Pelvic Floor Physiotherapy

Pelvic Floor Physiotherapy

What is pelvic floor physiotherapy?

Pelvic floor physiotherapy is a specialized branch of physiotherapy that addresses pelvic floor muscle dysfunction in both men and women. Pelvic floor therapy is useful for many different conditions and symptoms such as incontinence (leakage), pelvic organ prolapse, diastases, bladder and bowel dysfunction, chronic constipation, pelvic pain, painful intercourse (dyspareunia), and endometriosis. A pelvic health physiotherapist can help during the prenatal and postnatal periods to provide guidance in regards to preventative and postpartum rehab.

Whatever your pelvic health concern, we are here to help create an individualized treatment plan to help reach your goals.

Do I need pelvic floor physiotherapy?

Bladder, bowel, and sexual dysfunction are not something you have to live with. Although leaking may be common, it is not normal. Pelvic floor physiotherapy can help you improve the function of your pelvic floor muscles and core to ensure they are functioning optimally. Its not all about doing “kegels”, its equally important to learn to do them correctly and be able to relax your pelvic floor muscles. You may benefit from from pelvic floor physio if you suffer from urinary or fecal incontinence, urinary urgency, painful intercourse, interstitial cystitis (painful bladder syndrome), PSD, tailbone pain, endometriosis, pelvic organ prolapse or pelvic pain to name a few. Pelvic floor physio is very beneficial during and and after pregnancy. We also see many people with long standing back and hip pain that is coming from their pelvic floor.

What should I expect on my first visit?

You should allow about an hour for your first appointment. You will meet your physiotherapist, who will interview you to learn more about your symptoms and general health. You will also discuss and set goals that you want to achieve through your treatment. The next step is a physical assessment which includes looking at the muscles around your pelvis, low back and hips. We will assess your strength, range of motion, core and look at any abdominal scars. After the musculoskeletal part of the assessment, we will assess your pelvic floor (if consented to). Since the pelvic floor muscles reside in the pelvis, the best way to assess them is through an internal exam. Most people are a bit nervous about this portion of the assessment, but your physiotherapist will walk you through every step of the process, so you feel comfortable and in control. If you want to defer or not have one done, that is totally ok.

How do I prepare for my visit?

There is no special preparation required. If you are on your period, you an still come to your assessment and treatment. There are still many things we can discuss and help you with. If you are comfortable and just have a bit of bleeding we can do an internal assessment.

What type of treatment will I receive in pelvic floor physiotherapy?

Your treatment sessions are usually between 30–45 minutes long. Your physiotherapist will recommend a plan tailored to your needs, based on the assessment.  Treatments may include manual therapy, education, breathing exercises, dry needling exercise prescription and pelvic floor muscle training.  Pelvic floor physiotherapy is gentle and should not cause an increase in your pain.

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