Pelvic Health Physiotherapy

What is Pelvic Health Physiotherapy?

Pelvic Health Physiotherapy is a specialized form of physiotherapy for conditions associated with the pelvis. This includes:

  • The SI joints, coccyx (tailbone), pubic symphysis, low back, hips and abdominal wall
  • The vulva and vaginal area, penis and scrotum, and colorectal regions
  • The organs of the pelvis including the bladder, uterusm, prostate, and colon
  • The muscles of the pelvic floor, hips, back, and abdomin
  • The endopelvic fascia and linea alba

Assessment and treatment involves evaluation of the pelvic floor muscles. Pelvic floor muscles can be directly assessed and treated by a manual digital exam (1-2 fingers vaginally and rectally.

In Ontario, internal vaginal/rectal assessments and treatments are a controlled act. Pelvic Health Physiotherapists must be registered and rostered with the Ontario College of Physiotherapists to perform this controlled act.

When assessing conditions of the pelvis, we must remember that the body is a system; other areas of the body, including the neck, thorax, knees and feet, can affect the pelvis and vice versa.

A thorough exam includes:

  • Posture/alignment of the whole body
  • Breathing patterns
  • Full body movement screen
  • Functional activity screen
  • Neurological screen

What Conditions do Pelvic Health Physiotherapist treat?

Pain:

  • Pelvic (SI joint, tailbone, pubic symphysis), back, abdominal, hip, or groin pain
  • Pain with endometriosis
  • Pain with menstruation
  • Difficulty inserting a tampon
  • Vulvar and/or vaginal pain
  • Bladder pain
  • Post-Prostatectomy pain
  • Abdominal pain associated with abdominal scar (c-section, other abdominal surgery)

Incontinence, Frequency, Urgency:

  • Urinary incontinence (leaking urine)
  • Fecal incontinence (leaking stool/feces, gas)
  • Urinary frequency or urgency with or without leaking
  • Bowel frequency or urgency with or without leaking
  • Post-Prostatectomy incontinence
  • Constipation

Prolapse or heaviness:

  • Uterine prolapse (uterus descends down in vagina)
  • Rectal Prolapse (rectum descended through anus)
  • Urethrocele (bladder bulges into anterior wall of vegina)
  • Rectocele (rectum bulges into posterior wall of vagina)
  • Vaginal heaviness

Sexual Difficulties:

  • Painful intercourse

Pregnancy and Postpartum:

  • Preparing for a vaginal birth
  • Exercise during pregnancy
  • Pregnancy-related back/pelvic/hip pain
  • Vaginal tearing and/or episiotomy
  • C-section scar management
  • Abdominal separation (diastasis recti)
  • Returning to activities/fitness postpartum

 
18 Plains Road West, Unit #4, Burlington Ontario | 905.333.FITT (3488)