ON POINT PHYSIOTHERAPY
WOMEN'S HEALTH AND PELVIC FLOOR ASSESSMENT
PILATES GROUP EXERCISE CLASSES
PRE AND POST NATAL CARE
Urinary urgency and frequency
Prolapse management ( including pessary management )
Post natal pelvic floor assessment
Management of mastitis
Post gynaecological surgical care
GROUP EXERCISE CLASSES
To attend our group exercise classes we need to do a 45 min 1:1 assessment prior . This allows us to go through a basic postural assessment , and helps us to become aware of any particular musculoskeletal issues you may have and to gain an understanding of your personal goals. This first session allows us to also go through some basic pilates principles with you prior to starting class, and lets us determine if you are ready to join the group class .
These are a small group with a maximum of 3 participants . These classes involve the use of pilates and gym equipment to work on your individual strength and mobility needs.
GENERAL MAT CLASS
A beginners to Intermediate level mat class, integrating Pilates, stretching/Yoga, and strength training; with progressions for those more able-bodied and experienced, and regressions for those less able or experienced. Being a small, Physiotherapist-led class, we can cater to all levels and give valuable feedback where needed.
FRIDAY VIRTUAL STRETCH AND PILATES
A gentle morning class, designed to awaken and mobilise our stiff bodies after a night’s rest. This class combines Intermediate level to Advanced level Pilates strengthening, as well as lots of stretching and movement inspired by Yoga and Feldenkrais. This class is a wonderful way to start your day!
MUMS AND BUBS
This is a small and specific post-natal class, focused on re-building and strengthening your lumbo-pelvic muscles, as well as maintaining upper body mobility, and restoring optimal breath and postural patterning. A combination of pilates, yoga and strength training, with safe parameters and considerations for your post-natal pelvic floor and abdominal wall; supervised and guided by Physiotherapists, who are able to give feedback and other options where needed.
A Physiotherapist-led class designed to support pregnant women through their pregnancy with therapeutic exercise, focused on maintaining lumbo-pelvic strength and stability, spinal mobility, pelvic floor health and upper body strength and endurance; as well as education on how to prepare for birth and the post-natal physical requirements. These classes are kept small, so that our Physio’s can give variations specific to your needs, with respect to which trimester you are in, as well as any individual considerations.
If you are requiring more closely monitored classes- and wish to rehabilitate a more specific injury 1:1 classes also available with Sharyn or Hayley - please contact us at email@example.com for further information
Although it is best for our physiotherapists to assess you in a face to face appointment , an online appointment can be a very valuable way for us to help you with your physical concerns . We will take a detailed history and assess you via the computer screen , then be able to advise you on the best course of action for your specific needs.
Pre & Post Prostatectomy Assessment
Pelvic floor exercise program
Pelvic Pain assessment
Why do incontinence and Erectile dysfunction occur after prostate surgery?
The prostate gland is a male reproductive organ which is about the size of a walnut and sits at the base of the bladder. The thin tube (urethra) that carries urine and semen out of the penis runs through the centre of the prostate gland. Normally the urethra is kept closed by a ring of internal muscles so that you reman dry, but sometimes the nerve supply can be damaged during surgery, when the prostate is removed. If the internal sphincter is unable to activate properly to close the urethra this will cause cause urinary leakage during activities which tend to place pressure down through the bladder such as laughing / coughing / sneezing etc. After prostatectomy, nearly all men will experience some degree of urinary incontinence, particularly in the early days when the catheter is removed. Bladder control will usually improve over the next 6-12 months. Erectile dysfunction is also caused by damage to the nerves and this can take up to 2 years to improve.
How can Physiotherapy help?
When the internal sphincters are not functioning properly, an important skill to learn is how to activate the other muscles around the base of the pelvis - the external sphincters and the pelvic floor. Learning to use these muscles correctly can increase the urethral closure pressure and over time help most men to stop leaking .
At on point Physiotherapy we will look at your ability to activate the pelvic floor using Real Time ultrasound, and ensure that you know how to use these muscles correctly. We will devise a specific home exercise program for you to work on, and also look at other factors that may be contributing to increased downward abdominal pressure such as poor movement patterns or reduced abdominal strength.
