Pelvic floor problems, post-natal recovery and pelvic girdle pain are extremely common — and extremely undertreated. At Lambert Sports Clinic in Surbiton, our physiotherapists provide evidence-based pelvic health rehabilitation to help you return to full function, sport and exercise after pregnancy and childbirth.
After both vaginal and caesarean births, structured physiotherapy rehabilitation significantly reduces the risk of long-term pelvic floor dysfunction, prolapse and diastasis recti. The NHS rarely provides adequate post-natal physiotherapy — private physiotherapy fills this gap.
Separation of the abdominal muscles during pregnancy. Affects around 60% of women post-partum. Physiotherapy — specific loading of the linea alba and progressive core rehabilitation — produces excellent results. The "mummy tummy" appearance and functional weakness can both be significantly improved.
Pain in the sacroiliac joints, pubic symphysis or across the pelvic ring during and after pregnancy. Can be severely disabling during pregnancy and persist post-natally if not treated. Physiotherapy, activity modification and targeted exercises resolve most cases.
Leaking urine when coughing, sneezing, jumping or running. Affects 1 in 3 women post-natally and 1 in 10 men. Pelvic floor physiotherapy has a very strong evidence base for stress incontinence — NICE guidelines recommend pelvic floor muscle training as first-line treatment.
The Return to Running guidelines (Groom, Donnelly, Brockwell 2019) advise waiting until 12 weeks post-partum before returning to running — with pelvic floor and strength assessment first. We provide this assessment and a progressive return-to-running programme.
Caesarean section scars can cause adhesions, nerve sensitivity and altered movement patterns if not treated. Scar massage and mobilisation (from 6–8 weeks post-surgery) reduces tethering and sensitivity, and can significantly improve core function and exercise tolerance.
In France, all women receive 10–20 sessions of post-natal pelvic floor physiotherapy on the NHS as standard care. In the UK, most women receive none. Our recommendation is to see a physiotherapist:
You do not need to have symptoms to benefit from pelvic floor rehabilitation. Prevention is far easier than treating established dysfunction.
Surbiton and Kingston have a large young family population, with many new and experienced parents within easy reach of our clinic on the Ewell Road. We understand that attending appointments with a baby or toddler is a practical consideration — our clinic environment is welcoming and accessible, and we work around feeding and nap schedules where we can.
We also work with local midwifery practices and GPs in the KT6 area who refer patients to us. If your GP has suggested pelvic floor physiotherapy but left you to arrange it, you can book directly with us — no additional referral paperwork is needed.
Up to 60 min — full assessment, diagnosis and hands-on treatment
30 min — continued treatment and exercise progression
Insurance patients: we accept Bupa, AXA, Vitality, Aviva, WPA, Cigna and Allianz — check your insurer. No GP referral needed.
For pelvic floor assessment, we typically wait until after your 6-week post-natal GP check — so around 6–8 weeks. For post-operative (C-section) physiotherapy, we can see you from 6 weeks for scar work and core rehabilitation, with pelvic floor assessment at 8 weeks. If you have significant pain or symptoms earlier, contact us and we will advise.
Internal examination (a brief internal vaginal assessment) gives the most accurate information about pelvic floor function and is the clinical gold standard. It is always optional — we will explain what it involves and get your consent before proceeding. External assessment and guided exercises are always available as an alternative.
It is common, but it is not normal in the sense of being unavoidable or untreatable. Stress urinary incontinence is one of the most responsive conditions to pelvic floor physiotherapy — NICE guidelines cite pelvic floor muscle training as first-line treatment with an excellent evidence base. You should not have to accept it.
Generic pelvic floor exercises (Kegel exercises) are better than nothing, but many women do them incorrectly — either not contracting the right muscles, over-gripping, or holding their breath. A physiotherapist can confirm you're doing them correctly and design a progressive programme appropriate for your specific level of function. This is particularly important for diastasis recti, where some exercises that feel beneficial can actually make things worse.
Yes. Pelvic floor dysfunction in men is most common after prostate surgery (radical prostatectomy), where physiotherapy significantly reduces the duration of post-operative incontinence. We also treat male pelvic pain and urgency/frequency symptoms.
Same-week appointments available. No GP referral needed. CQC-registered clinic.
Book Online 020 8133 5694380 Ewell Road, Surbiton, KT6 7BE
Mon–Fri 10:00–18:00 | Sat 09:00–14:00
020 8133 5694