Pelvic Pain

Clinical Pilates at SPS Castlereagh Street

Clinical Pilates Classes Sydney CBD

Pilates at Castlereagh Street Sydney CBD

Pilates Classes at Castlereagh Street Sydney CBD

We are excited to announce that Clinical Pilates are now offered at our Castlereagh Street physiotherapy clinic! All of the pilates classes and private sessions will be lead by our experienced physiotherapist and Pilates clinician Talia, who will provide a personalised approach to your exercise regime – whatever your fitness or experience level may be.

We are offering a variety of Pilates Classes:

  • Pilates Mat classes: These are ideal for those who are new to pilates, returning to exercise from injury or would like to focus on the fundamentals of pilates and correct core activation. You will work through a variety of exercises on the mat using small equipment to challenge your posture and core control.
  • Pilates Equipment classes: For those of you who have Pilates experience or are wanting to be further challenged on the pilates equipment, these classes progress and challenge your core control with the use of the Reformer, Trapeze Table and small equipment such as swiss balls, foam rollers and hand weights. The class is run as a circuit providing a taste of each equipment in every class. Close supervision to posture and technique is maintained.
  • Pre-natal pilates classes: Our pre-natal pilates classes are suitable to join at any stage of your pregnancy if you have been cleared for exercise. These classes have an emphasis on exercise and education to give you confidence throughout your pregnancy and into labour. Activation of your pelvic floor and deep abdominals will be taught in functional positions, as you work through a variety of exercises using equipment such as the Reformer, Swiss Ball, Theraband and small weights to challenge your stability in different postures. As the class is led by a physiotherapist it is a great chance to manage any musculoskeletal aches or pains you might be experiencing such as treating low back pain.
  • Private (1:1) and Duet (2:1) sessions: These  classes allow for more individualised sessions to introduce the participants to both mat and equipment-based exercises. The fundamentals of pilates can be consolidated and a home exercise program can be developed. These sessions afford you the freedom to book whenever suits your schedule and can be a great way to enhance your current training regime, or get you back into exercise.

To ensure correct technique and to maximise benefits from each session, we have a maximum of four people per class. This allows close supervision and the power to tailor each class to the participants needs.

Clinical Pilates Classes Sydney CBD

Clinical Pilates Classes Sydney CBD

PILATES CLASSES TIMETABLE: Next term begins 26th June 2017

7AM – 7:45AM Equipment
8AM – 8:45AM Mat
12:30PM – 1:15PM Pre-natal
6:45PM – 7:30PM Equipment

 Pilates Classes Pricing

  • Assessment: $136 (45 minutes)
  • Internal Assessment: $FOC (30 minutes)
  • Pilates Pack Private: $655 (45 mins) (Buy 5, get 1 free)

$535 (30 mins) (Buy 5, get 1 free)

  • Duet classes $86 (45 mins)
  • Duet class pack $430 (45mins) (Buy 5, get 1 free)
  • Small group class: $41/class ($328 – 8 week term)

$33/class ($528 -16 week term)

$45 casual class

Reception can be contacted on: 02 9264 4153 or for further information or to speak with Talia.

Clinical Pilates at Sydney Physiotherapy Solutions Chatswood

Pilates Classes Chatswood

Clinical Pilates has landed at Sydney Physiotherapy Solutions Chatswood

Pilates Classes Chatswood

Pilates Classes Chatswood

Do you suffer from persistent or recurrent low back or pelvic pain?

  • A 2016 study on back pain and Pilates exercise showed significant improvements in disability, pain, flexibility and balance in patients with low back pain.
  • Multiple studies have also shown altered muscle activation patterns around the low back to be related to acute, and/or persistent low back pain.
  • Pilates exercises teach you how to effectively activate the deep core muscles of your back, abdomen and pelvic floor. Thus, helping to manage the source of your low back pain.
  • We also use real-time ultrasound to assess the activation patterns of your deep core muscles. This allows us to directly assess muscles and provide visual feedback to you.

Our new Chatswood Pilates classes are run by our Physiotherapist and Pilates Clinician, Brittney Marlowe. Our Chatswood pilates classes cater for all experience levels from beginners to advanced.

You will need to have an initial Pilates assessment prior to beginning classes, so we can identify your individual status, your needs and requirements, and goals for the term.

Health  Fund rebates may apply.

Class timetable

Monday 7.30am – 8.15am

Tuesday 1pm – 1.45pm

Thursday 6.15pm – 7pm


Group class (max 4 people per class)

Casual class – $45/class

One term (10 pack of classes) – $40/class (buy 9 get one free)

Private session – $98

Initial consultation – no gap*

Reception can be contacted on: 02 9419 2553 or for further information or to speak with Brittney.

To find out more about our Chatswood Pilates classes contact Sydney Physio Solutions – your local Chatswood physio.

