Pelvic Floor Physiotherapy

Your Body Changes, But Your Well-being Doesn’t Have To

Our team of specialized physiotherapists works with you to prevent, treat, and enhance your well-being, tailoring each session to your needs.

From childbirth preparation to postpartum recovery or strength training during menopause, we are here to help you feel your best at every stage.

Personalized prevention and treatment for pregnancy, postpartum, and menopause.
WinBack® technology to reduce pain and accelerate recovery.
Targeted treatments for abdominal diastasis, urinary incontinence, pelvic pain, and more.

UNIDAD DE LA MUJER

Pregnancy Physiotherapy in Madrid

During pregnancy, numerous physiological, postural, and anatomical changes occur. The muscular properties of the pelvic floor and the abdominopelvic cavity are altered. Common issues may include stress urinary incontinence, urge urinary incontinence, pelvic organ prolapse, abdominal diastasis, pain during sexual intercourse, gas incontinence, fluid retention, and various types of pain.

For this reason, we recommend:

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Pregnancy Assessment

Starting from the 16th week of pregnancy, a comprehensive clinical history will be taken, including a physical examination (assessment of lumbar-pelvic alignment, different abdominal planes, presence or absence of abdominal diastasis, pelvic floor condition, etc.). Recommendations will be provided to support a healthy pregnancy progression.

Specialized Obstetric Physiotherapy

Recommended at any stage of pregnancy, especially in cases of stress urinary incontinence, urge urinary incontinence, pelvic organ prolapse (uterus, bladder, and rectum), abdominal diastasis, pain during sexual intercourse, gas incontinence, fluid retention, peripheral nerve entrapment, as well as lower back and pelvic pain.

Childbirth Preparation Physiotherapy

Focused on specific childbirth preparation, it is recommended from the 34th week of pregnancy. This includes manual therapy to release the lumbar-pelvic area, perineal massage, and safe, effective pushing practice using the Epi-no device.

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Postpartum Physiotherapy in Madrid

All women, regardless of the type of delivery they have had, experience significant strain during pregnancy and childbirth, which can affect pelvic, abdominal, and perineal structures.

For this reason, we recommend undergoing a functional physiotherapy assessment approximately 6 weeks after a vaginal birth and 8 weeks after a cesarean section.

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Functional Ultrasound Assessment of the Abdomen and Pelvic Floor

Functional ultrasound is a highly advanced technique that provides greater precision and effectiveness in the assessment and treatment of the pelvic floor.

Postpartum Rehabilitation

Treatment for urinary, anorectal, and sexual dysfunctions, pelvic organ prolapse, and scar rehabilitation (episiotomy, cesarean section, abdominal diastasis…).

ABS Challenge for Postpartum Abdominal Recovery and Diastasis Recti

The **‘ABS Challenge’** at the Physiotherapy Unit of Unidad de la Mujer promotes postpartum abdominal and diastasis recti recovery within two months. The program may include:

A manual and ultrasound assessment of the abdomen and pelvic floor, measurement tracking, and personalized exercise recommendations.
A package of 10 sessions combining radiofrequency and electrostimulation with guided exercises.
Weekly instructional videos with specific exercises to help restore abdominal strength and correct diastasis recti.

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Menopause Physiotherapy in Madrid

Urinary incontinence and pain during intimate relations are among the most common issues women experience when menopause symptoms begin, due to the decrease in estrogen production.

Estrogen plays a crucial role in maintaining the health of the tissues forming the walls of the bladder and urethra. As these hormone levels decline, the walls of these organs atrophy, the pelvic muscles responsible for bladder control weaken, and urinary control problems arise.

Additionally, this atrophy can lead to changes in muscle tone and/or mucosal hydration, resulting in pelvic pain and discomfort during sexual intercourse. As a preventive measure, we recommend the following during perimenopause:

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Functional Ultrasound Assessment of the Pelvic Floor

Recommended from the age of 45, functional ultrasound allows us to observe how the pelvic floor muscles respond to actions or stimuli that may compromise their function and the organs they support. This technique provides greater precision in our assessment, enabling us to select and tailor the most appropriate treatment for each patient’s specific needs.

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OTHER APPLICATION AREAS

Effective Treatment for Various Conditions

Beyond pregnancy, childbirth, and menopause, there are other conditions for which Physiotherapy offers effective treatment solutions, such as:

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Chronic Pelvic Pain

Pudendal nerve entrapment syndrome, interstitial cystitis, vulvar vestibulitis, and other conditions fall under the category of Chronic Pelvic Pain Syndrome (CPPS). Physiotherapy offers effective treatment solutions with the advantage of being risk-free and without side effects.

Vaginismus

A sexual dysfunction characterized by involuntary spasms of the muscles surrounding the vagina, preventing penetration and causing intense pain when attempted. Physiotherapy addresses the physical aspects of this condition and can be complemented with psychological support.

Pain During Sexual Intercourse

Physiotherapy can also help patients experiencing discomfort or pain during intercourse.

