We are pleased to offer Pelvic Floor Physiotherapist at our Oakville Physiotherapy clinic. Pelvic health issues and pelvic pain are more common than people realize. We just don’t talk about them.
Reasons Why You Might Seek a Pelvic Floor Physiotherapist:
- Incontinence (of the bladder or bowel)
- Pelvic pain (low back, hip, pelvic region, genital area, rectum)
- Pelvic pain (endometriosis, interstitial cystitis, prostatitis)
- Pre and Post Natal issues including guidance for returning to sport / activity (preparation for labour and delivery, pain, leakage, c-section scarring, tearing, episiotomy)
- Urinary urgency or frequency
- Bowel Issues (constipation, pain, straining)
The Cochrane Collaboration (2010) concluded:
“Physiotherapists with specialized training in pelvic floor rehabilitation should be the first line of defence, before surgical consultation, for stress, urge, and mixed incontinence“
The Following are not “Normal” or “Inevitable”:
- It is not normal to leak when you laugh, cough or sneeze.
- It is not normal to have pain with intercourse.
- It is not normal to feel pressure or heaviness in your pelvic region.
- It is not normal to feel pain in the pelvic region.
Who See’s a Pelvic Health Physiotherapist?
A pelvic health physiotherapist may treat women of all ages for a variety of issues.
- Athletes with incontinence issues
- Pre and post-pregnancy patients
- Women with pelvic pain issues (active or sedentary women)
- Women with bladder or bowel isses
- Pre or post-menopausal issues
- Unresolving hip or low back pain
Assessment and Treatment by a Pelvic Floor Physiotherapist:
In an assessment with a pelvic floor physiotherapist you can expect to sit and discuss the issue with the physio. They will ask you questions about the issue you have come in for, your goals, as well as general questions about you and your history.
The pelvic health physio will then take you through what to expect throughout the assessment. You may be asked to move through a series of range of motion and strength tests for your low back and hips. Your breathing patterns will be taken note of. The Physio may then wish to proceed, with your permission, with an internal examination.
In order to best assist you in your goals and to provide the best assessment, it is important for the Physiotherapist to perform an assessment of the muscles and tissues of your pelvic floor and around the pelvic floor. Our pelvic floor muscles assist bladder, bowel and sexual function. They are also a contributing part of our core musculature. In order for the pelvic health physio to know which direction of treatment is most appropriate for you, the assessment of the area is vital.
As a result or the assessment, the pelvic floor physiotherapist with discuss a diagnosis and will discuss a treatment plan, techniques, as well as anticipated outcomes you can expect. Each person is different and the your treatment will reflect that.
Treatment may include:
- Ongoing education and clear communication with the individual being treated.
- Retraining of the brain and the nervous system
- Manual therapy (to the pelvic area as well as nearby joints and muscles)
- Soft tissue techniques (scar-tissue, connective tissues, myofascial release)
- Relaxation and breathing training
- The use of treatment tools and modalities
- Training on self-care
- A progressive home program of exercises and self care techniques