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  • Treatment for Men & Women
  • Treatment for Pelvic Pain, Bladder Pain, Urogenital Pain, Abdominal Pain
  • Prepartum Preventative Care & Rehabilitation
  • Relief of Urinary, Bowel & Sexual Dysfunction including Infertility

Harley Street Pelvic Health Group provides an integrated approach to pelvic health and related conditions for both men and women.

Established to specifically work with patients who present a highly complex and overlapping range of conditions and symptoms, The Pelvic Health Group can help patients achieve greater medical and therapeutic outcomes.

 

 


The Team

Stefan Chmelik

Brought up on natural healthcare since birth,  holistic healthcare is in Stefan’s bones and he is one of only a handful of physicians who is knowledgeable about both traditional and modern medicine, with experience as an integrated medical gatekeeper and integrated diagnostic physician, through his work as Founder of New Medicine Group, the UK’s only integrated healthcare team…More

 

Maria Elliott

Maria Elliott is a Chartered Physiotherapist and Pelvic Pain Specialist. She has gained over 25 years of experience as a “hands-on” physiotherapist after gaining her 1st Class honours from Trinity College in Dublin in 1986. She has since practised physiotherapy in Chicago, France and now in the UK and has worked in both the NHS and private sector.Maria is a members of the Association of Chartered Physiotherapists in Women’s Health and an APPI Pilates instructor…More

 

 

Karl Monahan

I am a sports and advanced clinical massage therapist with extensive training in abdominal and pelvic health. I qualified as a sports massage therapist in 2001 and have continually expanded my knowledge base in sports injuries, functional and therapeutic movement, pain management, stress management and pelvic health ever since…More

 

Bevis-Nathan

Bevis is one of the most experienced integrated therapists in the UK, with over 37 years in health-care – 30 of them in clinical practice. An educator, osteopath and Somatic Experiencing (SE) practitioner with a special interest in ill-health caused by fatigue, stress and trauma, he has taught widely in England and abroad, and his textbook Touch and Emotion in Manual Therapy is required reading in schools of osteopathic and chiropractic bodywork.…More

 

Fiona Nicolson

Fiona Nicolson is an award winning Cognitive Hypnotherapist with specialist experience of working with anxiety, trauma, PTSD, lack of self-belief and sexual health issues. There is a powerful connection between the mind and body and our mental state can impact hugely on our health and wellbeing. Physical issues such as pelvic pain, vulvodynia, prostatitis and many other urological and pelvic problems can be greatly exacerbated by emotional stress, anxiety and the pressure we either put on ourselves or feel from others.…More

 

Tim King

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Joseph Badham

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The group brings together key areas of medical and therapeutic expertise including:

  • Physical and manual therapy
  • Biomechanics
  • Cognitive Hypnotherapy
  • Biofeedback therapies
  • Counselling and pain education
  • Trauma resolution & Mindfulness based therapy
  • Nutritional and biochemical support

We offer a team-based approach for Consultant referral or individuals can approach us directly for support.

Consultants that refer to us tell us that the Pelvic Health Group’s integrated approach has increased their patient’s medical progress, chance of recovery and optimism for the future.

 

 


A new approach to pain

The European Guidelines on Chronic Pelvic Pain (the gold standard of assessment) says:

“Because CPP is pain perceived in structures related to the pelvis, it is necessary to approach diagnosis of a patient with CPP as a chronic pain patient. Confining the diagnosis to a specific organ may overlook multisystem functional abnormalities requiring individual treatment and general aspects of pain in planning investigation and treatment.”

We agree with and fully support this holistic, whole-person view of pelvic problems, and you will find this in every aspect of our work. Our approach to CPP recognises the usually complex and involved nature of the problem, both in terms of how it started as well as what is most often needed for healing to take place.

 

The diagram below illustrates our integrated and holistic approach, which recognises the need to assess the four related aspects of physical pain, cellular health (genetics and nutrition), psychological health and stress handling – we offer the core treatment in-house and refer where needed for further expert opinion in the particular specialist areas indicated:

 

The Pelvic-People Model

Pelvic People Model

 

Personal Programmes

A programme for CPP will be produced following a complete and integrated assessment, and will often involve at least two of these four core treatment elements.

 

How we work

Many of the people that seek our help have either not responded to general treatment, do not have a clear diagnosis or have had many different diagnoses. Therefore you will most likely be seeking our help for pelvic symptoms if:

  • You are not responding to mainstream help such as drugs or surgery
  • Treatments that used to help have stopped working
  • You have chosen to have treatment that takes all of you into account (is holistic) and is gentle and natural

 

Not just infection or inflammation

The EAU guidelines have increasingly moved away from using ‘prostatitis’ and ‘interstitial cystitis’ in the absence of proven inflammation or infection, for instance, and now use a column structure to indicate the multiple mechanisms involved, both physical and psychological.

The current European Association of Urology Guidelines on Pelvic Pain state:

“If treatment has no effect, the patient should be referred to a pain team.

If no well-defined condition is present or when no pathology is found [following all] additional tests, the patient should also be referred to a pain team”

 

Proven pain therapy

The pain relieving action of both physiotherapy and acupuncture is well known and is now better understood:

 

The experts agree

The definitive and authoritative book on CPP, Chronic Pelvic Pain and Dysfunction by my NMG colleague Leon Chaitow and Ruth Lovegrove-Jones (Churchill Livingstone 2011) devotes entire sections to soft tissue manipulation, acupuncture, breathing, nutrition and biofeedback relaxation, which are the treatments offered by Pelvic People.

