Something in your middle doesn't feel like yours any more.

Maybe it's a bulge along the midline when you sit up. A scar that pulls or feels numb, years on. A dragging or heaviness by the end of the day. A core you can't seem to switch on, however many planks you do.

None of this is something you have to live with, and all of it is assessed and treated by pelvic health physiotherapy — which is about far more than the pelvic floor.

95–100% covered by extended health benefits

Does this sound familiar?

  • A gap or dome down the middle of your abdomen when you lift your head
  • Your C-section or surgical scar pulls, is numb, or aches
  • Heaviness or pressure low in your abdomen or pelvis, worse late in the day
  • Your lower back hurts and your core feels like it isn't helping
  • Pain in your lower abdomen or hips during or after exercise, or with sex
  • You've been told your abdominals "separated" and left to work it out

When this isn't a physio problem. Sudden, severe or worsening abdominal pain, pain with fever, vomiting, bleeding, or pain in pregnancy needs a doctor or emergency department today. This page is about the abdominal wall and core, not the organs behind it.

Why the abdomen, pelvic floor and back work as one

Your abdominal wall, your pelvic floor, your diaphragm and your deep back muscles form a single pressure system. When one part isn't doing its share — after pregnancy, after surgery, after years of a particular posture — the others compensate, and the result shows up as a bulge, a pull, a pressure or a back that never quite settles.

That's why crunches often make a diastasis feel worse, why a scar can be tight years after it healed, and why "core work" done without assessment so often disappoints. The fix is finding which part isn't working and rebuilding the system in the right order.

What we'd actually do

  1. 1

    Assess the whole system

    Your abdominal wall and any separation, your scar, your breathing, your pelvic floor and how they coordinate — in a private room, at your pace. Any internal assessment is only ever with your explicit consent, and there is a great deal we can assess without one.

  2. 2

    Scar and tissue work

    Hands-on treatment for scar mobility and sensation, and for the tissue around it. This is frequently the piece nobody has addressed.

  3. 3

    Rebuild in the right order

    Reconnect the deep core and breathing first, then load progressively — often on the reformer — until you can lift, run and carry without thinking about it.

How long it takes

Scar sensation and core connection often change within a few sessions. Closing the functional gap of a diastasis and building real strength is typically eight to twelve weeks of progressive work.

Who you'd see

What patients say

I know Jaspreet and her knowledge on postpartum and women's health has been really obvious through our discussions. So eventually I decided that I needed to fix my issues so I went to see her.…

Dam B 3 months ago
Read the full review on Google →

Frequently asked questions

  • Can a diastasis actually close?

    The gap often narrows, and more importantly the wall regains tension and function so it stops bulging and starts working. The goal is a core that does its job, and that's achievable for most people without surgery.

  • My C-section was years ago. Is it too late?

    No. Scar tissue responds to hands-on work at any stage, and we regularly treat scars that are five, eight, ten years old.

  • Is this pelvic health physiotherapy?

    Yes. The abdomen and pelvic floor are one system, so the assessment is done by our pelvic health physiotherapist. Internal examination is never assumed and only ever with your consent.

  • Is it covered?

    As physiotherapy — typically 95–100% under extended health benefits.

Let's get you started.

Pelvic health is one-to-one with our pelvic health physiotherapist, so appointments go further ahead than our other services. Book the first slot that works and call us if you need to be seen sooner — we keep time back for urgent cases.

Book a pelvic health assessment (opens our booking system in a new tab)