Our Physiotherapy Department provides excellent patient-centred, innovative and evidenced-based care in the management of maternity, gynaecological and paediatric conditions.
The Rotunda Private
Our physiotherapists are:
Cinny Cusack Physiotherapy Manager
Anna Hamill Senior Physiotherapist
Brona Fagan Senior Physiotherapist
Niamh Kenny Senior Physiotherapist
Anne Duignan Acting Physiotherapist
Grainne Christiansen Physiotherapist
Sinead Lennon Physiotherapist
The physiotherapy department is open from 9.00 am to 16.45 pm Monday to Friday. Please be on time for your appointment and check in with the receptionist in the department. If you wish to make, change or cancel your appointment, please contact the department on 01 817 1787.
If you are unable to attend an appointment, please let us know at least 24 hours in advance so that we can offer the appointment to somebody else. Please see the link to our non-attendance policy.
Physiotherapists are involved in caring for mums to be and new mums through a range of different services.
We provide ‘preparation for parenthood’ classes with the parent education midwife.
There are two options, public and private classes.
Our public classes are a course of six classes for first-time mothers and their partners and a refresher class for mothers who have already had a baby.
The first class is booked at your booking visit and is for mothers only. For the subsequent classes partners are welcome to attend and the dates for those classes will be posted out to you once you have attended the first class.
Three classes are given by the parent education midwife and three by the physiotherapy department with input from dieticians and social workers.
The private classes are held on a Saturday. There are two classes: one given by the midwives and one by physiotherapists.
To book into the private class, please phone 087 661 9233.
Pregnancy-related Pelvic Girdle Pain (PGP)
Pelvic girdle pain describes pain in any of the three pelvic joints: the pubic symphysis joint and the two sacraliliac joints. PGP may affect your activities of daily living, particularly walking, climbing stairs, getting in and out of the car and sleeping.
It is common in pregnancy but it is not normal and can affect up to one in five women. Postural changes that occur during pregnancy may also cause lower back or thoracic pain; learning how to move and manage your activities can significantly help to reduce PGP.
Your doctor or midwife may refer you to a physiotherapist who will send you out an appointment for the PGP class. This class provides advice, education and exercises in order to help you manage the physical changes of pregnancy which can cause pelvic and/or back pain. Once you have attended this class, you can phone up for a one on one treatments if required.
Please note: We only treat problems associated with pregnancy.
If you have a pre-existing back condition you should continue to see your own physiotherapist as normal.
We run a weekly postnatal exercise class every Thursday morning from 11.30 am to 12.30 pm. The class will help you to gradually regain your physical strength after pregnancy and birth. It includes pelvic floor exercises and ‘returning to exercise’ advice. We also check that you are doing your abdominal (tummy) exercises correctly.
New mums can attend up to six weeks after a vaginal birth or eight weeks after a caesarean section. This class is free of charge and you may bring your baby with you, but no older children are allowed.
To book a place, please phone 01 817 1787.
Bladder and Bowel control problems
Pregnancy and birth may result in bladder and bowel control problems. It is important that you receive physiotherapy treatment to help prevent any long term problems. Treatments may include advice, education, pelvic floor muscle rehabilitation, bladder retraining and manual therapy.
Any women with a 3rd or 4th degree tear following birth will be given a date for an outpatient physiotherapy appointment before they leave hospital or else it will be sent in the post.
We try to see all women within two weeks of birth and then at six weeks. Further appointments will be arranged as necessary.
Introduction from The Rotunda Private’s Physiotherapy Manager Cinny Cusack
Knowing how to do your pelvic floor muscle exercises is really important and can help you prevent or stop urine from leaking. Our physiotherapists have made videos on learning about pelvic floor muscles, doing your pelvic floor muscle exercises, leaking urine and doing exercises after you have had your baby.
We made the videos so that all women can receive reliable, trustworthy, free information and to let women know that:
- Leaking urine is not normal and can be treated
- Doing pelvic floor muscle exercises regularly helps treat and prevent urine from leaking
Leaking urine or wetting yourself when you do not mean to (also known as urinary incontinence) can be treated with pelvic floor muscle exercises (PFME). PFME help reduce symptoms of urinary leakage, and in some cases leading to temporary or even permanent relief.
Following major gynae surgery – such as hysterectomy or pelvic floor repair – a physiotherapist will see you on the ward and give you advice and information on exercises and returning to your normal activities.
Outpatient treatment is available following discharge if you require further help.
We will provide a pelvic floor programme especially for you, to help manage and treat your problem. Your hospital doctor may refer you for treatment for any of the following problems:
- Stress incontinence – involuntary leaking of urine from the bladder when coughing, sneezing, jumping etc.
- Overactive bladder – going to the toilet more frequently and waking up several times at night to go to the toilet
- Urgency incontinence – leaking urine from the bladder with a sudden urge to go to the toilet but not getting to the toilet on time
- Mixed incontinence – leaking urine from the bladder due to both stress and urgency signs
- Anal incontinence – difficulty in maintaining control over the bowel either stool and/or wind
- Prolapse – laxity of the vaginal walls which gives a sensation of something coming down into the vagina. This may feel like pressure or heaviness
- Pelvic floor pain, pain with intercourse (dyspareunia)
We provide a range of services for babies up to one year of age who are referred to the department by paediatricians (doctors who specialise in babies). We do not accept referrals from GPs.
Plagiocephaly (often called flat head)
Physiotherapy is involved in promoting a round head shape and good head and neck support through a range of exercises and advice. Tummy time is very important to help prevent plagiocephaly.
Erbs palsy or Brachial plexus injury
This occurs during birth and affects the nerve supply to the baby’s shoulder and arm, leading to reduced movement on the affected side. We provide advice to parents on how best to hold and handle their baby, dressing the baby and how to provide gentle stretching exercises.
This occurs when the position of the baby in the womb causes the foot (or feet) to turn inwards. The physiotherapist will show parents how to do gentle exercises on the feet and give advice on dressing and holding the baby.
This is when a baby’s head is tilted or turned to one side. The physiotherapist will show parents how to do gentle exercises and give advice about handling the baby.
Milestones are skills or tasks that most children are able to do by a certain age. Some babies may need extra help and support to achieve these milestones e.g. rolling, crawling walking etc. The physiotherapist will work with parents by giving advice and exercises to do with their baby so that they can achieve these milestones to the best of their ability.