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Meet the Team
Pilates
Physiotherapy
Aches and Pains of Pregnancy
Post Natal Checks
Gynae Surgery Support
Urinary Incontinence
Bowel Problems
Pelvic Organ Prolapse
Paediatric continence (bed wetting, constipation)
Acupuncture and Dry Needling
Shop
Education
Price List
Contact Us
Book an Appointment
Or call 016284674
friday morning 7am
Pilates Friday - Starting 20th September
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What are your hobbies or interests?
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Is pain stopping you from doing any of these comfortably right now?
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How would you describe your current level of fitness?
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Olympic Athlete
Have you ever done pilates before?
Are you on any medication? If yes, please give names
Do you suffer with any of the following :
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Osteoporosis
Back pain or other joint injury
None of the above
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If you are female please complete the rest of this page, if not please continue to the last page.
Are you pregnant? If yes how many weeks and have you been experiencing any complications
How many children do you have?
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1
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3
4 or more
If you have recently had a baby, please let me know how many weeks/months/years old this youngest baby is
0 - 3 months
3 - 6 months
6 - 12 months
More than one year
Not applicable
Please let me know about the types of deliveries or any complications you may have had
Vaginal delivery
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Baby over 4kg (9lbs)
Post partum complications
Wound infection/wound breakdown
Pelvic girdle pain
Perimenopause symptoms
Muscular aches and pains
Difficulty sleeping
Anxiety
Low mood
Weight gain despite all efforts
Pelvic floor symptoms - see specific Question relating to this for details
I ask these questions as Pilates can be helpful for some of these problems, but I also want to draw your attention to how you might be feeling and if you might need to seek help from your GP or menopause specialist rather than suffer on in silence...
Have you had any pelvic floor/gynae surgery? If so what type of surgery and when.
Are you experiencing any of the following pelvic floor symptoms?
Urinary leakage with exercise or cough/sneeze
Strong urgency to pass urine
Leakage of urine on the way to the toilet
Feelings of heaviness/pressure in the vagina or back passage
Painful intercourse
Difficulty or pain when passing a bowel motion
Strong urgency or leakage of solid or Liquid stool
None of the above
Please know this this information is taken in confidence to help me devise the best class to meet your needs. Pilates has been shown to strengthen the pelvic floor but where there are actual symptoms, targeted physiotherapy is more effective in resolving issues than pilates alone. Please feel free to speak with me in confidence.
Thank you for taking the time to complete this. Please use the space below to tell me anything else you feel may be relevant to your return to pilates.
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Physiotherapy
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Physiotherapy
Shop
Education
Price List
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