Specialist Physiotherapy, Pelvic Health and Acupuncture Clinic, Hitchin

FAQs
Below is a list of frequently asked questions. If you have a question that is not on our list, please do let us know by using our contact form or emailing us at enquiries@liddertherapies.co.uk
- 01
No you do not need a referral to book a physio appointment with us.
- 02
As part of physiotherapy treatment, we often need to see the area of the body that is injured. If possible, please bring or wear clothing that allows you to expose the area (e.g. shorts/leggings and vest top). Comfortable clothing that you are able to move in, such as gym clothes are normally best. For a pelvic floor consultation, there is no need to wear any particular clothing.
- 03
Please bring any relevant medical letters or investigations results.
- 04
Your initial appointment will include completing a full detailed history of your symptoms and discussing the answers supplied on your registration forms. You may also discuss the impact your symptoms have on your relationships, lifestyle and hobbies.
You will then have a thorough physical examination of the symptomatic area, including the joint above and below, the muscles and nerves. If you have come for a women’s health or mummy MOT assessment this may include a pelvic floor assessment.
Following your assessment, you will have a discussion regarding your diagnosis and proposed physio treatment plan. And if time, some hands-on treatment, management advice and home-exercises tailored to you. Follow up treatments are more focussed on progressing your treatment.
- 05
Our treatment plan is bespoke and individually tailored to your assessment findings. These might include the following:
Education and advice about your condition
Manual (hands-on) therapy - including massage, soft-tissue release, joint mobilisations
Scar massage and visceral myofascial release
Acupuncture for pain-relief and improving bladder/bowel function
Taping
Advice and fitting of appropriate support belts in pregnancy
Individualised progressive home exercise programs
Advice on safe return-to-exercise following pregnancy or surgery
Pelvic floor muscle re-education and training - with individualised home exercises, biofeedback and/or electrical stimulation.
Pelvic floor manual therapy – stretching, lengthening, massage, trigger-point release for pelvic floor tension, spasm or overactivity.
Relaxation and breathing training techniques
Bladder and bowel re-training
Lifestyle advice such as fluid management, diet, exercise, stress management
- 06
As a health practitioner we have a legal duty to keep information about you confidential. Medical records will be stored securely for the legally required 8 years (25 for minors).
Information will only be shared with your consent with people who have a genuine need for it (e.g. GP, consultant referral, or fitness instructor).
- 07
This depends on each individual. It may be that one educational session is sufficient but some issues that are longer-standing or more complex may require several more. This will be discussed and agreed with you in detail in your first appointment depending what we find on assessment.
- 08
Payment for the first appointment is taken at the time of the appointment via cash or card. If you are insured we can invoice your insurance company once you supply your insurance and treatment authorisation details. If you are seeking payment from a cash back policy, you will need to pay for your appointment and we will issue you a receipt to claim back.
- 09
Yes of course! Babies and children are welcome.. However, for your initial appointment or if you think an internal examination may be required it can make it less relaxing for you and more difficult to concentrate on what it is going on, if there is a small person also demanding your attention!
- 10
If you have come for any pelvic-floor, bladder or bowel issue it is usually beneficial to have an internal vaginal or rectal examination. We will always explain the procedure in detail and show you on a model what we are going to do. We will explain what we can gain from doing it before you decide whether or not you would be willing to consent to an examination. There will always be the option to say "no" or "maybe later" whenever you want. It's always your choice.
- 11
Please give a minimum of 24 hours notice for cancellations. This ensures that the treatment slot can be made available for other patients. Should you not attend or give less than 24 hours notice to cancel you will be charged a cancellation fee up to 50% of your appointment.
- 12
Please wear comfortable clothing and a pair of socks to Pilates classes.
- 13
No! Pilates is suitable for all fitness levels. Exercises can be modified to fit beginners or advanced practitioners.
- 14
Wear comfortable, form-fitting clothes that allow you to move freely. Avoid very loose clothing, as instructors need to see your posture and alignment. Please remember to wear socks for hygiene purposes.
- 15
All equipment will be provided for classes.
- 16
Avoid heavy meals right before class. A light snack (e.g., fruit or nuts) 30-60 minutes before is ideal.
- 17
Mat Pilates: Uses a mat and body weight for resistance.
Reformer Pilates: Uses a machine with springs and pulleys for resistance-based training.
- 18
Both Mat and Reformer classes can be great for beginners. It depends on personal preference and fitness goals.
- 19
Yes! Pilates is often recommended for back pain and rehabilitation. An assessment with one of our Physiotherapists prior to starting the classes will allow us to tailor the exercises to you.
- 20
Yes, but modifications may be needed. Always inform your instructor if you’re pregnant, and check with your doctor or physiotherapist before starting.
- 21
Once a week is a great place to start. Consistency is key, Pilates is like a long-term investment in your strength and function rather than a quick fix.
- 22
Many people notice improved posture, flexibility, and strength within 6-12 weeks depending on your fitness levels.



