A pelvic floor physiotherapist is specially trained to help strengthen or rehabilitate pelvic floor muscles after childbirth. Our female pelvic health physiotherapist focuses on treatment of incontinence, pelvic organ prolapse, and pelvic pain. Sessions includes external and, if consented to, an internal assessment that looks at pain, tissue resistance, scarring, strength and coordination.
· Vulvodynia, vestibulodynia, vaginismus
· Genitourinary Syndrome of Menopause (GSM)
· Interstitial Cystitis (IC) /Bladder Pain Syndrome (BPS)
· Endometriosis
· Hip labral tears
· Urinary incontinence

is an external examination required?

An internal examination is the gold standard for assessment and treatment of conditions related to the pelvic floor. Without feeling the muscles, your pelvic floor physiotherapist will be unable to identify if you have trigger points, or if you can contract your pelvic floor effectively.
That being said, there are generally many parts of the assessment and treatment that can take place without an internal exam. Some patients have been treated successfully without ever doing an exam.
Though the most benefit will be derived if your pelvic floor physiotherapist completes an internal exam, you will still benefit from coming if you are uncomfortable with or unable to have an internal exam.

How many sessions are required?

This will depend on your condition and its complexity. In general, for simple incontinence or prolapse (without any exacerbating factors), you will require 6-12 treatments. If you have a complex pain issue, this will likely take longer.

Is there homework to do between sessions?

Yes, there is homework. Some examples of homework you may have include stretches, strengthening exercises or tracking things like bladder or bowel habits, diet, and fluid intake.