Ideally you will see your physiotherapist 4-6 weeks prior to prostatectomy so that you can get started on some exercises with correct technique before the surgery. After the surgery you will follow up physiotherapy session about a week after the catheter is removed . In these sessions we will also discuss erectile function, and advise you on the most current strategies to improve this.
Pilates / Core Stability Classes
Pinc Cancer Rehabilitation
Post Natal exercise classes
Virtual stretch and pilates class
Sharyn is a Women’s Health and Musculoskeletal Physiotherapist. She treats pelvic floor dysfunction including incontinence, pelvic organ prolapse and pelvic pain, and is interested in both pregnancy-related issues and providing post-natal care. Sharyn also enjoys treating low back, neck and thoracic pain using manual therapy combined with a pilates based approach aimed towards improving posture, strength and flexibility. She has a special interest in treating hip pain, including rehabilitation after hip , knee and spinal surgery.Sharyn graduated from Cumberland College of health sciences ( Sydney University) in 1992. She has worked both in hospitals and private practice in Australia, the USA and the United Kingdom. She has completed a number of post graduate courses with the Womens Health Training Associates, and has trained in Pilates instruction with DMA clinical pilates level one and two. Sharyn completed the PINC cancer Rehabilitation course in 2018 and is also an accredited PINC Cancer rehabilitation therapist.Having recently completed several mens health courses, Sharyn is now offering a mens health service, including Pre and Post Prostatectomy Pelvic floor assessment and Pelvic Pain.
Pilates / Core Stability Classes
Post-natal Exercise Classes
Hayley grew up in Coffs Harbour, where she enjoyed an active and healthy life, at the beach, dancing, and playing sports.
She completed her first degree at the University of Canberra; a Bachelor of Applied Science (Human Biology) in 2012; followed by a Masters in Physiotherapy at the University of Sydney in 2014. Since then, Hayley has worked in private practices in Sydney, Coffs Harbour, Geelong and Torquay, using LJ Lee’s ConnectTherapyTM model of Physiotherapy (previously known as the Integrated Systems Model) and the Thoracic Ring ApproachTM – a whole-body approach to find the source of movement dysfunction and pain. Hayley is also a Certified Rehabilitation Pilates Practitioner, and she integrates Pilates principles into her treatment sessions, with a focus on functional movement re-training, for making long term change in her clients lives.
Hayley has also dedicated a lot of time to expanding her skills in the realm of Women’s Health Physiotherapy, which is her passion, and enjoys helping women through their pregnancies, postnatal challenges, mastitis and blocked ducts, stress and urge incontinence issues, pelvic organ prolapse, etc.
Hayley is passionate about maintaining an active lifestyle and enabling other women to do the same so she runs pregnancy and post-natal exercise classes, at On Point Physiotherapy as well as studio-based movement rehabilitation sessions.
Pilates / Core Stability Classes
Post-natal Exercise Classes
Heidi is a passionate and experienced women’s and pelvic health physiotherapist and general physiotherapist. Heidi treats a variety of pelvic and general health conditions, including pelvic floor dysfunction, urinary incontinence, urgency, pelvic organ prolapse and faecal dysfunction. Heidi also manages pregnancy and postnatal concerns, including pelvic girdle and lower back pain, and blocked ducts or mastitis management.
She also has a professional interest in the management of pelvic pain and related conditions including vaginismus, vulvodynia, endometriosis, PCOS and bladder pain syndrome.
Heidi continues work with general physiotherapy, particularly with rehabilitation work following spinal, abdominal or breast surgeries and the management of general aches and pains, including chronic pain.
Heidi graduated from The University of Newcastle with a Bachelor of Physiotherapy in 2014. She has worked as a physiotherapist in various hospital and private practice settings on the North Coast and has maintained an interest in women’s health since her new graduate year.
Heidi has completed various courses in women’s health through Women’s Health Training Associates, the Sydney Pelvic Clinic and the University of Melbourne. She is also a qualified Pilates instructor, having completed Advanced training in both matwork and equipment Pilates through the Pilates Institute of Queensland.
She is currently undertaking her Masters of Pelvic Health Physiotherapy through the University of Melbourne as a pathway to becoming a titled APA Pelvic Health Physiotherapist.