Tag Archives: Pelvic Health Physiotherapy

Exercise, Health and Wellness, Pelvic Health, Pelvic health physiotherapy, Pregnancy

Exercising during Pregnancy: It’s Physiotherapist Approved!

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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 safe but also beneficial for mom and baby! Physiotherapists are experts that specialize in movements and body mechanics. Thus, this means they can recommend safe, effective, and individualized exercise programs to help through your pregnancy.

Why does exercise matter during pregnancy?

Fortunately, lots of research has gone into this topic, and the science supports it. The American College of Gynecologists and Obstetricians actually recommends 150 minutes of moderate aerobic exercise each week. In fact, if you were already active before the pregnancy, it is recommended to continue at that same level as long as your or comfortable. The possible benefits of staying active during pregnancy include:

  • Easing back pain
  • Decreases risk of pregnancy complications like gestational diabetes, preeclampsia and cesarean births
  • Improving circulation, can be beneficial in the case of swelling
  • Helping your body to prepare for labour with better endurance and flexibility
  • Supports mental well-being by reducing stress and improving sleep
  • Help with the recovery after delivery and return to your normal weight

However, it is important to understand that not all exercises are safe. For example, extreme and contact sports or hot yoga are not recommended due to risks of trauma and overheating respectively. Your physiotherapist can help you to create a program that is personalized for you, depending the trimester, and previous physical fitness, and medical history.  

What do I need to know before exercising during pregnancy?

There are still some risks with exercising, but the benefits far outweigh the risk as long as we follow some safety tips.

  • Initially, get a clearance from your ob-gyn or doctor to continue exercises
  • Avoid overheating and dehydration
  • Listen to your body and stop if you feel dizzy, breathless, or experience pain
  • You may benefit from belly belts and a supportive sports bra for comfort

What are some safe exercises recommended by physiotherapists?

1. Walking or biking

Walking and biking are one of the safest and most accessible exercises during pregnancy. It helps to keep your body active without putting too much stress on your joints.

2. Prenatal yoga and stretching

Gentle yoga can help to reduce pain in your back and hip area which is very common in pregnancy. It can also help with flexibility, posture correction and with stiffness. Experienced physiotherapists can teach appropriate poses and stretches, and modifications as needed.

3. Pelvic floor exercises

It is crucial during pregnancy to strengthening the pelvic floor muscles. These exercises support the pelvic structures, and help to reduce the chances of getting incontinence (inability to control urination) during and after pregnancy. A trained pelvic health physiotherapist can teach you how to activate the right muscles.

4. Core and stability training

Safe core exercises, such as pelvic tilts or modified planks, strengthen the abdominal and back muscles. This helps support the shifting posture of the body to accommodate the growing belly.

5. Swimming or water aerobics

Performing exercises in water can help swelling and helps to take the extra weight off the body for a bit. The water supports your weight while also providing great resistance for a full body workout.

6. Light resistance training

It’s safe to use weights or resistance bands to maintain muscle tone and to prepare the body for the physical demands of childbirth and postpartum care. A supervised exercise program can help you to maintain controlled movements, good form, and proper breathing.

What are exercises to avoid during pregnancy?

• Standing for long period of time in same position

• Exercises lying flat on your back for long periods in your second and third trimester as it can restrict blood circulation to fetus

• Heavy weightlifting or straining movements

• Activities where there is a risk of fall or contact ex. skiing, basketball, soccer

What is the role of a physiotherapist in exercising during pregnancy?

Physiotherapists can also give advice on how to make life easier at home. For example, special pregnancy pillows to increase comfort while sleeping.

Every pregnancy is different, a physiotherapist can:

• Help to assess your posture, movement, and areas of weakness

•Teach safe exercises program which is safe for you and adjust them based on your trimester

•Help manage common pregnancy complications like back and pelvic pain, sciatica pain 

•Provide education on what to expect and how to set yourself up for success before, during, and after pregnancy

Ready to get started?

If you or anyone you know is pregnant and confused with what to do or how to start exercises safely look for PhysioNow! We have 10 clinics across the GTA to support you from Burlington, Oakville, Mississauga to Etobicoke. We offer private treatment rooms, free and accessible parking, and extended hours including evenings and weekends for your convenience. Book an assessment and treatment with our experienced physiotherapy team today to receive a safe, personalized plan that supports both you and your baby!

Pelvic Health, Pelvic health physiotherapy, pelvic pain

5 Ways Pelvic Health Physiotherapy Can Change Your Life

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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 stool. It is a fairly common condition that can affect everybody, especially in a geriatric population but more common in women. A pelvic physiotherapist can help you find the cause and give you a personalized plan to resolve it. For milder cases, you may only need a couple sessions of learning how to activate and strengthen your pelvic floor muscles to see a difference! Regain your confidence and control over your life, you won’t have to worry about exercising, working out, or constantly needing a bathroom nearby.

2. Reduce lower back and pelvic pain

Pelvic pain can present in many different ways, including radiating to your hips, lower back, or groin. It can affect you during your daily life such as lying down, getting in and out of the car, during sexual intercourse or more. Your pelvic physiotherapist can identify the issues whether its muscular tightness, weakness, improper postures or lifting techniques. Then, they will show you how to relieve your discomfort using exercises, postural education, manual therapy and more. Just like any muscles, the pelvic floor needs to be taken care of!

