Pubic bone pain after giving birth, also known as postpartum pubic symphysis diastasis or symphysis pubis dysfunction (SPD), is a condition that affects some women following childbirth. This pain is usually centered around the pubic symphysis, the joint at the front of the pelvis where the two halves of the pelvic bone meet.
What are the causes of post-partum pubic bone pain?
- Hormonal Changes: During pregnancy, the body releases the hormone relaxin, which loosens the ligaments in the pelvis to prepare for childbirth. This can sometimes lead to instability or separation of the pubic symphysis.
- Physical Stress: The process of labor and delivery can put significant strain on the pelvic area, particularly if the baby is large, labor is prolonged, or delivery involves interventions such as forceps or vacuum extraction.
- Pre-existing Conditions: Women who had SPD or pelvic girdle pain during pregnancy are more likely to experience pubic bone pain postpartum.
What are the symptoms of symphysis pubis dysfunction (SPD)?
Pain:
- Burning, shooting, grinding or stabbing
- Mild or prolonged
- Usually relieved by rest
- Radiating to the back, abdomen, groin, perineum and legs
- Disappears commonly after giving birth (not in every case)
- Discomfort sense onto the front of the joint
- Clicking of the lower back, hip joints and sacroiliac joints when changing position
- Difficulty in movements like abduction and adduction
Locomotor difficulty:
- Walking
- Ascending or descending stairs
- Rising from a chair
- Weight-bearing activities
- Standing on one leg
- Turning in bed
- Depression, possibly due to the discomfort
How is pubic bone pain treated?
- Rest and Activity Modification: Reducing activities that exacerbate pain, such as standing for long periods, lifting heavy objects, or walking long distances.
- Pelvic Physiotherapy: A physiotherapist can provide exercises to strengthen the pelvic floor, abdominal, and hip muscles, and help stabilize the pelvic area. Manual therapy may also be used to realign the pelvis.
- Pain Relief: Over-the-counter pain medications such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) may be recommended. Always consult with a healthcare provider before taking any medication, especially if breastfeeding.
- Supportive Devices: Wearing a pelvic support belt can help stabilize the pelvis and reduce pain.
- Heat and Cold Therapy: Applying heat or cold packs to the affected area can help reduce pain and inflammation.
How can a pelvic health physiotherapist help with pubic bone pain?
A pelvic health physiotherapist can be of immense help with symphysis pubis dysfunction (SPD). A pelvic health physiotherapist can provide:
- Guidance on movement techniques for daily activities such as climbing stairs, bending, lifting, and feeding the baby.
- Education on gradually advancing exercises aimed at neuromuscular re-education, core stability, and proper posture.
- Hands-on therapy, including pelvic evaluations and muscle energy techniques to correct pelvic alignment.
- Evaluations to identify tissue dysfunction or lack of coordination.
Where can I find a pelvic health physiotherapist in Mississauga?
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
Recovering from pubic bone pain after giving birth can be supported through targeted physiotherapy. If you’re looking for specialized care, consider physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, or Liberty Village. Experienced physiotherapists in these areas can help you manage pain and regain strength and mobility through personalized treatment plans.
March 8th marks International Women’s Day and Triangle Physiotherapy is proud to be able to empower women to advocate for themselves and their health needs.
Our goal is to encourage women to focus on their health, both, physical and mental. Build your healthcare team and schedule regular visits, in addition to exercising regularly and eating healthy.
Women’s Health and the Pelvic Floor
Women’s health is intricately connected to the well-being of the pelvic floor, a group of muscles, ligaments, and tissues supporting the uterus, bladder, and rectum. Maintaining a healthy pelvic floor is crucial for various functions, including urinary and bowel control, sexual function, and providing support during pregnancy. Pregnancy, childbirth, hormonal changes, and aging can impact the pelvic floor, leading to issues like incontinence, pelvic organ prolapse, and sexual dysfunction.
Maintaining a healthy lifestyle, proper posture, and seeking guidance from a pelvic health physiotherapist are essential for women’s pelvic floor health. Awareness and proactive care contribute to overall well-being, enabling women to lead active and fulfilling lives while addressing potential pelvic floor challenges.
What are the symptoms of Pelvic Floor Dysfunction?
Pelvic Floor Dysfunction (PFD) can manifest through various symptoms, which may vary in intensity and duration. Common signs of PFD include:
- Urinary Issues:
- Urinary incontinence: Involuntary leakage of urine.
