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Pelvic Floor Physiotherapy

 

What is Pelvic Floor Physiotherapy?

You may be wondering what the difference is between pelvic floor physiotherapy and standard physiotherapy. Pelvic floor physiotherapy is a specialized area of physiotherapy that involves the muscles that line the inside of the pelvis. Physiotherapists must undergo specialized training in order to treat conditions of the pelvic floor muscles. Pelvic floor physiotherapy involves vaginal and/or rectal palpation in order to properly assess and treat the pelvic floor muscles.

Whether you have been referred for pelvic floor physiotherapy by your doctor or if you think that it is something that could benefit you, our pelvic floor physiotherapist at Studio Athletica has extensive training on how to professionally assess and treat pelvic floor conditions. With treatment plans based on your individual needs, our pelvic floor physiotherapist will help you get back to feeling like your best self.

 

What Can I Expect on My First Visit?

Our pelvic floor physiotherapist at Studio Athletica will complete a comprehensive assessment during your initial visit. With pelvic floor physiotherapy, it is important for the physiotherapist to gain a thorough understanding of your pelvic health history. An objective assessment will also be performed to examine the biomechanics and alignment of the spine, pelvis, and hips. In order to properly assess the strength and tension of the pelvic floor muscles, vaginal and/or rectal palpation will also be performed during the initial assessment.

Pelvic floor physiotherapists utilize a combination of manual based techniques, joint mobilizations, stretching and strengthening exercises tailored to your specific health care needs to treat the pelvic floor muscles and related dysfunction.

Pelvic floor physiotherapists utilize a combination of manual based techniques, joint mobilizations, stretching and strengthening exercises tailored to your specific health care needs to treat the pelvic floor muscles and related dysfunction.

 

 

Conditions Treated by Pelvic Floor Physiotherapy

Pelvic floor physiotherapy involves the treatment of many conditions. Most pelvic floor dysfunctions can be grouped based on an individual having hypertonicity (muscles that are too tight) or hypotonicity (muscles that are too weak).

 

Common pelvic floor conditions include:

 

  • Prenatal and post-postpartum pelvic floor physiotherapy
  • Diastasis recti
  • Stress/urge urinary incontinence
  • Nocturia
  • Fecal incontinence
  • Constipation
  • Overactive bladder
  • Pelvic Organ Prolapse
  • Dyspareunia
  • Vaginismus/Vulvodynia
  • Persistent Pelvic Pain
  • Pudendal Neuralgia
  • Coccydynia
  • Endometriosis/PCOS/Fibroids
  • Interstitial Cystitis
  • Bladder Pain Syndrome
  • Lower back pain

 

 

Signs That I May Need Pelvic Floor Physiotherapy

  • I leak urine when I cough/laugh/sneeze/run
  • I am unable to control my urge to pee and may often leak before reaching the bathroom
  • I am pregnant and am experiencing pelvic pain, urinary leakage, and/or lower back discomfort
  • I am pregnant and want to prepare my body for delivery and prevent and/or limit damage to my pelvic floor muscles
  • I recently had a baby and am experiencing pelvic pain, urinary leakage, pelvic pressure, pain with intercourse, do not know when to return to exercise
  • I have pain and/or discomfort with sex
  • I have pelvic pain with tampons, PAPs, tight clothing and more
  • I have painful periods
  • I have feelings of pelvic pressure and can sometimes feel something when I wipe after going to the bathroom
  • I have pain in my tailbone and/or lower back

 

How Much Will Pelvic Floor Physiotherapy Cost?

Pelvic floor physiotherapy is eligible to be covered under your health care benefits. At Studio Athletica, the cost is the same as a standard physiotherapy appointment as it’s important to us that our patients get the professional health care they need and deserve.

1hr initial appointment and treatment session is $125
1hr follow up treatment sessions are $125
30min follow up treatment sessions are $95

What is the Average Length of Treatment?

Following the initial assessment, our pelvic floor physiotherapist will determine an individualized treatment plan for you. The length and frequency of pelvic floor physiotherapy appointments will be determined at that point, taking into consideration patient’s availability and health care needs.

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Prenatal and Postnatal Pelvic Floor Physiotherapy

Motherhood can be quite a physically uncomfortable experience, both during and after pregnancy. However, most women don’t realize that they don’t have to live with the pelvic pain, incontinence, back pain, and painful sex associated with motherhood.

During pregnancy, pelvic therapy is vital as it offers symptomatic relief and prepares the pelvis for a comfortable delivery process. Therefore, whether or not you have pelvic-related issues, such as incontinence, pelvic therapy is still essential during pregnancy.

During delivery, the pelvic muscles undergo some trauma. Just like any other traumatized muscles, they require therapy to recover properly. If you’re experiencing chronic back pain, incontinence, or any other postnatal- related conditions, our pelvic floor specialists can help you get back to normal. Even if you feel completely fine after delivery, it’s worth getting checked by our specialists to make sure that everything is in order.

Diastasis recti

This is the partial or complete separation of the rectus abdominis muscles (six-pack). It’s caused by increased abdominal pressure, which weakens the fascia between the right and left rectus. Although this condition is prominent in women during or after pregnancy, it also affects men and infants. Our pelvic physiotherapists in Toronto can help you prevent this condition or treat it if it affects you.

Urinary Incontinence

Urinary incontinence can be divided into stress, urge, or mixed urinary incontinence. Stress incontinence is when urine leaks due to increased abdominal pressure, such as when sneezing, jumping or running. Urge incontinence is when one has an uncontrollable urge to urinate and may be accompanied by urine leakage. Mixed incontinence is a combination of stress and urge incontinence.