3. Improve sexual dysfunction or function

Pain or dysfunction during intercourse is something that both men and women may experience. The important thing to note is that treatment is readily available through pelvic health physio! Issues may arise from irregular tone in the muscles which can affect aspects like arousal, sensation, and performance. Common issues that may improve with treatment include vaginismus, dyspareunia, erectile dysfunction, and poor ejaculatory control.

4. Improve core strength and posture

The pelvic floor is a crucial part of the core. While most people think about the abdominals and the back muscles as forming the core, they overlook the pelvic muscles. These muscles all work together for stabilization of your spine and pelvis. Without them, back pain, poor posture, and muscular imbalances can develop and lead to long term pain and discomfort. With pelvic retraining, feel confident in your body and your ability to move.

5. Prepare and recover from pregnancy

Prenatal physiotherapy care can help you and your partner prepare the pelvic floor for the increased demands it will soon experience. As a result, pre and post-natally, it is easy for an untrained pelvic floor to become overwhelmed and start to encounter issues. It will also include education and strategies that your birth partner can assist you with at home, and so you both know what to expect. Overall, pelvic health physiotherapy can help to minimize the stress and symptoms of pregnancy, making your experience as smooth as possible!

Looking for more help?

Look for PhysioNow! Our clinic has many experienced clinicians who have undergone their specialty training in Pelvic Health and are ready to assist you! With 10 clinics across the GTA from Burlington, Oakville, Mississauga, to Etobicoke, we make it easy for you to come see us. We have private treatments to ensure your comfort and safety during the duration of your treatment. If you want more information, please feel free to contact us at 289-724-0528. Book with PhysioNow today for your first assessment and treatment!

Pelvic Health, Pelvic health physiotherapy, Pregnancy

Pregnancy Pains: Sacroiliac Joint Dysfunction

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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 between the upper and lower body and across sides of the body. Ultimately, this joint contributes to your ability to move and weight bear effectively. Sacroiliac joint dysfunction occurs when there is an imbalance, irritation, or dysfunction in one or both of these joints, causing pain and discomfort.

During pregnancy, the body undergoes numerous hormonal, structural, and biomechanical changes to accommodate the growing fetus. These changes can strain the sacroiliac joints, leading to dysfunction.

What are the causes of SIJD during pregnancy?

Several factors contribute to sacroiliac joint dysfunction during pregnancy:

  1. Hormonal changes: One of the primary hormones responsible for SIJD during pregnancy is relaxin, a hormone that increases the flexibility of ligaments and joints in preparation for childbirth. While this is necessary for labor and delivery, it can cause excessive movement or instability in the sacroiliac joints, leading to SIJD
  2. Weight gain: Additionally, as the baby grows, your body naturally gains weight. This can alter your posture and create additional stress on the sacroiliac joints, particularly in the later stages of pregnancy. Ultimately, the extra weight can make the joints less stable and more prone to irritation.
  3. Postural changes: As your belly grows, your center of gravity shifts, and your posture changes to compensate. This can cause misalignment in the pelvis and place uneven pressure on the sacroiliac joints, contributing to dysfunction.
  4. Increased blood flow and fluid retention: Pregnancy also increases blood flow to the pelvis, which can cause swelling and fluid retention around the sacroiliac joints. Unfortunately, this added pressure can exacerbate discomfort and lead to joint dysfunction.

What are the symptoms of SIJD?

The symptoms of SIJD can vary from woman to woman, but the most common signs to watch for include:

  • Pain location: In the lower back and pelvis on one or both sides of the sacroiliac joint. It may radiate to the buttocks, hips, groin, or thighs
  • Difficulty with certain movements: For example, standing, walking, bending, getting in and out of bed or climbing stairs. Also, static positions like prolonged sitting or standing can be difficult
  • Relieving positions: Usually, pain improves when lying down or shifting positions.
  • Instability: Some women may feel as if their pelvis is “out of alignment” or unstable, and may even experience a feeling of the joint “moving” in and out of place.

How do I manage SIJD during pregnancy?

Exercises before, during, and after pregnancy can make a big difference in your pain and discomfort levels. Alway check with a health care professional before starting a new routine.

While SIJD can be uncomfortable, the good news is that there are several strategies that can help alleviate the pain and discomfort associated with this condition during pregnancy.

1. Prenatal exercises and strengthening

Gentle exercises that focus on strengthening the muscles around the pelvis and lower back can help provide stability to the sacroiliac joints. Focus on exercises that strengthen the core, hips, and glutes, as these muscles support the pelvis. For example, yoga, swimming, and walking are great low-impact options.

2. Pelvic tilts and stretching

Pelvic tilts are an excellent way to relieve pressure on the sacroiliac joints and strengthen the muscles around them. Furthermore, stretching the hip flexors, hamstrings, and lower back can also help reduce tension and improve flexibility in the pelvis.

3. Proper posture and body mechanics

Maintaining good posture is crucial to prevent further stress on the sacroiliac joints. Avoid slouching, and try to stand with your hips in alignment with your shoulders. When lifting, be sure to bend your knees rather than your back and avoid twisting motions while lifting.

