Pelvic Physiotherapy

Every person has a pelvic floor. They are the muscles inside our pelvis that attach from the front (pubic
bone) to the back (tailbone and sacrum) and the sides. They work to hold your insides up, keep you from
going to the washroom unexpectedly, help with sexual function and support your hips and low back.

We often forget (or don’t even know) about the muscles in our pelvis because we can’t see them, it is
difficult to feel them working and they usually do their job silently in the background. 

CausesSymptomsDiagnosisTreatmentWhat to expect from Pelvic Physiotherapy

Causes of Pelvic Floor Dysfunctions

Urinary and fecal incontinence (involuntary loss of urine or stool)

Description to come. Stay tuned.

Pelvic organ prolapse

Description to come. Stay tuned.

Overactive bladder or frequent urination (more than 7 times per day)

Description to come. Stay tuned.

Pregnancy related and post-natal pelvic girdle pain (includes low back)

Description to come. Stay tuned.

Diastasis Rectus

Description to come. Stay tuned.

Pelvic pain

Chronis non-bacterial prostatitis

Description to come. Stay tuned.

Symptoms of Pelvic Floor Dysfunction

  • Leakage with coughing, sneezing, laughing, jumping, or running

  • Relying on a pad to stay dry

  • Always knowing where the nearest washroom is and be sure to go “just in case”

  • Running water or standing up makes you have to go RIGHT NOW, or you may not make it to the
    washroom in time

  • Having pain “down there” with sex, activity or sometimes even at rest

  • Feeling like you're sitting on a golf ball

  • Low back or hip pain that keeps coming back, despite other treatments

  • Developing pain in my hips, low back or groin during pregnancy

  • Being a new (or new again) mother and things aren’t feeling right since having a baby (pain,
    leakage, doming in my belly when I engage my abs)

Diagnosis of Pelvic Floor Dysfunction

Details to come. Stay tuned.

Treatment of Pelvic Floor Dysfunction

Details to come. Stay tuned.

What to expect with Pelvic Physiotherapy

First, your therapist will review your health questionnaire, relevant medical history and concerns you
have, to gain an understanding of your situation and ensure a safe and respectful physical assessment.
You may be asked to fill out validated outcome measures or trackers related to relevant conditions such
as bladder and bowel function, sexual activity, quality of life and pain.

Your therapist will then assess your breathing, posture, hips and low back, range of motion, and
functional movement.

An internal assessment is recommended in order to gain important relevant information about the
tension, strength, endurance and coordination of the muscles of the pelvic floor and to make an
appropriate treatment plan. Evidence shows that this is the most effective way to successfully treat pelvic floor dysfunction. If you are not comfortable participating in this part of the assessment, your
therapist can work with you to find a treatment plan that works for you based on other findings.

Each step will be discussed before proceeding and consent is ongoing. You may choose to stop the
assessment at any time. Your therapist is specifically trained to maintain respect, privacy, comfort and
dignity throughout assessment and treatment. Please let them know if you are uncomfortable at any
time or if there are topics/assessments in which you do not wish to discuss/participate in.

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