Pelvic Floor Physiotherapy

Physiotherapists Specializing In Pelvic Floor Rehabilitation

A physiotherapist who focuses on issues of the pelvic floor works to assist female patients in rehabilitation of the muscles of the pelvic floor. These are muscles that can grow weaker as a result of surgical procedures, childbirth, lifting heavy objects, chronic obesity or even menopause. The purpose of these muscles is to support the uterus, the bowel and the bladder. They create something of a sling that extends from the patient’s pubic bone in the front to their tailbone at their rear. When these muscles are weakened, control of the bowel and bladder can be compromised, with leakage (incontinence) and prolapse being common outcomes.


There are other patients for whom overactive pelvic muscles are the problem. For these women, the muscles can essentially activate spontaneously when they should in fact be relaxed. Women with this affliction must retrain the muscles to release. Overactive pelvic muscles can cause trouble with tampon use, bladder and bowel function as well as sexual function.

Certification And Training

A physiotherapist will have studied to receive a bachelor’s degree in the discipline. This tends to take about four years for a normal university course, though some may elect to pursue a dual degree program that will last six years. Becoming a specialist in pelvic floor physiotherapy can entail earning a postgraduate certification or completing a masters degree program. These professionals will also secure registration with the relevant governing body and commit to following stringent regulations and standards of practice.

How Consultations Work

It is not usually necessary to have a physician referral to seek assistance from a pelvic floor physiotherapy specialist. Of course, if you have received a formal referral for treatment of a chronic condition, OHIP may provide a discount on therapy.

Your physiotherapist will begin by taking a complete medical history that covers sexual function, bowel and bladder function, surgical procedures and general medical concerns. You will also be asked about your level of routine physical activity and will be subject to examination of the muscles of the pelvic floor.

Courses Of Treatment

Common treatment methods may encompass electronic monitoring (biofeedback), exercise routines and manual techniques designed to improve the patient’s particular condition. Physiotherapists are also likely to offer fitness and exercise pointers and advice concerning bowel and bladder habits. Seeking functional methods of addressing issues with pelvic floor muscles is a great way to get things back to normal.