Prolapse Care
Treatment for pelvic organ prolapse
An honest, open space to talk about Prolapse
Prolapse is common, but it is not always openly talked about. That silence can leave people feeling alone, worried, or unsure what they are feel safe to do. Our service offers a calm, respectful space to ask questions, understand your body and build a practical route forward. We take current research on prolapse management and a personalised whole body assessment to build a route forwards. Whether you are newly diagnosed, managing long-term symptoms, returning to exercise, navigating postnatal recovery, or exploring pessary support, we will help you feel more informed, capable, and confident in your next steps. Our goal for you is to move with confidence and live with ease.
How prolapse physiotherapy works
Pelvic organ prolapse can feel unsettling, confusing and deeply personal. It is often described as a heaviness, dragging, pressure or bulging sensation, but it is more than a positional change in the body. Prolapse is also be a sensory condition: the way it feels can be more impactfull creating fear, distress, avoidance and a loss of trust in your body. Many people arrive having been told to “try pelvic floor exercises” or avoid activities like lifting and hobbies or sports, when what they really need is to feel understood, get clarity and have a plan that looks at the whole picture.
Our prolapse rehabilitation service is designed to help you understand what is happening, why your symptoms may be feeling the way they are, and what can be changed. We assess not only the type and stage of prolapse, but also the hidden drivers that can become game changers in your rehab — this includes breathing, pressure tolerance, bowel habits, movement patterns, strength, coordination and how your body manages everyday load.
Your Prolapse Rehab Journey
Your journey begins with a focused initial assessment. We take time to listen to your symptoms, your goals and the priorities that matter to you. We explore how your prolapse affects your daily life, exercise, intimacy, work, parenting, confidence, and sense of safety in your body.
From there, we assess the pelvic floor alongside the pelvic organs as well as the rest of your body. Your plan is based on how you move, breathe, load and coordinate — not just on a diagnosis.
Because prolapse symptoms are often influenced by more than one factor, we look closely at the drivers behind the pressure. Control of the pressure in your body can be driven by different issues from constipation, straining, gut mechanics, diaphragm function, bracing, inefficient lifting strategies, reduced or excessive activity levels, strength deficits or coordination challenges.
Each person has their own unique combination in their symptoms and so their rehab too. Addressing these can make rehab more effective and help you feel more confident in daily life. This may include:
Pelvic floor assessment and tailored pelvic floor training
Breathing and pressure management strategies
Gut support for constipation, straining, and bowel habits
Movement, lifting, and exercise modifications
Strength, coordination, and full-body mechanics
Coaching and education to reduce fear and avoidance
A personalised plan that supports your unique symptoms, goals and lifestyle
Pessary Fitting for Prolapse
Pessary fitting is a separate but complementary service that may follow on from prolapse rehab care.
A vaginal pessary is a removable support device used to help reduce prolapse symptoms and support the vaginal walls and pelvic organs.
It can be a helpful non-surgical option for many people, either short term while you await consultant care like surgery or long term -- depending on symptoms, lifestyle and preferences pessary fitting can support your choices and preferences in your prolapse symptom care.
During your pessary fitting appointment, we assess whether a pessary is suitable for you, discuss the options available, and work to find the best pessary for you and your needs.
The goal is not only to help you find the right pessary, but to make sure you leave feeling informed, reassured, and confident in managing it safely and comfortably.
We work alongside your GP or consultant to give support for your whole pelvic health.
If you are ready to move forwards you can request a call to learn more.