What is Pelvic Health Physiotherapy?
Pelvic Health Physiotherapy is a type of physiotherapy that is focused on the treatment of the muscles and other structures that are located inside the pelvis. Just like “regular” physiotherapists, Pelvic Health physiotherapists are experts in the rehabilitation of injured muscles and joints; what is unique about Pelvic Health physiotherapists is that they have received additional post-graduate training in order to assess and treat internally (vaginal and/or ano-rectal) as well as externally, so that they can rehabilitate this important group of muscles. This is a special clinical focus and is limited to physiotherapists who have undergone additional training in this field.
What is the Pelvic Floor?
The “pelvic floor” refers to the muscles that stretch across the bottom of the bony pelvis. These muscles cannot be seen or felt from the outside of the body. Because they are uniquely positioned inside the pelvis, they have a lot of important functions, including bladder and bowel continence (the ability to hold in our urine and our feces), pelvic organ support, and back/pelvic stability. When these muscles become injured or are not functioning properly, symptoms can include leakage of the bladder/bowels, pelvic organ prolapse, and pain in the pelvis, genitals, back, legs, and ribcage.
What conditions are commonly treated?
Pelvic Organ Prolapse
Chronic Pelvic/Back Pain
Genital Pain (male and female)
Dyspareunia (pain with intercourse)
Tailbone (coccyx) Pain
Chronic Non-Bacterial Prostatitis
Interstitial Cystitis/Painful Bladder
What can I expect at my first visit?
Your first visit will be 60 minutes in length and will take place in a private room with your physiotherapist. The assessment will involve a private discussion about your current symptoms and your health history, an assessment of your general movement and alignment, and – if you are comfortable – an internal (vaginal and/or ano-rectal) assessment of your pelvic floor muscles. Your physiotherapist will talk you through each aspect of the internal exam and will ensure that you are aware of what she is doing at all times. The exam is generally quick and painless. You will be able to stop the exam at any time if you feel uncomfortable; you are also welcome to bring someone into the room with you if you wish. Following the assessment, your physiotherapist will discuss her findings with you and will develop a treatment plan based on your personal functional goals.