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Pelvic Health

Pelvic Health Services

What we offer — internal and external pelvic floor assessment, biofeedback, education, and exercise programs.

Pelvic Health Services

Pelvic floor physiotherapists are specially trained to offer the following services as part of an appointment, tailored to what you need on the day. Below is an overview of the assessment and treatment tools we use at our South Granville and False Creek clinics.

The deep muscles of your pelvis and abdomen — the pelvic floor, transversus abdominus, multifidus and diaphragm — turn on milliseconds before you move in order to stabilize your trunk. When the timing or sequencing of these muscles is off, pain and incontinence can follow. Our physiotherapists assess and retrain these patterns using the techniques below.

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Services Your Physiotherapist May Use

A typical pelvic health session combines several of the tools below, chosen based on your goals and what you’re comfortable with.

Pelvic Health Education

Your physiotherapist will explain the relevant anatomy around the pelvis and how it relates to the rest of your body, giving you context to understand what you’re experiencing. You’ll have the opportunity to ask questions in a safe, judgement-free environment.

EMG Biofeedback

Biofeedback senses muscle tension and turns it into a visual signal. Research shows that 75% of women contract their pelvic floor incorrectly with verbal instruction alone — biofeedback removes the guesswork so you can see exactly what’s happening.

Core Muscle Activation & Training

The deep muscles of your pelvis and abdomen automatically activate before you move. We retrain this timing so your core can stabilize your trunk for pain-free, healthy function in everyday life and sport.

Physical Assessment with Internal Exam

A pelvic floor physiotherapist will talk through your story, look at global posture and movement patterns, and — with your consent — perform an internal vaginal and/or rectal exam to assess the pelvic floor muscles directly. Internal exams are helpful but never mandatory.

Pessary Fitting

A pessary is a soft silicone device worn in the vagina to support pelvic organ prolapse or stop incontinence. We are one of the few Vancouver clinics offering pessary fitting through pelvic floor physiotherapy.

Real-Time Ultrasound Imaging

Real-time ultrasound shows you your pelvic floor, transversus abdominus and multifidus muscles working in real time. Especially helpful for low back pain, pelvic girdle pain, incontinence, perineal/anal pain, or after pregnancy.

Manual Therapy

Hands-on physiotherapy that uses a variety of techniques to restore normal movement to joints, muscles, fascia and nerves. Used in conjunction with postural education and exercise to support lasting change.

IMS Dry Needling

Several of our pelvic floor physiotherapists are certified IMS practitioners, using fine needles to release shortened, irritable muscle bands that contribute to chronic pelvic, low-back or hip pain.

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Book a pelvic health appointment with one of our physiotherapists.

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