Menopause can be a very overwhelming time for a lot of women. During this period, there are a lot of hormonal changes that can influence the way you feel in your body. Menopause tends to start between the ages of 45 to 55. This can include a range of symptoms such as hot flashes and mood swings to vaginal dryness and changes in pelvic health.
How does Menopause affect pelvic health?
Many women don’t realize that menopause can affect pelvic health. As estrogen levels decline, tissues in the vagina, urethra, and bladder can become thinner, drier, and less elastic, leading to a condition called vaginal atrophy. This can cause uncomfortable symptoms such as vaginal dryness, itching, burning, and pain during sex. In addition, menopause can also increase the risk of pelvic floor disorders, such as incontinence and prolapse. But don’t worry, many of these conditions can be improved through pelvic physiotherapy!
What is pelvic floor physiotherapy?
Pelvic floor physiotherapy is a specialized form of physiotherapy that focuses on the pelvic floor muscles, which support the pelvic organs (bladder, uterus, and rectum) and control bladder and bowel function. Pelvic physiotherapy can help to improve pelvic health during menopause and beyond, providing relief from uncomfortable symptoms and reducing the risk of pelvic floor disorders.
What does Pelvic Health Physiotherapy Involve?
Pelvic floor physiotherapy involves a range of techniques designed to improve the strength, coordination, and function of the pelvic floor muscles. These techniques may include pelvic floor exercises, biofeedback, electrical stimulation, manual therapy, and education on lifestyle modifications. It is an effective alternative to drug based therapy and surgery, and allows for you to take your health into your own hands.
How Can Pelvic Physiotherapy Help During Menopause?
- Pelvic physiotherapy can help to address a range of pelvic health issues that can arise during menopause, including:
- Vaginal Dryness: Pelvic physiotherapy can help to improve blood flow to the vaginal area, which can increase lubrication and reduce discomfort during intercourse. Additionally, exercises to strengthen the pelvic floor muscles can help to improve vaginal tone and elasticity.
- Urinary Incontinence: Pelvic physiotherapy can help to strengthen the pelvic floor muscles that support the bladder, which can improve bladder control and reduce urinary incontinence.
- Prolapse: Pelvic physiotherapy can help with prolapse symptoms or post-hysterectomy. With a prolapse, there is commonly increased muscle tone causing the organ to descend. This can be improved with exercise and treatment. Post hysterectomy, there can be pelvic floor weakness or altered sensation internally which can also be treated through strengthening and sensitization work.
- Painful Intercourse: Pelvic physiotherapy can help to improve vaginal tone and elasticity, which can reduce pain and discomfort during intercourse.
How can I find a pelvic health physiotherapist near me?
We have 8 locations with pelvic health physiotherapists to help you.
- Pelvic Health Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
- Pelvic Health Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga
- Downtown Pelvic Health – Triangle Physiotherapy King West
- Uptown Toronto Pelvic Health – Triangle Physiotherapy Lawrence Park
- Pelvic Physiotherapy Downtown Toronto – Triangle Physiotherapy Queens Quay
- Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills
What is vaginismus?
Vaginismus is a condition where the muscles around the vagina involuntarily contract, making it difficult or impossible to have vaginal penetration.
Do I have vaginismus?
If you answer yes to one or more of the following questions, you must book an appointment with a pelvic health physiotherapist to find out if you have vaginismus.
“Sex is so uncomfortable for me.”
“Why does it hurt to have sex? My doctor cannot find anything wrong with me.”
“Internal pelvic exams are a no for me – they are so painful.”
“My vagina feels like a fort that is impenetrable. I never realized it was vaginismus.”
“I used to have great sex, but now I close up—it burns and stings.”
“When my partner starts to move inside me, it hurts and we have to stop.”
“I don’t wear tampons because they don’t go in.”
What are the symptoms of vaginismus?
The symptoms may differ between younger and older women, emphasizing the significance of an accurate diagnosis and effective treatment for vaginismus.
The primary symptoms of vaginismus are:
- Sexual penetration seems physically impossible despite repeated attempts
- Difficulty inserting tampons from youth even after repeated attempts.
- Difficulty undergoing internal pelvic/gynecological exam
What are the causes of Vaginismus?
The exact causes of vaginismus can vary from person to person, and in many cases, the condition is multifactorial, meaning that multiple factors may contribute to its development. Here are some potential causes and contributing factors:
- Psychological factors: Emotional or psychological factors can play a significant role in vaginismus. Past traumatic experiences, such as sexual abuse, rape, or a history of painful intercourse, can contribute to the development of vaginismus. Anxiety, fear, guilt, or negative beliefs about sex can also trigger involuntary muscle contractions.
