Your journey to comfort, confidence, and control starts here.

Your pelvic health

Your pelvic health is an essential part of your overall wellbeing. Yet many women and men live with incontinence, prolapse, pelvic pain, or discomfort in silence —believing these issues are something they just have to accept.

The truth is: pelvic health concerns are common, but they are never “normal.”
With the right care, support, and guidance, they can improve.

Pelvic floor physiotherapy is for everyone. Whether you are planning a pregnancy, preparing for birth, recovering postpartum, navigating menopause, experiencing sexual pain, or facing changes after prostate surgery - caring for your pelvic floor can bring lifelong benefits.

How we can help

  • If you’re trying to conceive, now is the perfect time to start strengthening and conditioning your pelvic floor. Building a solid foundation before pregnancy can reduce your risk of urinary leakage, prolapse, and pelvic pain later on. Pelvic floor physiotherapy at this stage equips you with practical tools and knowledge so you can move into pregnancy feeling confident and supported.

  • Pregnancy brings enormous changes to your body. Preparing your pelvic floor is one of the most impactful things you can do for labour and recovery.

    Physiotherapy can help you:
    • Strengthen your pelvic floor for support
    • Learn how to relax these muscles to aid birth
    • Reduce your risk of perineal tearing
    • Understand your body so you feel confident and in control

    When so much feels uncertain, knowing you’ve prepared can give you peace of mind.

  • One in three women experience urinary incontinence after childbirth. Common does not mean normal—and it is absolutely treatable.

    With the right exercises and guidance, most women see significant improvement and regain confidence to laugh, sneeze, run, and move without worry.

    Since 1 October 2022, maternal birth injuries have been eligible for physiotherapy funding under ACC, supported by the Accident Compensation (Maternal Birth Injury and Other Matters) Amendment Act 2022.

    We offer both ACC-funded and private pre- and post-natal pelvic health assessments to support your recovery and long-term wellbeing

  • Diastasis recti is a common condition where the abdominal muscles separate, often during pregnancy or following changes in abdominal pressure. This can affect core strength, posture, and confidence, but with the right guidance, it is very treatable.

    At Motion Matters, we provide personalised pelvic health physiotherapy to support safe and effective recovery. Treatment focuses on restoring deep core strength by retraining the pelvic floor, abdominal muscles, breathing patterns, and functional movement.

    Our approach is progressive and tailored to your body and goals, helping you rebuild strength safely, reduce symptoms, and return to everyday activities — whether that’s caring for your family, exercising, or moving with confidence in daily life.

  • Exercise during pregnancy and after birth should feel safe, supportive, and tailored to your changing body. The right guidance can help manage aches and pains, support pelvic floor and core recovery, and build confidence in movement during this important stage of life.

    At Motion Matters, we provide personalised pregnancy and postpartum exercise programmes grounded in pelvic health and musculoskeletal physiotherapy. Sessions focus on breathing, core and pelvic floor coordination, strength, and functional movement - all adapted to your symptoms, stage of pregnancy or recovery, and personal goals.

    Whether you’re preparing your body for birth, recovering postpartum, or returning to exercise, our approach supports you to move with confidence, feel strong, and trust your body again.

  • Over half of women after menopause experience some form of pelvic organ prolapse, and many notice symptoms after birth. Prolapse occurs when the bladder, bowel, or uterus shifts downward into the vaginal wall, causing heaviness or dragging.

    These symptoms can be unsettling—but they are not the end of your story.

    With targeted exercises, lifestyle guidance, and ongoing support, pelvic organ prolapse can often be managed or improved significantly.

  • Pelvic pain is more common than many people realise, and it can affect anyone — women, men, and people of all ages. It may feel like a deep ache, sharp discomfort, pressure, burning, or tightness around the pelvis, hips, abdomen, or lower back. For many, pelvic pain can impact daily activities, exercise, intimacy, and overall confidence in their body.

    Pelvic physiotherapy offers a safe, evidence-based approach to understanding and relieving this pain. Through a combination of gentle assessment, tailored exercises, hands-on treatment, and education, a pelvic physio helps identify how the muscles, joints, nerves, and breathing patterns may be contributing to our pain. Treatment focuses on easing muscle tension, improving mobility, restoring strength, and supporting your nervous system to feel safe again.

    Most importantly, pelvic physiotherapy empowers you with tools and knowledge so you can take control of your symptoms — not the other way around. Whether your pelvic pain is new, persistent, or linked to childbirth, endometriosis, injury, or stress, you don’t have to navigate it alone.

  • Pelvic floor physiotherapy can also support concerns such as:
    • Painful intercourse
    • Sexual dysfunction
    • Difficulty with intimacy or discomfort with penetration

    These concerns are far more common than most people realise, and they can impact confidence, comfort, and relationships. Pelvic physiotherapy can help you feel more at ease in your body and improve sexual wellbeing.

