Pelvic Health Physiotherapy
Compassionate, Specialized Care for Pelvic Pain and Dysfunction
Pelvic floor physiotherapy is a specialized form of care that supports the muscles, nerves, and connective tissues of the lower abdomen, pelvis, and hips. At Glassier Physiotherapy, we provide gentle, effective, and evidence-based treatment for those living with pelvic floor dysfunction, pain, incontinence, and related symptoms.
Led by Julie McDonald, our pelvic health physiotherapist, treatment is directed specifically to your needs with the goal of improving your confidence, comfort, and control of your pelvic floor at any stage of life.
Understanding the Pelvic Floor
The pelvic floor works in coordination with the core, hips, and lower back to support key functions such as bladder and bowel control, posture, sexual health, and stability. When these muscles are too weak (hypotonic) or too tight (hypertonic), individuals may experience:
- Urinary or bowel leakage
- Pelvic pressure or organ prolapse
- Pain during intercourse or with sitting
- Chronic low back, hip, or tailbone pain
- Constipation or incomplete bowel movements
What Does Pelvic Physiotherapy Involve?
Pelvic health physiotherapists are specially trained and licensed through the College of Physiotherapists of Ontario. Your care may include:
- Review of posture, breathing, and core control
- Assessment of bladder and bowel habits
- Internal and/or external pelvic floor exam (only with consent)
- Personalized treatment focused on muscle coordination, pain relief, and restoring function
Conditions We Treat
Pelvic Pain
Including pudendal neuralgia, vulvodynia, vaginismus, painful bladder syndrome, and tailbone pain. These conditions often involve muscle tension, nerve sensitivity, and movement imbalances.
Incontinence & Bladder Dysfunction
Leakage with coughing or sneezing, urinary urgency, and postnatal bladder issues can often be improved significantly without surgery.
Pelvic Organ Prolapse (POP)
A heaviness or bulging sensation in the vaginal or pelvic region may be a sign of prolapse, especially after childbirth or menopause. Pelvic physiotherapy can reduce symptoms and delay the need for surgical intervention.
Bowel Disorders
Including constipation, straining, pain, and Irritable Bowel Syndrome (IBS). Assessment addresses bowel habits, muscular coordination, and dietary/lifestyle factors.
Painful Intercourse (Dyspareunia)
Pelvic pain can occur with initial or deep penetration, or at orgasm. Therapy focuses on reducing muscular tension, improving circulation, and restoring sexual well-being.
Painful Periods (Dysmenorrhea)
Pelvic physiotherapy may help relieve pain from endometriosis, fibroids, and pelvic congestion by improving tissue mobility and circulation.
Pregnancy & Postpartum Care
We support prenatal and postnatal clients with:
- Back or pelvic pain
- Diastasis Recti (abdominal separation)
- Incontinence or heaviness
- Birth preparation and recovery
What to Expect at Your First Visit
Your first appointment includes:
- A full review of your medical and pelvic health history
- Questions about bladder, bowel, and sexual function
- Movement, posture, and breathing analysis
- Optional internal assessment, only with your consent
You’ll receive a detailed care plan customized to your symptoms and personal goals. Please wear comfortable clothing. Follow-up visits are usually scheduled within 1–2 weeks of the initial assessment.
What Does Treatment Include?
Each treatment plan is tailored to you, and may involve:
- Education and lifestyle modifications to help normalize bowel and bladder habits
- Exercises to help improve pelvic floor muscle function
- Exercises to help improve core strength
- Relaxation techniques to help relax pelvic floor muscles
- Manual techniques to assist with normalizing pelvic floor muscle tone and strength
- Manual techniques to restore normal low back, pelvic, and hip joint mechanics
A Holistic, Whole-Body Approach
Pelvic health concerns are often multi-faceted. At Glassier Physiotherapy, we address more than just symptoms—we look at posture, movement patterns, emotional stress, and past medical events that may be contributing to your discomfort. You can expect a respectful, collaborative environment where your concerns are heard and your care is personalized.
Frequently Asked Questions
Do I need a referral to see a pelvic health physiotherapist?
No, a referral is not necessary to book an appointment in Ontario. However, your insurance provider may require a doctor’s note for reimbursement.
Is pelvic physiotherapy covered by insurance?
Physiotherapy at Glassier Physiotherapy is not covered by OHIP, but many private insurance plans, workplace benefits, WSIB, motor vehicle accident claims, and Veterans Affairs programs may provide coverage. We offMost extended health insurance plans include pelvic physiotherapy under physiotherapy services. We offer direct billing to many major providers. Contact our office for assistance.er direct billing to most major insurance providers.
Is an internal examination required?
No. While an internal exam helps assess the pelvic floor muscles more accurately, it is not mandatory. We will always explain the process and seek your full consent before proceeding. Alternative external assessments are available.
What happens during my first appointment?
Your first visit includes a private conversation about your symptoms, medical history, bladder/bowel function, and any related concerns. A physical assessment follows, which may involve postural review and, with your consent, an internal exam.
How many sessions will I need?
That depends on your goals and condition. Some people experience relief in a few sessions, while others benefit from longer-term support. Your therapist will guide you through a plan tailored to your progress.
Can pelvic physiotherapy help if I’m not postpartum?
Absolutely. While pelvic physio is highly recommended postpartum, it is also effective for individuals of all ages experiencing pain, leakage, constipation, or pelvic dysfunction.
Can men receive pelvic physiotherapy?
Yes. Although our current focus is on women’s health, pelvic floor physiotherapy is also effective for men with issues like incontinence or pelvic pain. Please contact us for more information.
Book Your Appointment Today
To schedule an appointment with Julie McDonald, contact us today:
Phone:
519-357-1383
Email:
jmcdonald@glassierphysio.com