- Frequent urination: The need to urinate more often than usual.
- Difficulty emptying the bladder: Struggling to fully release urine.
- Bowel Issues:
- Constipation: Difficulty passing stools or infrequent bowel movements.
- Straining during bowel movements: Experiencing difficulty while trying to have a bowel movement.
- Pelvic Pain:
- Pelvic pain or discomfort: Discomfort in the pelvic region, which may be persistent or intermittent.
- Pain during sexual intercourse: Discomfort or pain during sexual activity.
- Muscle Tension:
- Tight or spasming pelvic muscles: Increased muscle tension in the pelvic floor.
- Pelvic Organ Prolapse:
- The feeling of pressure or fullness in the pelvic area: Sensation of something bulging or descending into the vagina.
- Lower Back Pain:
- Chronic lower back pain: Discomfort or pain in the lower back region.
- Changes in Posture:
- Altered posture: Changes in the alignment of the spine and pelvis.
How a Pelvic Health Physiotherapist can help and what to expect?
A Pelvic Health Physiotherapist specializes in assessing and treating conditions related to the pelvic floor and surrounding areas. Here’s how they can help and what to expect during a session:
- Assessment:
- A thorough assessment of your medical history, pelvic health, and relevant symptoms.
- Physical examination, which may include internal and external assessments to evaluate the strength, flexibility, and coordination of the pelvic floor muscles.
- Education:
- Detailed explanation of pelvic anatomy and the role of pelvic floor muscles in various functions.
- Guidance on lifestyle factors, posture, and habits that may contribute to pelvic health issues.
- Pelvic Floor Exercises:
- Prescribing personalized pelvic floor exercises, to strengthen or relax specific muscles based on the assessment findings.
- Teaching proper technique and ensuring exercises are performed correctly.
- Manual Therapy:
- Hands-on techniques to release tension in the pelvic floor muscles or surrounding tissues.
- Myofascial release and trigger point therapy to address muscle knots or tightness.
- Biofeedback:
- Using biofeedback tools to provide real-time information about pelvic floor muscle activity.
- Assisting individuals in learning how to control and coordinate their pelvic floor muscles.
- Behavioral Strategies:
- Implementing behavioral strategies for managing and improving bladder and bowel function.
- Developing strategies for optimizing pelvic health during daily activities.
Where can I find a pelvic health physiotherapist in Mississauga?
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
On International Women’s Day, let’s celebrate the strength and resilience of women everywhere. For those seeking expert support for their health and wellness, consider physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, or Liberty Village. Skilled physiotherapists in these areas are committed to empowering women through personalized care and treatment plans.
Triangle Physiotherapy in Mississauga is a full-service clinic that offers specialized services like Pelvic Health Physiotherapy. Our pelvic health physiotherapists are trained professionals who, apart from being experts in their field, are also empathetic individuals who understand the sensitive nature of the conditions that make people seek pelvic health physiotherapy.
Tell me more about your Mississauga Pelvic Health physiotherapists.
Our Mississauga Pelvic Health physiotherapists have training in the field of pelvic health physiotherapy and are committed to providing the best care to the community in Mississauga, be it new moms, women with prolapse or incontinence issues, pessary fittings, labour and delivery support, and more. We also have a pelvic health physiotherapist who is trained to help children. Our pelvic health physiotherapists are also able to help men with their pelvic health issues.
What type of conditions can a pelvic floor physiotherapist treat?
Some of the conditions treated by our Mississauga Pelvic Health physiotherapists are:
- Incontinence (urinary and fecal)
- Pelvic organ prolapse and pessary fittings
- Constipation
- Diastasis recti
- Vaginismus
- Pelvic pain
- Pelvic girdle pain during pregnancy and postpartum)
- Coccydynia (tailbone pain)
- Pudendal neuralgia
- Interstitial cystitis
- Female and Male Sexual dysfunction
- Prostatitis
- Rectal pain and dysfunction
- Irritable bowel syndrome
- Anal incontinence
- Anal fissures and fistulas
- Anal neuralgia
- Rectal prolapse
I just gave birth recently. How soon should I see a pelvic health physiotherapist
The pelvic floor muscles may get stretched or damaged during delivery, whether by C-Section or vaginal. This may cause issues of the pelvic floor that manifest as urinary or fecal incontinence, urinary urgency or frequency, pain during sexual activity, pelvic organ prolapse, pelvic pain, lower back pain, diastasis recti, or scar pain. Many of these issues can be addresed by pelvic health physiotherapy, however, our pelvic physiotherapists in Mississauga recommend waiting at least six weeks after delivery to allow the body time to heal from childbirth.