- Fear of pain or discomfort: Some individuals may develop vaginismus due to a fear of pain or discomfort during sexual intercourse. This fear can be based on previous painful experiences, cultural or religious beliefs, or misinformation about sex.
- Relationship issues: Difficulties in the relationship, such as poor communication, lack of trust, unresolved conflicts, or sexual problems, can contribute to the development or persistence of vaginismus. Emotional or physical distance between partners can create tension and anxiety during sexual activity.
- Cultural or religious factors: Cultural or religious beliefs and practices surrounding sex can influence a person’s perception of sexuality and contribute to the development of vaginismus. Upbringing that emphasizes guilt, shame, or negative attitudes towards sex can lead to involuntary muscle contractions during attempts at vaginal penetration.
- Lack of sexual education: Insufficient knowledge or understanding about sexual anatomy, arousal, and relaxation techniques can contribute to vaginismus. Inadequate sexual education may lead to misconceptions, anxiety, and fear surrounding sexual activity.
- Medical conditions or infections: Certain medical conditions, such as vaginal infections, urinary tract infections, endometriosis, or pelvic inflammatory disease, can cause pain during sex, leading to the development of vaginismus. Vaginal dryness or atrophy, often associated with menopause, can also contribute to discomfort and muscle tightness.
- Traumatic childbirth experiences: Some women may develop vaginismus after experiencing a traumatic childbirth, especially if they had a difficult or painful delivery. The association of vaginal penetration with the traumatic event can trigger involuntary muscle contractions.
What are the treatment options for vaginismus?
Pelvic health physiotherapy is a common treatment option for vaginismus. It involves a physical therapist working with the patient to help relax and strengthen the pelvic floor muscles.
Possible treatments include:
- Progressive pelvic floor muscle relaxation
- Biofeedback or muscle stimulation
- Yoga-based therapy
- Hip mobility work
- Lumbar spine mobility work
What can I expect during an assessment and treatment for vaginismus at Triangle Physiotherapy?
Assessment
The first step in pelvic health physiotherapy for vaginismus is usually an assessment of the patient’s pelvic floor muscles. This may involve an internal examination, but the therapist will always seek the patient’s consent and respect their comfort level.
Treatment
Once the assessment is complete, the therapist will develop a treatment plan tailored to the patient’s needs. This may involve exercises to strengthen the pelvic floor muscles or techniques to help the patient relax those muscles.
Techniques
One common technique used in pelvic health physiotherapy for vaginismus is called progressive muscle relaxation. This involves tensing and then releasing the pelvic floor muscles in a controlled way to help the patient become more aware of them and learn how to control them.
Another technique that may be used is biofeedback. This involves using sensors to monitor the activity of the pelvic floor muscles, which can help the patient learn to control them more effectively.
Overall, pelvic health physiotherapy can be an effective treatment for vaginismus, but it is important to work with a qualified physical therapist who has experience in this area. With patience, persistence, and the right guidance, many people with vaginismus can overcome their condition and enjoy fulfilling sexual relationships.
How do I find a pelvic health physiotherapist near me?
We have 8 locations with pelvic health physiotherapists to help you. Book an Appointment today!
- Pelvic Health Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
- Pelvic Health Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga
- Downtown Pelvic Health – Triangle Physiotherapy King West
- Uptown Toronto Pelvic Health – Triangle Physiotherapy Lawrence Park
- Pelvic Physiotherapy Downtown Toronto – Triangle Physiotherapy Queens Quay
- Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills
How do I choose the Best Physiotherapist Near Me?
When choosing a physiotherapist, it’s essential to find someone who meets your specific needs and can provide high-quality care. Here are some steps you can take to help you pick the best physiotherapist:
- Ask for recommendations: Ask your friends, family, or colleagues for recommendations. Personal referrals can be valuable as they come from people you trust.
- Research their experience and specialization: Look for a physiotherapist with experience and expertise in treating your specific condition or injury. Physiotherapy covers a broad range of areas, such as sports injuries, post-surgery rehabilitation, back pain, or neurological disorders. Choosing someone who specializes in your area of concern can increase the chances of effective treatment.
- Check credentials and qualifications: Ensure that the physiotherapist you’re considering is licensed and registered to practice in Ontario. You can usually verify their credentials through the College of Physiotherapists of Ontario.
