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Pelvic Floor Physiotherapy

If you’re looking for pelvic floor physio, and need a therapist who is thorough and thinks outside the traditional box, look no further!

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Just call my London team on
0207 175 0150 or use the form below and let me help you get better.

Just call my London team on 0207 175 0150 or use the form here.

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Physio for pelvic floor

Pelvic pain can be absolutely debilitating, and is unfortunately relatively common. Everything in the body is connected, though almost no area is quite as connected as the pelvis – so if your pelvic symptoms don’t respond to pelvic floor physiotherapy and pelvic floor exercises, then it might be worth looking at your body a bit more globally.

In this country and beyond, there are many excellent physiotherapists who specialise in treating pelvic floor dysfunctions, who do internal examinations of the muscles that control the vagina and rectum. (Please note that I am not one of those physios, so don’t come to me expecting me to get the rubber gloves out – though if you do need an internal specialist, I may be able to recommend someone.)  But if your pelvic floor is weak or painful or excessively tight because it’s compensating for issues elsewhere in your body, then I might just be the person you’re looking for – because most pelvic floor specialist physios don’t look as high as your neck or as low as your feet when it comes to working out why your pelvis is misbehaving.

Issues that can cause pelvic pain

There are lots of local pelvic issues that can cause pelvic pain. For example, many women struggle with pregnancy, pelvic inflammatory disease, endometriosis and adenomyosis; men get prostate issues; and anyone can get pain around the genitals, urinary tract, perineum and lower bowel (adhesions etc).  

However, there are 34 muscles that attach to the pelvis, as well as lots of blood vessels, nerves and lymphatic vessels that pass through it, and this means that there are also non-pelvic areas and issues that I find frequently upset the pelvis including:

  • The diaphragm and dysfunctional breathing patterns
  • Sacroiliac and lower back problems
  • Physical trauma
  • Weakness around the feet 

What can I do about pelvic pain?

Understanding the cause of pelvic girdle pain all comes down to going through a thorough assessment. Sometimes the problem really is local and requires internal assessment and a pelvic girdle pain treatment plan, or even surgery if there’s a structural defect that physiotherapy can’t fix – but sometimes your pelvis will be the “victim” of an issue elsewhere, such as the (extremely non-exhaustive) list on the left.

It’s completely fine and sensible to get an internal assessment first, and/or to see a specialist doctor such as a gynaecologist or a urologist to exclude structural causes for your pelvic pain – in fact, I often find it extremely helpful to have had such issues ruled out before I look at you!  However, if they don’t find any structural issues, please don’t lose hope – we may well find that the problem is “mechanical” (i.e. related to how you move) rather than structural in nature – and that’s when I can often help.

Pelvic floor physio assessments are 90 minutes

Follow-up sessions if required are usually an hour – it’s important to me to be very thorough when it comes to pelvic floor physiotherapy, as I want to be the last pelvic physiotherapist you need!

Pelvis pain specialist physio - Client reviews

"I found Nell last month after looking into help for an ongoing leg/hip issue. I had seen a physiotherapist before but had had no luck. I signed up to a online consult which I was a bit dubious about. BEST MONEY I EVER SPENT!! Nell was warm, friendly and completed a thorough assessment via video call. She had an impact on a problem that had been bothering me for years. Her followup notes and video exercises were thorough and easy to follow. Her evaluation was clear and realistic and I cannot wait until I can see her in person to continue my treatment. I'm so glad I have found her!"
J C
"Wow! After 1 session, I feel brand new. Not only has my digestion improved, my ‘stuck left hip’, thoracic is ‘free’ and my hamstring ‘popping’ issue (sorry failed to mention that) has disappeared. Clean, love the aromatherapy oil scent in the waiting area, tidy and welcoming. Staff are exceptional and go above and beyond to help you achieve your body’s full potential. Very highly recommended- thank you so so much!"
Lucy Potucek
"I've known Nell a little while but didn't want to bother her with my aching hip and reduced flexibility in my right leg (afterall, it was easy to ignore). I'm glad I did. There was nothing wrong with my hip — it was my posture that was causing parts of my body to over-compensate. This inflamed my hip which restricted my leg movement and very likely aggravated my Bakers cyst in addition. Nell spotted this almost immediately and after a few weeks of being aware and adjusting my posture, I have almost full range of movement back and the pain in my hip has more or less gone. Thank you Nell — a real star!"
Russell Owen

Nell Mead Physiotherapy YouTube Channel

Where I share my logical and simple formula to help you improve your own body. See all my pelvic floor & pelvis related videos.

Pelvic floor physio blog

As an expert in pelvis physiotherapy in London, I regularly write about injuries, pelvic girdle pain treatment in  London and assessment techniques.

Symptoms can manifest anywhere in the body

If your symptoms are just in one part of your body, click the appropriate body area below for more information on specific assessments and treatment plans. Alternatively, if your issues aren’t localised to one area, or aren’t related to pain, then click here to see how I can help you with a wide range of physiotherapy services from a qualified physiotherapist in London.