 

The current European Association of Urology Guidelines recommends physiotherapy for CPP and lists the following supportive therapies, all offered by New Medicine Group and Pelvic People:

  • Biofeedback relaxation exercise
  • Lifestyle changes
  • Massage therapy
  • Osteopathic therapy
  • Acupuncture
  • Meditation

The EU Guidelines also notes that “Positive effects of phytotherapy [herbal medicine for pelvic pain] have been documented… for interstitial cystitis and in men with prostate pain syndrome , is able to ameliorate symptoms and improve quality of life significantly”.

In March of 2012, Royal College of Obstetricians and Gynaecologists issued a press release saying that Acupuncture and Chinese herbal medicine may help women with chronic pelvic pain

http://www.rcog.org.uk/womens-health/clinical-guidance/acupuncture-and-chinese-herbal-medicine-women-chronic-pelvic-pain-sa

 

Role of breathing, relaxation and Mindfulness

These are primary tools in the treatment and management of most CP/CPPS. As Chaitow (2011) points out, there is an “intimate structural connection between the pelvic floor and the respiratory diaphragm”. This is easy to understand once we see that the pelvic floor and diaphragm are part of one functional structure in your body, referred to as the abdominal canister:

Insert: Abdominal Canister diagram

[Click here to see the film about this relationship.]

Natural breathing is prerequisite to be able to relax or meditate, and therefore to be able to practice Mindfulness, which is recognised by over 40 peer-reviewed papers as a revolution in pain elimination. Poor breathing and posture are closely related and are habits rather than diseases, both contributing significantly to most Chronic Pelvic Pain (CPP). As both posture and breathing are directly influenced by emotional factors and stress, we can now start to make the connection between past trauma or stress and changes to breathing and therefore the ability to be Mindful. Addressing these factors is often an essential step in the recovery process.

More about Trauma Resolution Therapy

 

Role of food and diet

Many people with chronic pelvic pain and associated symptoms are sensitive to certain foods, and which will make their symptoms worse (oxalate-rich foods such as spinach for example). Probiotic therapy seem to reduce this reaction (Campieri C et al. 2001 Reduction of oxaluria after an oral course of lactic acid bacteria at high concentration. Kidney Int  60:1097–105). Probiotic suppositories and oral probiotics are both helpful in fact (Uehara S et al. 2006 Int. Jnl.Antimicrob. Agents 28S:S30–S34; Hoesl C et al 2005 European Urology 47 (2005) 288–296).

Food therapy, including Chinese herbs has been noted for their effects on Interstitial Cystitis (Whitmore K, 2002 CAM Therapy as Treatment for IC, Reviews in Urology S28: 1:S28-S35).

61% of patients had a significant decrease in pain at 4 weeks, and an additional 22% had a significant response at 3 months.

Interstitial Cystitis Association (ICA Update. 1997;12:3)

 

Role of exercise and movement

As there is frequently a postural or structural (fascia, bones and muscles etc) involvement on Chronic Pelvic Pain (CPP), checking how you are moving and using your body and teaching you how to mke any changes that are needed can be a really important part of getting better.

The knee bone is indeed connected to the thigh bone and the thigh bone is connected to the pelvis, which in turn is connected to the whole spine. And lets not forget the feet, which have a direct relationship with how the pelvic girdle is moving. You might need to be shown new exercise ideas, or perhaps you are exercising already, but actually doing more harm than good because it is the wrong sort if exercise.

We will evaluate various types of movement and advise you what will work best for you, from running to Yoga, Pilates to Tai Qi, boxing to hill walking.

 

Patient Information & Support Groups

 

Organisations

 

Further reading:

  • Chronic Pelvic Pain and Dysfunction by Leon Chaitow and Ruth Lovegrove-Jones (Churchill Livingstone 2011)
  • “A Headache in the Pelvis” – David Wise & Rodney Anderson
  • “The V Book” – Elizabeth Stewart
  • “Healing Pelvic Pain” – by Amy Stein
  • “Living With Pudendal Neuralgia” – by Vanesa Frank www.pudendal-neuralgia-book.com
  • Article – Whelan M (2008) Changing The Pelvic Floor – Journal of the Association of Chartered Physiotherapists in Women’s Health pp 20-27, Number 98 2006
  • Article – Whelan M (2008) Advanced Manual Therapy for the pelvic floor In: Therapeutic Management of Incontinence and Pelvic Pain, Eds Haslam J, Laycock J Ch7 pp 60-61, Ch 11b pp 95-98

 

What do you need to do now?

Testimonials

Maria, Dalston

“I had suffered from back pain (sciatica) for 8 years on and off. During a particularly painful episode I decided to try acupuncture and i really can’t recommend it enough – I had six treatments with Ross over six months ago and I haven’t experienced any back pain since.”

Cinnamen, Shoreditch

“For years I have suffered neck pain, back pain, migraines and felt constantly tired and drained, but after a few sessions of acupuncture with Ross the migraines have finally stopped, and my day to day working life has become so much easier. I highly recommend Ross as a skilled practitioner. He has been a wonderful support also for the emotional stress that is a result of my years of pain.”

Jan Quinlan, Surrey

Could I please request a bottle of you magical tincture for the bladder. My condition is a 1000x time better but it is just for those occasions when I feel I need a little extra help alleviating any niggling discomfort.

Anon

Fixed from physical pain, fixed emotionally, more energy, perspective and the will to get back up and live another day. This may all sound very big but it's what happens... there are other days when I just need a "top up" and that works fantastically too! So what ever you are going through from a bit of tiredness to a life crisis I