Our physiotherapists can help you with a number of problems related to the pelvis, abdomen and pregnancy. We meet you with understanding and empathy, and work interdisciplinary to ensure that you get the help you need.
- No referral
- Professional expertise
- Physically in the clinic or over video
Dr. Dropin Fysikalske sees you and your troubles
At Dr.Dropin Fysikalske, we have physiotherapists specializing in women's health who take your complaints seriously, and can assist with diagnosis, pain management and treatment. We understand that the reasons for the diagnosis can be complex and have close interdisciplinary collaboration with gynaecologists, psychologists and general practitioners.
Below you can read more about various pain conditions and problems that many women experience during their lives, and how we can help you.
10-15% of all women experience pain in the lower abdomen. The pain can be in the vulva/external genitalia, in the vagina, in the uterus and in the pelvis, and many people experience pain related to, among other things, menstruation, ovulation, urination and sexual intercourse.
Below you can read more about some of the most common conditions and diseases for pain, and how we can help you.
Dr.Dropin Fysikalske has physiotherapists with special expertise in pregnant women, and can guide you, set up an exercise program and monitor you both before and after pregnancy. In addition, we have a lot of experience with various ailments and problems you may encounter during and after a pregnancy. Read more about how we can help you below.
Iselin tests function and strength in the pelvic floor
A number of complaints women experience are linked to too tight pelvic muscles. These ailments often lead to pain and discomfort in the abdomen and vagina. Up to a third of all women also experience problems such as urinary leakage or uterine prolapse, as a result of weak pelvic floor muscles.
By training the pelvic muscles, you can get a better function in the pelvis and reduce discomfort and pain related to pelvic floor problems. Do you want to learn more about the pelvic floor and how our physiotherapists can help you?Read more here
New: Physiotherapist on video!
Through video consultation, we can give you advice and guidance on pain and ailments. You meet skilled physiotherapists who will assist you with much of what you can get help with in a normal physiotherapy session.
The majority of all consultations we normally have in the clinic can be carried out on video. Going to a physiotherapist is not necessarily about physical treatment. The conversation and mapping of the medical history is the most important thing the physiotherapist needs to provide the right treatment.
The physiotherapist can evaluate your condition, advise, guide and suggest next steps. Based on your diagnosis and individual needs, the physiotherapist will draw up a treatment plan for you.
If your condition requires a physical examination, doctor's check-up or ultrasound, the physiotherapist will refer you to the right place. If you do not find your condition on the list below, you can safely book a video appointment.Read more about how video consultation works
Pain management and physical activity
When you walk with pain for a long time, it can make you tired, worried and scared. This can affect the quality of life and many experience less profit. Persistent pain can affect the nervous system and make the nervous system more sensitive. The experience of pain is stored in the brain and in the nervous system, which affects pain signalling. This means that in the long run the system will react to less stimuli than it did previously, and that you experience pain faster than you normally would. Fewer stimuli are needed before the pain comes. Pain is complex and is also affected by how we feel, thoughts, feelings, energy and how we relate to the pain.
A physiotherapist can help women with long-term pain with information about pain physiology, to understand what can increase and reduce the pain, as well as how to deal with the pain.
Pain management and physical activity have had a good effect on other pain conditions. A study currently underway is looking at the direct effect of physical exercise and pain management against challenges related to endometriosis.
Our experience is that physical activity is an important part of improving the quality of life for women with endometriosis or other long-term pain conditions. Physical exercise is good for all people and can contribute to pain relief.
- What can a physiotherapist help you with:
- Understanding of pain physiology and pain management
- Treat secondary muscle tension and pain in the pelvic area
- Specialized physiotherapists can treat pain conditions in the pelvic floor
- Give advice and guidance on, for example, physical activity, good resting positions, toilet habits and ergonomics in the toilet.
- Mindfulness, breathing and relaxation exercises
Get to know our therapists better
We know that the right competence and good chemistry are important. Below you can therefore get to know our therapists better. We hope this makes it easier to find a therapist who is right for you.
Martine has extensive experience with problems in the back, hip and pelvis in both women and men. She has special expertise in women's health and long-term pain, as well as training during and after pregnancy. Martine examines the function of the pelvic floor in women after pregnancy, and in the case of dysfunction and pain in the abdomen (including incontinence problems, abdominal prolapse/prolapse, vulvodynia, vaginismus). Martine also has expertise in sports medicine and offers treatment for acute and long-term musculoskeletal disorders. She is keen to see the whole person, and give good everyday advice on how to cope with your ailments.
Martine is particularly interested in:
Back | Hip | Groin | The stream | Women's Health | Pregnant | Abdominal complaints | Vaginism | Vulvodynia | Endometriosis | Incontinence problems
Additional services that Martine offers:
✓ Pressure wave treatment
✓ Manometer – pressure gauge for examination of strength and endurance in the pelvic floor
Where can you book an appointment with Martine?
📍 Oscars gate
Bente is a physiotherapist and osteopath with 20 years' experience in the treatment of adults and children. She is keen to see the big picture and find an individually adapted treatment course for the individual. As both an osteopath and a physiotherapist, she has a wide selection of treatment techniques to choose from. These include joint adjustments, mobilization techniques, soft tissue treatment and cranial osteopathy. If necessary, dry needling or pressure wave treatment is used. She also has expertise in women's health.