- Read reviews and testimonials: Search online for reviews or testimonials from previous patients. Although individual experiences may vary, reading about others’ experiences can give you an idea of the physiotherapist’s reputation and patient satisfaction.
- Assess communication and rapport: A good physiotherapist should listen and communicate well. They should be able to understand your concerns, explain your condition or treatment plan clearly, and answer any questions you may have. It’s important to feel comfortable and have a good rapport with your physiotherapist to ensure a positive therapeutic relationship.
- Consider practical factors: Take into account the location of the physiotherapy clinic or practice. It’s generally more convenient to choose a clinic that is easily accessible to you, whether it’s close to your home or workplace. Additionally, check their availability and scheduling options to see if they can accommodate your needs.
- Insurance coverage: If you have health insurance, check if the clinic provides direct billing to your insurance. This way you only have to pay a copayment or deductible if required by your plan.
- Initial Assessment: Schedule an initial assessment with the physiotherapist to discuss your condition, treatment options, and their approach. This can give you a sense of their knowledge, professionalism, and whether their treatment philosophy aligns with your goals.
What are the types of specializations that physiotherapists can have?
Physiotherapists have training in assessing, diagnosing, and treating a wide range of physical conditions and injuries. Physiotherapists can specialize in various areas of practice based on their interests, expertise, and advanced training. Some common specializations that our physiotherapists in Toronto have include:
- FCAMPT – The highest level of training in orthopedic manual therapy
- McKenzie Certification
- Cancer Rehab
- Pelvic Health – Assessing and treating pelvic floor conditions in men and women
- Vestibular Rehab & Concussion Therapy
- Running Assessments
- Sports Physiotherapy
These are just a few examples of the specializations within physiotherapy. It’s worth noting that some physiotherapists may have expertise in multiple areas or choose to focus on specific sub-specialties within these broader categories.
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Q: Why do I experience back pain while working from home?
A: Back pain during work from home can be caused by various factors. Some common reasons include:
- Poor posture,
- Inadequate ergonomics,
- Prolonged sitting,
- Lack of physical activity, and
- Stress
Working from home often means using suboptimal workstations, such as sitting on a couch or using a kitchen table as a desk, which can contribute to poor posture and strain on the back muscles.
Q: How can I improve my posture while working from home?
A: Improving your posture can help reduce back pain. Here are some tips:
- Use a comfortable chair with good lumbar support.
- Sit up straight and align your head, neck, and spine.
- Keep your feet flat on the floor or use a footrest if needed.
- Position your computer monitor at eye level to avoid straining your neck.
- Take breaks and stretch regularly to prevent prolonged sitting.
Q: What are some ergonomic recommendations for a home office setup?
A: Consider the following ergonomic recommendations for a home office setup:
- Invest in an adjustable chair with proper lumbar support.
- Use a desk or workstation at an appropriate height to maintain proper alignment.
- Position your keyboard and mouse at a comfortable distance and height.
- Ensure your computer monitor is at eye level and about an arm’s length away.
- Use a document holder if you frequently refer to papers or documents.
- Consider using an ergonomic keyboard and mouse to minimize strain on your hands and wrists.
Q: How can I incorporate physical activity into my work-from-home routine?
A: Adding physical activity to your work-from-home routine can help alleviate back pain. Here are some suggestions:
- Take short breaks every hour to stretch and move around.
- Incorporate exercises such as walking, jogging, or cycling into your daily routine.
- Consider using a standing desk or an adjustable desk converter that allows you to alternate between sitting and standing.
- Engage in exercises specifically targeting core strength and back muscles, like yoga or Pilates.
- Schedule regular exercise breaks or participate in online workout classes during your breaks.
Q: Are there any specific exercises that can help relieve back pain while working from home?
A: Yes, certain exercises can help relieve back pain. Here are a few examples:
- Cat and Camel
Get on your hands and knees, arch your back upward like a cat, then lower it down like a camel.
2. Back Extensions
Lie face down, place your hands under your shoulders, and slowly lift your upper body off the ground while keeping your pelvis on the floor.
3. Bridge Pose
Lie on your back with your knees bent, feet flat on the floor. Lift your hips off the ground, forming a straight line from knees to shoulders.
4. Child’s Pose
Kneel on the floor, then sit back on your heels while lowering your upper body forward, reaching your arms out in front of you.
