Pelvix Specialist Pelvic Physiotherapy

Pelvix Specialist Pelvic Physiotherapy Specialist physiotherapy to optimise your pelvic health in Bristol & Bath

24/10/2025

Meet Melissa 👋
We’re so pleased to introduce Melissa McDonnell, our new Senior Pelvic Health Physiotherapist here at Pelvix.

Melissa has over a decade of experience working across both musculoskeletal and pelvic health physiotherapy. She’s supported patients in NHS pelvic health teams alongside consultants in Urology, Urogynaecology and Colorectal care, and was part of the national Perinatal Pelvic Health Service pilot.

She really cares about helping women return to fitness, running or strength training after pregnancy, and supporting recovery from obstetric injury or pelvic floor dysfunction.

With her background in MSK rehab and foot and ankle biomechanics, Melissa takes a truly whole-body approach — calm, practical and focused on helping you feel strong and comfortable again. 💪✨

So on Friday I finished my last day in Redfern Osteopaths! Today is the first day in my new clinic (it’s only 2 mins dow...
28/04/2025

So on Friday I finished my last day in Redfern Osteopaths! Today is the first day in my new clinic (it’s only 2 mins down the road). Thanks so much to Miranda for looking after me for these last few years and the beautiful flowers which you can see in the waiting room.

I always thought I wouldn’t be one of those people—you know, the ones who drop hints and make you guess. But here I am, ...
31/03/2025

I always thought I wouldn’t be one of those people—you know, the ones who drop hints and make you guess. But here I am, doing exactly that although it won’t take too much guesswork to figure it out.
I can’t wait to share more with you all.

Have you experienced pelvic girdle pain or do you know someone who has?Women are still not getting the help they need to...
09/02/2024

Have you experienced pelvic girdle pain or do you know someone who has?
Women are still not getting the help they need to stay comfortable and active in pregnancy and the postpartum period.

🤔How do I know I am recovering well from childbirth?🤔What if there are things I need to address now that might give me a...
22/09/2023

🤔How do I know I am recovering well from childbirth?
🤔What if there are things I need to address now that might give me a problem later down the line?
🤔What does normal recovery look like?
These are frequent questions people have after giving birth, whether by c-section or va**nally.
It’s normal to have symptoms that include pain, a feeling of pelvic floor weakness or disassociation and weakness in your core in the first few weeks after having your baby. These symptoms should gradually improve and if you are concerned, you should talk to your midwife/health visitor/GP.

In the picture are common but treatable postpartum issues that you should take action for if persistent and ongoing:

👉urinary leakage - either when coughing, sneezing or picking your baby up, or when you feel really desperate to p*e.
👉va**nal heaviness or pressure or a bulging sensation. Postpartum pelvic organ prolapse is common but you should see your GP or pelvic health physio.
👉 reduced bladder sensation- If this is the case, set an alarm for every few hours in the day to ensure your bladder doesn’t overfill.
👉 ongoing pain, whether around an episiotomy scar or caesarean scar.
👉reduced bowel control or being unable to hold in wind. This may indicate that your pelvic floor muscles are not working as well as they could be.
👉constipation- very common postpartum and also quite treatable with dietary strategies or medication (see a pharmacist for this)
👉 doming or weakness in your tummy muscles. This is common in the immediate postpartum period because of the natural separation of your abdominal muscles. It should improve naturally but some may need some more help for this.
👉back or neck pain. This is often related to awkward postures while feeding and being more sedentary.

A thorough postnatal check, such as a Mummy MOT should screen for these issues and help you work out a plan to improve things and structure your recovery with appropriate exercises.

Had a little social media hiatus over the summer (unintentionally…I just couldn’t keep all the plates spinning!). But he...
11/09/2023

Had a little social media hiatus over the summer (unintentionally…I just couldn’t keep all the plates spinning!). But here’s a nice summer photo that fortunately does not capture the furious argument that was playing out in front of me which was related to someone stepping on the back of someone else’s shoes 🤷‍♀️
But I’m back..and full of good ideas for some Autumn content. August was a month that brought in lots of people with hyper-mobility and connective tissue disorders such as EDS and the associated pelvic health issues these can bring. Also lots of male pelvic pain patients and tons of postnatal checks. So expect content on all this coming soon.

Last week I worked at the beautiful location that is   in Bath on their Menopause Retreat. I don't think I've ever had s...
29/06/2023

Last week I worked at the beautiful location that is in Bath on their Menopause Retreat. I don't think I've ever had such a luxurious clinic room to work out of!
The guests I spoke to had a super week and had learnt a great deal about not only menopause but improving their general health and wellbeing.

Several guests asked me about whether or not menopause causes pelvic health issues. In a nutshell, these are my thoughts...

👉As your oestrogen levels drop, this can affect the tissues lining the bladder, urethra, va**na and (to a slightly lesser extent) the back passage. This can make the tissues a bit more sensitive, fragile and often drier and can lead to a feeling of irritation in the bladder and urethra (bladder tube) or possibly urinary tract infection. .👉Sometimes those hormonal changes that occur in menopause will exacerbate existing symptoms, such as pelvic organ prolapse.
👉That can mean that problems seem to 'suddenly appear' and while this isn't impossible, it is more often an exacerbation of symptoms that have been present for a while but at a very low level.
👉Gaining a bit of weight in menopause can also sometimes worsen symptoms, particulary of pelvic organ prolapse.

