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Supporting Women’s Health, Pelvic Rehab, and Nuturing Fertility through Physiotherapy

Dr Camille Rains- Physiotherapist
Doctor of Physical Therapy
Master of Physiotherapy Studies
Bachelor of Exercise Sport Science- Athletic Training

People often ask me what I do as a pelvic health physio. The answer is that no two days are ever the same.Today I worked...
19/06/2026

People often ask me what I do as a pelvic health physio.

The answer is that no two days are ever the same.

Today I worked with women navigating fertility concerns, endometriosis, pregnancy, prolapse, bladder and bowel symptoms, surgical recovery, running goals, and pain with intimacy.

Every appointment is different, every woman has her own story, and that’s one of the things I love most about this profession.

Which appointment surprised you most?

Pelvic organ prolapse can occur when there is stretching or separation of the va**nal walls and/or weakening, stretching...
13/06/2026

Pelvic organ prolapse can occur when there is stretching or separation of the va**nal walls and/or weakening, stretching, or tearing of the connective tissues and muscles that support the pelvic organs.

Common contributing factors include:
pregnancy & childbirth, instrumental births, larger babies, multiple pregnancies and births, ageing, perimenopause and menopause-related tissue changes, genetics, connective tissue differences, chronic constipation or coughing, heavy lifting, higher body weight, and pelvic trauma.

It’s important to remember that prolapse is complex. Many women with several risk factors may never develop prolapse, while others with few or no obvious risk factors may.

Symptoms may include:

* heaviness or dragging in the va**na
* va**nal bulge or pressure
* bladder or bowel emptying difficulty
* symptoms worse with standing, lifting or exercise

While surgery can be appropriate in some cases, it is not the only option.

As a pelvic health physiotherapist, I assess, manage, and refer on when needed. Management is always individualised.

Treatment options may include pelvic floor muscle training, pressure and bowel management, exercise prescription, lifestyle changes, va**nal oestrogen (via GP), and silicone va**nal pessaries.

A pessary is a removable silicone device that can help support the pelvic organs and reduce symptoms. It is fitted by a trained health professional and is not suitable for everyone, but when it is, it can be life changing.

At Novella Health, I am trained and experienced in pessary fitting and prolapse management and we can discuss whether this is appropriate for you.

If you are experiencing symptoms or want an assessment, you can book via my website.

Yours in pelvic organ prolapse awareness month,
Dr Camille Rains – Physiotherapist
Novella Health | Whitsundays

Hi Bowen! Two spots available this Friday 12th June. Book online or call.
08/06/2026

Hi Bowen! Two spots available this Friday 12th June. Book online or call.

Pain with intimacy can be frustrating, confusing, and isolating. Some people have experienced pain their whole s*xual li...
07/06/2026

Pain with intimacy can be frustrating, confusing, and isolating. Some people have experienced pain their whole s*xual lives, while others notice it after childbirth, pelvic surgery, hormonal changes, trauma, or seemingly for no obvious reason. The good news is that there are many treatment options available.

The type and location of pain can provide important clues:

🌵 Pain at the entrance
May be related to pelvic floor muscle tension, hormonal changes, scar tissue, skin conditions, or tissue sensitivity.

🌵 Deep pelvic pain
Can be associated with endometriosis, adenomyosis, pelvic floor dysfunction, pelvic organ prolapse, or reduced mobility of pelvic organs.

🌵 Burning or stinging pain
May relate to tissue irritation, bladder conditions, hormonal changes, nerve sensitivity, scar tissue, or pelvic floor tension.

🌵 Pain after s*x
Can be linked to muscle overactivity, tissue irritation, inflammation, or a protective nervous system response.

🌵 Pain that changes throughout your cycle
Hormones can affect tissue health, sensitivity, lubrication, and pelvic floor function.

🌵 Pain with or**sm
May be associated with pelvic inflammation, scar tissue, hormonal changes, or pelvic organ mobility restrictions.

One of the biggest misconceptions is that painful s*x is treated with dilators alone. While dilators can be a helpful tool for some people, they are rarely the entire solution. Understanding why the pain is occurring is often the most important step.

Pelvic health physiotherapy can help address pelvic floor dysfunction, scar tissue, tissue health, hormonal influences, nervous system sensitisation, and underlying pelvic health conditions.

Novella Health is a trauma-aware practice. You are always in control of your care, and treatment progresses at a pace that feels safe and comfortable for you.

