Pelvic Health Program

The Pelvic Health Program is carried out by a pelvic health physiotherapist and focuses on treatment of incontinence, pelvic organ prolapse, and pelvic pain in both men and women.

We offer pelvic health physiotherapy at two of our locations, Kitchener-South and Cambridge. Patients can expect comfortable, private rooms where discretion is prioritized. Our physiotherapists are knowledgeable in musculoskeletal as well as pelvic health physiotherapy to provide a comprehensive, whole-body approach. We strive for a caring and compassionate environment where everyone is welcome.

  • Prevalence of Pelvic Floor Dysfunction
    • ICS 2003 study showed 1 in 3 women and 1 in 9 men have stress induced urinary incontinence
    • Dufour 2016 study found a 96% correlation between low back pain and pelvic floor dysfunction in women.
      • Of that 96%, 84% had HYPERtonic pelvic floor muscles
  • Misconceptions
    • “Common” = “Normal”– NOT true! Leakage of any kind, at ANY age is common but NOT normal. Physiotherapy can help address this.
    • Kegels are good for everyone- NOT true! Most people are hypertonic and therefore need to work on relaxation of tissues before strengthening occurs.
    • Pelvic Physiotherapy only treats incontinence- NOT true! We can address a number of pelvic issues.
    • People don’t want to talk about this area- NOT true! The prevalence and impact on quality of life is so high, it is crucial that we as health care professionals make discussions around these issues comfortable and normalized.
  • Physiotherapy
    • 60 mins assessment looking at complete health and functional history taking a biopsychosocial approach
    • Includes external and, if consented to, a vaginal and/or rectal exam to assess for pain, tissue resistance, scarring, strength and coordination.
    • The pelvic floor is closely associated with the back, SIJ and hips, having direct muscular attachments and similar innervation which is why a comprehensive internal and external assessment is important.

 

 

Some Pelvic Health Conditions…

  • Vulvodynia, vestibulodynia, vaginismus
  • Dyspareunia, dysmenorrhea
  • Genitourinary Syndrome of Menopause (GSM)
  • Interstitial Cystitis (IC) /Bladder Pain Syndrome (BPS)
  • Diastasis recti, pre and post-partum
  • Endometriosis
  • Hip labral tears
  • Chronic Non- Bacterial Prostatitis
  • Pudendal Neuralgia
  • Urinary and/or fecal incontinence

 

For more information, please contact our Cambridge or Kitchener-South locations.