Additional services which Bente offers:
✓ Shock wave therapy
Where can you book an appointment with Bente?
Questions and answers
Here you will find answers to common questions. This is general advice. If you are unsure whether the answers apply to you, we are happy to help you with an individual examination and advice, either on video or in one of our clinics.
What is pelvic floor training?
Pelvic floor training is strength training of the pelvic floor muscles, the muscles in the pelvic area. This training helps improve the function of the muscles and can be used as a treatment or prevention for pelvic organ prolapse or urinary incontinence.
What is vaginismus?
Vaginismus is a condition where the pelvic floor muscles tighten and make it difficult or impossible to insert anything into the vagina, including tampons, medical instruments, and the penis.
Can women with vaginismus have children?
Women with vaginismus can become pregnant, but it may be more challenging to achieve due to pain or difficulties with intercourse. However, there are treatment options available that can help manage vaginismus and make it easier to conceive.
Can women with vaginismus give birth vaginally?
Women with vaginismus can give birth vaginally, but it may require extra effort and support from healthcare providers to help them relax and open their pelvic floor muscles.
Can vaginismus be cured?
Yes, vaginismus can be treated and managed through a combination of therapy, pelvic floor exercises, medications, and other treatment options. Many individuals experience significant improvement or full resolution of their symptoms with appropriate treatment.
Can pelvic girdle pain (pelvic instability) be prevented?
It is not always possible to prevent pelvic girdle pain, but there are measures that can help reduce the risk and alleviate pain. These may include regular exercise, ergonomic considerations, and lifestyle adjustments.
How do you know if you are exercising the pelvic floor correctly?
A correct pelvic floor contraction should feel like you are tightening around the rectum, vagina, and urethra, combined with a sensation of drawing the muscles inward and upward. You can place a hand on the perineum (the area between the vagina and anus) and feel it lift slightly. Alternatively, you can insert a finger into the vagina and feel the muscles squeezing around it. There should be no downward pressure. The pelvic floor should be trained in isolation while simultaneously relaxing the gluteal muscles, abdomen, and inner thigh muscles.
What can pelvic floor training do for individuals with endometriosis?
Pelvic floor training helps stimulate circulation in the pelvic area. Many individuals with endometriosis may experience pain in the pelvic region due to muscular tension in and around the pelvis over time. Pelvic floor exercises can help alleviate this tension and improve overall muscle function and blood flow in the pelvic area.
How often should one exercise the pelvic floor muscles?
After childbirth, it is recommended to exercise the pelvic floor muscles daily for the first 4-6 months. As a treatment for pelvic organ prolapse or urinary incontinence, daily training for 6 months is recommended. After that, you can transition to maintenance training once a week. Generally, 3 sets of 10 repetitions are recommended, but individualized approaches may be necessary for specific needs.
Can pelvic floor training help with urinary incontinence?
Yes, pelvic floor training is considered the first-line treatment for urinary incontinence. Studies have shown that 74% of women with urinary incontinence experienced improvement after engaging in pelvic floor strengthening exercises.
What is pelvic organ prolapse?
Pelvic organ prolapse is a condition where the bladder, uterus, or rectum sag into or protrude against the vaginal wall. It can feel like a sensation of heaviness in the pelvic area or a feeling of having something in the vagina. Some people may also visually observe the prolapse when examining the pelvic area with a mirror. Pelvic organ prolapse is also referred to as pelvic organ prolapse or genital prolapse. It's important to note that pelvic organ prolapse is distinct from a herniated disc (back prolapse) and they are not the same condition.
What is the pelvic floor muscle?
The pelvic floor muscles are the muscles that form the "floor" of the pelvis. These muscles surround structures such as the urethra, vagina, and rectum. They play a crucial role in supporting the pelvic organs, controlling urinary and faecal continence, and providing stability to the pelvic region.
How can we who do not live in Oslo or have Dr.Dropin nearby get help?
Dr. Dropin also offers video consultations. You do not get to carry out a physical examination, but you can get a lot of useful information and guidance. You can read more about video consultation here, and download the app to book an appointment with Martine (Klinikk Hegdehaugsveien). At fysio.no, quintet.no and vulva.no, there is also a list of physiotherapists and health personnel throughout the country who work with this.
Can regular physiotherapists do a pelvic floor examination?
No, only physiotherapists are specialized in education and training in pelvic floor examination. It is not "ordinary" physiotherapeutic knowledge. At Dr.Dropin, it is currently only Martine at the Hegdehaugsveien clinic who offers a pelvic floor examination.
What should you do if you think you have vaginismus? Is it something you can do yourself?
It is important that you are examined by a gynaecologist to rule out other medical conditions, for example, infections, skin diseases etc. There is a lot you can do on your own. Part of the treatment is about information and understanding of the problem. Many people get better from just that. You can read more about the condition at vulva.no and here.
I have uterine prolapse. Can a pelvic floor exam help me?
It is recommended to carry out a pelvic floor examination to examine the strength and function of the pelvic floor muscles. Continuous strength training of the pelvic floor is always the first measure we work on, both for abdominal prolapse and incontinence. Research shows that 74% get fewer prolapse symptoms after 6 months of continuous and guided pelvic floor training, which is a very good prognosis.