A woman performs a stretching exercise with the guidance of a pelvic floor physical therapist in a clinical setting.
Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is a type of care that looks at the muscles supporting your bladder, colon, and uterus.

When these muscles do not work well, you might leak urine, feel pressure or pain in your pelvis, or have pain during sex. Studies show that training these muscles often helps with problems like urinary incontinence.

Here is a list of examples for conditions we treat with pelvic floor physiotherapy:

  • urinary incontinence (leakage), frequency and urgency
  • constipation, straining or painful bowel movements
  • pelvic organ prolapse (a pelvic organ shifts out of place creating heaviness or bulging at the vaginal or rectal opening)
  • sexual dysfunction (inability to have vaginal penetration, or pain with penetration, erectyle dysfunction or pain during erection)
  • pelvic girdle pain (related or not to pregnancy)
  • pregnancy follow-up, delivery preparation and post-natal therapy
  • dysmenorrhea (painful periods)
  • vulvodynia and vaginismus

These pelvic conditions can occur during any point in a person's life. Sadly, people think they must live with these symptoms for the rest of their life, but luckily there is much that can be done to correct these problems and lessen/get rid of symptoms!

How to find us?

What our clients say

Who needs Pelvic floor physiotherapy?

We suggest that many pregnant clients start care around 28 to 32 weeks, but coming later still helps. In these sessions, you learn about pushing techniques, perineal massage, and exercises to prepare for childbirth.

After giving birth, whether vaginally or by cesarean, many people still have pelvic issues, like leaking urine or pain. Pelvic floor physiotherapy helps heal these problems by finding weak or tight muscles and improving their function. Even if you gave birth many years ago, therapy can still help. Research in the British Journal of Sports Medicine (Bo et al., 2017) shows that pelvic floor exercises improve stress urinary incontinence in women after pregnancy.

During perimenopause and menopause, hormone changes often affect the pelvic floor. You might notice dryness, pain, or leaking when you laugh or cough. Physiotherapy helps rebuild strength and control in these muscles, making daily life more comfortable.

What to expect from your pelvic floor physiotherapy appointment?

Before treatment, we discuss your health history. We ask if you wake up often to use the bathroom, leak urine when you exercise, or feel pain during sex. We also talk about your goals and what activities you want to enjoy without discomfort. We then do a check of your abdomen, lower back, and inner thighs. Sometimes we suggest an internal exam of the pelvic floor muscles. This exam is always your choice. If you agree, it gives us more information so we can help you better.

What does pelvic floor physiotherapy consist of?

Treatment might include gentle, hands-on techniques, special exercises, and tips for relaxing and strengthening the pelvic floor. We work with you to meet your needs, whether you hope to prepare for an easier birth, recover after having a baby, or feel more in control during menopause. Following guidance from the International Continence Society, we start with these simple, low-risk treatments first. Many people improve without needing other interventions.

We want you to feel confident in your body. Pelvic floor physiotherapy helps restore comfort, reduce leaking, and improve your quality of life.

Our specialized team in Newmarket is here to support you. Book your appointment online now and start feeling better.

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