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Pelvic Health Physiotherapy

The pelvic floor consists of muscles that are important for your bladder, bowel, and sexual function.  When these muscles are too tight or too weak, problems such as pain, incontinence and organ prolapse can occur.  Pelvic Health Physiotherapists are Registered Physiotherapists who have specialized in the treatment of pelvis related concerns.  Using exercises, lifestyle modifications, education, hands-on treatment and pessaries, a Pelvic Health Physiotherapist can help to improve your pelvic floor function and decrease or eliminate your symptoms.

What to expect when you see a Pelvic Health Physiotherapist

At your initial assessment we start by understanding your symptoms, relevant medical information and any factors that may be contributing to your experience.  Any personal and health information you provide to your Pelvic Health Physiotherapist is completely confidential and will be safeguarded.

Next, your therapist will perform an assessment of your low back, hips, and pelvis.  Most of the time, an internal exam will also be done to assess the pelvic floor muscles; however, it will not be performed if you are experiencing acute pain or are uncomfortable with the procedure.

Based on the assessment findings, an individualized treatment plan will be proposed.  Treatments may include advice and lifestyle modifications, education, exercises, and manual therapy.  Your therapist may also recommend biofeedback or the use of a pessary.

A pessary is a flexible device that provides support to pelvic organs (your urethra, bladder, uterus and rectum) that have prolapsed into the vaginal space (which is a cause of urinary incontinence).  Pessaries are non-invasive, comfortable and can be easily removed and reinserted by a qualified Pelvic Health Physiotherapist or independently by the user.

Each person’s recovery process is different so your Pelvic Health Physiotherapist will clearly communicate expected timelines with you.

Pelvic Health Physiotherapy is beneficial in treating:

  • Constipation
  • Groin/Pubic pain
  • Lower back pain
  • Pelvic organ prolapses
  • Pelvic pain
  • Piriformis Syndrome
  • Pre and post-pregnancy issues – labour and delivery preparation, pain, leakage, bulging and scarring from C-sections, tearing or episiotomy
  • Sacroiliac pain
  • Urinary incontinence – stress, urgency and mixed
  • Vaginal Pain Syndrome
  • Vaginismus

Each of our services can be provided independently or in combination and we’re happy to collaborate with professionals that you trust who are outside of our organization.  We will work with you to determine the best combination of services for your needs.  No matter what services you access at Novah, our goal is to enhance your resilience for your current challenges and beyond.

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