The Pains of Pregnancy

Preggieball copy

Aaaaahhhh the joys of being pregnant! That mystical glow everyone tells you about! Those warm fuzzy feelings of joy and excitement as you feel your baby moving and growing…. A carefully selected and nutritionally balanced diet to supplement and nourish your tiny developing human… Your body has never felt better right?

Not necessarily!

As I approach my final weeks of pregnancy, I feel it is my duty as a Physiotherapist to talk you through some of the not so warm and fuzzy joys of pregnancy. The one’s that your Physiotherapist can help you out with to make your pregnancy experience more of a ‘glow’ and less of a ‘blow’……

  • Muscle Cramps: Now this was one that nobody warned me about! A new level of pain that I can only imagine occurs to prepare your body for the impending painful trauma of childbirth….. If you have been woken in the middle of the night to experience the terror of your calf muscles trying to tear themselves free of your shin bone, then you will understand! It is thought these are most likely caused by a combination of fatigue and the effects of pregnancy hormone. But don’t despair – a number of things can help! Staying hydrated and taking Magnesium tables are top of the list. But your Physiotherapist can help too. Your Physiotherapist can use a combination of stretches, massage and dry needling to help alleviate muscle tension. The following is a handy calf stretch that you can do before going to bed:
  • PF2
  • Pelvic Pain: As your little bundle grows you will find there is increasing pressure on your pelvis. Your body is also preparing for childbirth via the production of a hormone caused relaxin. This will cause your ligaments to increase their laxity and results in decreased stability around your pelvis. You may experience pain anywhere around you pelvis but in particular near the pubic symphysis or the sacro-iliac joint. Your Physiotherapist can assess your pelvis and make any adjustment if needed. They can also arrange a support belt if it is appropriate make you more stable and decrease the pain .
  • Lower Back pain: The increasing bump on your front can often lead to an increased lumbar lordosis (or curvature of your lower back). Not only does this affect the biomechanics of your spine, it will also tilt your pelvis forward and can lead to tightness of your hip flexor muscles. The increasing load and changing spinal curvature often leads to lower back pain and in some cases, sciatic nerve pain. Your Physio can give you some exercises and stretches to counter this and will have a range of different treatment techniques they can use to help manage your pain.
  • Exercise: Many pregnant women become quite anxious when it comes to exercise during pregnancy. In fact, there is a lot of evidence to support the many benefits of exercise during pregnancy for both you and your baby. The key is to do the right kind of exercise. The most important factor is exercise intensity. Particularly in your first trimester, your baby is unable to regulate body temperature which means you need to be careful of over heating. Heart rate monitoring is less accurate during pregnancy because of the changes in blood volume and blood pressure. The best measure is the talk test. As long as you can talk comfortably while exercising then you are unlikely to be over exerting yourself.
  • Cat Stretch
  • The other thing to be aware of is the type of exercise. Low impact exercise such as swimming and gentle exercise bike are great – particularly if you are suffering with pain. Walking is also fantastic if you are not too sore. Pre natal pilates is something your Physiotherapist can help you with to maintain spinal mobility and work on your core and pelvic floor muscle strength. Finally don’t forget to train your pelvic floor! 10 reps of 10 second holds daily is the recommended amount. If you are not sure about your technique then check with your Physiotherapist beforehand.

Pilates in Sydney CBD

Sydney Physiotherapy Solutions has a dedicated Pilates Studio and expert, caring instructors who are all experienced physiotherapists.

We offer a wide variety of classes from beginner to advanced and have something for everyone. There are private and duet sessions, mat classes and classes utilising the pilates equipment such as the reformer and trapeze table. We also offer specialist classes for ante-natal clients, runners, cyclists and men’s health.

Clients are required to undergo a thorough assessment before commencing pilates with us & this allows the instructor to tailor exercises specifically for you.

Erectile Dysfunction

In order for men to have good penile health, for the tissue to stay healthy, men need to get erections.

There can be many reasons for men to develop erectile dysfunction but they can be largely broken down into 3 main categories.

Psychological erectile dysfunction.  Depression, anxiety and stress all have adverse effects on erectile function.  The solution?  clinical psychologists, sex therapists, even simple strategies like meditation and relaxation time.

Medical erectile dysfunction. Vascular issues, neurological issues (such as occurs following prostate surgery), hormonal issues…all of these complex factors have to be assessed and evaluated by an experienced GP or sexual health doctor.  Treatments of these issues can range from surgery and medications to counselling that patience and time should improve matters.

Physical dysfunction.  Erections occur when blood moves into the penis and is held there.  Pelvic floor muscles can act as both a pump to move blood in, and as a tourniquet to keep it in there.  Pelvic floor muscles can become weak as we age, which is one reason that erectile dysfunction becomes more prevalent as we get older.  But like all muscles that we have voluntary control over, we have the ability to target them specifically and then expose them to progressive training.  Thats where we mens health physios come into play.

