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Pelvic Physiotherapy


Pelvic floor physiotherapy is an evidence-based approach to addressing concerns that many people assume are "just part of life."  Do you experience leaking when you sneeze, cough, or laugh and think it’s normal after childbirth or with age?  Do you struggle with painful intercourse and feel like you just have to live with it?  Are you doing Kegels but not seeing any improvement?  If you answered yes to any of these questions, then pelvic physiotherapy might be for you!

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What is the Pelvic Floor?

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​The pelvic floor is located between the pubic bone at the front of the pelvis, the coccyx (tailbone) at the back of the pelvis, and the ischial tuberosities (sitz-bones) at the sides of the pelvis.  It consists of nerves, fascia, and three layers of muscles that work together to provide 5 important functions of the human body:

  1. Provides support for our pelvic organs (bladder, uterus, rectum, and intestines)

  2. Controls bladder and bowel function

  3. Works in conjunction with the diaphragm and transverse abdominus to provide stability to your pelvis, hips, and lower back

  4. Enables sexual function

  5. Acts as a sump pump to return blood and lymphatic fluid back to the heart​​​​

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What does Pelvic Physiotherapy involve?

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​Pelvic physiotherapy is an evidence-based and specialized field that allows for the assessment and treatment of common pelvic health disorders.  Pelvic floor physiotherapists have training in internal examination (vaginal and/or rectal) and external examination (of the surrounding tissues and joints) but also take into account the various lifestyle and psychosocial factors that may contribute to a persons pelvic health concerns.  ​

 

​​You and your therapist will discuss what type of exam is recommended and what you’re comfortable with to come up with a collaborative and comprehensive treatment plan.

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Conditions Treated:

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Bladder Dysfunction                                                           â€‹

  • Urinary Incontinence (stress/urge/mixed)

  • Urinary Frequency/Overactive Bladder 

  • Urinary Retention

  • Interstitial Cystitis/Bladder Pain Syndrome (BPS)

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Bowel Dysfunction

  • Faecal Incontinence

  • Faecal Frequency/Urgency 

  • Chronic Constipation

  • Hemorrhoids

  • Fissures

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Pelvic Organ Prolapse

  • Cystocele/Urethrocele (bladder)

  • Rectocele (bowel)

  • Uterine/Vault

  • Rectal Prolapse

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Pelvic Pain Conditions

  • Vulvodynia/ Vestibulodynia

  • Vaginismus

  • Dyspareunia (pain with intercourse)

  • Pain with orgasm

  • Perineal pain or anal/rectal pain

  • Dysmenorrhea

  • Coccydynia (tailbone pain)

  • Interstitial Cystitis (IC), or Bladder Pain Syndrome)

  • Endometriosis

  • Lichens Sclerosis/Lichens Planus

  • Pudendal Neuralgia

  • Chronic Pelvic Pain Syndrome (CPPS) or Chronic Non-Bacterial Prostatitis (CNBP)

  • Testicular pain

  • Persistent low back, hip, and pelvic pain
     

Perinatal Care

  • Birth Preparation

  • Pregnancy-Related Pelvic Girdle Pain/Low Back Pain

  • Diastasis Rectus Abdominus (DRA)

  • Perineal/Episiotomy & Abdominal Scarring

  • Urinary or Faecal Incontinence

  • Pelvic Organ Prolapse

  • Guidance for safe exercise during pregnancy and return to exercise postpartum

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Post Surgical

  • Cesarean Section

  • Hysterectomy

  • Prolapse Repair

  • Pre or Post-Prostatectomy

  • Gender Confirmation Surgery

  • Endometriosis Surgery

  • Any abdominal or pelvic operation

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