4. Use of supportive devices

Pregnancy support belts or pelvic belts can help stabilize the pelvis and alleviate strain on the sacroiliac joints. These belts gently lift and support the growing belly, reducing pressure on the joints.

5. Physical therapy

A Pelvic Health Physical Therapist can provide personalized exercises, stretches, and manual therapy techniques to help reduce pain and restore pelvic stability. Manual therapy techniques such as joint mobilizations can sometimes help relieve pain in the sacroiliac joint.

Looking for help?

Then talk to us at PhysioNow! We have many experienced Registered Physiotherapists and Pelvic Health Physiotherapists to help you with your pregnancy pain. With 10 great clinics across the GTA from Burlington, Oakville, Mississauga and Etobicoke, we can get you on the road to recovery in no time! Book with PhysioNow today for your first assessment and treatment.

General Category

Pelvic Floor Problems: How Do You Know?

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What is the Pelvic Floor?

Pelvic floor muscles attach to the pelvis Pelvic floor muscles attach to the pelvis bone

The pelvic floor is a group of muscles, ligaments, and connective tissues that span the bottom of the pelvis. Importantly, these structures support the pelvic organs, including the bladder, rectum, and in women, the uterus and vagina. The pelvic floor plays a crucial role in maintaining continence (control over bladder and bowel movements), supporting pelvic organs, and contributing to sexual function.

What are the most common signs and symptoms of pelvic floor
dysfunction?

There are several signs and symptoms for pelvic floor dysfunctions. They can be further subdivided into categories of urinary, bowel, sexual and pain-related issues.

Urinary Symptoms

Pelvic floor dysfunction may lead to incontinence

Pelvic floor dysfunction may lead to incontinence

1. Urinary Incontinence: Unintended leakage of urine, which can occur during activities like coughing, sneezing, or exercising (stress incontinence) or with a sudden, intense urge to urinate (urge incontinence).
2. Urinary Frequency and Urgency: Needing to urinate more often than usual or experiencing a strong, sudden need to urinate.
3. Incomplete Emptying: Feeling that the bladder isn’t completely empty after urination.

Bowel Symptoms
1. Fecal Incontinence: Involuntary leakage of stool or gas.
2. Constipation: Difficulty in passing stools, which might require straining.
3. Incomplete Evacuation: Feeling of not fully emptying the bowel after a bowel movement.

Sexual Symptoms

1. Painful Intercourse: Discomfort or pain during or after sexual intercourse.

Pain and Discomfort
1. Pelvic Pain: Persistent or recurrent pain in the lower abdomen, pelvic region, or genital area.

2. Lower Back Pain: Discomfort or pain in the lower back that might be related to pelvic floor dysfunction.
3. Pressure or Heaviness: A sensation of pressure, heaviness, or a bulge in the pelvic area, often related to pelvic organ prolapse.

What are the most common reasons for pelvic floor dysfunction?

Pelvic floor dysfunction (PFD) can result from a variety of causes, often related to factors that weaken or damage the pelvic floor muscles and connective tissues. Here are some of the most common reasons:
1. Pregnancy and Childbirth: Stretching, straining of pelvic floor muscles during pregnancy can lead to weakness and tearing of pelvic floor muscles.
2. Surgery: Surgeries such as hysterectomy, prostatectomy can weaken and affect your pelvic floor muscles.
3. Aging: Hormonal changes such as decreases in estrogen through general aging can also lead to weakening of pelvic floor muscles.
4. High Impact Chronic Strain: Frequent heavy lifting, chronic coughing, and bronchitis can also put excessive strain on pelvic floor muscles.
5. Neurological Condition: Conditions like diabetes induced neuropathy, multiple sclerosis, or spinal cord injuries can affect the nerves controlling the pelvic floor muscles.
6. Trauma and Injury: Injuries to the pelvic region due to physical trauma or stress can damage the muscles and nerves involved in pelvic floor function.
7. Lifestyle Factors: A sedentary lifestyle can lead to muscle weakening and tightening, leading to dysfunction in the pelvic floor.

Pelvic Physiotherapy

Pelvic floor physiotherapy is a specialized branch of physiotherapy involving internal and external assessment /treatment of pelvic floor muscles. These muscles are located between the hip bones, sacrum and support pelvic organs such as bladder, colon and uterus.

How physiotherapy can help with pelvic floor dysfunction?

Physiotherapy can be highly effective in treating pelvic floor dysfunction (PFD). Pelvic floor physiotherapists are specially trained to assess and treat issues related to the pelvic floor muscles, which can significantly improve symptoms and quality of life.

First, a comprehensive evaluation by a pelvic floor physiotherapist will include a detailed physical examination to identify the specific issues with your pelvic floor muscles. Then, based on the evaluation, the physiotherapist will develop a tailored treatment plan that addresses your specific symptoms and underlying causes.  For example, this may include muscle re-education, bladder retraining, and training of the pelvic floor muscles.

Need help?

If you are experiencing pelvic pain or bowel or bladder dysfunction, look for PhysioNow. We have qualified pelvic floor physiotherapists that are ready to assist you with your issue. Book with PhysioNow today for your first assessment and treatment. With 9 clinics across the GTA including Burlington, Oakville, Mississauga and Etobicoke, we can find a location that suits you!

