With pelvic health, we recognize in many cases it is an untold story. Concerns about incontinence, prolapse and pain are often suffered alone. At Trinity, we are able to offer effective and evidence-based treatment options so you don’t have to give up what you want to do or to ever feel embarrassed or uncomfortable. Whether you are pregnant, a new mom or dad, a postmenopausal world traveller; a highschool gymnast, a weightlifter in your early or mid-life prime, a grandparent, a post-surgical patient, or/and uniquely you, we will explore the experiences and concerns that make up your story. We can help
Pelvic health concerns we treat include:
- Sport related leaking
- Pregnancy related leaking; before and after
- Pelvic organ prolapse
- Pregnancy related pelvic pain
- Pelvic girdle pain (including sacroiliac joint, pubic symphysis)
- Low back pain
- Diastasis rectus
- Bladder sensitivity
Pelvic health physiotherapy combines evidence-based internal and external assessment, functional assessment of surrounding musculature, manual therapy, biofeedback, exercise prescription, and education.
Although we do internal exams, and recognize that they can be invaluable to both assessment and treatment, they will not be necessary for every patient, and it will always be 100% the patient’s choice, recognizing that this requires an ongoing conversation about consent. Manual therapy and exercise prescription can address both strength and extensibility of the pelvic floor as well as the surrounding muscles.
As partners in your care, it’s our commitment to help you feel comfortable to share your story, keep you feeling informed, empowered, and confident, and help you return to how you want to feel.
Frequently Asked Questions
Pelvic Floor Physiotherapists, in addition to being experienced in general orthopedics, have advanced post graduate training which includes using internal and external manual assessment and treatment of the muscles of the pelvic floor. Pelvic floor muscles work in synergy with the muscles, joints and ligaments of the lower back, pelvis, and hips so our assessment looks at head to toe function to address the root and effects of pelvic floor dysfunction.
It is 100% up to you. Yes, the muscles of the pelvic floor are best assessed and treated via internal assessment, however your comfort is of utmost importance in this process and we check in continually for your consent. We do a significant amount of history taking, education, and external biomechanical analysis to help you with your concerns such that you will gain a great deal from your initial appointment either way. Should you feel that you are not ready for the internal assessment, we recognize that as a strength of acknowledging where you are at, and will support your recovery as appropriate for you.
Within the second trimester is best for pelvic health assessments and 6 weeks after delivery; otherwise, any time.
This depends on your unique needs! We do not have a prescribed set of follow ups as this will depend on the support and reassessment you will need in clinic, with self-management and exercise at home. That said, most often there will be a follow up after the initial within 2 weeks, so it is helpful to book that in advance if there is a time slot you prefer.
Absolutely. We have large rooms that can accommodate a stroller; some moms may use ‘white noise’ to help babies settle, and you can hold your baby as needed.
Yes, as long as you are comfortable, menstruation will not impact our assessment, and we prepare the environment for this appropriately. In some cases, pelvic floor concerns may present cyclically, in which case assessment at this time is beneficial.
We treat urinary and fecal incontinence, prolapse, prenatal and postpartum pelvic floor pain, sport related leaking and return to running, bladder sensitivity and pain associated with constipation and bowel movements.
Yes, we are dedicated to providing specialized care in obstetrics which includes the treatment of these conditions. As orthopedic physios, we can assess and treat all of your aches and pains, and look for the root of the problem. We know you’re a busy mom, and will try to address all that we can in your initial and follow up sessions. In many cases we may need to focus on one area of the body for both assessment and treatment in order to support you with the best possible care.
Yes! We have an evidence based approach to educating and supporting women through birthing choices and can incorporate this into our sessions.
Pelvic Health Physiotherapy Rates
We combine skill and experience to provide you with the best care