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Pelvic Health Physiotherapy Services
Physio Down Below was founded by Alex Lambert, a highly experienced pelvic health physiotherapist with extensive NHS and independent practice experience. Our team specialises in addressing pelvic floor dysfunction, urinary and bowel incontinence, postnatal recovery, and chronic pelvic pain for both women and men. With over a decade of clinical expertise across multiple NHS trusts, including Oxford University Hospital Trust, we combine evidence-based physiotherapy with personalised care to address conditions often overlooked by mainstream healthcare.

Our approach prioritises patient education, tailored treatment plans, and empowering individuals to regain control of their pelvic health through conservative, non-invasive methods. We maintain strict professional standards through HCPC and CSP registrations, ensuring our clients receive care from a fully qualified practitioner with proven expertise in this specialist field.
Services
Pelvic Floor Therapy Postnatal Recovery Prolapse Management Chronic Pelvic Pain Urinary Incontinence Men's Pelvic Health Scar Massage Pre/Post Surgery Care Bowel Dysfunction Pelvic Girdle Pain
Highlights and features
  • We offer specialist pelvic health physiotherapy with NHS-trained expertise
  • Our treatment plans are fully personalised to individual needs
  • We provide evidence-based solutions for both women's and men's health
  • We maintain strict professional standards through HCPC and CSP registrations
  • We focus on conservative, non-invasive treatment approaches
Associations and certifications
  • HCPC
  • CSP
What people say
Changed my life Increased confidence Personalised care Non-judgmental approach Effective treatment
Services
Pelvic Floor Therapy
Specialist treatment for pelvic floor dysfunction addresses urinary incontinence, prolapse symptoms, and sexual dysfunction. Our evidence-based approach combines manual therapy, exercise prescription, and patient education to strengthen pelvic muscles and improve control. Tailored programmes help both women and men regain confidence and functionality through non-invasive methods.
Postnatal Recovery
Comprehensive rehabilitation for postnatal women includes scar management, diastasis recti correction, and pelvic floor retraining. We develop individualised exercise programmes to restore core strength and address post-pregnancy physical changes. Our approach helps mothers safely return to fitness while improving comfort and functionality in daily activities.
Chronic Pelvic Pain
Specialist management for persistent pelvic pain combines manual therapy, movement re-education, and pain neuroscience education. We address musculoskeletal, neurological, and visceral components through gentle, evidence-based techniques. Treatment focuses on restoring normal tissue function and empowering patients with self-management strategies to break the pain cycle.
Men's Pelvic Health
Targeted physiotherapy for male pelvic health issues including post-prostatectomy rehabilitation, erectile dysfunction, and pelvic pain. Our specialist approach addresses urinary control, sexual function, and pelvic muscle dysfunction through tailored exercise programmes and manual therapy. We provide a comfortable environment for men to address sensitive health concerns.
Prolapse Management
Conservative management for pelvic organ prolapse combines pelvic floor strengthening, lifestyle modifications, and symptom management strategies. We teach effective bowel and bladder habits, proper lifting techniques, and supportive positioning. Our goal is to improve pelvic support and reduce symptoms without surgical intervention.
People
Alex Lambert
Pelvic Health Physiotherapist
Experienced pelvic health physiotherapist with NHS background in Oxford University Hospital Trust. Specialises in women's and men's health, offering personalised treatment for pelvic floor dysfunction. HCPC and CSP registered with expertise in postnatal recovery and chronic pelvic pain management.
Questions
What pelvic health conditions do you treat?
We treat urinary incontinence, prolapse symptoms, chronic pelvic pain, sexual dysfunction, postnatal recovery needs, and men's pelvic health issues including post-prostatectomy rehabilitation.
How can physiotherapy help with pelvic floor problems?
Our specialist physiotherapy strengthens pelvic muscles, improves control through targeted exercises, and addresses underlying causes of dysfunction using evidence-based manual therapy techniques and patient education.
Do you treat both women and men?
Yes, we specialise in both women's and men's pelvic health, addressing conditions like urinary incontinence, sexual dysfunction, and post-surgical rehabilitation for both genders.
What payment methods do you accept?
We accept card payments, cash, and BACS transfers for all our physiotherapy services.
What should I expect during the initial consultation?
Your first session includes comprehensive assessment, discussion of symptoms, and development of a personalised treatment plan tailored to your specific pelvic health needs.
Reviews (2)
Emma
Jun 08, 2020 Report
Alex is very skilled and compassionate, she put me at ease straight away. She articulates her knowledge in an understanding way and also listened to my fears and emotions, helping me gain a different perspective. She helped me understand my body and gave me the cofidence I needed to help in my recovery. Her work has been invaluable in my postpartum recovery. I highly recommend her service, my only regret is not seeing her sooner.
Rosie H.
Oct 17, 2019 Report
Alex is warm and welcoming and put me at ease straight away! She was able to help me understand the way in which muscles in the body work, and offered me practical help to my specific needs! She spent time checking my issues and showed me what the right exercises I needed to do in order to repair my muscles! Alex is really insightful and knew how to help! I left with a number of exercises to try out but also with the confidence to do them by myself! I would highly recommend Alex to others who need practical but helpful advice!