Frequently Asked Questions
The pelvic floor is a group of muscles, ligaments, and tissues that support the pelvic organs, including the bladder, uterus (in females), and rectum. These muscles play a crucial role in functions such as bowel and bladder control, sexual function, and stability of the pelvic organs, pelvis and low back.
Pelvic floor physiotherapy involves the assessment and treatment of issues related to the pelvic floor muscles. It often includes an internal vaginal and/or rectal exam (with your consent), exercises, manual therapy, and education to address problems such as incontinence, pelvic pain, and pelvic organ prolapse.
Pelvic floor physiotherapy can benefit individuals experiencing various issues, including urinary or fecal incontinence, pelvic pain, pelvic organ prolapses, pre and postpartum concerns, and pain with intercourse.
During the initial assessment the physiotherapist gathers information about your medical history and performs a physical examination. This may include assessing posture, range of motion, muscle strength, and an internal pelvic exam. Based on the findings, an individualized treatment plan is developed, which may include exercises, manual therapy, and lifestyle modifications.
Internal exams are common in pelvic floor physiotherapy as they allow the physiotherapist to assess the tone, strength, and coordination of the pelvic floor muscles more accurately. However, it is always done with the patient’s consent, and alternative assessment methods can be considered if the client isn’t comfortable with an internal exam.
Initial assessments are 60 minutes and follow-ups are generally 30 minutes. However, sessions may vary depending on individual needs.
Absolutely! Men have pelvic floors too. Conditions such as pelvic pain, incontinence, and post-prostatectomy issues can be addressed through pelvic floor physiotherapy.
Yes, pelvic floor physiotherapy is often recommended during pregnancy to address issues like pelvic pain, back pain, and prepare for childbirth. It is also beneficial postpartum to aid in recovery, incontinence and return to exercise.
Most extended health plans cover physiotherapy, which is what pelvic floor physiotherapy is billed under. However, it is recommended that each client contact their insurance company to ensure physiotherapy is covered and how much they are allocated.
At the end of each session the client pays for their session and is given a receipt to submit to their extended health benefits.
No, your therapist is still able to do an internal exam even when on your period if you are comfortable with it. If you are not, your therapist can work externally or focus on exercises.