Remember to consult with a physiotherapist for personalized advice on exercises and stretches for your specific condition.
Q: How can I manage stress-related back pain while working from home?
A: Stress can contribute to back pain. Here are some strategies to manage stress:
- Practice relaxation techniques such as deep breathing exercises, meditation, or mindfulness.
- Maintain a healthy work-life balance by setting clear boundaries between work and personal time.
- Engage in stress-reducing activities outside of work, such as hobbies, exercise, or spending time
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
After a breast cancer diagnosis, many women are left to face new challenges caused by the side effects of their cancer treatments. While some side effects tend to disappear on their own over time, many side effects can have long-lasting physical and emotional consequences.
What are the common side effects of breast cancer treatment?
Breast surgery, such as a mastectomy, lumpectomy, or reconstruction, can cause many women to experience pain and physical limitations such as difficulty moving their arm, weakness, swelling, and scar tightness. In addition, some women may also develop pathologies such as post-mastectomy pain syndrome and axillary web syndrome following surgery.
Furthermore, both chemotherapy and radiation therapy also have their side effects, including fatigue, tingling, numbness in the hands/feet (chemotherapy-induced peripheral neuropathy), and radiation fibrosis, among many others.
These physical and psychological side effects of breast cancer treatments can significantly impact your daily functioning and independence both at home and at work. Research shows that both physiotherapy and exercise can help to alleviate many of these side effects and play an essential role in your recovery during and after breast cancer.
What are the benefits of breast cancer rehabilitation?
Physiotherapy interventions can help you to:
- Restore your arm movement
- Improve your shoulder, trunk, and abdominal strength
- Decrease your pain
- Improve your flexibility
- Improve your energy and endurance
- Reduce your risk of developing lymphedema
- Improve your posture and body awareness
In addition, exercise is also known to address many side effects, such as bone density issues related to hormonal medication, reducing your risk of developing lymphedema, and improving cancer-related fatigue in addition to also reducing your risk of reoccurrence. Physiotherapists are exercise specialists who will work with you to provide a safe and effective exercise program.
At Triangle, we are committed to helping women improve their health and well-being during each stage of their cancer recovery.
What are the components of breast cancer rehabilitation?
Every woman undergoing breast cancer treatment is different and hence will have unique rehabilitation needs. Your physiotherapist will use a combination of treatment techniques best suited for your condition. Interventions may include:
- Manual (hands-on) techniques such as soft-tissue mobilization and myofascial release to improve your flexibility and manage conditions such as radiation fibrosis and axillary web syndrome.
- Scar Massage
- Exercises to improve your shoulder movement and strength
- Exercises to improve your endurance and overall energy levels
- Individualized education regarding risk reduction and early detection of lymphedema
- Energy conservation techniques
- Education on how to return to physical activity
- Home exercise program
What are the most common misconceptions about Breast Cancer Rehabilitation?
There is a common misconception that for months or years after breast cancer surgery or radiation therapy, women should not use the arm on the affected side for lifting or working because they might get lymphedema or other problems. Research tells us this is FALSE, in fact with a proper physiotherapy program most women can achieve greater strength and function in the affected arm than what they had before surgery; with no increase in the chances of getting lymphedema.
Another misconception is that Breast Cancer Physiotherapy is the same as an exercise program. Physiotherapists are highly trained professionals able to independently diagnose and treat problems with pain or movement using a wide range of assessment methods and treatments, of which a specialized exercise program is one piece.
What does a typical session at Triangle Physiotherapy look like?
Your Physiotherapist will conduct a thorough assessment of the issue. This will include asking questions about your cancer treatment and the problems you’re having, other relevant medical information, and questions about your goals for therapy. They will do a physical assessment of the problem which could include assessing movements, strength and fitness, scar tissue, nerve function, and/or injuries from radiation or surgery. Your Physiotherapist will then clearly communicate all of their findings to you and describe their proposed treatment plan.
How many sessions will I need?
There is no one recipe for the number of treatment sessions or the length of time required for full recovery. Some conditions will require only a few sessions while others may require more intensive treatments and several sessions. Whatever your prognosis, your Physiotherapist will clearly communicate expected timelines with you.
What types of healthcare professionals can be involved in breast cancer rehabilitation at Triangle Physiotherapy?
Breast cancer rehabilitation is typically delivered by a multidisciplinary team of healthcare professionals. This team may include physiotherapists, acupuncturists, pelvic health physiotherapists, exercise specialists, nutritionists, and massage therapists.
