What is a pelvic floor physiotherapist:
A pelvic floor physiotherapist is a registered physiotherapist with specialized training in the assessment and treatment of the pelvic floor. This involves further education following graduation and licencing to become a physiotherapist. Examinations can be performed both internally and externally (through clothing). Internal examination of the pelvic floor is a roistered activity that only qualified physiotherapists are allowed to perform. To learn more about what is involved to become a pelvic floor physiotherapist click here (link to PHS).
What conditions are appropriate for pelvic health physiotherapy?
Pelvic floor physiotherapy involves the assessment and treatment 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
- Constipation or fecal incontinence
- Pelvic pain
- Pelvic organ prolapse
- Birth preparation and post-partum recovery
- Exercise during pregnancy and return to fitness following birth/Caesarean
- Prostate surgery pre and post rehabilitation Urinary incontinence
Also, some common conditions such as low back pain, hip pain, and even knee pain can be due to issues in your pelvic floor. Ask your physiotherapist or doctor if you think pelvic floor physiotherapy may be right for you!
What to expect on your 1st visit?
Prior to meeting with your physiotherapist you will be asked to fill out some standard paperwork. Please arrive 15 minutes prior to your assessment to allow time to complete all paper work.
Your pelvic health physiotherapist will begin by discussing your full medical history, as well as your current problems and symptoms.
Your physiotherapist will then conduct a comprehensive physical 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 then 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, please go to the site below and watch the video demonstrating exactly what to expect in an internal pelvic floor physiotherapy assessment.
What does a treatment plan involve?
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 of your clinical visits and duration of your treatment plan will be determined by a variety of factors – including but not limited to: your diagnosis, how long you’ve been experiencing symptoms, your goals, EHP coverage, and your availability. As treatment progresses, you and your physiotherapist will engage in ongoing discussions that result in treatment decisions, but typically, after your initial assessment the physiotherapist will ask you to book at least one-two appointment(s) a week for 3 weeks to start.
Our goal at South City Physiotherapy is to help you achieve your goals in a comfortable and compassionate way.
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
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!
Also, a pelvic physiotherapist would be happy to answer any of your questions over the phone. If a pelvis floor physiotherapist is not available at the time you call, you will be directed to leave a message on a confidential voice mailbox, and she will return your call as soon as possible.