it will be a safe place for you to talk about anything that concerns you. If you are uncomfortable to discuss some issues initially that is fine too, but having a complete picture would make the therapist understand your condition better and improve your condition in the shortest time possible.

The objective assessment will look at global contributors such as breathing patterns, posture and alignment of the pelvis, lower back, hip and thorax (ribs), movement patterns, overall strength and conditioning, and the pelvic floor muscle function. 

Your physical assessment will begin with an examination of your abdominal muscles, pelvis, and lumbar spine – these structures house all your pelvic floor muscles; a dysfunction in one of these areas can result in dysfunction elsewhere. Your rib cage and diaphragm will also be assessed. If appropriate, you may then be offered an internal examination. This is an important part of your assessment and necessary in identifying the tone, strength and control of your pelvic floor muscles.

Pelvic Floor Internal Examination

Using finger palpation, the pelvic floor muscles and connective tissue will be assessed for injury or scarring, signs of pelvic organ prolapse, muscle tone, tenderness, sensation and neural sensitivity. The pelvic floor muscle will be tested for strength and endurance. Muscle strength is graded. It is important to determine if the left and right superficial and deep pelvic floor muscles are working together, and if not, why not.

We can then develop a specific and individualised treatment and exercise programme. The assessment findings will be discussed with you, and treatment will depend upon the findings and your symptoms. A treatment plan will then be formulated with personalized short and long-term goals.

Women’s health physiotherapists require advanced training to have the appropriate skills to assess your pelvic floor through internal palpation. This assessment is gentle and non-threatening. Your physiotherapist will be able to identify any problems with your pelvic floor and create a treatment plan if necessary.

It may seem strange or uncomfortable to assess the pelvic floor by completing an internal exam of the vagina or rectum, however internal examination of the pelvic floor is the international gold standard by which assessment and treatment of the pelvic floor is carried out for optimal outcomes.

Physiotherapists carrying out internal pelvic floor examinations are highly trained, sensitive professionals who will maintain your comfort and dignity at all times. They will thoroughly explain what the assessment and treatment will involve (including proper draping), give you alternative options, and obtain your consent before proceeding. You may withdraw your consent at any time. When the pelvic floor muscles are assessed this way, the research has shown that the interventions carried out by a physiotherapist for pelvic floor problems are highly successful and should be the first line of treatment for incontinence, pelvic organ prolapse, and pelvic pain.

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Common conditions treated by acupuncture:

• Musculo-skeletal pain
• Headaches and migraines
• Stress and anxiety
• Insomnia and difficulty sleeping
• Difficulty conceiving / infertility
• Inducing child labour
• Painful and irregular menstruation
• Bell’s palsy
• General wellbeing

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At Zenith Physio, we treat the following thoracic & rib cage dysfunctions:

• Stiffness & pain in the upper back, neck and shoulder region
• Scoliosis from moderate to severe cases
• Chest pain & breathing difficulties of musculoskeletal in origin
• Poor posture
• Digestive issues such as reflux, indigestion and heart burn
• Shoulder pain related to the thorax and rib cage
• Weak abdominal core muscles

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• Rotator cuff shoulder tendon injuries
• Frozen shoulder
• Tennis & golfers elbow
• Anterior knee pain
• ACL and meniscus knee injuries
• Calf injuries
• Ankle injuries
• Hip injuries
• RSI -hand and wrist injuries
• Pelvis and coccyx injuries

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At Zenith Physio, we treat the following spinal dysfunctions:

• Scoliosis
• Prolapsed intervertebral discs (“slipped discs”)
• Sacroiliac joint, pubic symphysis & pelvic girdle pain
• Lower back pain
• Post-surgical spinal procedures
• Chronic muscle strains and hip pain due to lumbo-pelvic disorders
• Leg length discrepancies

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Common conditions treated include:

• Lower back pain and sciatica pain or numbness down the leg
• Neck pain and pain or numbness down the arm
• ”Bulging discs” in neck and back
• Headaches
• Arthritis in the spine
• Scoliosis

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