Pelvic Floor Physiotherapy Now Available at Yarra Medical

By |2020-08-12T14:01:50+10:00May 18th, 2020|

We’re very excited to introduce our newest team member, Jessica Kostos (aka the Mama Physio), a physiotherapist specialising in pelvic floor health for women. Jess has lived in inner city Melbourne for most of her life and is looking forward to providing the local community with her services.

A bit about Jess

Jess graduated with honours from University of Melbourne in 2012 and has since completed post graduate qualifications in pelvic floor physiotherapy, which is her passion.

She has gained invaluable experience working in both the public and private sectors throughout Australia and the UK, where she was recently working for the Australian Physiotherapy and Pilates Institute (APPI) as a consultant physiotherapist, mentoring a team of women’s health physiotherapists. Jess has also worked for the APPI education team as a course educator, sharing her knowledge of Pilates with healthcare professionals throughout England and Scotland.

Jess has a special interest in women’s health and treating pelvic and spinal conditions. Her clinical approach combines evidence-based physiotherapy with clinical Pilates and encompasses dry needling, acupuncture, education and rehabilitation to treat, manage and promote wellbeing. Jess is passionate about enabling people of all ages to achieve optimal physical health.

What do pelvic floor physiotherapists do?

Pelvic floor physiotherapy focuses on issues stemming from and impacting upon the pelvic floor and the pelvis region as a result of pregnancy and other factors, throughout all stages of life. From leakage to prolapse to pelvic pain, there is good evidence that pelvic floor physiotherapy can help.

What conditions do pelvic floor physios commonly see?

  • Bladder issues: Incontinence, frequency, urgency, after voiding dribble, difficulty emptying or bladder pain.
  • Bowel issues: Incontinence, frequency, urgency, constipation, or pain in the anus or abdominal region.
  • Pelvic Organ Prolapse: commonly felt as a heaviness, dragging or bulging sensation.
  • Pelvic Pain & Sexual Dysfunction (Vaginismus, Vulvodynia, Dyspareunia): Pain in the pelvic floor region that is commonly seen with sexual intercourse, use of tampons, tight clothes or hard chairs. This pain may commonly occur alongside endometriosis, painful periods or poly-cystic ovaries.
  • Pre or Post Surgery: Hysterectomy, Anterior or Posterior Vaginal Wall Repair, Laparoscopy for endometriosis or any gynaecological conditions.

How can a pelvic floor physio help me during my pregnancy?

We offer support to help and guide you through your pregnancy and prepare your body for labour. Physiotherapy management may address:

  • Pelvic floor weakness or over-activity seen as urinary incontinence, heaviness, pain or prevention of these issues
  • Aches or pains, including pelvic girdle pain; lower back pain; neck, upper back or rib pain; wrist issues
  • Perineal Massage in preparation for labour
  • Prevention or management of a tummy muscle separation also known as Diastasis Recti
  • Exercise in pregnancy – classes and individualized sessions
  • Advice for immediately after your delivery

How can a pelvic floor physio help me after my delivery?

After your delivery, we can help treat and manage many conditions, including:

  • Postnatal check, commonly done at 6 weeks postnatal
  • Tummy Muscle Separation, also known as Diastasis Recti
  • Childbirth injuries, including perineal tears (including grade 3 & 4) and episiotomy management
  • Mastitis or engorged breasts
  • Aches or pains, including pelvic girdle pain; lower back pain; neck, upper back or rib pain; wrist issues
  • Any bladder or bowel issues
  • Pelvic organ prolapse felt as a heaviness, dragging, bulging sensation, or difficultly emptying your bladder or bowels
  • Pelvic pain
  • Safe advice on return to exercise and full function


Initial consultation (30 mins): $95

30 min follow-up: $85

60 min follow-up: $135 (recommended for complex cases & Women’s Health Initial)

At Yarra Medical, we are able to provide on-the-spot rebates for most private health funds (extras) and medicare rebates under a Care Plan (Chronic Disease Management – ask your GP!).

No referral is necessary, but if you do have one please bring it along.

To learn more about Jess, visit her at

To book an appointment, call Yarra Medical Abbotsford on 03 9027 6262 or book online today.