Click HERE to book an appointment with a cancer rehab physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
One of the most common questions we are asked over the phone is “How Much Does Physiotherapy Cost?”. The cost of physiotherapy can vary depending on various factors such as the location, the specific clinic or facility, the experience and expertise of the physiotherapist, and the type and duration of treatment required. Additionally, the healthcare system and insurance coverage in your province can also affect the cost.
That being said, the fees for physiotherapy in the Greater Toronto Area range from $125 to $145 for the initial assessment and from $85 to $105 for follow-up sessions.
What type of facilities provide physiotherapy services in Ontario?
Physiotherapy services are available at many facilities in the community.
- Private Clinics like Triangle Physiotherapy where people of all ages can receive care.
- Hospitals – As per the Ontario Physiotherapy Association, Physiotherapy in hospitals may be provided to in-patients staying in a hospital or in an outpatient clinic. Many outpatient clinics offer rehabilitation programs for people recovering from surgery, stroke, or an injury. Not all hospitals in Ontario have an outpatient physiotherapy program or physiotherapy services that will meet your specific needs.
- Home Care – Physiotherapy services may be delivered in your home whether you live in a house or condo, or in a larger facility such as a retirement home.
- Long-Term Care Homes – Physiotherapy services are available to residents of Long-Term Care homes
- Community Physiotherapy Clinics, also known as OHIP clinics – Patients who qualify receive an ‘episode of care’ for their condition/diagnosis. Each episode of care includes the assessment, treatment, and discharge summary. The patient cannot be charged for these services. To be eligible for physiotherapy services at a Community Physiotherapy Clinic, a patient must, for each episode of care: have a physician’s or nurse practitioner’s referral for physiotherapy services and fall within one of the following categories:
- 19 years old or younger, or;
- 65 years old or older, or;
- Are receiving benefits under the Ontario Disability Support Program or Ontario Works, or;
- Have been overnight in a hospital for a condition that now requires physiotherapy treatment.
Who pays for physiotherapy services?
At private clinics like Triangle Physiotherapy, physiotherapy may be covered by the following:
- Extended Health Plans provided by employers or self-purchased
- WSIB – if injured at work
- Auto Insurance – Motor Vehicle Accident
- Interim Federal Health Program – for Refugees
- Self-pay
Can I claim physiotherapy on my income tax in Canada?
You can claim out-of-pocket physiotherapy as a medical expense tax credit. Save all your receipts from your physiotherapy visits. Please speak to your accountant for more details.
How do I book an appointment to see a physiotherapist?
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Physiotherapy, also known as physical therapy, is a healthcare profession that focuses on the treatment and prevention of physical disabilities, injuries, and pain through exercise, manual therapy, and other modalities.
Here are the top 10 frequently asked questions and answers about physiotherapy:
What does a physiotherapist do?
A physiotherapist diagnoses and treats a wide range of conditions affecting the musculoskeletal, neurological, and cardiovascular systems. They develop personalized treatment plans that may include exercises, manual therapy, electrotherapy, and other techniques to help patients recover from injuries or manage chronic conditions. Some Physiotherapists also have specialization in pelvic health, vestibular rehab, concussion management, and pediatrics. Physiotherapists are known to be advocates of movement and good health in the community.
What are the benefits of physiotherapy?
Physiotherapy can help improve mobility, strength, and flexibility, reduce pain and inflammation, prevent injury, and improve overall quality of life. It can also help people recover from surgeries or illnesses and manage chronic conditions such as arthritis, back pain, and stroke.
What conditions can physiotherapy treat?
Physiotherapy can treat a variety of conditions, including but not limited to musculoskeletal injuries such as sprains and strains, post-surgery rehabilitation, neurological conditions such as stroke and Parkinson’s disease, respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD), and chronic pain syndromes such as fibromyalgia. They can also treat pelvic floor dysfunction, incontinence, and other pelvic floor issues. Vertigo (BPPV) is another condition that some physiotherapists are trained in. Check out the detailed list of conditions on our website.
How long does a physiotherapy session last?
The initial assessment with a physiotherapist at our clinic is an hour long. Follow-up sessions are usually 30 minutes but some people may need longer sessions depending on their condition and treatment plan.
How many physiotherapy sessions will I need?
The number of physiotherapy sessions required varies depending on the condition being treated, the severity of the injury, and the patient’s individual needs. Our physiotherapist will work with the patient to develop a personalized treatment plan and will provide an estimate of the number of sessions needed.