Urinary incontinence occurs when pelvic muscles fail to work as required. Through pelvic physiotherapy, our specialists can retrain your pelvic muscles and treat any type of urinary incontinence.

Nocturia

Nocturia or nocturnal polyuria is a condition in which you have excessive urination at night. Most people don’t need to wake up to urinate at night as the body produces less urine. If you have to wake up a few times at night to urinate, you might have nocturia. It can occur during pregnancy or due to medications such as diuretics. It can also be a symptom of an underlying medical conditions such as edema, diabetes, or bladder prolapse. Studio Athletica’s pelvic physiotherapists can help treat nocturia by addressing the underlying cause through personalized therapy.

Fecal Incontinence

Fecal incontinence or bowel incontinence is the inability to control bowel movement, which leads to involuntary leakage of stool. It ranges from the occasional leakage of small amounts of feces to a complete loss of bowel control. It’s one of the most uncomfortable conditions, but it can gradually improve through physiotherapy treatments.

Pelvic Organ Prolapse

Pelvic organ prolapse is when one or more organs (womb, top of the vagina, bladder, rectum) within the pelvis fall from their position and encroach into the vaginal space. Although it’s not life-threatening, it causes pain and discomfort. In some cases, you might notice organ protrusion from the vagina. A Studio Athletica pelvic floor physiotherapist can help you treat organ prolapse by creating a physiotherapy treatment plan customized to your specific needs.

Dyspareunia and Vaginismus

Dyspareunia is pain that can occur during sexual intercourse. The pain can be persistent or recurrent, and it varies from mild to severe. On the other hand, vaginismus is the involuntary contraction of pelvic muscles when a woman tries to insert anything (tampon or penis) into her vagina, and it may be accompanied by pain. A pelvic floor physiotherapist can improve the symptoms of dyspareunia and vaginismus through a customized therapy plan.

Vulvodynia

Vulvodynia is a chronic pain condition in the vulva, i.e., the external female genital organs (clitoris, labia, and vaginal opening). There is no certain cause of vulvodynia, however it is the leading cause of pain during intercourse. Vulvodynia can be categorized into generalized vulvodynia and localized vulvodynia. Generalized vulvodynia is associated with pain in different areas of the vulva at different times, while localized vulvodynia refers to pain in one area of the vulva. Through pelvic floor physiotherapy, our specialists can help reduce vulvodynia and gradually treat the condition.

Persistent Pelvic Pain

Persistent pelvic pain is a general term referring to chronic pain in the pelvis and genital region. It can occur during pregnancy or due to irritable bowel syndrome (IBS), endometriosis, and musculoskeletal problems. Our pelvic physiotherapy experts can help demystify your persistent pelvic pain and provide a suitable treatment plan.

Pudendal Neuralgia

Pudendal neuralgia is chronic and severely disabling pain in the pelvis or genital region. The pain occurs mainly in the genital and anal-rectal area, and it tends to intensify when one sits. It’s caused by damage or irritation to the pudendal nerve. Through pelvic floor physiotherapy, the pelvic muscles are stretched and relaxed, reducing irritation to the affected nerve, which in turn improves the pain and gradually treats the condition.

Coccydynia

Coccydynia, also called tailbone pain or coccygodynia, is the pain experienced in or around the bottom region of the spine (coccyx). Its caused by trauma to the tailbone, childbirth, prolonged sitting, infections, tumours, or other unknown causes. At Studio Athletica, physiotherapists can help you improve and treat Coccydynia through pelvic floor relaxation techniques.

Endometriosis/PCOS/Fibroids

Endometriosis is a condition in which tissue similar to the uterine lining tissue (endometrium) grows outside the uterus, causing chronic pain. The tissue grows in other regions, including the ovaries, intestines, and fallopian tubes, among other pelvis parts.

PCOS (polycystic ovary syndrome) is a hormone condition that affects women causing enlarged ovaries, increased male hormones, and small cysts within the ovaries.

Fibroids are abnormal growths that can develop in the uterus. They are non-cancerous and may present with or without any pain or discomfort.

If you’re suffering from any of the above abnormal tissue growth conditions, our pelvic floor physiotherapist can develop a personalized treatment plan to combat it.

Interstitial Cystitis

Interstitial cystitis is a chronic bladder condition that causes bladder pain, pressure, discomfort, and may also cause pelvic pain. This condition is part of painful bladder syndrome conditions that affect the bladder causing intense discomfort. When affected by interstitial cystitis, there’s a persistent urge to urinate, even with small volumes of urine in the bladder. The severity of the symptoms varies from person to person. Through pelvic floor physiotherapy, combined with other medical treatments, interstitial cystitis symptoms and other painful bladder symptoms, can be alleviated.

Overactive Bladder

Overactive bladder is a condition that causes frequent or sudden, uncontrollable urge to urinate. The condition is more prominent in women, but it also affects men. It can result from several conditions, including bladder stones, diuretic medications, neurological disorders, pregnancy, constipation, enlarged prostate, and many other factors. Our pelvic floor physiotherapists can help determine the cause of your overactive bladder and create a suitable treatment plan to improve your condition.

Other Pelvic Conditions

Apart from the above pelvic conditions, Studio Athletica pelvic floor physiotherapists can relieve the symptoms of other conditions and gradually treat them through personalized treatment plans. Other pelvic conditions that our specialists can treat include lower back pain, constipation, chronic prostatitis, irritable bowel syndrome (IBS), and dysmenorrhea.