Pelvic health physiotherapy is a specialization that focuses exclusively on the pelvic floor. This includes conditions such as incontinence, pelvic pain, sexual dysfunction, pelvic organ prolapse and more! Treatment of the pelvic floor muscles and structures is both like, and unlike the other areas of the body. For example, just like any other muscle, they can be strong or weak, lengthened or tight, hypermobile or hypomobile. On the other hand, treatment of the pelvic area may require some unique techniques and unique tools during treatment. One of these tools is called a pessary. What are pessaries used for? A pessary is a medical device typically used to help manage pelvic floor dysfunction, particularly in conditions like pelvic organ prolapse, urinary incontinence, and stress incontinence. It’s a device that is inserted into the vagina to support the pelvic organs and help alleviate symptoms. Oftentimes, it is the missing piece for many individuals managing…

Pregnancy is an exciting journey, but it can be nerve wracking as well when it comes with many changes in the body. Unfortunately, these changes usually have side effects which include nausea, discomfort, fatigue, soreness, and pain. This alongside a disruption in your normal lifestyle can be very hard to adapt to. Many will wonder whether there is anything that can help. As a result, a common question that comes up with expecting mothers is it safe to do exercises and if yes, what can I do?   The good news is that, with the right guidance, doing exercises not only…

Pelvic Health Physiotherapy is an underappreciated part of the Physiotherapy profession. Most people would assume that this applies only to women, especially to pregnant women, but we are here to emphasize that pelvic health is for everyone! There is a wide variety of problems pelvic health physiotherapy can help with. Alternatively, it can be done proactively as part of preventative health measures. We will describe 5 different ways that pelvic health can change your life! 1. No more leaking or urgency issues! Urinary or fecal incontinence is the term for a loss of function, or accidental leaking/passing of urine or…

Pregnancy is a time of immense physical and emotional changes. As your body adapts to the growing baby, many women experience various discomforts and physical challenges. One of the less discussed, but relatively common issues is sacroiliac joint dysfunction (SIJD). Unfortunately, this condition can significantly impact a woman’s comfort and mobility during pregnancy. What is sacroiliac joint dysfunction (SIJD)? Firstly, the sacroiliac joints are located at the base of the spine where the sacrum (the triangular bone at the end of the spine) meets the bones of the pelvis. Importantly, these joints play a role in transferring weight and forces…

Prostatodynia or Chronic Pelvic Pain Syndrome (CPPS) is a pelvic pain condition found in men. This condition involves inflammation of the prostate gland. Usually, this leads to pain, discomfort especially involving urination, bowel movements, and sexual dysfunction. While part of the management of this condition involves medical management, Pelvic Physiotherapy plays an important role in recovery as well. Types of Prostatitis Acute bacterial prostatitis is an infection of the prostate. This type of prostatitis causes chills and fever. In this case, you need your doctor’s attention promptly! Chronic bacterial prostatitis is a persistent bacterial infection Chronic pelvic pain syndrome (CPPS) or…

What is urinary incontinence? Urinary incontinence is when person leaks urine by accident due to loss of control of the bladder muscles. The severity of incontinence may vary from occasional incidents, like leaking while coughing or laughing, to more severe like having sudden strong urges where you are unable to make it to the toilet in time. How does the bladder function normally? These organs make up our body’s urinary system, which is how our body creates and removes urine from the body Normally, the brain and the bladder work in close partnership to control urination.…

When most people think about physiotherapy, they usually think about getting treated for a muscle pain, or other strain or sprain. However, the benefits of physiotherapy extend beyond just the musculoskeletal tissues of the body. In this blog post, we discuss through some of the lesser known conditions or symptoms that can improve with physiotherapy Pelvic health physiotherapy for pelvic pain or dysfunction Firstly, pelvic health physiotherapy may be right for you if you experience pain or dysfunction in the pelvic area. This may include but is not limited to pain during intercourse, and pain or abnormal control over urination and bowel movements (urgency, incontinence, retention) and prenatal and post-natal care. Both men and women may benefit from pelvic health physiotherapy. Cancer rehabilitation Secondly, physiotherapy can help manage the many side effects of cancer treatment after surgery, radiation, and chemotherapy. Addressing these side effects can help you increase the quality…

What is endometriosis?   Endometriosis is a condition where tissues which is similar to the inner lining of the uterus grows outside the uterus which can affect nearby organs including the bowel and bladder. The tissue thickens and does shed with the monthly cycle.  At times when tissues get trapped and does not exit the body it can progress to form cyst called endometriomas. At last, it results in irritation to surrounding tissues and organs forming scar tissue and adhesions. What are the symptoms? Symptoms includes, Firstly, Pelvic pain. Secondly,  Heavy periods. Infertility. Abdominal bloating. Urinary and bowel concerns. lastly,  Fatigue. However, endometriosis can be mistaken for other conditions such as Irritable bowel syndrome, Inflammatory pelvic disease. Therefore, early diagnosis will help in managing the symptoms. Treatment options available: There is no cure for endometriosis currently. Although, treatments to manage the symptoms includes, 1. Hormone therapies. 2. Over the counter…

PELVIC PAIN AND PELVIC FLOOR DYSFUNCTION What is pelvic pain and pelvic floor dysfunction? There are a number of conditions which cause pain and pelvic floor dysfunction. We have discussed a few of those conditions here today. Fortunately most of the conditions are treated with physiotherapy interventions. Pelvic pain and dysfunction Common conditions related with internal pelvic structures: Provoked vestibulodynia: In this your pelvic area is very sensitive to touch or pressure. You will feel pain with light touch, pressure, inserting tampons, wearing tight pants or intercourse. urinary urgency Vaginismus: You feel difficulty and/or pain with vaginal penetration. This will lead to avoidance of sexual activity or internal pelvic examination. Bladder pain syndrome: You feel pain and pressure with urge to urinate at any time. You will get an increased urge to urinate. Symptoms usually starts with bladder infection. Dysmenorrhea: You will feel painful cramps with…

Pelvic health in men is a topic lacking attention, recognition, and research.  More specifically, issues with the pelvic floor affect many men and can be very disruptive to their lives.  Consequently, pelvic floor physiotherapy helps us accept, understand and treat the pelvic related issues for men. Causes of pelvic health issues for men There are several pelvic health issues for men.  For example, some of the common problems faced by men are: Incontinence 1 in 9 men are incontinent Incontinence means loss of urine in small volume or dribbling by coughing, sneezing, laughing, lifting, exercise or transitional movements. Risk Factors for incontinence include Obesity, Chronic illness, Medication, Smoking, Chronic straining, Radical Prostatectomy, and Prostate enlargement Consequently, there are a lot of social issues related to incontinence, including: Decreased self esteem Depression Isolation Reduced social activity Reduced/Disrupted physical activity Erectile dysfunction  There may be physical or psychological factors that could cause…