1. Do my extended health benefits cover Pelvic Health PT?
Yes. If you have extended health benefits that cover physiotherapy, this coverage will include Pelvic Health Physiotherapy as well.
2. Do I require a doctor’s referral to see a Pelvic Health Physiotherapist?
No. The only reason you may require a referral is if it is a requirement of your insurance company. Pelvic Health Physiotherapists are “Primary Healthcare Professionals”, meaning no referral is required.
3. How long are Pelvic Health Treatments?
Treatments may vary, but are typically between 45-60 minutes in length and are one-on-one with your physiotherapist.
4. How many treatments will I need?
Every patient is different and has a unique health history. Whenever possible, your therapist will give you work that you can do at home between treatments. If you require simple strengthening exercises, you may only need a few treatments. If your needs are more complex or if you require more manual therapy, you may need several weeks or months of treatments in order to reach your goals. After your assessment, your physiotherapist will discuss what your individual goals are, and together you will discuss a treatment plan that will work for you.
5. Is Pelvic Health Physiotherapy just “Kegels”?
No! In fact, in many cases, doing “kegel” exercises can do more harm than good.It’s imperative that a trained physiotherapist assesses your pelvic floor and makes a recommendation for the type of exercises that you do.
6. Why is an Internal exam necessary?
An internal exam is highly recommended because vaginal and/or rectal palpation is the only way to thoroughly assess the muscles of the pelvic floor. These muscles are simply too hidden to be able to assess externally. The internal exam will enable your physiotherapist to identify if there is scar tissue, muscle weakness or muscle imbalances, muscle tension or trigger points, prolapse of any of the pelvic organs, or loss of nerve function that may be causing your symptoms. Without being able to check for these issues, your physiotherapist will be less able to identify what the root cause of your problem really is.
7. Do I have to have an internal exam?
No. While Christine strongly recommends you have an internal exam done, she is respectful of your comfort level and will leave the decision to you. She can discuss your treatment options with you during your initial visit, and will always allow you to make your own decisions about your care.
8. What happens if I’m on my period?
It is completely ok to come in while you are menstruating! We have absorbent padding that we use for days like these, and it will not interfere at all with your assessment/treatment. No need to worry! Your physiotherapist is comfortable with the female body and uses strict sanitary protocols always.
9. Can I receive Pelvic Health Physiotherapy if I am pregnant?
Yes, in fact it is strongly encouraged! For a healthy and normal pregnancy, internal treatments are safe for mother and baby. Pelvic Health Physiotherapy can help with pregnancy-related pain (including back, pelvic, pubic bone, and tailbone pains), and can also help you prepare your pelvis for delivery. Studies have shown that conditioning your pelvic floor during pregnancy can decrease labour time, leading to faster deliveries. It also helps prevent urinary incontinence both pre-and post-natally. The only reason not to avoid an internal assessment or treatment is if your pregnancy is “high-risk” and you have been advised to avoid sexual intercourse or have been placed on bed-rest. If you are unsure, speak to your doctor before coming for your first appointment.
10. How long should I wait postpartum to come to physiotherapy?
It is recommended that you wait until any incisions or tears are healed to have any internal treatments done. Typically this is about 6 weeks for C-sections and Episiotomies. If you have had no tearing or incisions, you can come in as soon as you like (and we LOVE it when you bring your new baby with you ☺ )!
11. Is Pelvic Health Physiotherapy just for women?
No. Men have pelvic floors too and also encounter problems such as incontinence and pain, which can be treated successfully with pelvic health physiotherapy.