Pelvic Health

What exactly is Pelvic Health Physiotherapy?

Pelvic health physiotherapy is an area of focus within the realm of physiotherapy in which we address pain or dysfunction of the pelvic, hip, low back and lower abdominal region. It involves an assessment and treatment of your posture, breathing and movement biomechanics, and can involve internal work on the pelvic floor to release and retrain the muscles responsible for stabilizing your pelvis, urinary and fecal continence and general functioning of your posture and movement patterns. The physiotherapist will assess, educate and treat you with special focus on the connection of your pelvic floor muscles to the rest of your body.

How do I know if I would benefit from Pelvic Health Physiotherapy?

Pelvic floor dysfunction can contribute to many different issues. The following problems could be due to dysfunction of the pelvic floor alone, or dysfunction of the pelvic floor in conjunction with the rest of the body:

• low back pain
• sacro-iliac joint pain
• pubic symphysis pain
• hip pain
• tailbone pain
• leaking with coughing, sneezing, laughing, exercising
• inability to stop yourself from passing gas
• increased urge to urinate
• constipation
• inability to completely empty the bladder or the rectum
• vaginal pain
• vulvodynia, vaginissmus
• pain with intercourse
• pelvic organ prolapse
• diastasis rectus abdominus (a doming or separation along the midline of the abdominal muscles)

What does a session involve?

Typically an initial session is an hour long. The first half is spent getting to know your history and your present symptoms, and discussing your treatment goals. The second half will involve an assessment of your posture and the way you move, with a more detailed look at any areas that your physiotherapist thinks may be contributing to the problem. Providing that you are comfortable with it, your visit may also include an internal exam, where your physiotherapist will assess the function of the specific muscles of the pelvic floor. Based on our findings, we come up with a treatment plan. Subsequent treatments may be 30 or 60 minutes, depending on what you and your physiotherapist decide is appropriate.

How often will I have to come for treatment?

Every client is different. Some people come in once per week, some once per month; some for only one visit, some for up to a year or longer. It all depends on the type and severity of the issue. There will be a huge emphasis on education and self-management. Your physiotherapist will teach you as much as she can about your body and where the dysfunction lies, and will give you exercises/activities to do on your own to help manage the problem areas.

It doesn’t matter if you have had the problem for a few weeks or as long as you can remember. Chances are we can do something to help.