Pregnancy, Postpartum, Prolapse, Pelvic Pain, Incontinence

1/4

Musculoskeletal

Musculoskeletal physiotherapy refers to physiotherapy for any part of the body - muscles, joints, nerves, tendons and ligaments.

Physiotherapists help to assess injury or dysfunction and diagnose its source.

We use evidence-based practice to plan treatments (including manual therapy and exercise prescription) in order to ease pain, improve function, facilitate your recovery and prevent injury reoccurrence so that you can achieve the goals that are meaningful to you.

Women's Health

There are many pelvic conditions unique to women that can be so challenging to navigate or sensitive/difficult to talk about. These symptoms are not limited to women who have given birth. Women of all ages and stages of life can be affected.

I am all about making women feel safe and comfortable to talk about and address these concerns.

Whether it is pregnancy, postpartum recovery, incontinence, prolapse, pain, menopause-related symptoms, osteoporosis, there is so much that women's health physiotherapy can do to help.

Connect Therapy™

Connect Therapy™ is an assessment and treatment framework developed by Dr Linda-Joy Lee. It is a whole body approach which considers all aspects of the individual and all regions of their body to help assess and treat the root cause of injury/problem.

I have seen how powerful this approach is in helping so many move and feel better, particularly in those who have already tried rehab without much improvement or who continue to have injury reoccurrence.

Therapy Sessions

My Approach

Gen Fleeton

B. App. Sci (Physiotherapy)(Hons)

Better together is what I truly believe. Together, we can always do better, feel better, be better.

I strive to do this through understanding, collaboration, team work, communication and a bit of fun along the way.

I enjoy working with people who want to work together to get better, and I see my role as someone who can help facilitate that.

I have been fortunate to work in a range of settings with so many fantastic physiotherapists and health professionals. I have had extensive experience in treating chronic injuries as well as complex women's pelvic health conditions.

I take a whole body and whole person approach.

I know how overwhelming it can be living with a chronic condition, but I truly believe that movement is medicine. Pain, injury, chronic disease, incontinence, prolapse or fear of these can all be barriers to moving well and can limit the life you want to live. There is always something that can be done to help.

I am genuine in my approach to helping and caring for everyone I work with.

** I am currently on maternity leave, returning in October 2025 **

Better Together Physio services the Sutherland Shire including Caringbah, Cronulla, Woolooware, Miranda, Kirawee, Gymea, Sylvania and surrounding areas including St George and Sans Souci

And that’s a wrap for now. Thanks for the beautiful send off @doctor_brandi @shiresportsmedicine! I’ll be back from maternity leave in October 2025 🤰🏼💕

~ Urethral hypermobility ~

We use transperineal ultrasound to assess for urethral hypermobility. This is one of the main causes of stress incontinence and is caused by stretch or damage to the ligaments and fascia that are meant to stabilise the urethra and assist in continence. You can see in picture 2 that the urethra is rotating back during a cough compared to it’s starting position in picture 1. If this is happening, pelvic floor exercises may not be enough to help in isolation. Urethral hypermobility may require a continence pessary or even surgery to improve.

We look to address other contributing factors such as hormones, intra-abdominal pressure and shock absorption through the feet in our management of stress incontinence.

#womenshealth #bladder #incontinence #stressincontinence #postpartum #pregnancy #hormones #physiotherapy #womenshealthphysio

💦 Stress Incontinence (SUI)💦

Stress incontinence is one of the main types of urinary incontinence and affects about 1 in 3 women. It is the sudden, involuntary loss of urine during times of increased intra-abdominal pressure e.g coughing, sneezing, running, jumping, lifting.

There can be multiple factors that contribute to this type of incontinence, not just a weak pelvic floor. So it’s best to get assessed to find out what may be causing your leaking and target this cause with the appropriate treatment.

#womenshealth #bladder #incontinence #stressincontinence #postpartum #pregnancy #hormones #physiotherapy #womenshealthphysio

Oestrogen and progesterone levels can help explain changes in energy, mood, sleep, bone and heart health etc.

1. Oestrogen and progesterone changes through the menstrual cycle each month 🩸

2. Oestrogen and progesterone fluctuations through life

#womenshealth #menstrualcycle #hormones #physiotherapy #womenshealthphysio

Oestrogen and Progesterone are two key hormones that play a vital role in the female body. They have complex functions. Here is a list of just some of the effects these hormones have on different systems:

* Reproductive: Oestrogen is essential for regulating the menstrual cycle, ovulation, and egg production. Progesterone prepares the lining for pregnancy and maintaining pregnancy

* Bones: Oestrogen and progesterone help maintain bone density and strength

* Muscles, tendons and ligaments: Oestrogen and progesterone play a supportive role in muscle growth and maintenance. Oestrogen also reduces ligament and tendon stiffness.

* Cardiovascular: Oestrogen helps protect against heart disease

* Brain and Nervous System: Oestrogen and progesterone play a role in cognitive function, memory, and mood.

* Urinary Tract: Oestrogen helps maintain the health and elasticity of the tissues in the urethra and bladder, which can help prevent incontinence

* Skin: Oestrogen helps keep skin hydrated and elastic, promotes hair growth, and strengthens nails

* Sleep and mood: Progesterone has a calming effect and promotes better sleep

Fluctuations in hormones through the monthly cycle and throughout life can therefore affect your mood, energy levels and the health of all of these systems…

#womenshealth #menstrualcycle #hormones #physiotherapy #womenshealthphysio

PESSARIES

I know what you’re thinking. But if you need one and it works, it’s a game changer.

