Pelvic Function Physiotherapy - Ingress Healthcare
Ingress Healthcare
Ingress Healthcare

Specialised pelvic and women’s health physiotherapy service. Individualised, highly specialist physiotherapy treatments are offered for a variety of pelvic health and pelvic floor conditions.

About Pelvic Function

Pelvic Health Physiotherapy aims to empower men and women to gain freedom from their pelvic health problems and concerns, which are often preventing them from living the life they wish to live. I provide expert assessment and specialist treatment for a variety of pelvic health conditions related to men, women and children.

I understand the highly sensitive nature of many of the conditions we treat and pride ourselves in our ability to put patient’s at ease allowing them to talk about their concerns in an open way.

Why Pelvic Function?
The pelvis is complicated, with varied functional demands in one place. Many patients think of the pelvis in the context of bladder, bowel or sexual function. To others it's all about movement or musculoskeletal function – this is particularly true for sportsmen and women, and women with pregnancy-related pelvic girdle pain. This website aims to provide sufficient information for you to be able to identify if you have a pelvic problem that might respond to pelvic physiotherapy. It also seeks to reassure those who are apprehensive about the process and procedures involved.

Although patterns, trends and signatures exist, all patients are unique and have their own history and (her)story.

If you have a problem where the doctors have been saying “There is nothing wrong with you”, consider there might be nothing sinister or abnormal detected on medical testing. There might be an imbalance in muscles, nerves, or even your behaviour. Get an assessment by an appropriately trained pelvic physiotherapist (Women’s Health and/or Men’s Health).

What is pelvic physiotherapy?

Physiotherapy is the assessment, treatment and management of physical conditions using physical modalities, manual techniques and education. It focuses on ‘levels of intervention’ – primarily what you can do to help yourself, and what the therapist can do to re-balance and restore function. Pelvic physiotherapy aims to shift whatever imbalance is causing pelvic symptoms, thereby improving quality of life and general activity.

Pelvic Function Physiotherapy

Pelvic Symptoms

1. Bladder (lower urinary tract) symptoms
• Urinary incontinence
• Urgency and frequency – needing to go now, or very often, waking at night to empty
• Slow or intermittent stream and straining – hesitancy or stop/start, or can’t get the flow going
• Incomplete emptying – needing to go back a short while later, with another wee, may be good or rather small volume, possibly resulting in recurrent bladder infections

2. Bowel symptoms
• Obstructed defaecation – it’s there, but it won’t come out
• Functional constipation – it hasn’t even arrived yet
• Faecal incontinence – loss of solid-liquid or gas, or soiling (skid-marks)
• Anal fissure – tight anal sphincter, resulting in tearing (like dry lips that crack when you smile, a tight sphincter can ‘split’ when it stretches)

3. Vaginal symptoms
• Pelvic organ prolapse – something hanging low, an aching dragging sensation at the end of the day or after lifting

4. Sexual function
• Women – pain with sex either deep or superficial, not able to have sex, lack of sensation, orgasmic dysfunction
• Men – erectile and ejaculatory dysfunction and pain, orgasmic dysfunction

5. Pain
• Chronic pelvic pain
• Pelvic pain syndrome

Women’s Health

Early adulthood
• Pain with sex
• Thrush and chronic pain
• Endometriosis
• Vulvar pain conditions
• Recurrent urinary tract infections

Female athlete
• Groin pain
• Non-resolving low back pain
• Buttock pain (non-resolving SIJ or hamstring)

Pregnancy (antenatal) and postnatal care
• Pregnancy-related pelvic girdle pain (including low back pain)
• Thoracic pain (midback pain)
• Rib pain; incontinence (both urinary and faecal)
• Pelvic organ prolapse and separation of the abdominal muscles (diastasis abdominis rectalis).
• Constipation
• Constipation

Menopause and Postmenopausal
• Pelvic organ prolapse (POP)
• Recurrent urinary tract infections
• Constipation
• Pelvic Pain

Men’s Health

Male Athletes
• Groin pain
• Non-resolving low back pain
• Buttock pain (non-resolving SIJ or hamstring)

Erectile function and dysfunction

Post prostate cancer, and other pelvic or hormone-sensitive cancers

Pelvic Pain

Paediatric Pelvic Problems

Constipation

Bedwetting

Leaking with activity

Giggle incontinence

The female athlete triad
• High exercise levels, low body mass, absent delayed and/or interrupted menses (periods).

The male adolescent sportsman
• High impact and excessive training can lead to a number of overload scenarios in young sportsmen - trigger points in the pelvic floor muscles disturbing normal bladder and bowel function;

Meet the Pelvic Function Physiotherapy team of specialists

Pelvic Function Physiotherapy
Ms Corina Avni
Ms Corina Avni
M.Physio (SUN SA), Accreditation in Women’s Health Physio (Bradford UK), B.Physio
Physiotherapist
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Monday
Morning
Room 100, Fairfield Suites, Kingsbury Hospital
Tuesday
Morning
Online Consultation
Wednesday
Morning
Room 100, Fairfield Suites, Kingsbury Hospital
Afternoon
Room 100, Fairfield Suites, Kingsbury Hospital
Friday
Morning
Room 100, Fairfield Suites, Kingsbury Hospital
Wed
May 27
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May 28
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May 30
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Sun
May 31
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Ms Corina Avni
Ms Corina Avni
M.Physio (SUN SA), Accreditation in Women’s Health Physio (Bradford UK), B.Physio
Physiotherapist

Biography

Corina graduated from UCT in 1997 with a B.Sc.Physiotherapy, and joined the brain-drain to the UK where she became involved in pelvic health. She returned to South Africa after completing a post graduate qualification in Women’s Health, and has been based at the Kingsbury Hospital ever since.

In 2016 she completed her Masters in Physiotherapy through Stellenbosch University with original research into pelvic floor muscle function during gait. She sees all pelvic patients – Women’s Health, Men’s Health and paediatric bladder bowel dysfunction.

The majority of her caseload involves chronic pain with multiple co-morbidity – everything going wrong all at once. Special interests include anxiety and its impact on function, and anything to do with gait (human locomotion).

She was a founding member of the Pelvic and Women’s Health Physiotherapy Group post graduate training courses, and lectures extensively both nationally and internationally.

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