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Physiotherapy


The department’s aim is to provide excellent patient centred, innovative and evidenced based care in the physiotherapy management of maternity, gynaecological and paediatric conditions.

The physiotherapists are:
  • Cinny Cusack Physiotherapy Manager
  • Anna Hamill Senior Physiotherapist
  • Brona Fagan Senior Physiotherapist
  • Niamh Kenny Senior Physiotherapist
  • Anne Duignan Acting Physiotherapist

Three Physiotherapy Staff


Appointments

Appointments

  • The physiotherapy department is open from 9.00 am to 16.45 pm Monday to Friday. 
  • Please be on time for your appointment and check in with the receptionist in the department. 
  • If you wish to make, change or cancel your appointment, please contact the department on 01 817 1787. 
If you are unable to attend an appointment, please let us know as soon as possible so that we can offer the appointment to somebody else. 

If you do not attend your appointment and have not phoned to cancel it, we will send you a letter asking you to make another appointment. 

If you do not contact us within 2-3 weeks, we will assume that you and/or your baby will not be attending for physiotherapy and you will be discharged from our service.

Maternity Care

Maternity care

Physiotherapists are involved in caring for mums to be and new mums through a range of different services.

Mums to be
We provide 'preparation for parenthood' classes with the parent education midwife.

The physiotherapy classes within this programme are: 

Class 1 (mums only)

  • Pregnancy exercise and advice  

Class 2 (partners welcome)

  • Pregnancy exercise 
  • Coping skills and positions for labour 
  • Relaxation

Class 6 (partners welcome) 

  • Pregnancy exercise 
  • Coping skills and positions for labour (continued)
  • Baby handling and development 
  • Postnatal exercise and advice 
  • Relaxation

Physiotherapist class

To book a place for one of these classes, please ring 01 817 1787.


Pregnancy-related Pelvic Girdle Pain (PGP)


Pelvic girdle pain describes pain in the any of the three pelvic joints.  It is common but not normal and can affect 1 in 5 women during pregnancy.  Postural changes that occur during pregnancy may also cause lower back or thoracic (chest) pain.

Your doctor may refer you to the physiotherapist and you may be asked to complete a questionnaire about how the pain is affecting you on a day to day basis. 

We will then decide how quickly you need to be seen. 

We run weekly pelvic girdle classes, which provide advice, education and exercises in order to help you manage the physical changes of pregnancy which can cause pelvic and/or back pain.  You may be offered an individual appointment after the group class if you need further treatment.

Note: We only treat problems associated with pregnancy. 

If you have a pre-existing back condition you should continue to see your own chartered physiotherapist as normal.

Physiotherapist with class


New Mums


We run a weekly postnatal exercise class every Thursday morning from 11.30 am to 12.30 pm. The class will help you to gradually regain your physical strength after pregnancy and birth. It will include pelvic floor exercises, returning to exercise advice and we will check that you are doing your abdominal (tummy) exercises correctly. New mums can attend up to 6 weeks after a vaginal birth or 8 weeks after a caesarean section. This class is free of charge and you may bring your baby with you, but no older children are allowed. To book a place, please phone 01 817 1787.


Bladder and bowel control problems


Pregnancy and birth may result in bladder and bowel control problems. It is important that you receive physiotherapy treatment to help prevent any long term problems. Treatments may include advice, education, pelvic floor muscle rehabilitation, bladder retraining and manual therapy.

Any women with a 3rd or 4th degree tear following birth will be given a date for an outpatient physiotherapy appointment before they leave hospital or else it will be sent in the post. We try to see all women within 2 weeks of birth. Further appointments will be arranged as necessary.


Pelvic Floor Muscle Exercises - Information Videos


Knowing how to do your pelvic floor muscle exercises is really important and can help you prevent or stop urine from leaking.  The physiotherapists in the Rotunda Hospital have made five videos on learning about pelvic floor muscles, doing your pelvic floor muscle exercises, leaking urine and doing exercises after you have your baby.  We made the videos so that all women can receive reliable, trustworthy, free information and to let women know that: 

  • Leaking urine is not normal and can be treated 
  • Doing pelvic floor muscle exercises regularly helps treat and prevent urine from leaking. 

  • Leaking urine or wetting yourself when you do not mean to (also known as urinary incontinence), can be treated with pelvic floor muscle exercises (PFME).  PFME help reduce symptoms of urinary leakage; in some cases leading to temporary or even permanent relief.  We know from research done at the Rotunda Hospital as part of the MAMMI study, that: 


  • one in three women leak urine occasionally (less than once per month) before their first pregnancy
  • one in three first time mothers leak urine once a month or more frequently during pregnancy
  • as many as one in two first time mothers leak urine 3 months after the birth of their first baby. The numbers are higher in women who have had more than one baby. 