Pelvic floor dysfunction may lead to incontinence
Leakage of urine, Pelvic Health, Pelvic health physiotherapy

Incontinence: What To Do When You Can’t Control Your Bladder

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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. First, urine gets stored in the bladder until it receives the signal from brain to empty it. The bladder is one of the pelvic organs, meaning that the pelvic floor muscles provide support to it and hold it in the proper position. Usually, the bladder muscle stays in the relaxed position while it holds urine. At the same time, the urethra, which is the tube that carries urine out of the body is closed by a sphincter (controlled by the bladder muscle), so that urine doesn’t leak. Once you receive the signal from the brain, the bladder muscle contracts, opening up the sphincter and lets the urine out of the urethra.

What are the different types of urinary incontinence?

  1. Stress Incontinence

Stress incontinence is where the leaking occurs with several activities of daily routine like coughing, sneezing, running, laughing, jumping, exercising or lifting heavy. These activities exert lots of pressure on the bladder due to weak pelvic floor muscles, results in urine leakage. As expected, the chances of leaking increase the fuller the bladder is. This is one of the most common types of incontinence, especially in elderly women. However, unlike some people believe, urinary incontinence is not a normal sign of aging. Instead, it is a problem which should and can be properly treated.

Risk factors for stress incontinence:

Postpartum women are at a high risk due to damage to tissues or nerves that may occur during delivery. Women with vaginal and forceps delivery are also at higher risk than with c-section
or vacuum delivery. Additionally, men after prostate surgery can develop this. For example, the removal of the prostate gland in cancer patients may weaken the sphincter muscles which lies below the prostate gland.

Othe contributing factors include:

  • Chronic illness with high frequency of coughing
  • Smoking which can cause frequent coughing
  • Obesity: Excess body weight puts more pressure on pelvic organs and can lead to stress incontinence
  • History of pelvic organ prolapses: Depending on the level of prolapse, mild bladder prolapse can cause occasional incontinence.

2) Urge incontinence

It is a type of incontinence that causes the sudden urge to void the bladder and results in involuntary leakage of urine. In other words, you may leak the urine before you reach the bathroom.

Urge incontinence is most commonly associated with an overactive bladder. The muscles in the bladder squeeze more frequently than normal. As a result, you feel like you have to use the bathroom frequently even though the bladder is not actually full.

Risk factors for urge incontinence:

  • Diabetes: Uncontrolled blood sugar levels can lead to increased chance of urinary tract infection and frequent urges to urinate. People with uncontrolled sugar levels may have damaged the nerve controlling the bladder, leading to urge incontinence.
  • Hysterectomy: Damage to the nerve around the bladder during this procedure can lead to incontinence
  • Spinal cord damage due to direct trauma or injury
  • Stroke
  • Prostate problems like prostate cancer or an enlarged prostate

How can incontinence be treated?

Incontinence can be treated through consultation with a specialist. It is important to gain the proper education and understand the condition of incontinence. A pelvic health physiotherapist can help you understand the basic function of the urinary system. With this understanding, they can teach you different techniques to control the leakage, frequency, and urgency of it.

For example, some of these techniques may include:

  • Toileting positioning education regarding proper liquid intake and its importance
  • Breathing exercises
  • Double voiding methods
  • Keeping a log of urinary leakage (bladder diary)
  • Pelvic floor strengthening exercises
  • Electrical stimulators
  • Internal manual techniques

How do I get help?

Our physiotherapy clinic PhysioNow has 9 locations to serve you across the GTA, from Burlington to Etobicoke

At PhysioNow, our pelvic floor physiotherapists can guide you in your recovery from incontinence and other pelvic-related conditions.  With locations across the GTA including Burlington, Oakville, Mississauga, and Etobicoke, we will have a location suited to you. Book with PhysioNow today for your first assessment and treatment.

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Endometriosis and Pelvic Physiotherapy

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What is endometriosis?

 

Endometriosis DiseaseEndometriosis 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 medication.
3. Pelvic physiotherapy.
4. Surgery.

Pelvic health physiotherapy in Endometriosis

Pelvic health physiotherapy can help to reduce the symptoms, improve the function, improve the flexibility and improve the strength of the pelvic floor muscles. The techniques help to relax the muscles which ultimately help to ease the symptoms. How does pelvic floor physiotherapy help in endometriosis,

  • Relieve endometrial pain: Approaches to down train the pelvic floor muscles and introducing bio-psychosocial approach to help in relaxing the pelvic floor muscles.
  • Reduce painful sex: Helping with stretches and breathing techniques, dilators, and hands on techniques to reduce the tension and resistance in the pelvic floor area.
  • Reduce abdominal bloating or endo belly by helping in assisting venous and lymphatic drainage
    in our body.
  • Painful urination: by educating on proper water intake, and voiding techniques and by
    maintaining a bladder diary to reduce the effects pressure causing pain when bladder fills up.
  • Painful bowel movements: Education and advices on diet and positions on easy bowel movements along exercises to manage the situation.

Also, pelvic floor therapy post endometriosis surgery would help to retrain pelvic floor muscles to relax and to coordinate contractions. This helps to reduce spasms during menstruation.

