Women’s & Men’s Health

Tracey Miles physio.com has an outstanding reputation with  local GP’s and Consultants for quality of patient-treatment.  Tracey was mentor and clinical educator to Regina in her early career – she encouraged her to specialize in women’s health and they now work together as a team. Tracey and Regina treat pelvic dysfunction in Men, Women and Children including:

  • bladder and bowel control problems
  • overactive pelvic floor disorders
  • pelvic girdle pain / pelvic pain
  • pelvic organ prolapse
  • pregnancy related pelvic disorders
  • ante-natal  / post- natal  pain
  • c.section and perineal scar pain  
  • painful sex 
  • trigger point release
  • thieles massage
  • breathing control
  • lymphoedema massage

Tracey Miles physio.com  is a centre of excellance. Regina and Tracey are highly trained within this field: We all teach pelvic floor assessment and manual therapy of the pelvic floor to Physiotherapy colleagues, Midwives and Gp’s.   Tracey lectures at Christchurch College to the trainee Midwives.    Tracey was an active member of the executive committee for Pelvic, Obstetric, Gynecology Physiotherapists P.O.P.G.  ( formally ACPWH)  

Tracey was the founding member of the  Kent Clinical Interest Group for Women’s Health & Continence 1998.  They all regularly attend National Conferences.

Just because you’re pregnant doesn’t mean you have to put up with back ache, pelvic girdle pain or other pregnancy-related problems. Pregnant patients often tell me that they’ve been told it’s normal to have back ache in pregnancy:    I disagree.  It is true that back pain is common, but this does not mean that it should be, or that there is nothing that you can do about it.  Up to two thirds of women who are pregnant suffer from back pain, roughly one fifth complain of pelvic girdle pain (PGP), formerly called symphysis pubis dysfunction (or SPD).  PGP involves pain over the pubic bone, across the hips or lower back which can also radiate into the groin, buttocks or thighs.  Pregnant women suffering from PGP can get pain or discomfort in any combination of these sites or all of them.  Unfortunately, the symptoms of a small proportion of women (approximately 5-8%) will be severe.  The good news is that some timely women’s health physiotherapy can help.

Painful Sex :  this is often called dyspareunia ( difficult or painful sexual intercourse) (this can be either be painful on entry or deep penetration or both )  don’t put up with it ….treatment can help 

Perineal massage, self treatments, specialist women’s health treatment,  guidance and advice …. it is possible to break this cycle of pain 

scroll down for more info on PELVIC PAIN 

Men’s Continence & Pelvic Floor

TraceyMilesPhysio.com are highly trained staff who specialise in Pre /Post Prostatectomy therapy. 

Regina and Tracey offer a thorough examination and tailored treatments including bio feedback /emg/ pilates, to ensure optimal recovery …. Men should seek specialist help ! ( see Classes for infomation about our prostate pilates classes )

see our published work  2019 : https://pogp.csp.org.uk/sites/default/files/journal/2019-01/09_14301073.pdf
Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, Spring 2019, page 34 -35….Tracey Miles presented a pilot project investigating the impact of pilates classes for men with post prostactectomy urinary incontinence .….our poster was voted 2nd best at Conference 2018 

Did you know that 1 in 8  men will suffer from urinary incontinence at sometime throughout their life and 1 in 5  men will suffer from faecal incontinence?   Incontinence is not just a ‘women’s problem’ – it is a widespread condition ranging in severity from ‘just a small leak’ to complete loss of bladder or bowel control. The good news is that male  incontinence can be treated, managed, and in many cases cured!

If you experience bladder or bowel problems and are unsure whether to seek help, consider the following questions:

  • Do you have an after-dribble – loss of a small amount of extra urine after going to the toilet?
  • Do you sometimes leak when you cough, sneeze or lift something heavy?
  • Do you sometimes leak when you play sport or exercise?
  • Do you have to rush to the toilet?
  • Do you have a hesitant, interrupted or weak stream of urine?
  • Do you go to the toilet more than twice during the night?
  • Do you feel like you cannot completely empty your bladder?
  • Do you soil your underwear?
  • Are you experiencing incontinence after recent prostate surgery?
    • If you answered yes to any of these questions, you may have a bladder or bowel control problem. Speak with your GP or email /ring Tracey Miles to discuss your symptoms.

Patient Information & Support Groups

The more you know about your condition, the more empowered you can be to make the changes necessary to feel better and do the things you enjoy. This section of the website contains numerous articles, videos and suggested reading that will help you understand various aspects of your condition and also serves to remind you of suggestions provided by your therapist.

Interstitial Cystitis Association

The Endometriosis Association

The Pelvic Partnership

POGP | The Chartered Society of Physiotherapy : pogp.csp.org.uk

Pelvic, Obstetric and Gynaecological Physiotherapy (POGP) – Formerly ACPWH. Has good Publications and Booklets

Pelvic Guru : pelvicguru.com

  a resource with articles, pictures and videos of pelvic anatomy all in the same place

Pelvic Pain Support Network

Vulval Pain Society

www.vaginismus.com  patient information and support

chronic pelvic pain green top  guidance
www.rcog.org.uk › GuidanceGuidelinesSearch for a guideline‎ 23 May 2012 – This is the second edition of this guideline. The first edition was published in 2005 under the same title. The purpose of this guideline is to 


International Pelvic Pain Society

National Vulvodynia Association

The Society for Pudendal Neuralgia


Pilates in pregnancy DVD


Talks & Publications

“A Headache in the Pelvis” – David Wise & Rodney Anderson

“Sex without pain” – Heather Jeffcoat

“Healing Pelvic Pain” – by Amy Stein

“Fitness of the pelvic floor” – by Beate Carriere

“Living With Pudendal Neuralgia” – by Vanesa Frank www.pudendal-neuralgia-book.com

Article –[PDF]

File Format: PDF/Adobe Acrobat
Journal of the Association of Chartered Physiotherapists in Women’s Health, Autumn 2008, …. Tracey Miles and Libby Lewis told us about their antenatal

Whelan M (2008) Changing The Pelvic Floor – Journal of the Association of Chartered Physiotherapists in Women’s Health pp 20-27, Number 98 2006