Pelvic Health Physiotherapy is the external and internal examination of the pelvic floor structures, muscles and connective tissues. Stephanie Burans, our pelvic floor physiotherapist, is highly trained and ready to assist you.
Our “core” is comprised of our diaphragm, abdominal muscles, lumbar muscles and pelvic floor. Together, they create a cylinder of support for our whole system. All parts of the core should function properly for our daily function. Dysfunction of the pelvic floor can lead to incontinence, difficulty with bowel and bladder evacuation, genital pain, pain with intercourse, and non-responsive low back or hip pain.
Internal pelvic floor examination has been determined to be the gold standard for pelvic floor rehabilitation. Your physiotherapist will discuss the options available for your pelvic health rehabilitation and work with you to find a treatment option that is comfortable and effective.
Your pelvic health assessment may include:
– an external orthopaedic assessment
– an external exam of the pelvic floor and genitalia
– upon consent, an internal examination of the vagina (in females) and rectum (in males and females)
You will be provided with a personalized treatment plan that addresses your pelvic floor and orthopaedic issues.
Conditions treated include:
– pre and postpartum pelvic pain and urinary dysfunctions
– urinary incontinence
– bladder retention
– fecal incontinence
– constipation or bowel dysfunctions
– pelvic organ prolapse
– pelvic and low back pain
– pain with sexual activity and menstrual cycles
We look forward to helping you reach your goals through pelvic health rehabilitation.


Frequently Asked Questions

  • Is an internal exam required?
    • You always have the right to consent or decline to consent to components of your physiotherapy treatment. Although you are not required to do an internal exam, your treatment will be more effective if we are able to assess the structures fully. Research has shown that internal examination and treatment is more effective in the rehabilitation of pelvic floor dysfunction than an external treatment approach. Your physiotherapist is a highly trained professional who will make every effort to fully discuss your options and to treat your condition with sensitivity.
  • What training is required for pelvic floor physiotherapists?
    • Physiotherapists trained in the internal assessment and treatment of the pelvic floor are required to take specialized courses. They are rostered with the College of Physiotherapists of Ontario and are held to high standards of educational requirements and ongoing maintenance of skills to perform this sensitive form of treatment.
  • Do I require a doctor’s referral?
    • Physiotherapy, including pelvic floor physiotherapy, is direct access – meaning you do not require a referral to seek treatment. You should review the requirements of your insurance provider, as they may require a referral for compensation.
  • Can I be assessed or treated while I am on my period?
    • Internal pelvic floor assessment and treatment can be performed during menstruation. If you are not comfortable with internal examination during your period, there are external techniques, manual therapy and exercises that can be performed during your appointment.
  • Can I bring my baby to appointments?
    • Yes, babies are always welcome in the treatment room.
  • Can I have internal assessment and treatment while pregnant?
    • It is safe to have internal assessment and treatment during pregnancy, unless your doctor or midwife has recommended to avoid intercourse or internal examination. If you are unsure about your restrictions, speak with your doctor or midwife. If your doctor or midwife would like to speak to your therapist, our pelvic floor physiotherapist is happy to work with your care team to ensure safe and effective treatment.
  • How long should I wait to see a pelvic floor physiotherapist after giving birth?
    • Your physiotherapist would be happy to assess and treat at any time after childbirth. External examination, education, exercises and manual treatment can be performed immediately following childbirth. Internal examinations can be introduced with clearance from your doctor or midwife to resume intercourse. In the case of caesarian sections, internal examinations will not be performed before 6 weeks post-op.