Women’s Health

Women’s Health

Pregnancy is a life-transforming experience with a myriad of physical, hormonal and emotional changes.
As the baby grows inside the uterus, the mother’s body needs to adapt. Each woman responds differently, depending on her previous history: past pregnancies and accidents may have affected the mechanics of the spine and pelvis. These factors along with the natural loosening of the ligaments in preparation for birth increase the chances of aches, pains and problems postpartum.

Available Treatments:




Women’s Health Osteopathy


Pregnancy Massage

Conditions which pregnant women commonly complain of include:


General muscular back pain


SPD (Symphysis Pubis Dysfunction)


Sacro-iliac joint pain – pain in the lower back


Sciatic and leg pain associated with back pain


Rib and thoracic spine pain


Neck aches and headaches


Joint swelling

Minor problems, especially those involving the back, may be the beginning of a lifetime of musculoskeletal difficulties. Many women with chronic back pain can often trace their own history to difficult labor and/or postpartum onset. During pregnancy, the laxity of the ligaments can produce sacral dysfunctions and pain for the woman. These dysfunctions worsen and are locked into malposition as the ligaments regain their normal rigidity postpartum.

Post delivery

After giving birth, the body has to recover from both the changes it made during pregnancy and from the effects of delivery. New mums may experience lower back, pelvic pain and pelvic floor trauma.

Women’s Health Conditions

Some of the most common Women’s Health Conditions we treat here at CBR Clinics are:

Piriformis Syndrome
The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, shift our weightfrom one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs — in short, in almost every motion of the hips and legs.

Piriformis syndrome is an common neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. It is a common cause of buttock and posterior leg pain. Pain in these areas can begin spontaneously or after an injury. The symptoms are commonly seen in patients with other inflammatory conditions and in patients who sit for most of their work day.

How does it start?
The pain usually begins when the piriformis muscle becomes taut, tender, and contracted. This process causes a deep aching sensation in the midgluteal region that is sometimes associated with pain radiating down the posterior leg or up to the lower back. The tight piriformis may cause a nerve and vessel entrapment syndrome as a consequence of its close proximity to the sciatic nerve and surrounding vessels.

Piriformis syndrome may constitute as many as 6-8% of low back pain conditions associated with Sciatic Pain (Sciatica). Some patients experience symptoms in all five toes rather than in either lateral toes or medial toes, as is generally the case in patients with herniated lumbar discs. Pain in the gluteal area is the predominant symptom.

Pain, tingling or numbness in the buttock
Pain can run down the leg
Pain when climbing stairs
Pain while sitting for long periods

Lower Back Pain
Lower back pain is a common disorder that affects around one-third of adults in the UK each year. Up to 85% of people worldwide will suffer from back pain during their lives and 50% of the working population will experience back pain symptoms at least once a year. This prevalence is high and is leading cause of disability.

It is more commonly seen in office workers, who sit at a desk for long hours, but it is also visible in sports people with specific under or over developed muscles. Lower back pain can originate from a weak lower back, weak or over developed abdominal muscles, tight hamstrings, weak gluteus muscles, or a combination of any of the above.

Exercise plays a great role in keeping the body strong and healthy. People who exercise have a tendency to develop or have experienced lower back pain before need to make sure they are working out all the core muscles (abdominals, upper and lower back, inner thighs, hips and gluteus) Together they keep all structures around the core healthy, supported and pain free, therefore they should be exercised evenly to avoid any imbalances.

Pilates is a great option for those wanting to strengthen their core muscles to prevent lower back pain from reoccuring. It comes from the principle that in order to attain control of your body you must have a starting place: the center (core muscles). It helps to create stability and build muscle strength, while shaping your body into better alignment.

Hip Pain
The hip joint is a very mobile joint formed by the articulation of the rounded head of the thighbone (femur) and the cup-like acetabulum of the pelvis. It forms the primary connection between the bones of the lower limb and the trunk and pelvis.

Hip pain is not just felt in the hip itself. Some people may feel pain in the groin, lower back, or legs or from the muscle of the hip joint itself. This is ‘referred pain’, which is where pain experienced in one area of the body is actually generated in another region. It is important that referred pain is diagnosed correctly. Other related signs of hip problems, that should be reviewed by a doctor include:

Hip pain that persists beyond a few days
Hip pain that occurs at night, or while resting
Not being able to stand in one place for too long
Swelling of the hip or the thigh area
Pain from the hip joint is often felt in the groin. This may feel like a tightening or throbbing in the inner thigh. Pain over the outside of the hip is usually not caused by a hip joint problem, and is more commonly related to Trochateric Bursitis or a trapped nerve in the lower region of the back, causing lower back pain as a consequence.