Urinary Incontinence

Three types of urinary incontinence can be treated with Physiotherapy:
– **Stress Urinary Incontinence (SUI):** Leakage occurs during activities that increase abdominal pressure, such as coughing or exercising.
– **Urge Urinary Incontinence (UUI):** A sudden and intense urge to urinate, often leading to involuntary leakage.
– **Mixed Incontinence:** A combination of both stress and urge symptoms in the same patient.

Surgery (SUI, Prolapse)

Post-surgical rehabilitation for stress urinary incontinence (SUI) and pelvic organ prolapse.

Fecal or Gas Incontinence and Constipation

These conditions can also be effectively treated through Physiotherapy.

WinBack® Technology

PHYSIOLOGICAL BIOACCELERATOR

At Unidad de la Mujer, we use WinBack® technology, which applies different frequencies depending on the type of tissue being treated, as well as its depth and size. The electromagnetic current flows through the body to a return plate, closing the circuit. The patient never feels an electrical sensation, only a pleasant warmth. The current generates an ionic movement that restores the intracellular electrical potential of each and every tissue in the body.

WinBack® energy is a high-frequency current that oscillates between 300 KHz and 1 MHz. This non-invasive current stimulates the body’s natural self-repair mechanisms, enhancing intracellular and extracellular exchanges. When combined with Physiotherapy, it delivers remarkable rehabilitation results, accelerating the recovery of muscular and joint functions. It is a true physiological bioaccelerator.

WOMAN CARE AND POSTPARTUM RECOVERY

Many conditions can affect a woman’s quality of life. Tecartherapy treatments play a key role in improving daily well-being and healing processes: they relieve pain, support physical activity recovery, accelerate healing, and help prevent diseases.

WinBack® therapy provides a proven solution for postpartum care. Its effects reduce pain, accelerate healing, and enhance the postpartum experience for women.

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Other Applications

Pelvic and perineal pain
Tears, episiotomies
Edema, hematomas
Post-cesarean healing
Adhesions, fibrosis
Vaginismus
Vulvodynia
Incontinence
Trigger points
Stress management
Abdominal diastasis and skin laxity

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Frequently Asked Questions About Pelvic Floor Physiotherapy

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What is pelvic floor physiotherapy and what does it involve?

Pelvic floor physiotherapy is designed to prevent and treat issues related to the muscles and tissues of the pelvic region, such as urinary incontinence, pelvic pain, abdominal diastasis, and pelvic floor dysfunctions. Through manual techniques, personalized exercises, and advanced technology, it aims to strengthen, relax, and restore pelvic function, improving your quality of life.

When should I get a pelvic floor assessment?

A pelvic floor assessment is recommended if you experience symptoms such as:

Urinary leakage (urinary incontinence).
Gas or fecal incontinence.
Pain during sexual intercourse.
Persistent lower back or pelvic pain.
Changes in bowel function.

Early assessment can help prevent more severe issues and improve your overall well-being.

How can pelvic floor physiotherapy help me during pregnancy and postpartum?

During pregnancy, the body undergoes physiological changes that can affect the pelvic floor and abdominal muscles. Physiotherapy helps prevent and treat issues such as urinary incontinence, lower back pain, and abdominal diastasis. After childbirth, especially following a cesarean section, physiotherapy is essential for proper recovery of pelvic, abdominal, and perineal structures.

What treatments are offered at Unidad de la Mujer?

At our unit, we offer personalized treatments, including:

Specialized obstetric physiotherapy during pregnancy and postpartum.
Pelvic floor rehabilitation to correct incontinence and abdominal diastasis.
Use of WinBack® technology, which accelerates recovery and reduces pain through non-invasive electromagnetic currents.

How can I book an appointment for an assessment?

You can easily book your appointment through our online form. We are here to help you regain your well-being and support you at every stage of your life.

El mejor equipo de profesionales

Contamos con los mejores profesionales y expertos en el cuidado de la mujer

María Escribano

Pilar

OUR PATIENTS

What Our Patients Say

Jimena F.

“During my pregnancy, I started experiencing lower back pain and noticed that my body wasn’t responding the same way. I decided to try physiotherapy. They helped me with specific exercises and pelvic floor therapy sessions. Now, I feel much stronger and more prepared for childbirth. I highly recommend it 100%.”

Emily J.

“I had been dealing with pain during intercourse for a long time. I was starting to accept it as normal, but I decided to seek help because I knew something wasn’t right. Thanks to the entire team, I can now say that I’m able to enjoy intimacy like never before.”

Ana G.

“Después de mi parto, notaba que mi abdomen no era el mismo y tuve problemas de incontinencia. Me sentía muy incómoda, pero me dieron una atención increíble. Los tratamientos me han ayudado a recuperar fuerza y bienestar. Me siento muchísimo mejor!”.

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UNIDAD DE LA MUJER AT RUBER INTERNATIONAL HOSPITAL

Your Body Changes, But Your Well-being Doesn’t Have To

Pregnancy Physiotherapy in Madrid

Postpartum Physiotherapy in Madrid

Menopause Physiotherapy in Madrid

Effective Treatment for Various Conditions

WinBack® Technology

Frequently Asked Questions About Pelvic Floor Physiotherapy

What Our Patients Say

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