Yours in pelvic health,

Dr Camille Rains, Physiotherapist
Novella Health – Whitsundays

Too often, pregnancy and postpartum physiotherapy is seen as a luxury or only necessary when something goes wrong. In re...
31/05/2026

Too often, pregnancy and postpartum physiotherapy is seen as a luxury or only necessary when something goes wrong. In reality, proactive care and education can make a significant difference to recovery and long-term pelvic health.

A pelvic health assessment during pregnancy can help you better understand:
• your pelvic floor
• how to relax and coordinate during birth
• pressure management
• pelvic pain
• recovery preparation

And postpartum care is not only for people with severe symptoms or birth trauma. Even if you had an elective c -section, you still had major abdominal surgery AND carried a baby in your uterus for 9 months! It can take its toll.

Even when recovery feels “fine,” assessment can help identify:
• pelvic floor dysfunction
• abdominal wall recovery
• scar restrictions
• prolapse symptoms
• return-to-exercise concerns

Your body deserves support through both pregnancy and postpartum stages❤️❤️❤️ Does education and understanding sound like something you would like?

Yours in birthing babies,
Dr Camille Rains, Women’s Health and Pelvic Physiotherapy- Novella Health- Cannonvale, Proserpine, Bowen

Supporting women’s health and hormones, pelvic rehab and nurturing fertility through physiotherapy

Cycle tracking apps have come a long way since I started using them for contraceptive purposes 100 years ago!Depending o...
22/05/2026

Cycle tracking apps have come a long way since I started using them for contraceptive purposes 100 years ago!

Depending on your stage of life, they can help with:
• fertility awareness
• avoiding pregnancy
• understanding PMS symptoms
• tracking pain or irregular cycles
• identifying perimenopause changes
• monitoring sleep, mood, hot flushes and energy levels during menopause

For fertility tracking or contraception awareness, apps like:
• Natural Cycles
• Flo
• Ovia
can help people better understand ovulation, cervical mucus, temperature patterns and cycle timing.

For perimenopause and menopause, many women are now using apps like:
• Balance
• Clue
• peri
to track symptoms such as:
• brain fog
• anxiety or mood changes
• night sweats
• sleep disruption
• irregular bleeding
• joint pain
• headaches
• libido changes

One of the biggest things I hear from women is:
“I thought I was just stressed or tired.”

Sometimes patterns become much clearer when symptoms are tracked over time.

Cycle tracking isn’t about becoming obsessive with data. It is understanding your body a little better and noticing changes and patterns.

Let’s remember, apps can be helpful tools, but they’re not a replacement for proper medical assessment if symptoms are severe, sudden, or affecting quality of life. Please see a healthcare professional that can help you make sense of your symptoms rather than chatbot. Chatbot is not BigHero6.

Have you found a cycle or menopause app that you actually like using? Please share with us.

Yours in symptom tracking,
Dr Camille Rains, DPT, MPhySt, BESS, LAT

Supporting women’s health & hormones, pelvic rehab, and nurturing fertility through physiotherapy

Women may notice bladder changes during perimenopause and menopause and assume it’s just part of getting older.Lower oes...
17/05/2026

Women may notice bladder changes during perimenopause and menopause and assume it’s just part of getting older.

Lower oestrogen levels (and several other factors) can affect the bladder lining, pelvic floor tissues, and the way the bladder stores urine. This can lead to:
• increased urgency
• leaking
• needing to wee more often
• getting up multiple times overnight

These symptoms are very common, but they’re not something we should be considering normal.

Many women are surprised to learn these symptoms can often improve with the right support. Pelvic health physiotherapy can often help bladder control, pelvic floor function, and confidence during this glorious stage in life.

Dr Camille Rains- Pelvic Health Physiotherapist- Novella Health- Cannonvale, Proserpine, Bowen

Supporting women’s health, pelvic rehab, and nurturing fertility through physiotherapy

We have moved! Previously at Barefoot Medicine, now we are over here at the Whitsundays Business Centre by Cole’s. Curre...
01/05/2026

We have moved! Previously at Barefoot Medicine, now we are over here at the Whitsundays Business Centre by Cole’s. Currently we are by ourselves, but later this year we will be sharing with Wildflower Psychology and hopefully others that I can announce at a later date! Hope you enjoy our new setting.

Don’t put it off! If you’re struggling with your pelvic health or have questions or concerns, come and see me! I won’t b...
13/04/2026

Don’t put it off! If you’re struggling with your pelvic health or have questions or concerns, come and see me! I won’t be back in Bowen until June so this is your chance to see me locally (or travels to Prossy or Cannonvale). Website has all the details as well as online booking. www.yournovellahealth.com

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Whitsundays, QLD
4800

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+61422743230

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