Pelvic Floor FAQs | Element Physio

Pelvic Floor FAQs

What does a Pelvic Floor Assessment Include?

It includes a detailed history of your medical health, bowel and bladder routines, an assessment of core, posture and the way you breath. It can involve any combination of an external check of the perineum (area between the vagina and anus) at the first visit and internal vaginal or ano-rectal exams at the second visit. Your therapist will review the options at your first visit and proceed from there.

How many visits will I need?

It depends on what is found during assessments in the first few sessions. Most women attend Pelvic Floor Physiotherapy for 3-6 months, as it can take that long for symptoms to improve. Often we schedule our first 3-4 sessions 1-2 weeks apart and start to spread out sessions 3 weeks+ once we have you on a program.

Who benefits from a Pelvic Floor Assessment?

EVERYONE! Anyone that has had the following symptoms: urinary incontinence or urgency, stool incontinence or urgency, chronic constipation, pain or discomfort with sexual intercourse, Pelvic Organ Prolapse (POP) – feelings of vaginal or rectal heaviness/fullness, vaginal and c-section deliveries pre and post any gynecological surgery, post radiation for vulvar cancers.

Can I attend Pelvic Floor Physiotherapy when I’m on my cycle?

Yes, our therapists are comfortable treating you on your cycle. If you would prefer not to be treated please call ASAP and re-schedule your appointment. If you attend physiotherapy and choose to forego internal exams the Pelvic Floor follow up fee is still applied, as we schedule extra time for theses sessions.

Can I have a Pelvic Floor Assessment during pregnancy?

Most times, yes. We request clearance from your physician or midwife prior to completing ANY internal exams (we send paperwork prior to you prior to your visit to discuss with them). Please note we can ALWAYS forego internal examinations if your practitioner would prefer and still offer suggestions based on your history, symptoms and what we observe from the outside.

What are the benefits of a Prenatal Pelvic Floor Assessment?

LOTS! We discuss bowel and bladder routines and hygiene, how to safely move and exercise during pregnancy and make sure you can RELAX and CONTRACT your pelvic floor muscles properly. We also teach perineal stretching prior to labor and delivery and guidance on resuming your pelvic floor exercises postpartum.

When can I attend Pelvic Floor Physiotherapy after pregnancy?

Most women attend 6-8 weeks postpartum or after their loch (bleeding) has stopped or stitches healed. If you are uncertain, please call and we can discuss this with you or your medical provider.

What are the benefits of Pelvic Floor Physiotherapy after baby?

LOTS! Any urinary incontinence or urgency should improve 6-8 weeks postpartum, if not, it is a sign your muscles aren’t working properly. Pelvic and perineal pain should also NOT persist more than 6 weeks postpartum. Again, we review bowel and bladder routines and hygiene, how to contract and relax your pelvic floor muscles, how to massage your tear or episiotomy scars and advice on resuming sexual intercourse.

I had a C-Section, why should I attend Pelvic Floor Physiotherapy after baby?

If you didn’t attend for a prenatal screening, there is no way to know if your muscles contract and relax properly or what your bowel and bladder routines are like. Because there was no vaginal delivery or “trauma” to the pelvic floor you may be less likely to have issues, but women can experience incontinence and urgency.

If you don’t have ANY Pelvic Floor symptoms (incontinence or urgency (bowel or bladder), heaviness/fullness or pain/discomfort with sexual intercourse) you can always follow up with one of our “regular” therapist for advice on core strengthening, c-section scar tissue massage and hip stretching/mobility.