Pelvic Floor Physiotherapy in Scarborough

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Pelvic Floor Physiotherapy in Scarborough

At Healthy Life Physio & Wellness Scarborough, we recognize the intricate connection between your pelvic floor muscles, the muscles in your low back and hips, and their vital role in supporting your lower back, pelvis, bladder, and bowel. These intricate muscles contribute significantly to core stability, breathing, posture, and the support of pelvic organs.

Should your pelvic floor muscles be weak or hypotonic, you may experience issues like incontinence and prolapse due to inadequate support. Conversely, if these muscles are shortened, tight, or hypertonic, you might encounter persistent pelvic pain, frequent or urgent voiding, as well as constipation and retention problems.

Rest assured, our pelvic floor physiotherapists, specially trained and regulated by the College of Physiotherapists in Ontario, are adept at treating pelvic pain and dysfunction. Our comprehensive approach involves assessing overall posture and functionality, closely examining pelvic pain patterns, and evaluating bladder and bowel function where necessary.

What to expect at your appointment?

During your assessment and treatment, our physiotherapists utilize both internal and external techniques to effectively evaluate and address these pelvic floor muscles and their related structures. Julie McDonald, our GPC Pelvic Health physiotherapist, employs manual techniques, specialized exercises, and lifestyle modifications to treat pelvic pain and dysfunction.

What’s not normal when it comes to your pelvic health?

It’s essential to understand that certain discomforts are not “normal,” and many individuals can benefit from pelvic physiotherapy:

  • Leaking when you laugh, cough, or sneeze is not normal.
  • Pain during intercourse is not normal.
  • Feeling pressure or heaviness in your pelvic region is not normal.
  • Pelvic pain is not normal.

Our pelvic physiotherapists in Scarborough will conduct a thorough evaluation to determine how they can best assist you with these difficulties. Pelvic physiotherapy is increasingly recognized as the primary treatment choice for various pelvic dysfunctions, including pain and incontinence. If you are dealing with low back pain, chronic hip pain, or pelvic dysfunction, you may find significant relief through pelvic physiotherapy.

Conditions our pelvic floor physiotherapists treat:

  • Pelvic pain, including pain in the lumbar, hip, genital area, and rectum.

  • Pudendal Neuralgia (genital nerve pain)

  • Interstitial Cystitis/Painful Bladder Syndrome

  • Urinary Tract Infections

  • Post-Abdominal Surgeries

  • Chronic/persistent low back/Si joint/tailbone pain

  • Vulvodynia (generalized vulvar pain)

  • Vestibulodynia (inner labia pain)

  • Vaginismus (painful penetration)

  • Clitorodynia (pain over/around the clitoris)

  • Incontinence (leakage), urinary frequency, urinary urgency.


Research indicates that individuals experiencing incontinence should consult a Pelvic Health Physiotherapist (who uses internal examination to assess the pelvic floor and teach appropriate exercises) before considering surgical options. In some countries, clients with these concerns are not considered for surgery until they’ve attempted six weeks of Pelvic Physiotherapy. Ontario and most of Canada have not yet fully adopted this practice. We encourage you to discuss pelvic floor physiotherapy with your healthcare provider before pursuing surgery.

Prolapse (Pelvic heaviness)

For those dealing with pelvic organ prolapse, pelvic physiotherapy is recommended as the first line of defense or natural way of healing. Prolapse is often caused by weak or damaged pelvic floor muscles or support structures. Factors contributing to prolapse may include vaginal childbirth, menopause, chronic constipation, heavy lifting, and prior abdominal surgeries. Our Pelvic Health Physiotherapists conduct an internal examination to accurately evaluate pelvic floor strength and identify other factors contributing to the issue. Tailored exercises are then prescribed to address specific findings.

Bowel dysfunction, including constipation, straining, or pain.

Maintaining good bowel function is essential for overall health and well-being. Conditions like constipation and Irritable Bowel Syndrome (IBS) are common pelvic disorders stemming from various causes. Our pelvic physiotherapists are trained to assess the muscles and structures surrounding the bowel, which significantly impact bowel function. When addressing pelvic health, the physiotherapist considers your diet, bathroom habits, medications, stress levels, and health history during a comprehensive assessment. Treatment is tailored to your individual needs based on these assessment findings.

Pelvic floor physiotherapy is a valuable component of both pre- and post-partum care. In some countries, it is recommended that all women who give birth vaginally see a physiotherapist as part of their post-natal care. Whether you are dealing with Diastasis Recti Abdominus (DRA = abdominal separation), pelvic/back pain, urinary leakage, heaviness, or simply want to prepare for birth, Pelvic Physiotherapy can be a crucial part of your treatment plan.

Dyspareunia (painful intercourse)

Many women experience pain during intercourse, which can occur during sex, initial or deep penetration, and orgasm. This common issue may have various causes. Our treatments aim to address the underlying causes and help alleviate or reduce symptoms.

Dysmenorrhea (painful periods)

Dysmenorrhea, or painful periods, can result from factors like vascular congestion, stress, anxiety, uterine fibroids, and endometriosis. Pelvic Health Physiotherapy can play a crucial role in restoring function and improving blood circulation to organs, reducing pain in the process.

What to expect at your pelvic assessment?

During your first appointment, your pelvic physiotherapist will conduct an extension of orthopaedic physiotherapy, examining your entire body. They will take a comprehensive medical history, discussing your concerns and difficulties. You will be asked about your pelvic pain history, surgical history, eating and drinking habits, voiding, and any discomfort experienced during intercourse in relation to your symptoms.

Your posture, breathing, and muscles contributing to weakness, tightness, or strain in the pelvic region will also be evaluated, which may include an external and internal examination to assess pelvic floor muscle health.

After the assessment, our Pelvic Health Physiotherapist will collaborate with you to create a personalized care plan based on your goals, symptoms, and needs. Follow-up appointments will be scheduled as required, typically within 1-2 weeks of your initial visit.

Please remember to wear comfortable clothing to each session. If you are ready to embark on your pelvic health journey, you can schedule an appointment with our Pelvic Health physiotherapist.