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Pelvic Health

Pelvic health physiotherapy treats pain, weakness and dysfunction in the pelvic floor muscles as well as the muscles and fascia in the pelvis, hips, back, thorax and rib-cage.

 

The pelvic floor plays a vital role in everyday health and well being.  It is essential for helping to maintain urinary and fecal continence, supporting the pelvic organs, sexual pleasure, as well as stabilizing your core. 

 

The pelvic floor also plays an integral part in labor and delivery.

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Commonly Treated Conditions

  • Urinary Incontinence (Stress or Urge)

  • Fecal or gas incontinence

  • Prolapse (Bladder, uterus, rectum)

  • Pre-natal care (preparing pelvic floor for birth)

  • Post partum care (management of episiotomy scars, tears or c-sections)

  • Diastasis recti (abdominal separation)

  • Overactive Bladder

  • Bladder pain/Interstitial cystitis

  • Constipation

  • Irritable Bowel Syndrome

  • Genitourinary symptoms of menopause

  • Painful periods

  • Endometriosis

  • Vulvodynia/Vaginismus

  • Painful intercourse

  • Pelvic Pain

  • Gynecological cancer

  • Pre/Post surgery (Common surgeries include hysterectomy, prolapse repair, incontinence)

  •  Coccydynia (tailbone pain)

  • Low back, sacroiliac, or hip pain

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What to Expect at Your Visit

Your assessment starts with your story. A review of your description of your symptoms and concerns, medical and surgical history, your lifestyle, functional abilities (and limitations), social or emotional issues and your personal goals you would like to achieve with therapy. Specific questions depending on your issues may include:

  • Bladder habits

  • Bowel habits

  • Pelvic/hip/low back pain 

  • Pain with intercourse

  • Pelvic pressure

  • Leakage of urine or stool

  • Menstrual history

 

These are very personal and sensitive questions for most; rest assured your comfort and consent are of the utmost importance. 

The Physical Examination

The physical examination includes a whole-body assessment. The assessment will aim to find the underlying causes for pelvic pain and dysfunction to determine where to focus treatment.

 

Components will include:

  • Postural assessment

  • Breathing evaluation

  • Range of motion of the back and hips

  • Core strength assessment

  • Observations of the abdominal wall and perineum

  • An intravaginal and/or rectal examination of the perineum. 

The methods used are always based on your comfort and consent. I will discuss all options with you during your assessment.

 

You should expect to come away from the assessment with knowledge of your condition and a treatment plan. You will be shown techniques to use at home for symptom reduction as well as suggestions for improving your posture and motor recruitment strategies.

Subsequent treatment will address all the deficits found in this initial assessment with the aim being to provide you with the knowledge and tools to improve your musculoskeletal, urological and/or sexual function.

 

Should you need, I often work closely with urologists, gynecologists, physiatrists, colorectal surgeons, family doctors, sexual health therapists and psychological counsellors in order to create a comprehensive treatment plan to restore health.