Pelvic Floor & Incontinence 

Who Needs Pelvic Floor re-education?

  • Do you urinate frequently/ experience urinary or fecal leakage? 
  • Do you have pain when you sit?
  • Do you stay home for fear of being away from a restroom? 
  • Do you feel pressure between your legs that is uncomfortable? 
  • Do you avoid work or leisure activities for fear of leakage or discomfort? 
  • Do have pain with intercourse or with inserting a tampon?
  • Are you pregnant or have you just had a baby?
  • Do you see a bulge protrude at your abdomen when you do a sit up?

Answering 'Yes' to any of these questions may mean you need pelvic floor re-education. 

All the symptoms above limit your quality of life, but they don’t have to.  These symptoms are common with many urogenital dysfunctions.  With the help of a Pelvic Floor Physiotherapist any of these symptoms can be resolved.   There is no significant discomfort or risk with treatment and the rewards are great.

Conditions Treated by Pelvic Floor Physiotherapy

Pelvic Floor Physiotherapy for Men and Women

  • urinary incontinence/urgency
  • pelvic organ prolapses
  • overactive bladder syndrome: 
  • interstitial cystitis/ painful bladder syndrome
  • chronic constipation
  • fecal incontinence/urgency
  • urinary incontinence post-prostatectomy
  • chronic pelvic pain syndrome
  • chronic non-bacterial prostatitis
  • pudendal neuralgia
  • pelvic floor and abdominal muscle weakness
  • postural imbalances
  • vestibulodynia:  tenderness at the posterior vagina
  • vaginismus:  inability to tolerate any vaginal penetration
  • vulvodynia:  pain of the tissues of the vulva
  • dyspareunia:  painful intercourse


Pre & Post-Natal Physiotherapy

  • pregnancy-related pelvic girdle pain
  • low back pain
  • diastasis rectus abdominus:  split abdominal muscles
  • exercise for pregnancy
  • education for labor and delivery
  • perineal/episiotomy scars
  • painful intercourse
  • pelvic organ prolapses (bladder, uterus, or rectum)
  • core muscle weakness
  • postural muscle imbalances


Assessments and treatments are provided in a private and confidential manner by one of our certified Pelvic Floor Physiotherapists.  They will begin by listening to your main issues.  The physical assessment may include analysis of posture, gait, and muscle strength of the hips, back, buttocks, and internal pelvic floor muscles.  Based on the assessment findings, an individual program will be designed to achieve your goals.  The plan may include education regarding posture, healthy bladder and bowel habits and diet.  The program will also include exercises to treat weak, tight, short or overused muscles.  A home exercise program will allow you to take charge of your own healing.  Manual treatment may be used to relax tight or short muscles and to retrain weak muscles.  Our goal is to meet your goals as quickly as possible.  It doesn’t matter if your goal is walking, running, jumping on a trampoline, taking long drives, or shopping all day with friends.  It doesn’t matter how long you have suffered with your symptoms. No goal is too small or too big.

The Facts

Although most Canadians will suffer a pelvic floor disorder some time in their life, most will not seek treatment.  The reasons for this are varied:  embarrassment, lack of knowledge that treatment exists, or the perception that this is normal after pregnancy/surgery etc.  A pelvic floor disorder may begin after surgery, pregnancy, childbirth, trauma, bladder infections, or may be related to athletics, hormonal changes or aging. Weakening of the pelvic floor muscles may be the cause of the problem but often it is a tight pelvic floor rather than a weak pelvic floor that is the problem.  In these cases, doing “Kegel” exercises will not work and may make the problem worse.  For this reason, it is important to get an experienced Pelvic Floor Physiotherapist to determine which exercises are right for you and then teach you the correct way to do them.

Proven Efficacy

The Cochrane Collaboration is an independent group that reviews research worldwide to decide what medical treatments are most beneficial.  This information is used by other researchers, health professionals, governments, patients and funders.  Based on their review in 2010 they stated that Physiotherapists with specialized training in internal pelvic floor assessment and treatment “should be the first line of defense, before surgical consultation, for stress, urge and mixed incontinence in women.”

Getting Started

Call Body 'n Balance Physio & Wellness Clinic at 705-429-9619 to book an assessment for Pelvic Floor Physiotherapy.

You do not require a referral to see a Physiotherapist for pelvic health.  However, your insurance company may require a referral to pay for treatment(s). We advise all patients contact their insurance company to find out their requirements. 

Certified Pelvic Floor Physiotherapists