RTUS led training of pelvic floor muscles has started to become the gold standard to show men how to isolate their muscles more effectively, and once you know where they are there are now gadgets like the private gym, a US based product (that has now got early scientific evidence behind it) to help men with pelvic floor muscle  Lifting weights has never been so much fun!!!

Continence Foundation of Australia upcoming NSW State Conference

I am very honoured to have been asked to make a keynote speech at the NSW state conference for the Continence Foundation of Australia in May.  Click here to see the program.

I’ll be talking about the role Men’s Health Physiotherapy can play in managing men with pelvic pain.  This is a hugely under reported and under researched area within medicine.  I will be speaking to consultant urologists, doctors, continence nurses as well as CFA members (carers and sufferers too).

I have also been asked to present alongside Dr Vincent Tse, the current president of the CFA NSW, in presenting the current research and practical interventions I make with men with prostate cancer to improve their continence and erectile function following prostatectomy.

Going to be a busy day!!



Pelvic Pain in Men (Chronic Pelvic Pain Syndrome – CPPS)

Pelvic pain in men is more common that you might think.  We don’t hear about it because men don’t like to admit they’re in pain, especially when the pain is in his penis and causes pain on ejaculation, or testicular pain, groin pain, a frequent need to urinate, loss of libido….Not only does he shut up and close ranks internally but inside he is terrified he has some kind of cancer and he often sticks his head in the sand and hopes to ‘wait it out’.

Often a partner or friend is the first to notice signs of changes in libido or irritability and it can take quite a while to finally get the guy to get medical help.

That’s where sometimes the problems can get worse!  GP’s routinely screen for ‘prostatitis’, refer to Urologists who also test for a medical cause for his pain and quite often all tests are returned as normal. The pain persists and pelvic pain sufferers know of nowhere else to turn.

There is now growing evidence that some CPPS sufferers may actually have pelvic floor muscle spasm (hypertonicity) rather than an inflamed or infected prostate gland. In light of this, men’s health physiotherapists may provide an important role in helping to diagnose and improve the dysfunctions that cause pelvic floor hypertonicity.

Treatments can range from breathing exercises, to acupuncture/dry needling techniques, to massage (both externally to muscles around the core and internally within the pelvic floor).

Pain is both a physical and emotional entity, so often both medicinal (drugs) and psychological (cognitive) interventions can be of use in conjunction with physical treatments – it is a well known fact that multimodal management of patients with pain provides significantly better outcomes.

The key is NOT TO SUFFER IN SILENCE…and as bad as the pain and dysfunction may seem to you right now, there is always potential to improve the situation if the right help is given.

Men's Health

Men’s Health

Pelvis Problems

Pelvis Problems……you say Potato , I say …. Chronic Pelvic Pain Syndrome, Pudendal Neuralgia, Pelvic Dysfunction, Sacro Illiac Dysfunction.

The Pelvis is so misunderstood; we as a society have difficulty even finding a consensus on how to name problems with it. Here are a few names which really mean the same thing –

  • Chronic Pelvic Pain Syndrome
  • Pudendal Neuralgia
  • Pelvic Dysfunction
  • Sacro Illiac Dysfunction

When this confusion is combined with the difficulty some patients have talking about their very personal issues, we are left with poor communication between patients and medical practitioners and often lost and depressed patients.

Patients may see a range of doctors and specialists. In fact it is important that all medical explanations be investigated. Sometimes there is no convincing diagnosis. Sometimes a patient is correctly diagnosed and then sent to a physio/chiro/osteopath who does not treat the issue completely and the results are not good enough.

To treat this problem from a musculoskeletal view the practitioner must have an excellent understanding of the relationship between the thorax, lower back and the pelvis. If this relationship is not good the patient’s core loses the ability to stabilise, and two things can happen. One side of the Pelvis can rotate and irritate the Pudendal Nerve, which goes to the perineum, or the pelvic floor muscles try too hard to create core stability. If the pelvic floor muscles are overused they become tight, develop trigger points and cause pain and dysfunction.

These conditions, or should I say this condition, has symptoms which include:

  • Pain, tingling, numbness, burning and / or sharp stabs anywhere from the anus to the head of penis or labia.
  • The patient may have associated thigh, leg, buttock or back pain.
  • The patient may have urinary problems
  • Men may have pain with ejaculation, or delayed onset of pain post sex
  • The patient may have increased symptoms with sitting

It may be a mixture of these examples

Two highly experienced senior physiotherapists are now combining their knowledge to overcome this problem. Stuart Baptist is a men’s pelvic floor physiotherapist at the forefront of his field. I am a thorax, lower back and sacro-illiac joint physiotherapist who helps both men and women with pelvic problems.

If you are suffering, chances are you can be helped. Contact the front desk, 9252 5770  for an initial consultation.