Imogen Williams Physiotherapy and Pilates

Imogen Williams Physiotherapy and Pilates Pelvic health physiotherapist | Pregnancy | Post-natal | Menopause | Pilates | Running

23/02/2026

Pelvic floor rehab isn’t just about squeezing.

Yes….pelvic floor exercises matter.

But if we don’t assess:

• Hip strength
• Single leg control
• Load transfer
• Movement patterns
• Running mechanics
• Squat mechanics

We’re often missing part of the story.

Your pelvic floor works as part of a system.

My background in MSK physio means I assess the whole picture- not just one muscle group.

And that’s often where the breakthroughs happen.





You might think you’re weeing more in pregnancy just because baby is squashing your bladder…But hormones are involved lo...
19/02/2026

You might think you’re weeing more in pregnancy just because baby is squashing your bladder…

But hormones are involved long before your bump gets big 🤍

Progesterone (one of the main pregnancy hormones) relaxes smooth muscle throughout your body. That includes:

• The bladder
• The urethra
• The pelvic floor

When those muscles are more relaxed, it’s harder to “hold on” — and you may feel the urge to go more often.

On top of that, your kidneys actually produce more urine in early pregnancy.

So if you’ve noticed changes from the first trimester… you’re not imagining it.

Save this for later 🤍
Or send it to someone who’s expecting.





11/02/2026

Running again after having a baby is such a common goal but it often comes with a lot of uncertainty.

I’ve been there myself, and I see it every week in clinic.

There isn’t a one-size-fits-all timeline. Current postnatal running guidelines focus on symptoms, strength and impact tolerance, not just how many weeks postpartum you are.

A pelvic health assessment can help guide a safe, confident return that supports both performance and long-term pelvic health.

💛 Save this if running is on your mind.





Returning to running after having a baby is such a common goal.But it’s also completely normal to feel unsure about when...
09/02/2026

Returning to running after having a baby is such a common goal.

But it’s also completely normal to feel unsure about when and how to start again. I remember that feeling well.

Current postnatal return-to-running guidelines recommend focusing on symptoms, strength and impact tolerance, rather than a set number of weeks postpartum. That’s because every body, birth and recovery is different.

A pelvic health assessment can help check how your body is coping with load and impact, and guide a gradual return that supports both confidence and long-term pelvic health.

If running is something you want to get back to, you don’t have to figure it out alone.

💬 Save this post or share it with someone who might need it.





04/02/2026

Behind the scenes of coaching the Welsh Women’s Rugby team online.

Tripod doing its thing, studio looking cute, and some seriously powerful women putting the work in 🔥

Big thanks to WRU for having me.

29/01/2026

Pelvic health appointments are individual and guided by your symptoms, goals and day-to-day needs.

Assessment may include discussion, movement and where appropriate, an internal examination, but this is never compulsory.

Care should always feel informed, respectful and tailored to you.



Pelvic floor exercises are often helpful but they aren’t the full picture.Leakage can happen even when strength is good,...
26/01/2026

Pelvic floor exercises are often helpful but they aren’t the full picture.

Leakage can happen even when strength is good, particularly if timing, breathing, pressure management or load aren’t matched to your body and lifestyle.

This is why pelvic health support should be individual, especially for active women, runners and postnatal clients.

A personalised assessment can help identify what your pelvic floor needs.










22/01/2026

Returning to running isn’t just about time or strength, it’s about how the whole system works together.

Pelvic health support can be individual and progressive.












Breathing and the pelvic floor are closely linked yet many people are never told this.The diaphragm and pelvic floor are...
19/01/2026

Breathing and the pelvic floor are closely linked yet many people are never told this.

The diaphragm and pelvic floor are designed to move together to help manage pressure within the body. When this coordination is off, symptoms such as leakage, heaviness or discomfort can appear.

Pelvic health isn’t just about strength, it’s about timing, movement and coordination.

If you’re unsure what’s right for you, a personalised pelvic health assessment can help guide the next step.












Amazing opportunity for Harrison and his school friends to play a  rugby tournament today  Look at his little face!! He ...
16/01/2026

Amazing opportunity for Harrison and his school friends to play a rugby tournament today

Look at his little face!! He looks so chuffed! Harrison looks pleased with himself too….

Back at it with Glamorgan Cricket 💙Year 4 of team Pilates sessions 🙌We’re working once a week on:✔️ Injury prevention✔️ ...
14/01/2026

Back at it with Glamorgan Cricket 💙
Year 4 of team Pilates sessions 🙌

We’re working once a week on:
✔️ Injury prevention
✔️ Performance
✔️ Recovery
✔️ Strength & flexibility

Although my role is Pilates instructor, my physio + sports background means sessions are tailored specifically to what athletes need to stay strong, move well and perform at their best.

I absolutely love working with teams and seeing how Pilates supports players across a long, demanding season.

If you’re involved in a sports team or club and want to chat about team sessions, feel free to drop me a message 🏏💪

Local oestrogen is something I discuss often in clinic — yet many women haven’t been told about it or feel unsure about ...
12/01/2026

Local oestrogen is something I discuss often in clinic — yet many women haven’t been told about it or feel unsure about using it.

It’s not the same as HRT and, for many, it can make a significant difference to vaginal, bladder and pelvic floor health.

As always, individual advice matters — but knowing your options is empowering.

This information aligns with current NICE and British Menopause Society guidance












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Cardiff

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