Not all symptoms of prolapse can be reduced with pelvic floor exercises…and not all women want surgery either. Pessaries can be a great option to conservatively manage some types of pelvic organ prolapse. They come in all sorts of shapes and sizes, and are fit based on individual needs and anatomical variation. They’re a bit like a sports bra for your prolapse 😁👙

#womenshealthphysio #pelvicfloorphysio #pelvicfloor #prolpase #pessary #incontinence #postpartum #bladder #pregnancy #pelvicfloor #menopause #perimenopause #birthprep

PELVIC ORGAN PROLAPSE

A prolapse is when one or more of the pelvic organs (bladder, uterus or rectum) starts to drop down, to a level that is bothersome or affecting proper bladder or bowel function.

Symptoms may include heaviness in your perineum, vaginal bulge, low abdominal or low back dragging/ache, incomplete bladder or bowel emptying, recurrent UTIs, slow urinary flow.

What causes it? Childbirth is the main cause, however genetics play a role as do excessive weight gain and chronic straining (e.g constipation or persistent coughing).

If you are bothered by these symptoms or are concerned, it is best to get assessed by a women’s health physio for accurate diagnosis, reassurance and management.

#womenshealthphysio #pelvicfloorphysio #pelvicfloor #prolpase #incontinence #postpartum #bladder #pregnancy #pelvicfloor #menopause #perimenopause #birthprep

Ultrasound to assess your bladder position and function is key to understanding your leaking. If you haven’t been assessed with transperineal ultrasound, reach out!

#womenshealthphysio #pelvicfloorphysio #incontinence #postpartum #bladder #pregnancy #pelvicfloor #menopause #perimenopause #birthprep #transperineal #ultrasound

💧URINARY INCONTINENCE💧

There are various types and combinations of incontinence and we manage them very differently. The two most common types are stress incontinence (leak with laugh, sneeze, cough etc) and urge incontinence (sudden desperate urge e.g. key in the door)

Factors that may contribute include:
~ Urethral closure pressure/strength
~ Hormones
~ Pressure on or in your bladder: infection, weight gain, tension in abdominals etc
~ Prolapse
~ Urethral hypermobility
~ Overactive bladder
~ Constipation

🧐 Get assessed to understand the cause of YOUR incontinence - not all leaking can be fixed with pelvic floor strengthening alone.

#womenshealthphysio #pelvicfloorphysio #incontinence #postpartum #bladder #pregnancy #pelvicfloor #menopause #perimenopause

Pelvic pain/endo go-to stretch routine!

* Child’s pose with reach to each side
* Cat-cow
* Glutes
* Hip flexors ~ happy baby ~ upper body rotation

#womenshealthphysio #pelvicfloorphysio #pelvicpain #endo #endometriosis #pelvicfloor

1 in 9 women have endometriosis. Endo is a complex, systemic condition which can cause severe menstrual cramping, heavy menstrual bleeding, pelvic pain, painful intercourse, fatigue, infertility, as well as bladder and bowel issues.
Women without an offical diagnosis of endo can still experience these symptoms and need to be validated and managed the same way - via a multidisciplinary team approach. Pelvic floor physio is just one part but can help manage pain significantly!

#womenshealthphysio #pelvicfloorphysio #pelvicpain #endo #endometriosis #pelvicfloor

Post-natal check ~ This is a really simple but important measure to check post-partum. It tells us about pelvic organ support. If the measure is above normal then the risk of prolapse increases even if you don’t have symptoms now. Just one great reason to get your pelvic floor checked! 👏

#womenshealthphysio #pelvicfloorphysio #birth #postpartum #pelvicfloor #popq

A post-partum pelvic floor check should be a must for every woman. Whether you’ve had a vaginal or caesarean birth, the pelvic floor is effected. It is a chance to discuss any symptoms that you have as well as expectations for recovery and return to exercise. We will assess muscle function and pelvic organ support. We can also identity risk for symptom development down the track.

We recommend a check at 6 weeks post birth, but it is never too late!

#womenshealthphysio #pelvicfloorphysio #birth #postpartum #pelvicfloor

The pelvic floor has two layers:
The superficial layer (pic1) has three parts that squeeze in around the entrance. The deep layer (pic2) is like a hammock that lifts up.

Together they support the pelvic organs from below and assist with maintaining continence. They are meant to drop and open/lengthen when bearing down, allowing more space for the baby to exit through. They stretch up to 3 times their length during birth! Learn how to move your pelvic floor better during pregnancy 🌸

#womenshealthphysio #pelvicfloor #pregnancy #birth #pelvicfloorphysio

Pregnancy is a great time you get to know your pelvic floor! Where it is. What it does. How to squeeze it. How to relax it. How to lengthen it.
Most women have never been taught any of this yet are about to deliver a baby through it.

We recommend a check anytime from 20 weeks. We will assess your ability to squeeze, relax, push and identify whether you may be at risk of a prolonged second stage of labour. There is so much that can be done to prepare you better for birth.

#womenshealthphysio #pelvicfloor #pregnancy #birth #pelvicfloorphysio

…and we’re open! So grateful to have been spoilt with so much love and support this week as we kick off for 2024 in this beautiful new clinic! 🙏💕

✨Better Together Physio is opening on Monday 15th Jan! ✨

👋 I am ready to help with all things women’s health, specifically women’s pelvic health but also regular musculoskeletal injuries for men and women too. I have a whole body and genuine approach to understanding you and your injury so that you can move and live better.

You can book online via the link in the bio.

Gen ��😁

.pro-gallery-wix-wrapper {display: block !important;} .pro-gallery-wix-wrapper .gallery-item-container {opacity: 1 !important; display: block !important;}

Follow us on Instagram

@bettertogetherphysio

​