Lastly, Bio psychosocial component of pelvic floor physiotherapy helps in identifying and addressing the psycho social aspects and its influence on normal function of your body. Relaxation techniques and hands on techniques to calm down the senses that could be the trigger to pain can be managed to a great extent.

Take away message – If you are suffering from endometriosis and are finding difficulty to manage its symptoms, our team of qualified Pelvic PT will help you assess and guide through the whole treatment. Book your appointment today!

General Category, pain with intercourse, Pelvic Health, Pelvic Health Physiotherapists, Pelvic Organ Prolapse, pelvic pain

Postpartum Pelvic Physiotherapy

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Postpartum pelvic physiotherapy

 

What is postpartum pelvic physiotherapy?  This type of specialized physiotherapy treatment helps women who have gone through pregnancy and childbirth.  During pregnancy, there can weakening of pelvic floor muscles.  Additionally, childbirth can lead to overstretching or injury to the pelvic floor muscles.  These changes can lead to pelvic floor dysfunction.  Consequently, women may experience several pelvic floor problems as a result of these changes.  Postpartum pelvic floor physiotherapy helps women with the healing and strengthening of the pelvic floor muscles after a pregnancy.

What is the pelvic floor?

 

 

 

 

 

 

 

The pelvic floor refers to a group of muscles found in the base of the pelvis.  Most importantly, the pelvic area of the body is the home to organs like the bladder, uterus in women, prostate in men and rectum.  The muscles of the pelvic floor support these organs and act as a foundation for their function.

The pelvic floor muscles are often stretched or injured during the process of pregnancy and labour.  This may lead to several different issues for women after they have a baby.  However, the pelvic floor muscles are like any other muscles of the body.  This means that physiotherapy can be an effective treatment option for pelvic floor dysfunctions.

All in all, for more information on pelvic physiotherapy, please visit the Women’s Health Division of the Canadian Physiotherapy Association.

Common postpartum pelvic floor conditions

Urinary incontinence:

  • involuntary leakage of urine during daily activities, any strenuous activities, coughing, and/or sneezing
  • there may also be a strong urge to pass urine and not able to make it to the toilet.

Bowel incontinence:

  • Feces leak involuntarily or there is inability to control the urge to defecate.

Pelvic organ prolapses:

    • Uterine prolapse: Sensation of heaviness or pulling in the pelvis, vaginal bleeding, uterus protruding out of the vagina, felling like sitting on a ball, urine leakage, problem with sexual intercourse.
    • Cystocele: Bladder does not empty completely, feeling of bulge in vagina, difficulty in urinating, stress incontinence.
    • Rectocele: Difficulty with completely emptying the bowel

Coccydynia:

Pain in the tailbone area. Pain with sitting on hard surface, can`t sit for longer duration.

Pelvic pain:

Pain in the pelvic area with walking, sharp pain in sitting or dull aches in pelvic area during standing for longer duration, hip or groin pain feeling like uterus pain, pain during sex and pubic pain with physical activity.

Pain during intercourse

 

Low back pain:

Low back pain while doing certain activities such as bending, lifting, walking, carrying and relieved with rest.

Causes of pelvic floor dysfunction:

Urinary Incontinence

Incontinence is due to the damage caused to pelvic floor muscles, fascia, ligaments and nerves supporting and controlling the bladder. Most importantly, vaginal delivery is a major factor for incontinence problems.  Certainly, the delivery process may overstretch the pelvic floor muscles during the pushing phase of delivery or if the baby is too big or heavy.  As a result of these changes, urinary incontinence may occur.

Bowel incontinence:

Bowel incontinence is commonly caused by an episiotomy, forceps delivery or perineal tears leading to injury to anal sphincter.

Pelvic organ prolapses:

Pregnancy and vaginal delivery are the common factors leading to the prolapse of the uterus. Other factors include aging and menopause.

Coccydynia:

Injury to the Coccyx (tail bone) can occur during the pushing phase of child birth or with a forceps delivery.

Pelvic pain:

Pelvic pain can happen due to injury to the pudendal nerve or pelvic floor dysfunction.

Pain during intercourse:

Pain during intercourse can occur due to lacerations and tears in the perineal area or episiotomy scar.

Low back pain:

Low back pain after childbirth is often caused by postural changes, diastasis recti, or from stress on the pelvic girdle.

Treatment of Pelvic floor conditions:

 

Urinary incontinence:

  • Stress urinary incontinence is treated with pelvic floor re-education:
    • pelvic floor muscle exercises
    • pressure biofeedback
    • vaginal cones and pelvic floor training
  • Urge incontinence or mixed incontinence is treated with:
    • biofeedback and pelvic floor muscle training.

To clarify, these techniques will help to teach voluntary control of the pelvic floor muscles which is the key to the treatment of this condition. For example, your therapist will teach you certain positions to empty the bladder properly and give you instructions on using pelvic floor muscles while doing strenuous activities. Pelvic floor muscle training will help to improve the strength of the pelvic floor muscles.  Additionally, your therapist will help you to learn the correct pelvic floor muscle contraction by:

    • assessing the pelvic floor area for proper contractions
    • giving you verbal cueing
    • biofeedback using electromyography to assess the muscles.
  • Bowel incontinence or fecal incontinence:  Fecal incontinence is treated through the training of the pelvic floor muscles, volumetric training through rectal balloon catheters, external electrical stimulations and behavioral bowel training.

