Pelvic health physiotherapy is an evidence-based treatment for common conditions within the pelvis such as incontinence, pelvic organ prolapse, and pelvic pain. A comprehensive subjective and objective evaluation is conducted to identify all the factors that are contributing to your symptoms. A treatment plan will be formulated with personalized short and long-term goals.

Where are the pelvic floor muscles located?

The pelvic floor muscles consist of three layers of muscle that form the base of the pelvis. Stretching like a hammock between the pubic bone and the coccyx, these muscles play a major role in holding in urine, gas and stool. They also support the pelvic organs like the uterus and bladder and play an essential part in the female orgasm. During a voluntary contraction, the pelvic floor muscles move forward and upward. This causes the organs (bladder, uterus and rectum) to move further inside the pelvis, which compresses the urethra, vagina and rectum forward, i.e., against the pubis.

A strong and toned pelvic floor that has endurance and coordination helps:

• Support the pelvic organs (bladder, uterus and rectum).
• Compress the urethra during physical effort and urgent need to urinate, thereby preventing leaks of urine, gas and stool.
• To increase satisfaction in sexual activity.

What to expect at the assessment in pelvic health physiotherapy?

This treatment is appropriate for any woman experiencing pelvic floor symptoms or wanting to be proactive with their pelvic health.

The initial assessment comprises a one-hour individual pelvic health evaluation conducted by a registered women’s health physiotherapist. Depending on the purpose of the consultation, it may include a postural examination, an abdominal evaluation, a perineal assessment, and a vaginal assessment.