Real Time Ultrasound (RTUS) – Perth

Real-Time Ultrasound (RTUS) is a non-invasive imaging tool that provides live visual feedback of muscles and soft tissues. 

In physiotherapy, RTUS can be used to assess and retrain pelvic floor and deep core muscle function, and to support selected musculoskeletal rehabilitation goals - helping you understand what your muscles are doing and how to change activation patterns with confidence.

What is RTUS?

RTUS uses high-frequency sound waves to create real-time images of soft tissues. A handheld probe is placed on the skin over the area being assessed (commonly the lower abdomen/pelvic region), and the image appears on a screen so you and your clinician can observe muscle activity as it happens.

Why RTUS is useful in physiotherapy

RTUS is often used to improve:

• accuracy of assessment (seeing whether a muscle is underactive, overactive, or not coordinating well)

• motor control and retraining (learning how to activate and relax muscles more effectively)

• progress tracking over time (visual feedback makes change easier to measure and explain)

Think of it as a “biofeedback tool” that helps turn confusing cues into something you can actually see.

RTUS and pelvic floor health

RTUS is commonly used to support pelvic floor physiotherapy when symptoms relate to pelvic floor coordination and core control. Your current page lists examples such as:

• urinary incontinence

• pelvic pain

• difficulty activating core muscles

• prolapse management support

• post-pregnancy rehabilitation
  
  

Using RTUS, your physiotherapist can help you better understand:

• whether you’re activating the right muscles

• whether you can relax them when needed

• how the pelvic floor and deep core work together during movement and breathing
  
  

Who may benefit from RTUS?

RTUS can be helpful for a broad range of people, including:

• women during and after pregnancy (including pelvic floor changes and abdominal separation/diastasis recti)

• people experiencing pelvic pain (to explore muscle tension/coordination)

• athletes working on core control and injury prevention strategies

• post-surgical rehabilitation involving pelvic/abdominal recovery

• men with pelvic floor concerns, including post-prostatectomy rehabilitation

What to expect in an RTUS appointment

A typical RTUS appointment may include:

1. Initial assessment (history, symptoms, goals)

2. RTUS assessment using a handheld probe on the skin over the target area

3. Education + retraining (guided practice of activation/relaxation and coordination strategies)

4. A home plan to carry skills into daily activity, exercise, and function

RTUS is painless and does not use radiation (it’s an ultrasound-based tool).

How RTUS fits into your treatment plan

RTUS is typically one part of a broader physiotherapy program, which may include:

• pelvic floor exercises (strengthening or relaxation strategies)

• education for breathing, posture, and muscle activation

• manual therapy where appropriate

• graded exercise and lifestyle strategies tailored to your goals

Frequently asked questions

Do I need a referral?
No referral is required — you can book directly.

How long is a session?
Sessions typically run 30–60 minutes, depending on your needs.

Can RTUS help with post-pregnancy recovery?
RTUS may be used to support post-pregnancy rehabilitation (including pelvic floor coordination and abdominal muscle retraining) where clinically appropriate.

Book an RTUS appointment

If you’d like to explore whether RTUS is suitable for your pelvic floor or core goals, book an appointment and we’ll guide you through the right next steps

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.