Pelvic organ prolapses

Pelvic floor muscle training in the correct way can help prevent and treat prolapse of pelvic organs. A good outcome needs proper instructions and close follow up to help recovery. Wearing pessaries will help too.  Certainly, your physiotherapist can teach you the use of pessaries as a conservative treatment.  Additionally, your physiotherapist will prescribe pelvic floor exercises.  These exercises will help to improve the symptoms of prolapse and prevent further descent of the organs in the pelvis.

Coccydynia

Mobilization of coccyx, pelvic floor relaxation and stretches along with ergonomic advice will help to relieve the pain related to the injury to coccyx.

Pelvic pain

Post-natal pelvic pain due to pelvic floor dysfunction is treated through training of pelvic floor muscles.

Pain during intercourse

Stretching of the perineal area, scar mobilization and self-massage techniques will help to treat the pain.

Low back pain:

Low back pain is treated through postural correction, treatment of distastes recti, and pelvic floor relaxation exercises.

In conclusion, having  a baby is already a challenging time.  Do not let pelvic floor pain add to an already stressful experience.  Call PhysioNow today to book an assessment for postpartum pelvic physiotherapy!

 

 

 

 

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Physiotherapy Etobicoke

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Physiotherapy Etobicoke

Physiotherapy Etobicoke

How do I know what physiotherapy clinic to choose?

Physiotherapy is an important health care service in  Mississauga, Etobicoke and Oakville.  Many people need physiotherapy treatment to help with their pain and recover from their injuries.  Physiotherapy can help improve the quality of life for many people of all ages.

What are the problems that people run into with choosing a clinic?

In large cities like Mississauga, Etobicoke and Oakville, there is a lot of demand for physiotherapy.  As a result, there has been an increased number of clinics.  However, the problem that a lot of people have is that there are too many different clinics to choose from.    Unfortunately, there are quite a few clinics that do not provide good service and care for their patients.  Therefore, it becomes a guessing game as to which ones are actually good.

Things to consider

As someone who has never had physiotherapy before, it’s really hard to know which clinic to choose.  Is it important that it’s close to your home?  Should you choose the one that your family doctor recommends?  Do you ask your family and friends?  What about just searching on google?  There are so many options out there.  However, like many things in our lives, you have to find a good fit between what you need and what the clinic has to offer.

What are some of the characteristics that patients look for in a physiotherapy clinic?

  • Physiotherapists who are properly licensed
  • Multi-disciplinary practice
    • The team includes other health care professionals who complement physiotherapy
    • Examples include massage therapists, kinesiologists, osteopaths
  • Clean and organized
  • Easily accessible location
  • Direct billing to extended health care providers
  • Extended hours available to accommodate patient schedules
  • Pleasant and friendly team to provide a positive patient experience
  • Positive online reviews
  • Community recognition
  • Positive reviews from family and friends

Why choose PhysioNow?

PhysioNow is a company that meets all these characteristics.  The company has been in business for over 15 years and has brought high quality services to the community.  We strive to go above and beyond to offer the best possible care for our patients.

What does PhysioNow Offer?

  • Registered Physiotherapists
    • Our physiotherapists are registered and in good standing with the College of Physiotherapists of Ontario
    • The team at PhysioNow is very experienced and able to work with a variety of different injuries, including motor vehicle accidents, workplace injuries and sports injuries
    • Our therapists also have extensive training in specialized areas of practice, including:
      • Concussion Rehabilitation
      • Vestibular Rehabilitation
      • Pelvic Health
      • Acupuncture
      • Mechanical Diagnosis and Therapy
      • Neurological Rehabilitation
      • Custom Knee Bracing
      • Custom Orthotics

Multidisciplinary Clinic 

      • All of our clinics are multi-disciplinary and offer both physiotherapy and massage therapy services to our patients
        • A lot of our patients see both our physiotherapists and massage therapists
        • These 2 health care services are complementary, and patients do well with their recovery when both services are incorporated into their treatment plan

Clean and Safe

        • Our clinics are also very clean and hygienic to make our patients feel safe and comfortable
        • We have taken extra Covid-19 precautions to meet all of the province guidelines
          • Firstly, we have installed plexiglass in our office space
          • Secondly, our beds and equipment are all sanitized after each patient
          • Additionally, we have our treatment rooms spread out so there is a safe distance between patients
          • Lastly, our on-site laundry allows us to keep our linens and towels fresh and clean
          • Our physiotherapy assistants do a wonderful job of keeping the clinic sanitized and organized

Easily Accessible  

        • All 4 locations are in easily accessible areas of Mississauga, Etobicoke and Oakville
          • They are close to major intersections and highways
          • All the locations also offer free onsite parking for our patients

Direct Billing  to Insurance Companies

        • PhysioNow also offers direct billing to most insurance companies
          • This is a very convenient service for patients because they do not have to worry about submitting their own claims
          • There are some exceptions depending on the insurance company and the patient’s specific policy
          • But for most patients, the insurance company will pay us directly and that saves the patient from having to pay out of pocket
          • Our staff can help with the details of a patient’s insurance plan