Is physiotherapy painful?
Physiotherapy may involve some discomfort during treatment, especially if the patient is recovering from an injury. However, a physiotherapist will work within the patient’s pain threshold and provide techniques to manage any discomfort. The key is to communicate with your physiotherapist during your treatment session so they can adjust their treatment to keep you comfortable.
Do I need a physician’s referral to see a physiotherapist?
Physiotherapy is primary care in Ontario, so we do not need a referral to see you. However, if you will be claiming your treatments through a benefits plan, it would be best to check with your insurance about their referral requirements. If you will be visiting an OHIP clinic, you will most certainly need a physician’s referral to be covered. See OHIP-covered physiotherapy requirements here.
How do I choose a physiotherapist?
When choosing a physiotherapist, consider their qualifications, experience, and area of expertise. It may also be helpful to read online reviews and ask for recommendations from friends and family. Triangle Physiotherapy has 3000+ 5-Star Google reviews between all eight locations. We pride ourselves on the service we provide and our physiotherapists have a learning mindset so they are always learning new skills.
Is physiotherapy covered by insurance?
Most insurance plans cover physiotherapy, but coverage can vary depending on the plan and the specific services provided. It’s important to check with your insurance provider to determine your coverage.
How do I book an appointment to see a physiotherapist?
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Written by Roshni Ravi, Pelvic Health Physiotherapist.
Sexual health is an important aspect of overall health and well-being, but it’s not always an easy topic to talk about. Many women experience sexual health dysfunctions at some point in their lives, but they may feel embarrassed or ashamed to seek help by way of pelvic floor physiotherapy. There are currently large gaps in the sexual education provided at the elementary school level. Many sex ed classes are focused on birth control and how terrible periods are.
But there is not enough information, if any, on sexual health conditions and how to seek help. We’ve had a lot of conversations with patients about what they wish they had learned in sex-ed. In this blog post, we’ll explore some of the most commonly asked questions about sexual health dysfunctions in women and offer some tips for managing them.
What is pelvic floor physiotherapy?
Pelvic floor physiotherapy focuses on treating the muscles, ligaments, and connective tissues of the pelvic floor which is a group of muscles that form a supportive hammock-like structure at the base of the pelvis. They play a key role in maintaining continence, supporting the pelvic organs, and providing stability to the spine and hips.
Pelvic floor physiotherapy involves a range of exercises, manual therapy techniques, and education to help individuals with pelvic floor dysfunction. Common conditions that may benefit from pelvic floor physiotherapy include:
- urinary and fecal incontinence,
- pelvic pain,
- pelvic organ prolapse, and
- sexual dysfunction.
Why am I suffering from a low libido? Can pelvic floor physiotherapy help?
Many women experience a decrease in sexual desire at some point in their lives. This can be caused by a variety of factors, including stress, hormonal imbalances, and relationship issues. To manage low libido, it’s important to address any underlying issues and make self-care a priority. This can include:
- practicing stress-management techniques,
- getting enough sleep, and
- engaging in regular exercise.
Why does it hurt to have sex?
Painful intercourse, also known as dyspareunia, is a common sexual health dysfunction in women. It can be caused by a variety of factors, including vaginal dryness, infections, and hormonal imbalances. To manage painful intercourse, it’s important to work with a healthcare provider to identify the underlying cause and develop a treatment plan. This may include using:
- lubricants,
- treating infections,
- or using hormonal therapy.
I struggle to orgasm during sex, why does that happen?
Many women struggle to achieve orgasm during sexual activity which can be caused by a variety of factors, including, stress, relationship issues, and hormonal imbalances. To manage orgasmic dysfunction, it’s important to work with a healthcare provider or therapist to address any underlying issues and develop strategies for improving sexual function. This may include:
- practicing mindfulness or
- engaging in self-exploration techniques.
My vagina feels like a fort that is impenetrable. Why can I not have sexual intercourse?
Vaginismus is a condition in which the muscles of the vaginal wall contract involuntarily, making intercourse difficult or impossible. It can be caused by a variety of factors, including past trauma and anxiety. To manage vaginismus, it’s important to work with a healthcare provider or therapist to address any underlying issues and develop strategies for managing anxiety and relaxing the pelvic floor muscles.
What is vulvodynia? Do I need pelvic floor physiotherapy?