  • We also know from looking at our antenatal class attendance records that only half of first time mothers and fewer than one in twenty women having their second or subsequent baby receiveded PFME education, taught during the antenatal classes in the Rotunda Hospital.  Each video is just 3-6 minutes long. Please click on the relevant video to watch: 

     

    Introduction to the videos from the Rotunda's physiotherapy manager, Cinny Cusack


    Video 1: Getting to know your pelvic floor


    Video 2: Leaking urine/Urinary Incontinence


    Video 3: How to do your pelvic floor muscle exercises
     


    Video 4: Exercise and poise


    Once you have watched the videos, we would love to hear what you thought of them, and in particular, if you found them a good way of providing information.  


    We would also like to know if you did pelvic floor muscle exercises in the past and if you have ever experienced leaking of urine. To give us your feedback, please click on this PFME Survey link.  

    Thank you from the Rotunda Physiotherapy Team.

    Gynaecology Service

    Gynaecology service

    We provide both a gynae inpatient and outpatient service. We work very closely with Dr Mary Holohan to provide care to women attending the promotion of continence clinic.


    Inpatient care

    Following major gynae surgery for example, hysterectomy or pelvic floor repair, the physiotherapist will see you on the ward and give you advice and information on exercises to do.


    Outpatient care

    We will provide a pelvic floor programme especially for you, to help manage and treat your problem. Your hospital doctor may refer you for treatment for any of the following problems:
    • Stress incontinence - involuntary leaking of urine from the bladder when coughing, sneezing, jumping etc
    • Overactive bladder - going to the toilet more frequently and waking up several times at night to go to the toilet
    • Urgency incontinence - leaking urine from the bladder with a sudden urge to go to the toilet but not getting to the toilet on time
    • Mixed incontinence - leaking urine from the bladder due to both stress and urgency signs
    • Anal incontinence - difficulty in maintaining control over the bowel either stool and/or wind
    • Prolapse - laxity of the vaginal walls which gives a sensation of something coming down into the vagina. This may feel like pressure or heaviness

     


    Pelvic Floor Muscle Exercises - Information Videos

    Knowing how to do your pelvic floor muscle exercises is really important and can help you prevent or stop urine from leaking. 

    The physiotherapists in the Rotunda Hospital have made five videos on learning about pelvic floor muscles, doing your pelvic floor muscle exercises, leaking urine and doing exercises after you have your baby. 

    We made the videos so that all women can receive reliable, trustworthy, free information and to let women know that:: 

    • Leaking urine is not normal and can be treated 
    • Doing pelvic floor muscle exercises regularly helps treat and prevent urine from leaking. 

    Leaking urine or wetting yourself when you do not mean to (also known as urinary incontinence), can be treated with pelvic floor muscle exercises (PFME).  PFME help reduce symptoms of urinary leakage; in some cases leading to temporary or even permanent relief. 

    Each video is just 3-6 minutes long. Please click on the relevant video to watch:

    Introduction to the videos from the Rotunda's physiotherapy manager, Cinny Cusack

    Video 1: Getting to know your pelvic floor


    Video 2: Leaking urine/Urinary Incontinence

     

     Video 3: How to do your pelvic floor muscle exercises 

     

    Video 4: Exercise and poise

    Once you have watched the videos, we would love to hear what you thought of them, and in particular, if you found them a good way of providing information.  

    We would also like to know if you did pelvic floor muscle exercises in the past and if you have ever experienced leaking of urine. To give us your feedback, please click on this PFME Survey link to provide it.  


    Baby Care

    Baby care

    We provide a range of services for babies up to 1 year of age who are referred to the department by paediatricians (baby doctors). We do not accept referrals from GPs.

    These include:

    Plagiocephaly (often called flat head)
    Physiotherapy is involved in promoting a round head shape and good head and neck support through a range of exercises and advice.

    Erbs palsy
    This occurs during birth and affects the nerve supply to the baby’s shoulder and arm, leading to reduced movement on the affected side. We provide advice to parents on how best to hold and handle their baby, dressing the baby and how to provide gentle stretching exercises.

    Talipes
    This occurs when the position of the baby in the womb causes the foot (or feet) to turn inwards. The physiotherapist will show parents how to do gentle exercises on the feet and give advice on dressing and holding the baby.

    Torticollis
    This is when a baby’s head is tilted or turned to one side. The physiotherapist will show parents how to do gentle exercises and give advice about handling the baby.

    Developmental delay
    Milestones are skills or tasks that most children are able to do by a certain age. Some babies may need extra help and support to achieve these milestones e.g. rolling, crawling walking etc. The physiotherapist will work with parents by giving advice and exercises to do with their baby so that they can achieve these milestones to the best of their ability.


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