WHAT IS PELVIC FLOOR PHYSIOTHERAPY?
Pelvic floor physiotherapy, also known as pelvic health physiotherapy, is a subspecialization of physiotherapy that focuses on assessing and treating the pelvic floor and pelvis. A pelvic health physiotherapist has completed post-graduate training and is rostered with the College of Physiotherapists of Ontario to provide this specialized type of care.
What Is the Pelvic Floor?
You’ve probably heard of the phrase “pelvic floor” before. But what does it exactly mean?
A pelvic floor is a group of pelvic floor muscles that span from your tailbone to your pubic bone.
You can think of the pelvic floor as a muscle “hammock” that supports some of your important internal organs like your bladder, uterus or prostate, and rectum.
What causes Pelvic Floor Dysfunction?
Like any muscle in your body, your pelvic floor can be too tight or too weak. When this change happens, you could have symptoms like involuntary loss of urine, pain or discomfort around your pelvic region or low back, and pain with intercourse.
There could be many different factors that might be contributing to your pelvic floor symptoms.
Some factors that could have contributed to your pelvic floor dysfunction include the effects of pregnancy, childbirth, injury, stress, or trauma.
Despite these factors, there are steps you can take to effectively manage and heal your pelvic floor-related symptoms.
Contact us for more information!
What are the symptoms of pelvic floor weakness or tightness?
The components of a pelvic floor are found in all genders, which means that all genders can experience pelvic floor issues.
The pelvic floor is vulnerable to dysfunction or injury much like any of the muscles in your body, which can lead to some uncomfortable symptoms.
If you relate to one or more of the following statements, you might have an issue related to your pelvic floor
- There’s been at least one time where you’ve leaked urine when you coughed, sneezed, laughed, jumped, ran, or lifted weights
- You find yourself going to the bathroom “just in case” before you leave your house
- You haven’t made it to the bathroom in time on one or more occasions
- Intercourse is painful for you
- You have pain in your low back, tailbone, and/or pubic area
- You have chronic constipation
- It seems like your abs are separated to you
- You sometimes feel heavy or uncomfortable around your pelvic area
These symptoms are common but NOT normal and can greatly impact your quality of life.
IS IT NORMAL TO LEAK URINE OR HAVE SUDDEN URGES TO GO?
Leaking urine or having sudden uncontrollable urges to go to the bathroom affects about 25-45% of the population.
Although this condition is common, it’s not normal Is It Normal to Leak Urine or Have Sudden Urges to Go? Blog and can be solved with pelvic floor physiotherapy.
Pelvic floor physiotherapy will provide you with effective treatment and tools in order to get rid of your urinary leakage once and for all.
Some of these urinary leakage treatments may include pelvic floor exercises, manual therapy techniques, breathing exercises, and more.
If you’re noticing any urinary leakage after pregnancy, check out some pelvic exercises that you can do to get you back on track!
How Long Does It Take to Fix Pelvic Floor Dysfunction?
Your pelvic health concerns are unique, and determining an effective treatment option depends on many different factors like your health history, the cause of the symptoms, and your physical activity level.
During your initial appointment, a pelvic floor physiotherapist will ask you questions and assess you to determine what issues need to be addressed.
After the assessment, the pelvic physiotherapist will explain your condition to you, go over your treatment plan including advice about treatment options. They will let you know the number of visits you may need to effectively treat your pelvic floor condition.
The number of visits will vary from person to person, but the pelvic floor physiotherapist will try their best to help you fix your pelvic floor condition in the least amount of visits possible.
Contact us to learn more!
Common conditions a Pelvic floor physiotherapist treats?
A pelvic floor physiotherapist is a physiotherapist with advanced and specialized training in how to assess and treat conditions related to the pelvic floor and pelvic floor rehabilitation.
Pelvic floor physiotherapists can help with:
- Stress and urge urinary incontinence
- Overactive bladder, bladder leakage
- Pain with intercourse, erectile dysfunction, and vaginismus
- Diastasis recti (abdominal separation)
- Tailbone pain
- Preparation for birth
- Pregnancy-related body pain
- Pelvic organ prolapse
- Endometriosis
- Post-natal symptoms and conditions
At PhysioPlus Health Group. we’re dedicated to answering any questions you have. Contact us to book a complementary 15 minute phone call with a pelvic health physiotherapist and ask us anything.
Should I See a Pelvic Floor Physiotherapist While I’m Pregnant or After I Have My Baby?
It can be very helpful to see a pelvic floor physiotherapist both during your pregnancy and after your delivery.
It is recommended to see a pelvic floor physiotherapist early on during your pregnancy in order to reduce your likelihood of pain, incontinence, abdominal separation, and tearing as well as to improve your birthing process and postpartum recovery.
Our pelvic floor physiotherapists will provide you with education and at home tips and tricks in order to help you feel more comfortable throughout your pregnancy and more prepared for your labour and delivery.
After your baby is born, our pelvic floor physiotherapists can help with symptoms of pain, incontinence, and prolapse. We offer C-section scar massage, treatment to help with diastasis recti, education and safe exercises to do at home.
There’s many other topics that pelvic floor physiotherapists can address prenatally or postpartum, you can learn more on our prenatal/postnatal treatment page. If you have any questions, please book a complimentary consultation, and we’d be happy to try and help.
What to Expect at Your First Pelvic Floor Physiotherapy Appointment
At your initial appointment, the pelvic floor physiotherapist should take a detailed and thorough history of your condition.
You can expect them to ask you questions about your symptoms, the severity of the symptoms, and when it started.
Because many other factors can be influencing your pelvic floor symptoms, they may also ask you questions related to your general health, your daily activity, your sleep, and more.
The pelvic floor physiotherapist should make you feel comfortable during this assessment. You can opt out of answering any questions or participating in any of the components of the physical exam.
Internal and External Pelvic Floor Assessment
After the discussion, they will assess you and explain what they are looking for during the assessment.
During an internal exam, you will be asked to undress your bottom half and lie on your back. The pelvic floor physiotherapist will use gloves and assess structures in and around your pelvic floor.
Externally, the pelvic floor physiotherapist may look at structures that could be influenced by the pelvic floor like your back and your hips.
They may also ask you to do a variety of movements to assess pelvic floor muscle function to see how well your pelvic floor is working.
What does a Pelvic Floor Physiotherapist do?
After your assessment, your pelvic floor physiotherapist will talk to you about their findings, what’s causing your problem and how to fix it. They‘ll create an individualized treatment plan explaining the best treatment options to address your specific problems. Pelvic floor physiotherapists will use a combination of treatments such as:
- Hands-On techniques to release trigger points, muscle tightness and joint stiffness in your low back, hips, and pelvis connected to your problem
- Breathing exercise and relaxation techniques
- Postural exercises
- Stretching and strengthening for the pelvic floor, core, low back and hips
- Pelvic Floor Muscle Retraining to reduce pain, improve incontinence, prolapse, separated abdominals and many other conditions
- Education about Your problem so you can take control and recover fully
IS AN INTERNAL EXAM NECESSARY FOR PELVIC FLOOR PHYSIOTHERAPY?
An internal exam allows the physiotherapist to properly assess and treat the structures of the pelvic floor that cannot be palpated externally. If, however, you are not comfortable with an internal exam let your physiotherapist know and they can assess and treat your pelvic floor externally.