Vulvodynia is a chronic pain condition that affects the vulva, or external genitalia. It can cause burning, stinging, or itching sensations, and can make sexual activity painful or uncomfortable. To manage vulvodynia, it’s important to work with a healthcare provider to identify the underlying cause and develop a treatment plan. This may include:
- using topical creams or medications,
- practicing relaxation techniques, or
- seeing a pelvic health physiotherapist.
Help! I pee my pants!
Urinary incontinence is a common condition in which urine leaks from the bladder involuntarily. It can be caused by a variety of factors, including hormonal changes, pregnancy, and pelvic floor dysfunction. To manage urinary incontinence, it’s important to work with a healthcare provider or pelvic floor physiotherapist to develop a treatment plan. This may include:
- pelvic floor exercises,
- bladder training, or
- medications.
What are the signs of menopause?
Menopause can cause a variety of changes in sexual function, including vaginal dryness, decreased libido, and painful intercourse. To manage these changes, it’s important to work with a healthcare provider to develop a treatment plan. This may include:
- using hormonal therapy,
- vaginal moisturizers, or
- engaging in regular sexual activity to maintain pelvic floor health.
Where can I find a pelvic health physiotherapist near me?
We have 8 locations with pelvic health physiotherapists to help you.
- Pelvic Health Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
- Pelvic Health Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga
- Downtown Pelvic Health – Triangle Physiotherapy King West
- Uptown Toronto Pelvic Health – Triangle Physiotherapy Lawrence Park
- Pelvic Physiotherapy Downtown Toronto – Triangle Physiotherapy Queens Quay
- Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills
In conclusion…
Many women experience sexual health dysfunctions at some point in their lives, but they may feel embarrassed or ashamed to seek help. It’s important to remember that sexual health is an important aspect of overall health and well-being, and it’s important to prioritize it in your self-care routine. If you’re experiencing any issues related to sexual function, don’t hesitate to talk to your healthcare provider or a therapist about your options. Remember, there is help!
Click here to book your consultation with one of our knowledgeable and compassionate pelvic health physiotherapists.
Pelvic Floor Physiotherapy refers to a specific and advanced field within physiotherapy that deals with Pelvic Floor Dysfunction. Pelvic Floor Dysfunction can impact people of any age or gender and the term describes several conditions that may affect the urinary, reproductive, digestive, sexual, and/or stability systems in the pelvis.
Pelvic Health Physiotherapists have post-graduate training in pelvic health and can resolve many pelvic floor issues in people of all genders and ages.
What type of conditions can Pelvic Floor Physiotherapy help women with?
Pelvic Health physiotherapists at our clinics can help women with the following:
- Pelvic floor and abdominal weakness
- Bladder and bowel problems
- Pelvic pain (endometriosis, bowel, bladder pain)
- Pelvic organ prolapse (POP)
- Sexual dysfunction, vaginismus, painful intercourse
- Prenatal and postnatal care
- Diastasis Recti
- Labour and delivery prep
Can a pelvic health physiotherapist help men?
Pelvic Health physiotherapists at our clinics can help men with the following:
- Pelvic pain
- Bladder and bowel control problems
- Erectile dysfunction
- Pre and post-prostatectomy
Can your pelvic health physiotherapists help transgender individuals?
Yes, our pelvic health physiotherapists can certainly help transgender individuals.
- Surgical preparation and recovery post-surgery
- Pelvic pain – Endometriosis or PCOS
- Intimacy pain, difficulty with penetration
- Pregnancy and postnatal care for Trans-parents
Pelvic Floor Assessment – what does it entail?
Your first appointment will last about an hour. Your pelvic health physiotherapist will discuss your medical history, do a thorough pelvic health assessment and propose a detailed individualized treatment plan to achieve your pelvic health goals. The assessment may include an internal examination, with your consent, of course, depending on your condition.
Triangle Physiotherapy and our pelvic health team are passionate about supporting our transgender and intersex community.
What should I bring to my appointment? What should I wear?
Make sure you have filled out the Health Questionnaire sent to you by our booking team. Bring any physician or specialist referrals to test results you may have. Please wear comfortable clothing, there are no specific requirements.
How many sessions will I need?
After your assessment, your physiotherapist will prepare a treatment plan for you and be able to indicate how many appointments you may need to achieve your pelvic health goals.
Can I attend my appointment if I have my period?
Your pelvic health physiotherapist can treat you while you have your period, as long as you are comfortable with it.
How do I book an appointment to see a pelvic health physiotherapist at Triangle Physiotherapy?
