Pelvic Health

What is Pelvic Health Physiotherapy?

Pelvic health physiotherapy is the assessment and treatment of various conditions and issues relating to pelvic floor muscles and surrounding pelvic girdle area. The pelvic floor is a group of muscles that attach from our coccyx (tailbone) to our pubic bone and ischial tuberosities (sits bones).  They provide support for our internal organs such as bladder, uterus, and rectum.

A pelvic health physiotherapist has been trained to do an internal and external evaluation of the pelvic floor muscles and is Rostered with the College of Physiotherapists to perform this type of assessment and treatment.  Please check out the college of physiotherapists for a qualified physiotherapist near you http://www.collegept.org/Home

Who should see a pelvic health physiotherapist?

We can see women and men who have any of the following issues or conditions:

  • Incontinence, urgency or frequency of the bowel and/or bladder
  • Pre- and post-partum pelvic pain
  • Organ prolapse
  • Sexual pain and dysfunction
  • Persistant pelvic pain
  • Diastasis recti
  • Vaginismus
  • Constipation
  • Men’s pelvic health including: post prostatectomy, prostatitis, chronic pelvic pain syndrome (CPPS) or chronic non-bacterial prostatitis
  • Back and sacroiliac joint pain that has not responded to previous treatments
  • Overactive bladder
  • Many other pelvic conditions

What is involved with an assessment?

The assessment typically involves a questionnaire to be filled out prior to arrival so that you will have an awareness of some of the questions and topics we will be. The subjective exam will be an opportunity for you to discuss your concerns and what brings you to physiotherapy. The objective exam may involve a postural, lower back, hip, sacroiliac joint, pubic symphysis assessment. With your consent, an external and internal assessment may be conducted which will be discussed in greater detail during the assessment.

What does a treatment consist of?

Depending on the Assessment findings, the following are some treatment options:

  • Pelvic floor muscle strengthening
  • Connective tissue mobilization
  • Myofascial trigger point release
  • Biofeedback
  • Electrical muscle stimulation
  • Home exercise program
  • Education
  • Bowel or bladder diary
  • Guided relaxation techniques
  • Mobilization/manual therapy of the lumbar spine, hips, coccyx, sacroiliac joints

 

Is this type of therapy covered by extended health benefits? Do I need a Doctor’s referral?

This is covered through physiotherapy benefits. A doctor’s referral is not necessary to see a registered physiotherapist but it may be required by your insurance company. We always advise our patients to check with their provider so they know how much they are covered for.