
Pelvic Health Physiotherapy
If you have never heard of pelvic health physiotherapy, you are not alone! This branch of physiotherapy is becoming more widely known and sought after as medical professionals and the public start to understand the importance of pelvic health. Working with a pelvic floor practitioner is beneficial for individuals of all genders experiencing symptoms relating to the region of the pelvis. Check out some of the conditions below that are commonly treated at Bespoke Therapy.
"My experience working with Karen was amazing! She is incredibly kind, especially if you're feeling nervous or hesitant about pelvic floor therapy. She is extremely knowledgeable and provided me with lots of great resources that have helped me gain a better understanding of my body and what factors affect the pelvic floor. I would highly recommend her!
- S. "
Conditions We Treat
Urinary Incontinence
The release of urine that is unexpected or unwarranted secondary to a loss of bladder control. The two main types of urinary incontinence are stress urinary incontinence and urge urinary incontinence. There can be many different factors contributing to your incontinence. A pelvic health assessment can reveal what is contributing to your symptoms.
Urinary Urgency
Sudden and strong urge associated with the desire to urinate and often difficult to control. It is also known as Overactive Bladder. Urinary urgency is often associated with environmental or psychological factors. The good news is that once these factors are determined, symptoms often improve quickly!
Pregnancy
Pelvic floor therapy can help a pregnant person manage symptoms relating to their pregnancy including incontinence, pelvic girdle pain, and low back pain. We also help with labour and delivery preparation with a focus on decreasing injuries relating to delivery, optimizing postpartum recovery, and maintaining strength and function of the abdominals and pelvic floor.
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Prostatectomy
Undergoing a surgery to remove part or all of the prostate. Treatment can be offered to those preparing for surgery or for rehabilitation after the completion of the surgery. Interventions will help address pelvic floor muscle dysfunction, incontinence, pain, and erectile dysfunction. Your therapist will likely work alongside your surgeon or urologist to provide collaborative care.
Menopause
The onset of menopause occurs 12 months after a person has had their last period. Sandwiched around menopause, we have perimenopause (before) and postmenopause (after). Did you know that you can begin to experience physiological changes prior to menopause including vaginal dryness, decrease in muscle health, pain with intercourse, and a variety of symptoms associated with pelvic health?
Postpartum
A postpartum assessment is typically performed 6-8 weeks after giving birth, but can be completed even months/years later! A pelvic health practitioner will develop an individualized postpartum rehab program based on your goals and may include restoration of abdominal function, improving pelvic floor strength, reducing scar tissue/pain, and return to exercise planning. Remember, postpartum care is important after having a vaginal delivery or cesarian section delivery.
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Bowel Dysfunction
Fecal incontinence - loss of bowel control where one releases stool without warning
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Constipation - ineffective elimination of stool from the rectum. This can include stool that is difficult to pass, not having frequent bowel movements, or having pain during/after a bowel movement
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Diarrhea - watery or loose stool
Pelvic Organ Prolapse
A subjective disorder where one describes a heaviness, bulging sensation, or pelvic pressure around the perineum. This is often associated with an anatomical shift or lowering of tissues within the vaginal canal. Anyone at any age can have a pelvic organ prolapse, but is most common in the postpartum population and menopausal individuals.
 Pelvic Pain Conditions
For anyone experiencing pain around the pelvic region including vaginismus, dyspareunia (pain with intercourse), vulvodynia, and dysmenorrhea (painful periods). Other diagnoses that we help manage include endometriosis, interstitial cystitis, bladder pain syndrome, and persistent pelvic pain.
We treat all genders and provide services at the clinic or virtually in the comfort of your own home.
Unique pelvic health treatment bed to optimize comfort during sessions.
Thoughtfully designed examination rooms to cultivate safety, healing, and warmth.
Equipped and engaging gym space to maximize performance.
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Speciality treatment options including manual scar release, connective tissue mobilization, and cupping.
Why choose pelvic health physio at Bespoke Therapy?

What does pelvic floor physiotherapy look like?
Before your first visit
First visit
Subsequent visits
Last visit
Prior to coming in for your appointment, you will be prompted to complete an intake package. This will allow our therapists to know more about your symptoms and to ensure that you are an appropriate candidate for pelvic floor therapy.
Your first appointment will take approximately 60 minutes to obtain your subjective history, perform a physical assessment, and develop a custom-tailored treatment program based on the assessment findings. A comprehensive chat allows our therapist to hear and understand your story and goals. The physical assessment portion of the session may (but is not mandatory) include the following:
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Joint, muscle, and nerve functions
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External examination of the pelvic floor (may include visual observation or light touch of the external perineal/genitalia area)
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Internal examination of the pelvic floor muscles and tissues using a digit (finger) assessment
**Your therapist will obtain your consent prior to commencing each stage of the assessment**
Your next appointments will be 30 or 45 minutes in length. Here, your therapist will perform different treatment techniques to address your symptoms.
These may include:
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Tension/muscle release
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Connective tissue/scar release
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Pain desensitization
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Restoring movement/range of motion
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Nerve mobilizations
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Prescribing/progressing appropriate exercises
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Education about your symptoms and conditions
After the completion of your custom-tailored treatment program, you and your therapist will discuss which option fits you best. This could include:
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Continuing with active treatment appointments
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Developing a maintenance program or self-progression program
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Discharge (discontinuing care upon your goals being achieved)