Pelvic health Physiotherapy

Pelvic Floor Physiotherapy treatment is customized to each patient and often involves exercises, lifestyle modifications, manual therapy, bladder retraining, education or biofeedback to decrease or abolish your symptoms and achieve your pelvic health goals.

What is Pelvic Health Physiotherapy?

Pelvic Floor Physiotherapy involves assessing and treating a group of muscles that create a bowl in the bottom of our pelvis that support the bladder, uterus, prostate and rectum. These pelvic floor muscles must be strong to keep us dry and relax fully for urination, defecation and in women, sexual intercourse.

Pelvic Health Physiotherapy can help with:

  • Perinatal complications, including tears during delivery
  • Urinary incontinence
  • Fecal incontinence
  • Constipation
  • Pelvic organ prolapse
  • "Peezing" - Leaking urine when you sneeze - it can be treated!
  • Painful intercourse (dyspareunia)

Are you a candidate for pelvic health physiotherapy?

Book an assessment

Helpful for people who:

  • Leak urine when they cough, laugh, sneeze or exercise
  • Leak urine due to inability to hold during strong urges
  • Urinate more than 8 times a day
  • Have difficulty initiating urination
  • Feel that they have not fully emptied their bladder after urination
  • Have feeling of pressure or heaviness in their pelvic region
  • Strain to have a bowel movement
  • Experience pain during or after bowel movement
  • Have pain with sexual intercourse or difficulty with penetration
  • Have pelvic pain (vaginal, rectal or perineal)
  • Have pelvic girdle, buttock, low back or coccyx pain
  • Had an Episotomy, Forceps delivery or C section
  • Pregnant women who would like to prevent tearing during labor

or have been diagnosed with:

  • Stress or Urge Incontinence
  • Pelvic Organ Prolapse
  • Over Active Bladder
  • Pregnancy related pain (pre and post-partum)
  • Interstitial Cystitis
  • Dyspareunia
  • Vaginismus
  • Vulvodynia/Vestbiulodynia
  • Puedendal Neuralgia or Entrapments

Urinary incontinence

Stress urinary incontinence is when you leak urine when you sneeze, cough or with movement like lifting or a jumping jack.

Urge urinary incontinence is when you have a strong urge to urinate and often leak before you can get to the bathroom.

Mixed urinary incontinence is when you have a combination of both.

Research indicates that pelvic floor physiotherapy is the first line of treatment recommended for all types of incontinence. It is not a normal part of aging or a normal part of the postpartum period. It is a treatable condition and very successful! Whether you are a new Mom wanting to return to high intensity workouts, or retired and don’t want the embarrassment of unwanted leaks or wearing pads, we can help!

What can go wrong with your Pelvic Floor?

Symptoms that your pelvic floor may be weak are leaking, prolapse, heaviness/discomfort in your vaginal area, having to wipe several times after a bowel movement .

Symptoms that your pelvic floor may be tight are leaking, urinary frequency, constipation, incomplete bladder emptying, stopping/starting urine stream, pelvic pain, pain with intercourse, back pain.

Kegels aren’t always the answer. They are a simple way to do some basic strengthening of your pelvic floor, but most often we need more than that, or weakness may not be your problem. In some cases, as in a tight pelvic floor, Kegels can even make your symptoms worse.

It’s important to have an assessment of your pelvic floor to identify the exact root cause of your pelvic floor symptoms. From that, we can come up with a treatment plan to correct your dysfunction and achieve your goals.

Don’t let your bladder control you, let’s put you back in charge!

Pregnancy and Post-Partum Care

Let us take care of your pelvic floor during your pregnancy, help you heal, and regain your function after you give birth.

It’s important to have a strong pelvic floor before you give birth to optimize your recovery process and prevent post-partum incontinence

It’s also important to have a flexible pelvic floor before giving birth to prevent tearing and prolapse. It is recommended you have an assessment of your pelvic floor in your second trimester of pregnancy.

It is recommended you have a post-partum assessment of your pelvic floor 6 weeks after giving birth, after you have been cleared by your medical doctor. We will assess your post-partum posture, core and hip strength, presence of a diastasis recti, presence of prolapse, pelvic floor strength, scar tissue, and discuss any specific issues you may be having.

We can help you set up an exercise program or conduct some testing to see when your body may be ready to return to higher impact exercise or running. We can help you get back to what you want to be doing.

Pelvic pain is
common but not normal.

Let us help you feel like yourself again!

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