Stiffness and grinding in the hip are typically symptoms of hip arthritis, which is a wearing away of the normal smooth cartilage within the hip joint. This can leave bone to grind against bone. Stiffness can also be experienced by patients who have childhood conditions that cause an abnormally shaped hip joint, such as Congenital Hip Dislocations (Dysplasia), or Legg-Calve-Perthes Disease.

A limited motion of the hip in normal activities can result from a damaged or deformed hip joint. For example, the degenerate bone and subsequent related pain from hip osteoarthritis often makes it painful for a person to carry out the full range of hip movements. Some people may have trouble bending their hip to put on their socks or shoes, or lifting the leg to walk upstairs.

More commonly seen in people who participate in such sports as ice hockey, football, golf and ballet are at higher risk of developing a hip labral tear (rupture of the ring-like structure that helps to hold the femur in place). Structural abnormalities of the hip also can lead to a hip labral tear, accompanied by cyst formation. Symptoms include hip pain or a “catching” sensation in your hip joint. Initial treatment may include pain relievers and physical therapy. Using arthroscopic techniques, surgeons can remove loose fragments from within the joint and trim or repair the hip labral tear.

Sciatic Pain
Sciatic Pain, also know as Sciatica, is a set of symptoms including pain that may be caused by general compression or irritation of one of five spinal nerve roots that give rise to each sciatic nerve, or by compression or irritation of the left or right or both sciatic nerves. The pain is felt in the lower back, buttock, or various parts of the leg and foot. In addition to pain, which is sometimes severe, there may be numbness, muscular weakness, pins and needles or tingling and difficulty in moving or controlling the leg. Typically, the symptoms are only felt on one side of the body. Pain can be severe in prolonged exposure to cold weather.

Although sciatica is a relatively common form of lower back pain and leg pain, the true meaning of the term is often misunderstood. Sciatica is a set of symptoms rather than a diagnosis for what is irritating the root of the nerve, causing the pain. This point is important, because treatment for sciatica or sciatic symptoms often differs, depending upon the underlying cause of the symptoms and pain levels. It can be caused by a compression of the sciatic nerve roots caused by a herniated (torn) or protruding disc in the lower back.

What our clients say…

3 doctors mis-diagnosed me with RSI (including a private hand ‘expert’)… CBR diagnosed me correctly as having neck issues before I even arrived – just from my description of symptoms… I just hope I remember to go to a Physio first before a doctor when I next get pains in my joints.

Charlie S.

A very professional team and detail-minded treatment, which provides patient a comprehensive approach for speedy recovery. Reasonable price and nice follow-up. Highly recommended to any Londoners or the tourists.

V. Man

My visit to Bruno are really effective on my back right on the same day. He is a great profesional as well as a really warm person to deal. He make you feel calm and relaxed at the consultation. I have recovered strength on my arm thanks to his treatments. I will definitely recommend anyone to go to his clinic.

Maria A.

Peter was very professional! He identified my problem area, gave me excellent advice and exercise to do. I left feeling very positive, will definitely recommend him to people.

C. Cole

I have been treated by Silvia for a shoulder pain. She is an amazing osteopath, very profesional, knowledgeable and a nice person. Silvia is very easy going and explains things extremely clearly.I have been back a few times since and always had fantastic results. I cant recommend CBR Clinic highly enough. Thank you Silvia for making my shoulder much better!

Natalie H

I have been having treatment at CBR Clinics for over 3 months now and I can honestly say that it is one of the best investments in myself I have made. I have had a bad back for a long period which stems from lots of sport and the office job. After seeing Lyndsy Mills my back has recovered and mornings tend to be much easier 🙂 I would recommend to friends, family and work colleagues.

James B.

A very professional team and detail-minded treatment, which provides patient a comprehensive approach for speedy recovery. Reasonable price and nice follow-up. Highly recommended to any Londoners or the tourists.

V. Man

Really good support throughout the 3 weeks of physio. Great selection of take-home exercises and advice that helped me recover and get back to playing sport a good week before I thought I’d be able to. Would definitely recommend to anyone who’s looking for top quality treatment.

M. Batstone

Bruno & his team are professional, efficient, knowledgeable in a number of different disciplines, treatment was effective and Bruno charming. The clinic’s location is very convenient being directly opposite Waterloo station. Disabled parking is availabe in street behind the clinic.

Patricia P.

I’ve been going to CBR for a few years now and have been treated by three of their staff in that time – all great, especially Bruno. I love the fact you can book online and they’re open late most nights and around on thr weekend too. My current treatment is under Nick who specialises in headaches from which I suffer, not just treating the pain but trying to get me to a position where I don’t have to visit too often. How many osteos do that?

Saffron B.

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