Specialist Physiotherapy After a Hysterectomy
Recovering from a hysterectomy is different for everyone. While many people heal well following surgery, it is common to experience changes in pelvic floor function, abdominal strength, bladder or bowel symptoms, discomfort, or reduced confidence returning to everyday activities and exercise.
At The Pelvic Health Studio in Marylebone, we provide specialist post-hysterectomy physiotherapy to support your recovery, helping you regain strength, improve movement and return to the activities that matter most to you.
Whether you have had an abdominal, vaginal, laparoscopic or robotic-assisted hysterectomy, our personalised rehabilitation programmes are designed to support your recovery at every stage.
What Post-Hysterectomy Physiotherapy Is
A hysterectomy is an operation to remove the uterus (womb). Depending on the reason for surgery, the cervix, ovaries and fallopian tubes may also be removed.
Although surgery addresses the underlying condition, it also affects the muscles, fascia and connective tissues of the abdomen and pelvis. Recovery involves more than healing the surgical site—it also includes restoring pelvic floor function, rebuilding core strength and returning to normal movement patterns.
Specialist pelvic health physiotherapy supports this recovery through tailored assessment, education and rehabilitation.
Who This Condition Affects
Post-hysterectomy physiotherapy may benefit anyone recovering from a hysterectomy, regardless of age or surgical approach.
You may benefit from treatment if you:
- Are recovering from a recent hysterectomy
- Continue to experience pain or discomfort after surgery
- Feel weakness through your core or pelvic floor
- Have bladder or bowel symptoms
- Notice symptoms of pelvic organ prolapse
- Feel uncertain about returning to exercise or work
- Want guidance on returning safely to lifting, sport or daily activities
Whether your surgery was planned or performed urgently, rehabilitation can help optimise your recovery.
Common Symptoms and Conditions
At our Marylebone clinic, we commonly support patients experiencing:
- Pelvic or abdominal pain
- Scar tightness or reduced tissue mobility
- Weakness of the abdominal or core muscles
- Pelvic floor weakness
- Urinary urgency or leakage
- Constipation or bowel difficulties
- Pelvic organ prolapse symptoms
- Pain during sexual intercourse
- Reduced confidence returning to exercise
- Ongoing discomfort with movement or daily activities
Many of these symptoms improve with targeted rehabilitation and appropriate guidance.
What Happens During Your Appointment
Your first appointment is designed to understand your surgery, recovery and current symptoms so that treatment can be tailored to your individual needs.
We begin with a detailed discussion about your medical history, the type of hysterectomy you have had, your recovery so far and your goals. This is followed by a physical assessment, which may include:
- Postural and movement assessment
- Breathing, core and abdominal muscle assessment
- Scar assessment where appropriate
- Pelvic floor assessment where appropriate and with your consent
- Assessment of strength, mobility and functional movement
Your physiotherapist will explain each part of the assessment clearly, and you remain in control throughout your appointment.
Following your assessment, you will receive a personalised rehabilitation programme designed to support your recovery safely and progressively.
Benefits of Treatment
Physiotherapy can help optimise recovery after a hysterectomy and reduce the likelihood of ongoing pelvic health problems.
Treatment may help you:
- Restore pelvic floor function
- Improve core strength and stability
- Reduce pain and discomfort
- Improve scar mobility
- Support bladder and bowel function
- Return safely to exercise and daily activities
- Improve confidence in movement
- Promote long-term pelvic health
Treatment is always individualised and progresses at a pace that is appropriate for your recovery.
Why Choose The Pelvic Health Studio
The Pelvic Health Studio in Marylebone provides specialist physiotherapy for women recovering from gynaecological surgery.
Patients choose us because:
- We have specialist expertise in pelvic health physiotherapy
- We understand the physical and emotional aspects of recovering from surgery
- Assessments are thorough and personalised
- Treatment plans are tailored to your surgery, symptoms and goals
- We provide compassionate, evidence-based care in a calm and supportive environment
- We support you throughout every stage of your recovery
Recovery and Results
Recovery following a hysterectomy varies depending on the type of surgery, your overall health and your individual healing process.
Many people notice gradual improvements in strength, comfort and confidence over the weeks and months following surgery. Physiotherapy can help guide this recovery, ensuring you rebuild strength safely while reducing the risk of ongoing pelvic floor or core dysfunction.
Your physiotherapist will work with you to develop a personalised rehabilitation programme, helping you return to everyday activities, work and exercise with greater confidence and long-term pelvic health.