Post-Partum Rehabilitation Pre- or Post- Prostatectomy Enuresis (Bedwetting)

What Conditions We Treat?

Stress Incontinence
The involuntary loss of urine in response to increased intraabdominal pressure. For example, leakage of urine when a person coughs, sneezes, laughs or jumps.
Urge Incontinence
Urine leakage that occurs following a strong urge to urinate that cannot be controlled.
Mixed Incontinence
A combination of both stress incontinence and urge incontinence.
Fecal Incontinence
The involuntary loss of feces or stool.
Pessary Fitting
Pessaries are sometimes recommended to women with pelvic organ prolapse to help provide their internal organs with additional support.
Overactive Bladder
Frequent urination that is more than 5-8 times per day.
Prenatal and Post-Partum Rehabilitation

Pelvic physiotherapy assessment is recommended to all pregnant individuals. Determining where you may have either tension or weakness may help to optimize your pregnancy and promote an easier delivery through prenatal birth prep strategies your therapist can teach you.

Postpartum rehabilitation is recommended for all individuals who have delivered a baby. Scar tissue (perineal or c-section) should be considered, as well as muscle length and strength (many may experience pain, loss of control of urine or feces, pain with sexual intercourse, loss of sensation, and pressure or heaviness as a result of pelvic organ prolapse). Diastasis rectus abdominis is also routinely assessed and treated.

Night time leakage of urine in children (bedwetting)
Difficulty initiating either urine stream or bowel movement. This can be a result of poor pelvic floor muscle coordination.
Painful inflammatory breast condition related to lactation.
Involuntary defecation
When bowel movements are infrequent or are difficult to pass. Other symptoms may include bloating or abdominal pain.
Pain experienced during sexual intercourse. This can be superficial pain at the opening or deep pain during penetration.
Pre- or Post-Prostatectomy
Individuals commonly experience urine leakage and erectile dysfunction as a result of this surgery. Pelvic physiotherapists can assess and treat the muscles appropriately, given your pre- or post-surgical state.
Pre- or Post-Surgical Consultations
To optimize your pelvic floor muscles either pre- or post-surgery. Some pelvic surgeries may include, but are not limited to: pudendal nerve entrapment, post-prostatectomy, prolapse surgery, gender reassignment surgery, post-hysterectomy, endometriosis, hymenectomy, vestibulolectomy, colorectal surgery.

Non-specific, generalized pain in the vulvar region in the absence of any physical findings.
A condition in which the pelvic floor muscles spasm in response to attempted vaginal penetration. This may limit sexual intercourse, tampon insertion or gynecological exam with use of a speculum.
A condition in which endometrial tissue exists outside of the uterus that can be associated with pelvic pain, heavy and painful periods, pain during sexual intercourse as well as urinary and bowel dysfunction.
Interstitial Cystitis
A condition involving unpleasant sensations (pain, pressure and urge) with identifiable bladder disease (such as Hunner’s lesions).
Bladder Pain Syndrome
A condition involving unpleasant sensations (pain, pressure and urge) perceived to be related to the urinary bladder of more than six weeks in duration and in the absence of bladder infection or other identifiable cause.
Irritable Bowel Syndrome
Refers to a group of symptoms including abdominal pain and bloating, as well as changes in pattern and frequency of bowel movements in the absence of any disease state.
Tailbone or coccyx pain which is typically worse with prolonged sitting.
Pelvic Organ Prolapse
This refers to a change in position of one of the pelvic organs (commonly bladder, uterus or rectum) and can cause symptoms of heaviness or pressure.
Levator-ani Syndrome
Occurs when the levator ani muscles (i.e., the muscles of the deep pelvic floor) go into spasm and can result in pain in the perineum and rectal area.

Pudendal Neuralgia
The pudendal nerve supplies sensory, motor and autonomic function to the organs of the pelvis, as well as the external genitalia. With pudendal neuralgia, the nerve is mechanically compressed or entrapped, and can cause pain and dysfunction.
Ehlers-Danlos Syndrome
A hypermobility condition which is commonly associated with pelvic floor dysfunction.
Chronic Non-Bacterial Prostatitis/Chronic Pelvic Pain Syndrome (CPPS)
Symptoms can include persistent pain, urgency/frequency with urination, pain during/following ejaculation, rectal pain, fullness sensation in the prostate all in the absence of identifiable cause.
Gender Affirmation Support
Pelvic physiotherapy can help relieve a number of common complications that accompany gender affirmation practices. Anatomical changes made during bottom surgeries can impact the ability of the pelvic floor muscles to function optimally. There are also many other post-operative considerations such as dilation (for neo-vaginoplasties), scar tissue mobilization and re-learning bladder and bowel routines.