Pelvic Health Physiotherapy London | Pelvic Pain & Painful Sex | Dr Erin Caust

Pelvic Health Physiotherapy

Specialist physiotherapy for pelvic pain, pelvic floor dysfunction, and sexual health concerns.

I support individuals in reducing pain, restoring function, and reconnecting with their bodies through evidence-based and holistic care.

Through this work, many people experience:

Through pelvic health physiotherapy, many people experience:

• reduced pain and discomfort
• improved pelvic floor function
• increased confidence in their body
• improved comfort with intimacy
• better bladder control
• greater understanding of their body

What this work is

Pelvic health physiotherapy focuses on the muscles, tissues, and function of the pelvic floor.

These muscles play an important role in bladder control, bowel function, sexual function, and core stability.

When the pelvic floor is not functioning optimally, it can lead to symptoms such as pain, tension, weakness, or difficulty with everyday activities and intimacy.

Treatment is tailored to your body and your experience, combining clinical assessment, education, and practical support

What I Help With

Common conditions I treat include:

• Pelvic pain
• Pain during sex
• Vaginismus
• Pelvic floor tension or overactivity
• Urinary incontinence
• Endometriosis-related pelvic symptoms
• Pain with tampon use or penetration
• Postnatal pelvic floor dysfunction
• Core weakness and instability

Who This is For

This service may be suitable if you:

• experience pain or discomfort in the pelvic area
• find sex painful or difficult
• struggle with bladder control
• feel tension or disconnection in your pelvic floor
• are recovering after pregnancy or childbirth
• want to better understand and improve your pelvic health

Many people live with these symptoms for a long time — support is available, and things can improve.

My Approach

My approach combines clinical physiotherapy with a holistic understanding of the body.

Sessions may include:

• pelvic health assessment
• education about pelvic floor function
• guided exercises and relaxation techniques
• breathwork and coordination training
• manual therapy where appropriate
• integration with somatic and nervous system awareness

This allows us to address both the physical and nervous system components of pelvic health.

What Sessions Look Like

Sessions are always tailored to you.

We begin with a conversation about your symptoms, history, and goals.

Assessment and treatment may include:

• external physical assessment
• movement and posture analysis
• pelvic floor guidance and exercises

Internal examination is often recommended but is explained clearly, and only done with your full consent.

You are always in control of the process.

This work is:

✔ evidence-based and clinically led
✔ trauma-informed and consent-led
✔ respectful and paced
✔ adapted to your comfort level

You will always be fully informed and supported throughout.

If you’ve been experiencing pelvic pain, discomfort, or symptoms that are affecting your daily life or intimacy, you don’t have to manage it alone.

Support is available, and change is possible.