Convenient Hours

          • All the locations also offer convenient hours so that patients can make it work around their busy schedules
              • We have morning and evening hours available
              • The Mississauga locations also offer Saturday hours for those patients who are unable to attend during the week

Positive Patient Experience 

            • One of the biggest compliments we receive at PhysioNow is our commitment to providing a positive patient experience
              • All our staff members including administrators, physiotherapists, massage therapists and physiotherapy assistants are very friendly and outgoing
              • We all try to make every patient feel comfortable and enjoy their treatment experience

          • Positive Patient Reviews

            • All our clinics have great online reviews on Google
              • Our reviews are honest and from current and past patients
              • One of PhysioNow’s biggest source of referrals is through our existing patients who refer their friends and family
              • There is no higher compliment than someone referring their friend or family
              • It is a great sign of their trust in the care and services we provide

Community Recognition 

            • Since there are so many physiotherapy clinics across Mississauga, Etobicoke and Oakville, it is a special honour when there is community recognition
              • Specifically, our Etobicoke location was nominated for a 2019 GEM award
              • We were nominated by our patients who are residents of the Etobicoke-Lakeshore area
              • Unfortunately, we did not win the award, but it was an honour to be nominated and thought of so highly by our patients
              • In addition, our clinics have also been nominated for the Top Choice Awards for 2019 and 2020

Choose PhysioNow

All these wonderful aspects of our company have allowed us to succeed and grow over the last 15 years.  Therefore, we continue to work hard to make sure that we provide the best possible care for our patients.  As a result, our patients see results and finish their course of treatment feeling overall better and stronger.  In conclusion, PhysioNow ensures that our patients are able to get back to their life including home, work and play.

Call today to book your appointment at PhysioNow!

 

 

 

 

 

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Physiotherapy Mississauga

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Physiotherapy Mississauga

Why choose PhysioNow for Physiotherapy Mississauga?

• Over 16 years of providing top rated Physiotherapy Mississauga
There are 4 convenient locations- Erin Mills, Applewood, Lorne Park and Long Branch

• Awards/nominations? PhysioNow: nominated for a Top Choice Award in 2020.

• A team of highly qualified physiotherapists and massage therapists

All of our physiotherapists and massage therapists have several years of experience in their field and are registered in good standing with the College of Physiotherapy and Massage Therapy.

• Services we offer

Services are provided for all ages and for a variety of conditions. For instance,  our therapists are specialized in several areas including manual therapy, acupuncture, vestibular rehabilitation, concussion , sports injuries, pelvic health and soft tissue techniques.

Physiotherapy Mississauga

Lower Back Pain Treatments

Physiotherapy Mississauga

Donjoy Defiance ACL Repair Brace

Physiotherapy Mississauga

Return To Sport After ACL Ligament Repair

In addition, we  do custom orthotics and braces.  For your convenience, we are currently also offering our physiotherapy services virtually .

• Direct billing available

In addition, Direct billing is available to most of the insurance companies so it is convenient for you.  For instance, we also deal with third party insurers like MVA and WSIB.

• Flexible hours and free parking available

Above all, we are open for extended hours ( ) to help you at a time that is best for you.

What to expect at Physiotherapy Mississauga?

First, you have an assessment with our physiotherapist.  They will do a full check up of the problem area .

Next, the physiotherapist will then prescribe a treatment plan especially for you.

Further, they can also help you understand more about your condition.

We will answer your questions .

Lastly, changes may be made  in your daily routine.

As a result, this will  help you to get better faster.

COVID considerations: We take excellent precautions!

 

• Providing a face mask and use of 70% alcohol hand sanitizer for each patient upon arrival into the clinic

• Installation of sneeze guards at the front desk

• In addition, Sanitization of treatment beds after before each patient use

• Disinfecting commonly touched surfaces between every patient

• Switching out pillowcases with each patient use

• All staff will wear a gown and mask and wash hands between each patient contact

  • Social distancing throughout the clinic.
  • Lastly, no visitors are sitting in reception

If you are in need of Physiotherapy or Massage Therapy, Contact PhysioNow today.

General Category, Pelvic Health, Pregnancy Mississauga

Pregnancy related Pelvic pain

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Pregnancy Related Pelvic Pain
Pregnancy Related Pelvic Pain

                        Pregnancy and Pelvic girdle pain


Pregnancy Related Pelvic Pain: Words Can Hurt

Pregnancy related Pelvic pain can create great challenges. Imagine you are 32 weeks pregnant with your first child and you start to have pain in the low back and pubic area when you change position. Pregnancy related pelvic pain can happen when you sit, stand for longer periods or when you walk. The pain makes it very difficult for you to function. As a result, you may worry about whether you can continue to work and manage your household.

Pregnancy Related Pelvic Girdle Pain: Words Can Hurt

Now imagine you have seen your health care provider and have been told that your pelvis is separating. They tell you this is because of the hormone Relaxin. Then you are told that you may need to put up with this until after you have your baby .

In addition, you are told, “it will probably get better afterwards”. “Be careful” “If it hurts, don’t do it”, “Your pubic bone is splitting”, “Your pelvis is unstable”. These are common words of advice or explanations pregnant women with pelvic girdle pain (PGP) receive from their healthcare providers. (From the Canadian Physiotherapy Association – Pain Science Division)

What is Pregnancy related pelvic girdle pain?

