Pelvic Health Physiotherapy
Pelvic health physiotherapy is an evidence-based, specialized area of physiotherapy that focuses on the assessment and treatment of muscles, ligaments and connective tissue of the pelvic floor. The pelvic floor is a vital part of the body, providing support for internal organs such as the uterus, bladder and bowel. It also plays an essential role in continence, bowel & bladder control, core stability, circulation and sexual function.
Pelvic floor dysfunction can manifest in many ways. Symptoms may include:
- Urinary incontinence or urgency
- Fecal incontinence or constipation
- Pelvic organ prolapse
- Pelvic or lower back pain
- Pain during intercorse
- Core weakness or poor stability
These symptoms are more common than many people realize, yet unfortunately many people often endure without seeking help. Pelvic health physiotherapy provides safe, effective and confidential care to help manage these symptoms, restore function and improve quality of life.
What to Expect during your Pelvic Health Appointments
Detailed History
Our pelvic health assessments begin with a thorough understanding of your concerns and symptoms. This includes reviewing your medical and surgical history, lifestyle, daily function and any other stressors or health concerns. We will also ask specific questions about bladder and bowel habits, pelvic pressure, pain and genital or sexual function. Some of these questions are personal and sensitive, and your comfort and consent are our top priorities. No information is ever “too much” and everything you share helps us provide effective and individualized care.
Whole-Body Assessment
Pelvic floor concerns and symptoms can be related to imbalances or tensions in other parts of the body. Our physiotherapists take a whole-body approach to understand the bigger picture and see how different areas are connected. Because the pelvic floor is rarely an isolated issue, effective treatment often addresses its relationship with other regions of the body.
Pelvic Floor Specific Examination
The pelvic floor function can be assessed in a variety of ways:
- Real-time ultrasound – can help to assess the pelvic floor and abdominal wall muscles. It also provides an option for those who are not comfortable with internal exams.
- Digital vaginal and or/rectal examination – allows us to examine the pelvic floor muscles along with the perineum. This provides information about the strength and length of the muscles. It also helps us to assess painful regions, prolapse and complete a postpartum assessment.
A combination of assessment methods may be used during your assessment. The methods chosen are based on your comfort and consent and your physiotherapist will discuss these options with you during your assessment. An internal exam is never mandatory and this will be discussed during your appointment with our pelvic floor physiotherapists.
Create a Plan Together
Once your assessment is complete and we have a better understanding of the root causes of your concerns, we will work with you to develop a personalized care plan based on your goals and expectations. Pelvic health concerns can be addressed using a variety of approaches, including pelvic floor exercises, manual therapy, biofeedback training, lifestyle education, bowel & bladder training, breathing strategies, Clinical Pilates, and other techniques as needed. During follow up appointments, we will monitor your progress and adjust your care plan to ensure it continues to meet your needs and goals.
Common conditions we treat:
- Pregnancy & Postpartum
- Core rehabilitation
- Urinary incontinence
- Pelvic organ prolapse
- Pelvic pain
- Pregnancy and postnatal pelvic floor recovery
- Diastasis Recti Abdominis (DRA)
- Post-surgical pelvic rehabilitation (cesarean section, hysterectomy, prolapse repair etc.)
- Coccydina
- Constipation
- Gas & Fecal incontinence
- IBS
- Genitourinary symptoms of menopause
- Persistent low back & hip pain
- Hernias
There are many conditions not listed here and you are welcome to call the clinic to discuss if we are able to meet your individual needs.
Please note that our physios have taken limited training on male pelvic floor treatments and therefore we are not currently accepting new clients for male pelvic health concerns. If you are looking for support in this area, please contact us so that we can refer you to the right practitioners to address your concerns.
Frequently Asked Questions
Will I get an internal exam on my first visit?
It is completely up to you. Some people attend their first visit expecting an internal exam, while others may not feel ready. An internal exam may be offered during your initial visit, but it is not required. Your physiotherapist will first complete a thorough history and discuss your symptoms and goals. If an internal exam is recommended, it will always be explained and your informed consent is required before proceeding. If you prefer not to have an internal exam, there are alternative external assessment and treatment options available.
How are internal exams performed?
If you and your physiotherapist decide that an internal exam is appropriate, there are a few things to expect. Your physiotherapist will use one or two gloves, lubricated fingers to gently assess your pelvic floor. We use single-use, sterile lubrication to ensure comfort and hygiene. During the assessment, you may be asked to contract or relax your pelvic floor muscles to help evaluate strength, coordination and control. Your physiotherapist will guide you through each step, explaining what to expect along the way. Your comfort and consent are always the priority – you can pause, stop or adjust your preferences at anytime during the exam. You are also welcome to bring a support person with you if that helps you feel more comfortable.
How many sessions will I need?
The number of sessions varies depending on your condition, goals and how your body responds to treatment. Many people notice improvement within the first few sessions, with typical plans ranging from 6-12 sessions. Your physiotherapist will work with you to create a personalized plan and adjust it as needed. More complex or long-standing issues may require additional sessions.
Is pelvic health physiotherapy covered by insurance?
Yes, pelvic health physiotherapy provided by a Registered Physiotherapist is typically covered under extended health benefits. Coverage for physiotherapy varies by plan, we recommend checking with your insurance provider.