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Pelvic Health Physiotherapy 

GUIDING YOU THROUGH PERIODS, PREGNANCY, POSTPARTUM AND BEYOND

 

Pelvic health physiotherapy is beneficial for every woman, regardless of if you’ve had a vaginal or cesarian birth, and also for those who’ve had neither a birth nor pregnancy.

 

Every body has a pelvic floor, which means everybody could benefit from seeing a pelvic floor / pelvic health physiotherapist. It’s never too early or too late to see a pelvic physiotherapist. 

 

Valuable for those:

  • Preparing their bodies for pregnancy

  • Currently pregnant - from week 1 to week 40 and every day in between

  • In the postpartum period - beginning as early as 4 weeks postpartum*

  • Years or decades after giving birth

  • Transitioning through menopause and beyond

  • With certain conditions such as endometriosis, poly cystic ovary syndrome and other diagnosed pelvic health or reproductive health issues

  • Experiencing incontinence, leaking pee with cough, sneeze or exercise, inability to get to the toilet on time, constipation

  • With pelvic, back, hip or vulvar and vaginal pain

  • Following abdominal or pelvic surgery

  • Trying to ready their bodies for return to exercise or specific training (example: races or sport specific)

 

You will learn:

  • The specifics of your own core, how it functions and why

  • What particular steps are needed to achieve optimal core function to support your body:

    • In preparation for pregnancy

    • To have a comfortable pregnancy and birth while providing support for you and your baby 

    • To restore, reconnect and retrain your core efficiently after childbirth, injury or surgery

    • Decrease scar tension from birth or surgery to improve mobility, reduce pain and restore optimal core function

 

  • How to prevent, reduce, manage and resolve things like: 

    • Diastasis Recti (abdominal separation)

    • Low back, pelvic girdle, hip, tailbone, pubic symphysis pain and dysfunction

    • Symptoms from pelvic pain conditions such as endometriosis

    • Pelvic organ prolapse

    • Urinary/ fecal incontinence and urinary frequency/ urgency

    • Pain during intercourse (dyspareunia, vaginismus)

 

  • How to have a comfortable pregnancy and birth:

    • Reducing pelvic pain

    • Minimizing the risk of vaginal tearing during birth

    • Reducing fear and gaining confidence as you prepare for your birth

    • Learning to trust your body in childbirth

    • Acupressure points and other pain control strategies and optimal positions for labour and delivery

    • Most efficient pushing techniques to reduce strain on your pelvic floor

 

  • How to efficiently recover after childbirth, surgery, or imbalance and restore core function:

    • With scar massage to reduce pain and increase mobility- allowing your core to function more effectively

    • Which specific exercises are needed to strengthen your core - beyond sit-ups and kegels - which might not be what you need and could worsen symptoms

 

  • Appropriate steps to return to function, activities and movement that you enjoy.

 

 

Your individually tailored treatment may include:

 

  • Internal pelvic floor manual therapy to: 

    • Address and reduce tension 

    • Increase strength 

    • Improve coordination 

    • Build support for your pelvic floor and your body as a whole

 

  • External manual therapy techniques

 

  • Scar release techniques 

    • For scars related to surgeries, c-section, episiotomy, vaginal, hysterectomy etc

    • Addresses scar mobility, reduces pain and improves core function

 

  • Education of your anatomy and what could be contributing to your symptoms

 

  • Individualized guidance and support for movement, exercise and sports you:

    • Enjoy while pregnant 

    • Would like to get back to or continue with 

    • Maybe haven’t considered and need suggestions for

    • Would like to excel at

 

  • A home exercise program individually created to address your goals which could include: 

    • strength training

    • specific core exercises

    • yoga and Pilates based therapeutic exercises

 

  • Guidance on breath-work, mindfulness and meditation 

 

 

Assessment and Treatment

All pelvic health physiotherapy assessments and treatments are one-on-one with your registered physiotherapist either virtually or in-person in a private treatment room.

 

Assessment ( 70 minutes )

  • Virtual video session via a secure healthcare portal 

  • Comprehensive collection of your health history, symptoms, pregnancy or birth history if applicable 

  • Education on how your core works and what might be causing your symptoms

  • Strategies to practice to help reduce your symptoms and improve your comfort and function 

 

Treatment ( 45 minutes to an hour) 

  • Length of session depends on your individualized treatment plan

  • Can be offered both in person and virtually

  • May involve any of the treatment strategies listed above

  • * Postpartum internal assessments are only performed once you have been cleared medically by your birth team. 

Laine is happy to collaborate with other health, birth and fitness professionals you may be working with. If you don't currently have a support team, she can recommend other professionals that can help you reach your pregnancy and health goals.

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