Pelvic Health Physiotherapy


What is Pelvic Health Physiotherapy?

Pelvic health physiotherapy is a specialized type of manual therapy that provides a thorough external and internal assessment of your deep pelvic floor muscles to evaluate any pelvic floor dysfunction as well as their interaction with the back and hips. This assessment provides your physiotherapist with the information needed to craft a personalized care plan that will treat your symptoms and restore your pelvic floor muscles.

A registered Physiotherapist with specialized training in pelvic health can be successful in treating individuals experiencing pelvic floor dysfunction and persistent pelvic pain as well as prenatal and postpartum changes. Physiotherapy care also applies to people who are Trans and Gender Diverse if they choose to chest bind, pack and/or tuck, or are preparing for or rehabilitating after Gender Affirmation Surgeries.

Pelvic Health Physiotherapy

Why is Pelvic Health Physiotherapy IMPORTANT?

Pelvic health physiotherapy is more than Kegel exercises and “engaging the core”. In fact, the deep pelvic floor muscles are not visible to the eye so it can be difficult to assess on your own whether you are doing exercises properly or if the core exercises you are using are the best choice for your particular condition. Strong, healthy pelvic floor muscles are extremely important because they offer support to the bladder, uterus, and digestive system. Pelvic floor muscles also have an important role in sexual function, circulation, closing of orifices, and stability of the pelvis, hips and back.

How will I BENEFIT from Pelvic Health Physiotherapy?

There is significant high-quality research evidence that pelvic health physiotherapy is the first line of defense for individuals experiencing pelvic floor dysfunction

If you experience any of the symptoms below, you may benefit from pelvic health physiotherapy:

  • Fecal Incontinence (leakage of stool)

  • Anal Incontinence (inability to control gas)

  • Pain with sexual activity (deep and superficial pain)

  • Pain and/or incontinence during pregnancy and postpartum

  • Vulvodynia (pain around the opening of the vagina)

  • Vaginal Stenosis (narrowing or shortening of the vagina)

  • Pre-operative and post-operative care for Gender Affirmation Surgery

  • Rectus diastasis

  • Erectile dysfunction

  • Interstitial Cystitis (hypersensitive or inflamed bladder with Hunner’s lesions)

  • Pudendal Neuralgia (compressed or irritated pudendal nerve)

  • Coccydynia (pain over the tailbone)

  • Pelvic Organ Prolapse (shifting of the position of organs within the pelvic cavity)

  • Stress urinary incontinence (leakage of urine when coughing, sneezing, laughing, jumping, lifting)

  •  Urge urinary incontinence (intense urge to urinate resulting in leakage)

  • Constipation (infrequent or difficulty passing stool)

  • Menstrual cramps

  • Endometriosis (endometrial tissue outside of the uterus)

  • Vaginismus (vaginal muscle spasms)

What to Expect at Your Appointment:

  1. Each session takes place one-on-one in a private, quiet treatment room, and your appointment begins with a thorough, confidential assessment of your medical history. This helps your physiotherapist get to know your pelvic health journey so far and gives you the chance to share your own expertise of your body.
  2. After receiving your consent to continue, a detailed physical assessment is done internally and/or externally with your consent. Disrobing from the waist down is required for internal examination, and appropriate draping will be provided. An internal examination allows your physiotherapist to accurately assess the function of the deep pelvic floor muscles and the way they interact with your other joints within and around your pelvic area.
  3. Based on your assessment, you will be provided with a personalized treatment plan and home exercise program. Your care plan integrates education, manual techniques, and exercise rehabilitation to relieve your symptoms related to the pelvis.
  4. Throughout your recovery, your concerns and symptoms will be continually assessed to ensure you have a progressive rehabilitation program that is meaningful to you. Your concerns will change with time, and so should the personalized treatment plan.

For any questions or concerns please feel free to email

You can read more about our Pelvic Health Physiotherapist on her bio page here.

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Emmanuelle Ravez Gomez    RMT,CDT
 Tel: 416-533-2639
 358 Dufferin Street Suite# 111  Toronto, ON M6K 1Z8
 2 reserved parking spots are available.
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