Pelvic floor physiotherapy for women across East Lothian
Maybe you've stopped going to that fitness class in Haddington because you're not sure your pelvic floor will hold up. Maybe you've been quietly managing symptoms since your last baby and assuming that's just how things are now. Maybe nobody has ever properly checked how your body recovered after birth. Whatever has brought you here, the fact that you're reading this matters, and you don't have to keep managing it alone.
Two services, depending on your symptoms
Align Pelvic Health offers two distinct specialist services from a dedicated clinic at Physiotherapy Plus Scotland, North Berwick. Seeing women from across East Lothian including Dunbar, Haddington, Musselburgh, Tranent and the surrounding area.
Women's Pelvic Health - for women at any stage of life
Initial appointment - 60 minutes, £85
This appointment is for women experiencing pelvic floor symptoms that are getting in the way of everyday life — whether you've recently had a baby, you're going through menopause, or you've been quietly managing something for years. It covers:
Pelvic floor assessment and rehabilitation
Urinary incontinence (stress, urge, and mixed)
Pelvic organ prolapse management
Pelvic pain assessment and treatment
Bladder urgency and overactive bladder management
Bowel dysfunction (constipation and faecal incontinence)
Pain with intercourse (dyspareunia)
Menopause-related pelvic health problems
Core and pelvic floor retraining for return to sport
Pelvic health education and preventative care
Follow-up appointment — 45 minutes, £70
Progress check-in, exercise technique review, programme progression, and time to ask anything you didn't get to the first time.
Book a Women's Pelvic Health appointment →
Why Align Pelvic Health?
Here's the thing about pelvic health: it deserves a specialist. Not someone who fits it in between ankle sprains and shoulder rehab, but a physiotherapist whose entire practice is built around it.
Josie Marshall MCSP is the only physiotherapist in East Lothian who works exclusively in women's pelvic health. Every appointment, every treatment plan, every conversation is focused on exactly this.
Before setting up Align Pelvic Health, Josie worked as an NHS Scotland Specialist Physiotherapist within a dedicated pelvic health team, alongside Consultant Gynaecologists and Specialist Urology Nurses. She brings that same depth of clinical knowledge to every private appointment, along with the lived experience of having navigated her own pregnancies and postnatal recovery.
How it works
1. Choose the right appointment Not sure which service is right for you? If you've had a baby recently, or not so recently, and want a thorough postnatal check, the Mummy MOT® is the place to start. If you're dealing with pelvic floor symptoms at any other stage of life, the Women's Pelvic Health appointment is for you. Both are bookable directly online with no referral needed.
2. Your first appointment Whether you've booked a 60-minute Pelvic Health appointment or a 75-minute Mummy MOT®, it begins the same way: with a relaxed, unhurried conversation about your symptoms, your history, and what you want to get back to. A physical assessment follows, building a clear picture of what's going on. Any internal pelvic floor examination is always fully explained beforehand and entirely your choice.
3. Your written plan You'll be given a clear, personalised treatment plan, built around your life and your goals, whether that's getting back to running, managing day-to-day symptoms, or simply understanding your body better.
4. Follow-up and progress. Follow-up appointments track your progress, refine your exercise programme, and give you space to ask questions as they come up.
Mummy MOT® - specialist postnatal assessment
Initial assessment - 75 minutes, £100
The Mummy MOT® is the UK's leading specialist postnatal assessment, designed for women recovering from both vaginal and caesarean births. It's recommended from around 6 weeks postnatal — but equally valuable if your baby arrived months or even years ago and you still don't feel quite right. It includes:
Full postural screen
Pelvic floor muscle assessment
Abdominal muscle examination (including check for diastasis recti)
Screening for bladder, bowel, and sexual dysfunction
Written report following appointment
Bespoke rehabilitation programme tailored to your goals and lifestyle
Mummy MOT® follow-up — 45 minutes, £75
Progress check, repeat pelvic floor assessment, exercise form review, and programme update.
Babies and toddlers are very welcome at appointments — no need to find childcare.
"Josie was brilliant. Patient and supportive and non-judgemental. Made me feel normal. She's helped so much." — Kim
"I'm really happy I saw Josie, she has a wonderfully warm way of making you feel at ease and in safe hands." — Samantha
Credentials and memberships:
Serving women across East Lothian
The clinic is based at Physio Plus on Church Street in North Berwick, easily reachable from Haddington, Dunbar, North Berwick, Musselburgh, Tranent, Gullane and the villages in between. Monday morning and Thursday evening appointments are available, so whether you're working around school runs or a full-time job, there's a slot that can fit.
Women across East Lothian are living with pelvic floor symptoms they've never sought help for, often because they assume it's normal, or they're not sure where to start, or they've put everyone else first. This practice exists for exactly that.