Pelvic Health Physiotherapy
Who can benefit?
Men and Women of all ages have seen great success with pelvic floor physiotherapy. Do you leak when you exercise or sneeze? Has intercourse been painful since having a baby? Has prostate surgery left you unable to fully control your bladder? Since having a hard fall years ago, has your tailbone caused you pain when you sit? These are prime examples of people that have and will benefit from pelvic floor physiotherapy. But the list doesn’t stop there; see below for a more inclusive list of conditions that are treatable.
What is Pelvic Health Physiotherapy?
Pelvic health physiotherapists have specialized training in treating the pelvic floor. This is a group of muscles, joints, and nerves that contribute to bowel and bladder function, sexual function and stability of the pelvis, hips and back. Assessment and treatment of the pelvic floor is done externally as well as internally (vaginally and/or rectally), as many of these muscles cannot be felt from the outside. It is tightness and/or weakness in these muscles that can cause pain and incontinence. Like many other areas of the body, through physiotherapy treatment, the pelvic floor can return to normal function.
Can I just do Kegel Exercises instead?
Kegels are not for everyone and in some cases can cause more harm than good. Your pelvic pain or incontinence could be because your pelvic floor is already too tight and doing Kegels will worsen your symptoms. If pelvic floor weakness is the problem, Kegels may be an important part of your treatment. The only way to know when and how to properly perform a Kegel is to have a pelvic floor physiotherapist do an internal assessment.
Pelvic Health at GRSM
Your appointments are held in a private room. Assessment and treatment involves both external and internal techniques, based on your symptoms and comfort level. You will work one-on-one with a physiotherapist to meet your individual goals, whether that means being able to exercise without leaking, not having to stop the car every hour to use the bathroom, being able to have pain free intercourse, or being able to sit without tailbone pain. Pelvic health physiotherapy may be the answer for a problem you thought had no solution!
What does treatment involve?
- Manual (hands on) therapy internally to the pelvic muscles and joints, as well as externally to the back, hips, and abdomen
- Stretching and strengthening exercises
- Relaxation and breathing
- Education about bowel and bladder function
Pre- and Post-Partum Care
During pregnancy, those who see a pelvic floor physiotherapist have been reported to have less pelvic and low back pain and a lower risk of incontinence during their pregnancy and post-partum. Common complaints post-partum include incontinence, painful intercourse, and C-section and episiotomy scar pain; all of which can be addressed with pelvic physiotherapy. In Europe, pelvic floor physiotherapy is more widespread and well known. In France, every woman is allotted a number of visits with a pelvic floor physiotherapist as part of her post-partum care.
- “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 Most people are hypertonic and therefore need to work on relaxation of tissues before strengthening occurs.
- Pelvic Physiotherapy only treats incontinence- NOT We can address a number of pelvic issues.
- People don’t want to talk about this area- NOT 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.
Pelvic Organ Prolapse
Painful Intercourse/Tampon Insertion
Hip Labral Tears
Low Back/SI Joint Pain
Vulvodynia, Vestibulodynia, Vaginismus
Chronic Non- Bacterial Prostatitis
Genitourinary Syndrome of Menopause (GSM)
Interstitial Cystitis (IC) /Bladder Pain Syndrome (BPS)
Diastasis Recti, Pre- and Post-partum
Our Pelvic Health Physiotherapists
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