Pelvic floor physiotherapy is the rehabilitative focus on the internal and external muscles of the pelvis and/or pelvic floor after experiencing injury or dysfunction. Some common conditions include:
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Leakage

Stress Urinary Incontinence, Mixed Incontinence, Urinary Urgency/ Frequency
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Bowel Dysfunction

Fecal Incontinence, Chronic Constipation, Flatulence Control, Pain With Bowel Movements, Rectal Prolapse, Bloating
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Sexual Pain

Vaginismus, Dyspareunia (Painful Intercourse), Vuvodynia, Vestibulodynia
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Pregnancy Support

Birth Preparation, Postpartum Management, Pubic Symphysis Dysfunction, Diastasis Rectus Abdominis, Perineal Tears
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General Pelvic Health

Coccydynia (Tailbone Pain), Sacroiliac Joint Dysfunction, Pelvic Organ Prolapse, Pelvic/ Lower Back/ Abdominal Pain, Pudental Neuralgia, Interstitial Cystitis, Endometriosis, Perimenopause, Lichens Sclerosus/ Planus/ Simplex Chronicus
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Post Abdominal or Pelvic Surgery

Hysterectomy, Hernia Repair, Caesarian Section, Oncology

What is Pelvic Floor Physiotherapy?

Pelvic floor physiotherapy is an important treatment approach for patients who experience issues related to the pelvic floor muscles. These muscles can be affected by various factors, such as childbirth, surgery, aging, injury, or chronic conditions. Physiotherapy helps to restore and improve the function of these muscles, leading to better overall pelvic health. Here’s why pelvic floor physiotherapy is so important:

1. Strengthening Weak Pelvic Floor Muscles

Weak pelvic floor muscles can lead to problems like urinary incontinence, pelvic organ prolapse, and reduced sexual health. Pelvic floor physiotherapy includes exercises (like Kegels) to strengthen these muscles, improving bladder and bowel control and supporting pelvic organs.

2. Relieving Pelvic Pain

Pelvic pain can arise from muscle tightness or tension in the pelvic floor. Conditions like vaginismus, pelvic floor dysfunction, or chronic pelvic pain syndrome can be treated by a physiotherapist who helps to relax and lengthen tight muscles, reducing discomfort and pain.

3. Managing Incontinence

Incontinence (both urinary and fecal) is a common issue that can impact a person’s quality of life. Pelvic floor physiotherapy works to improve muscle tone and control, helping patients regain the ability to manage their bladder and bowel functions more effectively.

4. Improving Sexual Health

Pelvic floor physiotherapy can address sexual dysfunction by improving muscle tone, flexibility, and blood flow to the pelvic area. This is particularly helpful for those experiencing pain during intercourse, reduced sensation, or sexual dysfunction due to pregnancy, menopause, or other conditions.

5. Support During and After Pregnancy

Pregnancy and childbirth put significant stress on the pelvic floor. Physiotherapy during pregnancy can help prepare the muscles for labor and delivery, while postnatal physiotherapy helps recover muscle strength and function after childbirth, preventing issues like incontinence or pelvic organ prolapse.

What To Expect At Your First Appointment

Pelvic floor physiotherapy is a specialized type of physiotherapy focused on the muscles, ligaments, and connective tissues that support the bladder, bowel, and reproductive organs. It can help with concerns like bladder leakage, pelvic pain, constipation, prolapse, and postpartum recovery. If you're preparing for your first pelvic floor physiotherapy assessment, here's what you can expect:

1. A Private, Respectful Environment

Your comfort and privacy are a top priority. Assessments are done in a private treatment room, and you’ll have the opportunity to ask questions at any time. You are always welcome to bring a support person with you if that makes you feel more at ease.

2. A Detailed Conversation

Your physiotherapist will start by talking with you about your:

  • Symptoms and concerns (e.g., pain, leakage, heaviness, or weakness)
  • Medical history, including pregnancies, surgeries, or injuries
  • Bladder, bowel, and sexual health (only as relevant and with your consent)
  • Goals for treatment

This helps the physiotherapist understand your unique situation and tailor the assessment accordingly.

3. Physical Assessment 

With your consent, a physical exam may be done to better understand how your pelvic floor is functioning. This may include:

  • Posture and movement assessment: Looking at your spine, hips, and core.
  • External exam: Checking abdominal muscles, breathing patterns, and areas of tension or weakness.
  • Internal exam (optional): A gentle internal vaginal or rectal exam may be offered to assess pelvic floor strength, coordination, and any signs of muscle tightness, prolapse, or pain.

Important: You are in control at all times. The internal exam is completely optional and will only be done with your full, informed consent. You can decline or stop the exam at any point, and alternative assessment options can be used.

4. Your Personalized Treatment Plan

At the end of the assessment, your physiotherapist will:

  • Explain their findings in clear, simple language
  • Answer any questions you have
  • Create a personalized treatment plan, which may include: pelvic floor exercises, breathing and relaxation techniques, lifestyle and bladder/bowel health advice, education on pain management or symptom trigger

5. What to Wear and Bring

  • Wear comfortable clothing you can move in (e.g., leggings or shorts)
  • Bring a list of any questions or concerns
  • You don’t need to bring any special equipment

Final Note: You're Not Alone

Many people feel nervous about their first appointment—this is completely normal. Your physiotherapist is there to support you in a respectful, non-judgmental way. The goal is to help you feel confident, informed, and in control of your pelvic health.

 

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