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Daniel Levy
16:23 24 Dec 24
Nell is a genius. I rarely use that word but she is.I've seen dozens of physios, osteopaths, and other such practitioners, many of whom have worked for and with elite athletes and sports organisations, including national teams. Nell is the best by a distance.Her depth of knowledge, empathy, and ability to really relate to patients is second to none.She is extremely detailed and holistic, but also pragmatic, and combines her exemplary talents with a rare intellectual honesty and humility: she will not proffer easy answers to look smart in the moment, she will instead authentically investigate and let you know what she's seeing and where this leads her. She doesn't want to appear right, she just wants to find the truth.The first time I saw her, we spoke for a long time. I told her the entire history and context of the issue I was struggling with. When Nell sent the report after, it was 100% what I'd said. I've never seen this before. Normally these summaries are decent but a little off, not quite what you said, not quite what you meant, close but missing a few parts or misconstrued. Nell's was *exactly* what I'd relayed. She *truly* listened. Maybe that's part of what makes her so exceptional.If you can see her, do it. Physios don't get better than this.
Ashmi Shah
16:43 19 Dec 24
Nell is a superstar, first time I saw her I limped into her office - barely able to walk and in a lot of pain. After a lot of work on both parts I managed to run for the first time in years. I still haven't finished my journey but thank you Nell from the bottom of my heart - you gave me my life back and returned mum back to my kids 🙂 Also to anyone reading this review - buy her book - it's excellent!
AdeSte Greenhalgh
05:11 29 Oct 24
Nell is on a different level/planet than sports physios I have used. She clearly has an understanding of how the whole body as a system functions. I was a little suprised at her detailed documentation of my lifestyle.Bottom line a sucessful diagnosis clearly explained with clear detail of the reasoning. Everything just fell into place. I feel as though I am getting my old body back. I am purchasing her book "How To Be Your Own Physio".
Lucy Harriss
17:04 06 Oct 24
Nell is incredible! After seeing three different physiotherapists without much progress, I finally found Nell, who not only identified the real root of my long-standing niggles and sports-related injuries but also helped me address them effectively. Her depth of knowledge is remarkable, and I always looked forward to our insightful conversations about the human body. Even eight months after being discharged, I still incorporate her exercises into my daily routine, and they've made a lasting difference. I can't recommend Nell highly enough!
Susie Nicholson
05:42 18 Jun 24
I have experienced hip pain for 25 years and have seen so many different practitioners over the years and no one has effectively treated my symptoms and following a recommendation from an Sport's Physician, I saw Nell and she recognised that it was not my hips that were the problem but my left foot.Nell is thorough in her approach and has such a huge knowledge base and she looks at movement patterns that could be contributing to pain felt elsewhere in the body.I would recommend Nell to anyone who has complex and long-standing pain in their joints. After just 2 visits, I am feeling so much better and I have a plan that I follow at home to build up strength and stability. Nell is definitely the best physio you will ever see.
Matthew Beckford
10:32 19 Nov 23
I call Nell the final boss of Physios! When I first began seeing here I had a wide variety of problems and pain. She is reassuring, will try out innovative and new ways of treating you and is determined to find the underlying problems which need addressing.
Sarah Pemberton
13:43 06 Nov 23
Nell is fantastic. I was referred to her by a shoulder surgeon because I'd had serious impingement for several years and other things (e.g. steroid injections) had not helped. At the first appointment I was unable to lift my left arm above chin height. Nell traced the cause to asymmetry from a broken collarbone 16 years earlier. She got the shoulder moving again and I am now rock climbing harder than I was before I got injured. Her combination of manual therapy in clinic and giving me exercises to do at home has proved very effective. Every few months I get some other injury (e.g. broken hand from a fall) and she helps me to promptly rehab it. I've seen a bunch of physios over my lifetime but Nell is without any doubt the best!
Kirsty Clarke
11:13 26 Oct 23
Game changer. Nell seems to have fixed a 10-year problem (plantar fasciitis) in one or two sessions and now we’re seeing what else she can help me improve! As well as being exceptional at what she does, Nell is clearly very passionate about continually learning and is absolutely delightful company too. Worth every penny - best physio I’ve ever seen by some distance, and I’ve seen a lot!
Jane Kelly
18:21 04 Aug 23
Nell has an eye for detail and is good at solving complex problems. She is extremely knowledgable, professional and very kind.
Ben Turner
10:54 05 Jul 23
Nell is easily the best physio I’ve ever seen. Having had many disappointing physio sessions over the years, Nell made me feel confident that we really had got to bottom of my knee issue. Not only did she examine my knee, but all of my potential problem areas with instantaneous results. She just gets it, and she’s a lovely person too.
Howard Branley
17:59 04 May 23
As a medical professional with a running injury, I knew that there was only one person that I needed to see. Nell’s approach was holistic and focussed on finding the source of the issue rather than just trying to treat a symptom in isolation. Nell’s approach was calm, professional and caring. She followed up the consultation with a number of exercises to do. Her treatment plan worked like a dream and I wouldn’t hesitate in recommending her to anyone who’s struggling with an injury, pain or stiffness. First class from start to finish.
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