Triangle Physiotherapy has pelvic health physiotherapists at the following locations:
- Etobicoke Pelvic Health – Triangle Physiotherapy Etobicoke
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga, Triangle Physiotherapy Erin Mills
- North York Pelvic Health – Triangle Physiotherapy North York
- Toronto Pelvic Health – Triangle Physiotherapy King West, Triangle Physiotherapy Queens Quay, Triangle Physiotherapy Lawrence Park
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
One of the most common questions that we are asked by patients calling our clinic is “Will OHIP cover my treatment?” or “Is physiotherapy covered by OHIP?”.
The answer is: It is covered by OHIP but in particular circumstances. Continue to read to get more information on if and when OHIP covers physiotherapy treatments.
Who is eligible to get OHIP-funded physiotherapy treatments?
With a valid OHIP card you can receive government-funded physiotherapy if you are:
- 65 years or older
- 19 years or under
- any age after an overnight hospital stay (within the last 12 months) for a condition requiring physiotherapy
- a recipient of the Ontario Works or the Ontario Disability Support Program (any age, OHIP card not required)
Remember, you have to have a referral from a doctor or nurse practitioner in addition to any of the above criteria.
Does ODSP cover physiotherapy?
You may be covered for physiotherapy under the ODSP program at an OHIP funded clinic. Contact your ODSP administrator for more information.
Where can I go to get OHIP-covered physiotherapy treatments?
The answer to your question, “Does OHIP cover physiotherapy?” is yes – OHIP covers physiotherapy ONLY at designated government-funded physiotherapy clinics and you have to meet some eligibility criteria. Not all clinics are able to provide OHIP-funded physiotherapy treatments.
Does OHIP cover physiotherapy for seniors?
Seniors over 65 years of age are covered for physiotherapy treatments provided all the eligibility criteria are met. However, you should read on for the disadvantages of visiting an OHIP-funded clinic.
Do I need a doctor’s referral to get treatment at an OHIP-funded physiotherapy clinic?
You have to have a referral from a doctor or nurse practitioner once you have met the eligibility criteria.
Is Triangle Physiotherapy an OHIP-funded physiotherapy clinic?
Triangle Physiotherapy is not an OHIP-funded physiotherapy clinic. Physiotherapy at Triangle is funded by the following:
- Extended Health Insurance Plans
- WSIB
- Auto Insurance if you have been in an accident
- Private pay
- Veterans Affairs Canada
We have physiotherapy clinics in Etobicoke, physiotherapy clinics in Oakville, physiotherapy clinics in Mississauga, physiotherapy clinics in North York and physiotherapy clinics in Toronto.
What are the disadvantages of going to an OHIP-funded physiotherapy clinic? 😞
While the biggest plus of going to an OHIP-funded physiotherapy clinic is that it is free, the eligibility criteria rule out most of us.
The disadvantages of getting treated at a government-funded clinic are:
- Wait times – the likelihood of you getting in to see a physiotherapist urgently is very low.
- Locations – the closest government-funded clinic might be an inconvenient distance away
- Over-booked schedule – the OHIP-funded clinics are reimbursed at a meager rate for each session, meaning that physiotherapists in OHIP-funded clinics can be double or even triple-booked in a single time slot. In addition, some clinics also do group sessions.
- Non-personal, non-individualized care – you may not see a physiotherapist for several sessions after your initial visit and be treated by a physiotherapy assistant.
What are the advantages of coming to Triangle Physiotherapy over going to an OHIP-funded physiotherapy clinic?
There are many advantages to seeing a physiotherapist at Triangle Physiotherapy over visiting an OHIP-funded clinic for treatment.
- Detailed one-hour assessment.
- One-on-one follow-up sessions – no group sessions or sessions with a PTA.
- Qualified physiotherapists with specializations in manual therapy, acupuncture, pelvic health, vestibular health, and more.
- In most cases, a doctor’s referral is not required. However, if you will be submitting your claim to an extended health plan, it is best to check if they require one.
- Convenient billing options – direct billing to insurance, pay by credit or debit card.
- Easily accessible locations.
- Best possible patient experience.
- Multi-disciplinary care – Massage Therapy, Chiropractic, Naturopathy, Chiropody.
- Morning, evening, and weekend appointments to suit your schedule.
Where can I find a great physiotherapist near me?
We have 8 convenient locations with physiotherapists to help you.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Book an appointment to see a physiotherapist in Toronto today!