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Why Physiotherapy Needs to Be Part of Every Woman's Healthcare

  • mcvarela0
  • 2 days ago
  • 2 min read

Women's health has come a long way in the last decade. Conversations that were once considered too private or too niche are now rightly being had openly. Pelvic health, hormonal changes, pregnancy, postnatal recovery, the menopause and beyond: these are not fringe topics. They affect the majority of women at some point in their lives, and physiotherapy has a central role in supporting women through every stage.


This Women's Health Month, I want to talk about the physiotherapy services that every woman should know about and feel confident to access.


Pelvic Health: Not Just a Postnatal Issue


Pelvic floor dysfunction is extraordinarily common, yet it is still massively underreported. Research suggests that up to one in three women experience urinary incontinence at some point, but many spend years managing symptoms alone because they feel embarrassed to seek help, or because they simply do not know that physiotherapy can treat it effectively.


Pelvic health physiotherapy addresses a wide range of conditions including stress and urge urinary incontinence, pelvic organ prolapse, pelvic girdle pain, painful intercourse, and bowel dysfunction. These are not conditions women simply have to live with. With assessment and the right treatment plan, significant improvement is achievable for the vast majority.


Perimenopause and Menopause


In 2026, awareness of the menopause and its physical impact is growing, but the role of physiotherapy in this transition is still not widely understood. Falling oestrogen levels affect bone density, joint health, pelvic floor function, and cardiovascular fitness. Physiotherapists are uniquely placed to support women during this period through targeted exercise prescription, pelvic floor rehabilitation, and education about managing symptoms.


Resistance training during and after the menopause is one of the most evidence-based interventions for protecting bone density and maintaining muscle mass. A physiotherapy-led programme takes the guesswork out of exercise and makes it both safe and effective.


Sports and Active Women


Women who exercise regularly face their own specific injury patterns, from ACL injuries and bone stress fractures to shoulder instability and pelvic floor stress during high-impact activity. Female athletes and active women deserve physiotherapy that understands their anatomy, their hormonal cycles, and the specific demands placed on their bodies.


Advocating for Yourself


One of the things I hear most from women is that they did not realise physiotherapy could help. They had been told their symptoms were normal, or they had been given a leaflet and sent away. Women deserve more than that. Physiotherapy should be a first-line conversation for so many of the conditions that affect women throughout their lives.


At Smartphysio, our women's health physiotherapists provide specialist assessment and treatment in a confidential, supportive environment. Whether you are dealing with pelvic health concerns, recovering from pregnancy, managing menopausal symptoms, or returning to sport, we are here to help. Call us on 020 7435 4910 or visit www.smartphysio.co.uk to book your appointment.



 
 

About Our Expert

Sammy Margo, Chartered Physiotherapist and Founder of SmartPhysio

Sammy Margo

​Founder and Director of Physiotherapy Services
Chartered Physiotherapist
MSc, MMACP, AACP, MCSP, HCPC

 

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Sammy Margo is a Chartered Physiotherapist with over 30 years’ clinical experience. She has worked across the NHS, professional sport, and private practice, and was England’s first female physiotherapist to work in professional football.

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Her areas of clinical expertise include:

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  • Senior care and complex rehabilitation

  • Home visit and community-based physiotherapy

  • Sleep, recovery, and performance

  • Musculoskeletal and neurological rehabilitation


Sammy is a recognised sleep expert, a former spokesperson for the Chartered Society of Physiotherapy, and a regular contributor to national media including The Telegraph, The Guardian, Daily Mail, and Stylist. She is the author of The Good Sleep Guide.

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