Thankfully, there are ways to improve all these issues (and more) with help from GPs and GPs with a special interest in menopause, pelvic health physios (like me!) and other practitioners who help support women to achieve and maintain optimal health and wellbeing in the middle stage of life.

On Saturday I was invited to go and talk to Freefallers Trampoline club in Wales about pelvic health, in particular stre...
19/06/2023

On Saturday I was invited to go and talk to Freefallers Trampoline club in Wales about pelvic health, in particular stress urinary incontinence.

They told me that lots of their members were having similar issues with leaking urine on the trampoline and they wanted to help support them to improve this.

The club are doing an amazing job even opening up this conversation and I was impressed with how openly the girls discussed this issue.

We talked about the anatomy of the pelvic floor and bladder and why this happens. We also talked about relaxing a pelvic floor that is working too hard as well as ‘un-gripping’ the tummy and buttocks. We also covered hypermobility syndromes and hormonal health.

This is a summary of the advice I gave them:

👉 try to help your bowels be more regular if they currently aren’t and how to avoid straining
👉 find your pelvic floor muscles and relax them if need be. Strengthening if weak.
👉 find your ‘leaking threshold’ I.e the point at which you leak and practice functional training regularly just below that threshold to move that threshold higher.
👉 strengthen your deep hip muscles with exercise bands- this can help support pelvic floor function
👉look at your breathing when you jump- taking a big breath and holding it can increase the pressure on your bladder. Try blowing a bit of air out before holding.
👉how to stand and relax through your tummy and pelvic floor
👉hydration & fluids which may be a bit irritating to the bladder- fizzy/caffeine/energy drinks

This advice applies whether you are jumping with your kids in the garden or an athlete 💪


I'm about to ruin Jammy Dodgers for you.....Let's talk about perineal tears, which are commonly sustained during va**nal...
05/06/2023

I'm about to ruin Jammy Dodgers for you.....

Let's talk about perineal tears, which are commonly sustained during va**nal childbirth
The biscuit bit represents skin and muscle around your va**na
The jam centre represents your back passage
Where my mind takes me sometimes is a surprise even to me! 😆

👉As you can see the first degree tear is superficial, it doesn't go right through the biscuit and in real life a first degree tear just involves the inside lining of the va**na or perineal skin.

👉A second degree tear is a bit deeper, as you can see. A tear like this can go into the body of the perineum (between the va**na and back passage) and muscle.

👉A third degree tear (depending on classification) can vary in significance. This tear affects the sphincter muscles that encircle the re**um.

👉A fourth degree tear will tear right throught the sphincter muscles and into the lining of the re**um.

Third and fourth degree tears are known as OASI (obstetric a**l sphincter injuries) and will often require specialist aftercare.

Although perineal tears are every so common (approx 9 in 10 first time mums), there are things you can do to (theoretically) reduce your risk of a more severe tear. The good news is also that lots of women who sustain even the more severe injuries can make a good recovery, although good aftercare and rehab makes a massive difference.

The MASIC foundation can support women who suffer from an OASI injury by providing advice, and supporting research into the prevention of these injuries.

Multiple pregnancies 👶👶👶Those of you will know me, will know that I have tripletsThey are of course a total blessing, bu...
30/05/2023

Multiple pregnancies 👶👶👶
Those of you will know me, will know that I have triplets
They are of course a total blessing, but I wouldn't want to repeat the pregnancy or early days again in a hurry 😴👵

The facts about multiple pregnancies

Increased pregnancy symptoms: Women carrying multiples may experience more severe pregnancy symptoms such as severe morning sickness, persistent heartburn and indigestion, swelling in ankles, varicose veins, shortness of breath, backache, pelvic pain, and exhaustion. The pelvic floor is also put under strain and may increase the risk of bladder and bowel dysfunction and prolapse.

Anaemia: Women carrying more than one baby are at a higher risk of developing anaemia.

Diastasis recti: Although all pregnant women will experience diastasis as a normal effect of pregnancy, it is often much more significant when you are carrying multiples

Pre-eclampsia: This condition, characterized by high blood pressure and protein in the urine, can occur in pregnant women. Gestational diabetes is also more common in women carrying multiples.

Blood clots: Pregnant women, particularly those carrying multiples, have a higher risk of developing deep vein thrombosis (DVT).

Complications: Women with multiple pregnancies may be more likely to have premature labour and require caesarean section, or assisted birth. There is also a higher chance of experiencing heavier bleeding after birth.

Twin-to-twin transfusion syndrome (TTTS): In monochorionic twin pregnancies (twins sharing a placenta), an imbalance in blood flow may occur leading to growth restriction and possible harm to the babies.

Baby loss: The risk of losing a baby is higher in multiple pregnancies due to complications such as chromosome abnormalities, twin-to-twin transfusion syndrome (TTTS), selective fetal growth restriction, premature birth, and associated complications.

Hoping you're all enjoying this lovely sunshine 🌞Just a little reminder that treatment for pelvic health issues is safe ...
30/05/2023

Hoping you're all enjoying this lovely sunshine 🌞

Just a little reminder that treatment for pelvic health issues is safe and effective and can transform your quality of life.

Book online at www.pelvix.co.uk for appointments in Bath & Bristol

Redfern Osteopaths

Address

Keynsham

Opening Hours

Monday 9am - 7pm
Tuesday 8am - 5pm
Wednesday 9am - 7pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+447378362208

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