What conditions are appropriate for pelvic floor physiotherapy?

Pelvic floor physiotherapy involves the assessment ad treatment of a variety of conditions affecting/involving the pelvic floor such as;

  • Issues with urination
    • incontinence (leakage), urgency, nocturia (waking at night to urinate repeatedly), frequency
  • Pelvic pain conditions
    • Endometriosis
    • Vaginismus, vestibulodynia, vulvodynia
    • Dyspareunia/painful intercourse
    • Clitoral phimosis
    • Pudendal Neuralgia
  • Urogenital pain conditions
    • Internal cyctitis
    • Overactive bladder
    • Painful bladder syndrome
  • Constipation or fecal incontinence
  • Back, pelvic, hip, groin, or knee pain
  • Pelvic organ prolapse
  • Birth preparation and post-partum recovery
  • Sacroiliac joint pain
  • Exercise pre and post birth/Caesarean
  • Prostate – pre and post surgery rehabilitation

Ask your physiotherapist or doctor if you think pelvic floor physiotherapy may be right for you!

 

Do I need a doctor’s referral?

No, you do not need a doctor’s referral to be seen by the pelvic physiotherapist. However, a referral may be needed by your extended health benefits provider for repayment. Please call your extended health benefits provider prior to your initial assessment to ask if you are unsure. South City Physiotherapy offers direct billing for most health care providers.

 

What is a pelvic floor physiotherapist?

A pelvic floor physiotherapist is a registered physiotherapist with specialized training in the assessment and treatment of pelvic floor issues.  This involves further education following graduation and licencing to become a physiotherapist.

 

What to expect on your 1st visit?

Please arrive 15 minutes prior to your assessment to allow time to complete some standard paper work.

Your pelvic health physiotherapist will begin by discussing your full medical history, as well as your current issues and symptoms.

Your physiotherapist will then conduct a comprehensive assessment of the affected areas based on your medical history.  This may include the examination of your posture, movement patterns, joint range of motion, core strategies, and coordination of your pelvic floor through an internal/external examination.

The physiotherapist will analyze your assessment findings and explain how these results relate to the issues you are experiencing.

Note:

If you are uncomfortable with an internal examination, you can still be assessed and treated by the pelvic health physiotherapist. (External examinations can be performed by palpation of pelvic floor musculature through clothing.) Your physiotherapist will discuss the pros and cons of internal vs. external examination at your initial assessment.  An internal examination can also be performed at any point of your treatment plan.

To learn more about what to expect, watch this video demonstrating exactly what to expect in an internal pelvic floor physiotherapy assessment.  https://www.belliesinc.com/pelvic-floor-physio-assessment/

What comes next?

Follow up sessions are based on a combination of education, lifestyle changes, movement therapy, pelvic floor muscle re-education, biofeedback, electrical muscle stimulation, postural education, manual therapies, and bladder/bowel retraining.

The frequency and duration of your treatment plan will be determined by a variety of factors, which will be an ongoing discussion with your physiotherapist. This includes, but is not limited to: your diagnosis, how long you’ve been experiencing symptoms, your goals, your coverage, and your availability. Typically, the physiotherapist will ask you to book at least one-two appointment(s) a week for 3 weeks to start.

 

Further referrals?

At South City, our treatment success rate is very high, but there is always the possibility that some conditions cannot be resolved within our clinic.  In such cases, you would be referred to a specialist outside of the clinic.

Does this apply to you?

You can contact us through our website at www.southcityphysio.com or call our reception staff at 519-763-2885.  When you connect with us, please specify that you want Pelvic Floor Physiotherapy Services, so we can connect you with the physiotherapist best suited to your needs.

Have more questions?

If you are still unsure about pelvic floor physiotherapy we encourage you to visit pelvic health solution’s website to learn about all things pelvic!  http://pelvichealthsolutions.ca/

Also, the pelvic physiotherapist would be happy to answer any of your questions: please call the clinic and she will return your call.