A specialized form of physiotherapy is available for both women and men experiencing various types of pelvic floor dysfunction, which include issues with bladder or bowel function, sexual dysfunction and pelvic pain, prolapse or muscle tightness/weakness. Pelvic floor therapists are specifically trained to assess the external (outside) and internal (inside) structures of the pelvic region to properly diagnose and treat these concerns. This type of therapy is also helpful for pregnant clients during the prenatal and postnatal periods to help prepare the pelvic area for labour and delivery along with guiding them back to physical activity and preventing future pelvic issues.

Consider booking an appointment with our physiotherapist if you are experiencing any of the following:

- Pelvic, hip, groin or low back pain that has plateaued with other treatment(s)

- Pain with intercourse or other sexual dysfunctions

- Bowel or bladder incontinence, urgency, frequency or incomplete emptying

- Pelvic organ prolapse (e.g. vaginal bulge)

- Pre- and post-surgery for prostate surgery, hysterectomy or any abdominal surgery including c-section recovery

- Pregnancy or recent childbirth

faq

What is the pelvic floor?

The pelvic floor is a collection of muscles and connective tissue that supports the pelvic organs (bladder, rectum and uterus), is involved in bladder/bowel/sexual function, and helps stabilize and support the hips and lower back. Pelvic floor physiotherapy assesses and treats pelvic floor muscles, nerves and tissues.

Can both women AND men benefit from pelvic floor therapy?

Absolutely! Although women typically experience pelvic floor symptoms more commonly, this type of physiotherapy can be used to help men with bladder/bowel issues, pelvic pain and erectile dysfunction.

Can I be seen while I am pregnant or right after childbirth?

It is actually recommended that all women who are considering starting or growing their family undergo a pelvic floor assessment regardless of symptoms to help prepare their bodies for pregnancy. Physiotherapy can help during and after pregnancy with urinary issues, joint pain, abdominal muscle separation and painful intercourse. Women can be treated throughout the prenatal period and
your therapist can then help you prepare for labour and delivery. After childbirth, pelvic floor physiotherapy is most beneficial when started at 6 weeks postpartum.

What should I expect from my first session?

To begin, the physiotherapist will ask you questions about your symptoms and will collect a detailed history. The questions may seem extensive and very personal, but information about sexual function, menstruation, bladder/bowels and low back/hip/tailbone symptoms may be relevant to your pelvic floor issues. It is important to let your therapist know if you have any concerns about or problems in these areas. After the information about your symptoms has been collected, the therapist will complete a physical assessment. This assessment may include an evaluation of your low back/hips, tissue of the abdomen and thighs and a pelvic floor evaluation. A pelvic floor assessment includes an internal examination (vaginally, rectally, or both) to determine the strength and tension of the muscles that support the organs in your pelvic area. After the examination, your physiotherapist will explain their findings to you and develop an exercise program based on your individual needs. They will provide education and recommendations for lifestyle changes such as bathroom habits, sleep, stress, nutrition, and hydration. You will also have the opportunity to ask questions.

Is an internal examination required?

The best way for your physiotherapist to determine the function of your pelvic floor and to treat dysfunction is to perform an internal examination. Without feeling the function and coordination of the internal muscles, your physiotherapist may not be able to accurately
identify if you are able to control your pelvic floor muscles sufficiently. While the internal examination is highly recommended, it is NOT mandatory. It is possible to successfully treat some patients externally only by relying on other aspects of the assessment. If you are
uncomfortable having or unable to have an internal examination performed, an initial assessment can still be beneficial as there are many education points that can be discussed without the internal examination being performed.

Can I have an assessment or treatment while I am menstruating?

Yes. Depending on your comfort level, you can still be assessed and treated if your period falls near or on your appointment.  If you have a tampon or menstrual cup in place, it will need to be removed for your session.