  • Pelvic floor therapy is not just for women. For men preparing for or recovering from prostate surgery, it plays a crucial role in managing continence.

    Pelvic floor physiotherapy can also improve erectile function in more than 50% of men, whether due to surgery or age-related changes.

Meet

Mikhaela Cruz

Musculoskeletal and Pelvic Health Physiotherapist

Pelvic Health Experience

Mikhaela is fully qualified to complete internal pelvic floor assessments, credentialed by Dr Melissa Davidson – Pelvic Health Specialist Physiotherapist (NZ). Her clinical training allows her to safely and confidently assess conditions such as pelvic pain, incontinence, pelvic organ prolapse, sexual pain or dysfunction, and changes following pregnancy or prostate surgery.

She also provides support for ACC Maternal Birth Injury claims, helping women navigate the physical and emotional impacts of birth-related trauma with gentle guidance and personalised rehabilitation.

Musculoskeletal & Functional Rehabilitation

With a strong background in musculoskeletal physiotherapy, Mikhaela brings a whole-body lens to pelvic health. She understands that the pelvic floor does not function in isolation — it interacts closely with the hips, spine, abdominal system, and overall movement patterns.

Her rehabilitation style focuses on:
• Restoring natural, confident movement
• Improving strength and coordination
• Teaching patients to understand their bodies
• Reducing fear around pain and injury
• Building long-term, sustainable habits

She believes in active rehabilitation that empowers people rather than simply treating symptoms. Her goal is to help every patient regain control, rebuild trust in their body, and return to meaningful activities — whether that’s lifting their children, going to the gym, walking pain-free, or enjoying a full, comfortable life.

Clients describe Mikhaela as warm, gentle, and deeply invested in their wellbeing. She takes time to listen to each person’s story, ensuring they feel seen, respected, and supported. Her approach prioritises comfort, safety, and collaboration, allowing patients to progress at their own pace with confidence and clarity.

Mikhaela is a musculoskeletal and pelvic health physiotherapist, based in Auckland, New Zealand. She is passionate about helping people return to the activities they love, and takes an active, personalised approach that considers each person’s pelvic floor concerns, lifestyle demands, and long-term goals.

Her practice is grounded in the belief that every person deserves to feel strong, confident, and in control of their body, no matter their age or stage of life. Whether supporting someone through pregnancy, guiding postpartum recovery, assisting with incontinence, navigating pelvic pain, or addressing musculoskeletal injuries, Mikhaela is committed to providing care that is compassionate, evidence-based, and empowering.

Frequently Asked Questions

1. Do I need a referral to see a pelvic health physiotherapist?

No referral is required. You can book directly for both private and ACC-funded appointments.

2. What happens during my first pelvic health appointment?

Your initial consultation is 60 minutes. Your physiotherapist will take a confidential history, discuss your symptoms, review any medical or gynaecological information, and explain which assessments are most helpful. Together, you’ll set treatment goals and create a personalised plan. Every step is explained so you feel comfortable, safe, and informed.

3. Is an internal pelvic floor examination required?

An internal pelvic floor assessment is considered the gold standard for accurately assessing pelvic floor muscle strength, coordination, the presence of prolapse, and overall pelvic floor function. This allows your physiotherapist to develop treatment that is precise, effective, and truly tailored to you.

However, we understand that this can feel scary or overwhelming. You will never be forced to have an internal assessment, and it does not need to be done in your first appointment. You are welcome to let us know any concerns, preferences, or boundaries at any time.

Your physiotherapist will explain the process clearly, answer any questions, obtain your consent, and you may decline or stop the exam at any point. Your comfort, safety, and autonomy are always prioritised.

4. Can pelvic floor physiotherapy help with incontinence, pelvic organ prolapse, pelvic pain, or sexual pain?

Yes! Pelvic floor physiotherapy is evidence-based and effective for urinary or bowel incontinence, pelvic organ prolapse symptoms (such as heaviness or dragging), pelvic pain, and sexual pain or dysfunction. Many people experience significant improvement with correct pelvic floor muscle training, education, and support.

5. What should I bring to my pelvic health appointment?

It is helpful to bring:
• Comfortable clothing — come as you are.
• Any relevant gynaecological or medical history
• Any braces/supports or equipment you currently use
• A support person (optional)
• Time — appointments can last up to 60 minutes

5. How much does a pelvic health physiotherapy appointment cost?

Kindly see our fees below.

Our Fees

60 minutes

ACC Pelvic Health $55

Private $110

45 minutes

ACC Pelvic Health $45

Private $95