Pelvic floor physiotherapy is a relatively new branch of treatment which involves the assessment and treatment of various conditions which may manifest from the pelvic floor. Often learning to do Kegel exercises is the most recognized and prescribed form of therapy, but treatment goes far beyond these simple exercises In fact for some Kegel’s are exactly the wrong exercises for your problem.  Many Obstetricians and Gynaecologists now recognize that the first line of treatment is working with a physiotherapist trained in pelvic health.

When should you consider pelvic floor physiotherapy ?

If you suffer from the following symptoms you should consider an assessment to determine which type of therapy will help:

  • Incontinence
  • Frequency
  • Rectus Diastasis – a gap between your abdominal muscles, commonly occurs after child birth
  • Prolapse – a condition where organs, such as the uterus, bladder or rectum, fall down or slip out of place
  • Pelvic Pain – during or after intercourse

What does our pelvic floor do?

medically accurate illustration of the pelvic floor muscles

The pelvic floor is a hammock of muscles and ligaments that extend from back to front and side to side across the bottom of the pelvis. They attach to the pubic bone in the front, our sit bones on each side, and to our tailbone at the back.

Their function is to:

  • support the uterus, rectum, bladder, and bowel
  • help control the bladder and bowels
  • works together with the muscles of the back and abdominal wall to support the low back
  • plays an important role in sexual function and pleasure.

What to Expect in Your Pelvic Assessment?

Prior to your initial assessment, you will complete a detailed questionnaire regarding your pelvic health. Your physiotherapist will review this form with you during your evaluation.  Further information will be asked regarding your medical history and any information that will help her better understand the reason for your visit.

The physical assessment will include both an external and internal evaluation to assess the strength, function and integrity of your pelvic floor muscles. You will be asked for your consent to proceed with the evaluation at every step of the way.  The complete assessment will help your physiotherapist determine the best plan of action prior to initiating treatment. A full discussion of the examination procedures and treatments will occur prior to proceeding at each step to ensure your comfort and safety. Once the assessment is complete your program may consist of direct treatment to reduce the tension in the muscles or to teach you proper pelvic contraction.  Home exercises are often included to address your specific symptoms, goals and concerns.

Why is an internal exam needed?

Research shows that when the pelvic floor muscles are assessed internally, that consequently the treatment carried out by a physiotherapist with advanced training in this area is highly successful. Thus, it should be the first line of defense, before surgery or any other medical intervention, for both pelvic pain and incontinence.

Contact us

If you are having pelvic floor symptoms or would like to have more information, please consult our registered physiotherapist Svetlana Marianer at or call 416-925-4687 to book an assessment.