Pregnancy related Pelvic pain is characterized by pain around the pubic and sacroiliac joints. It can present as pain in the inner groin and adductor area, the buttocks or the sides of the hips. As a result, it is aggravated most commonly by maintaining sustained postures or changing position.

This Pelvic pain affects approximately 16-25% (Kanakaris 2011) of pregnant women, although it is very likely under reported and dismissed as a normal consequence of pregnancy.

Prognosis for Pregnancy related pelvic pain

The prognosis for pregnancy related pelvic girdle pain is very good. The majority of women improve within a few months after delivery. Only approximately 5-8.5% (Kanakaris 2011) go on to have persistent symptoms. Understanding this issue is the role of your Physiotherapist. Physiotherapists can help!

How does Breast feeding affect pregnancy related pelvic girdle pain?

Urban myths regarding breastfeeding being associated with laxity-related musculoskeletal pain should be put to rest. Suggestions to “be careful” (suggesting fragility), restrict function (reinforcing disability), to rest more and avoid activity (usually makes symptoms worse) should be set aside.

Too many women have weaned their babies early. They have done this in hopes this would alleviate their Pelvic girdle pain. This decision is based upon “helpful” advice, often from their Health Care Provider, despite the fact that there is no evidence to support this. As a result, many women are sadly advised not to lift their babies for several weeks after delivery. They are told to avoid doing this in order to avoid aggravating their Pregnancy related Pelvic girdle pain.

The good News!

The good news is that Pregnancy related Pelvic girdle pain can be managed very successfully! You can be shown effective self management programs which allow you to take control of your own care. This will allow you to become more confident, comfortable and active during your pregnancies.

Good strategies can be integrated into daily activities. As a result, it is possible to manage work, daily activities and child/baby care independently during pregnancy and postpartum.

Studies have also shown that vaginal deliveries are not only safe for women with Pregnancy related Pelvic Girdle pain, they are even preferable. Bjelland (2012) found a 2-3 fold increased risk of severe Pregnancy related Pelvic girdle pain (PGP) postpartum in women with PGP after a planned Cesarean Section.


Pregnancy related Pelvic Girdle pain Leads to a significant decrease in Quality of Life

Pregnancy related Pelvic Girdle pain Leads to a Significant Decrease in Quality of Life:

Five main categories emerged:

1. Pelvic girdle pain affects the ability to cope with every day life a) Postpartum depression- 3x more prevalent in this group of women (Gutke 2007)

2. Coping with motherhood and changing roles a) 20% avoid future pregnancies because of fear of Low Back pain and Pregnancy related pelvic girdle pain (Brynhildsen 1998)

3. Relationship between partners often reached the breaking point

4. Questioning one’s identity as defined by profession and work

5. Lack of acknowledgement of pain and disability Elden H. et al: Life’s pregnant pause of pain: Pregnant women’s experiences of pelvic girdle pain related to daily life: A Swedish Interview Study. Sexual & Reproductive Healthcare. (2013) Engeset J. et al. Pelvic girdle pain affects the whole life—a qualitative interview study in Norway on women’s experiences with pelvic girdle pain after delivery. BMC Res Notes. (2014) 7: 686.

How Can Physiotherapy help with Pregnancy related pelvic girdle Pain?

We at PhysioNow believe that Physiotherapists have a privileged role in helping to shape the experience of pregnant women with Pelvic girdle pain. Physiotherapists are in the ideal position to calm anxiety and correct misconceptions. We are happy to educate you about your condition. We explain it in a way that decreases the threat of your pain and gives you permission to move.

Exercise during pregancy
Pregancy related pelvic pain

Physical activity is now seen as a critical part of a healthy pregnancy. Pregnant women should accumulate at least 150 minutes of moderate-intensity physical activity each week over a minimum of three days per week. However, being active every day is encouraged. Following the 2019 Guideline for Physical Activity throughout Pregnancy can reduce their risk of pregnancy-related illnesses such as gestational diabetes, high blood pressure and preeclampsia by 25 percent. (https://csepguidelines.ca/guidelines-for-pregnancy/)


Pain Management in Pregnancy: Joint SOGC/CSEP Clinical Practice Guidelines Nov 2018 P

  1. Muscle training for the pelvic floor (e.g., Kegel exercises) may be performed on a daily basis to reduce the risk of urinary incontinence. Physiotherapist Instruction in proper technique is recommended to obtain optimal benefits.

2. Pelvic floor muscle training with a Physiotherapist is recommended to prevent urinary incontinence during pregnancy and after delivery

3. Core stability training with a Physiotherapist is recommended to prevent and treat back and pelvic pain during and following pregnancy.

4. Pregnant women who experience lightheadedness, nausea, or feel unwell when they exercise flat on their back should modify their exercise position to avoid this position.

Supervised antenatal and postnatal pelvic floor muscle training has been shown to be protective against Urinary Incontinence(UI), particularly in high risk groups Boyle et al 2012, Stafne et al 2012, Reilly et al 2002. 

If you or someone you know suffers from Pregnancy related pelvic girdle pain, we can help! We have highly trained Physiotherapists ready to help you with this very unpleasant condition. Please call PhysioNow today to get started!