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Women's Health Physiotherapy Kingscliff

The core, the floor and more….

Author: Jodie Robertson, women’s health physiotherapist at Kingscliff Health medical and allied health centre in Kingscliff, NSW. 

There are many reasons for our pelvic floor becoming weaker and contributing to problems with control of our bladder and/or bowel. These include pregnancy, age, poor bladder habits, poor exercise habits or lack of general exercise, being overweight, weak abdominal muscles and more…

For many women, the weakening of the pelvic floor is slow and gradual and we may not notice anything until we experience a change in routine such as a new exercise program, a 2nd or 3 rd pregnancy or even an illness, injury or surgery that causes us to be sedentary or lose fitness. By the time you start to notice leaking or urgency, your pelvic floor has already weakened and you will need to take specific steps to restore its strength and normal function to be able to resume leak causing activities safely, without leaking and with better control.

The first step is identifying where the pelvic floor is and how it normally functions. The Continence Foundation of Australia has many resources available online and pamphlets which can be a helpful first step. However, evidence and clinical experience regarding how to best to train the pelvic floor, particularly in people who are having leaking or control problems, tells us that reading from a pamphlet or book is the least effective way to learn this skill. This is because the training elements of accuracy, feedback and personalization cannot be delivered easily in a self-help format.

A visit to a women’s health physiotherapist can go along way in helping you firstly identify the correct muscles and then learn the correct muscle activation pattern and provide you with a personalized exercise program based on your baseline performance. You may also benefit from the many feedback devices used to assess and help you train the pelvic floor such vaginal cones, biofeedback devices, such as trans (across) abdominal ultrasound. Everyone is different in how they learn and a skilled physiotherapist will be able to identify what works best for you and teach you the best possible way for you to strengthen your pelvic floor and achieve success efficiently and for the long term.

This video , produced by the Continence Foundation of Australia is an excellent visualization tool for you to get started and decide to seek the help you deserve to get you back on track enjoying life with confidence and control.

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Is Your Child Immunised Against Meningococcal B?

Author: Dr Scott Pearson, a GP Registrar at Kingscliff Health medical and allied health centre in Kingscliff, NSW. 

My name is Dr Scott Pearson. I have a strong background in paediatrics, having trained as a paediatrics registrar. I really enjoy bringing my hospital based knowledge and experience into the general practice setting.

A common conversation I have been having with parents lately is about immunisations for meningococcal disease. Meningococcal is a bacterial infection of the blood and/or membranes that line the brain and spinal cord. Whilst rare, it can be potentially life threatening. Babies and children up to the age of five accounted for 20% of meningococcal cases in 2016. Vaccination is the only truly effective way to prevent infection. 

The main point I bring up with parents is that even with standard immunisations, their child may still be at risk from meningococcal B, a particular strain of meningococcal that is not offered with the standard schedule at 1 year of age. NSW Health strongly recommends an additional meningococcal B immunisation, even though it is not covered by the (free) National Immunisation Schedule. It costs around $130/dose (depending on the pharmacy), and most children require a 2 (or sometimes 3) dose schedule, depending on their age. 

I am very happy to discuss this issue in person with parents and have a wonderful fact sheet with all of the information parents need to know to make an informed decision.

In the meantime, it is important to take your child to the doctor for immunisations at the following ages, as well as a health check-up at any other time you are concerned or your child becomes unwell:

  • First week of life
  • 6 weeks
  • 4 months
  • 6 months
  • 12 months
  • 18 months
  • 4 years

I am very happy to see children of any age. I have a policy that all new patients have their first appointment as a dedicated long appointment. This gives us adequate time to get to know each other and for me to familiarise myself with your child’s individual healthcare needs. All of my services are bulk billed for children under 18 years of age on weekdays. 

Book an appointment online with Scott or by calling us on 02 6670 1400 to learn more about how we can help you with the health and well being of your child. We have a comprehensive approach to children’s health ranging from preventive medicine, diet and fitness as well as check-ups and acute care for illness and minor bumps and injuries.

* The information provided in this article is for educational purposes only and not intended to be a substitute for professional advice. You must consult your doctor before acting on information in this article, especially if you have concerns regarding health related issues for yourself and your family.

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