Can I speak to a pelvic health physiotherapist in Mississauga prior to booking a consultation?
We can certainly connect you with the best pelvic floor physiotherapist in Mississauga that can answer any questions you may have. Click here to book a discovery call.
Where can I find a pelvic health physiotherapist in Mississauga?
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
“Finding the right pelvic health physiotherapist is crucial for effective treatment and recovery. Triangle Physiotherapy offers expert care across the GTA, including Physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. Our skilled physiotherapists specialize in pelvic health, providing personalized treatment plans to help you achieve the best possible outcomes.”
A pessary is a medical device designed to be inserted into the vagina to provide support for pelvic organs or to treat certain gynecological conditions. It is typically made of silicone or plastic and comes in various shapes and sizes to accommodate different needs.
What is the purpose of a pessary?
The purpose of a pessary is to support the pelvic organs and alleviate symptoms of pelvic organ prolapse or urinary incontinence. It helps to hold the organs in place and improve their function.
Who might need a pessary?
Doctors commonly recommend pessaries for women who experience pelvic organ prolapse, which happens when the pelvic organs, such as the uterus, bladder, or rectum, descend from their normal positions. Pessaries can also manage stress urinary incontinence, a condition where involuntary leakage of urine occurs during activities that increase abdominal pressure, such as coughing or lifting.
How is a pessary inserted?
During a pelvic examination, a healthcare provider usually inserts the pessary. The healthcare provider folds the pessary and inserts it into the vagina. Once inside, the pessary opens up and provides support to the pelvic organs. The specific method of insertion may vary depending on the type of pessary being used.
How many appointments will I need?
Typically, you will require a minimum of three appointments to ensure that your pessary is doing what it needs to.
Do I need a doctor’s note to get fitted for a pessary?
No, you don’t need a doctor’s note to see the pelvic health physiotherapist, however, if your insurance requires one for reimbursement then you need to get one. Also if the therapist decides after assessing you, that you will benefit from a pessary then you will be provided with a clearance letter that will need to be signed by your family dr or your ob-gyn prior to fitting.
Are pessary fitting appointments covered by insurance?
Yes, the services are covered under physiotherapy coverage.
Does Triangle Physiotherapy do pessary fittings?
This service is currently provided at 4 of our locations in Toronto and Mississauga.
a. King West
c. North York
d. Mississauga
Who provides pessary fittings at Triangle Physiotherapy?
Some of our pelvic health physiotherapists at our Toronto Pessary Clinics and Mississauga Pessary Clinic are trained to do pessary fittings and insertions. Schedule an appointment to see if a pessary can help you.
How does the process work?
When you come in for your initial assessment, the therapist will do a pelvic assessment as well as take the measurement for the pessary. At your 2nd appointment, you will be fitted with a pessary device. You will have a follow-up appointment after 2-3 weeks to check if everything is ok and that there is no redness or infection. The pelvic physiotherapists will also explain to you how to take it out and clean it.
How can I find a pelvic health physiotherapist who does pessary fittings near me?
We have 4 locations with pelvic health physiotherapists that do pessary fittings to help you.
- Pessary Fittings North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health, Mississauga Pessary Fitting – Triangle Physiotherapy Mississauga
- Toronto Pessary Clinic – Triangle Physiotherapy King West
- Uptown Toronto Pessary Clinic – Triangle Physiotherapy Lawrence Park
A pessary can be an effective non-surgical option for managing pelvic organ prolapse, and combining it with pelvic floor physiotherapy can enhance results. If you are looking for professional physiotherapy services to support your pelvic health, consider clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations offer specialized care and personalized treatment plans to help manage prolapse symptoms and improve quality of life.
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 is essential for improving sexual health and overall well-being. Triangle Physiotherapy offers specialized pelvic health services across the GTA, including Physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. Our experienced team can help you address pelvic floor issues and enhance your sexual health through personalized treatment plans.”
Written by Roshni Ravi, Pelvic Health Physiotherapist
Have you ever experienced pain with sex? A burning sensation during or afterwards, a sharp pain or general discomfort? A lot of these symptoms point towards a common condition called dyspareunia. This is also known as pain with intercourse. It is a common condition postpartum, during menopause or even just due to general pelvic floor dysfunction.
But don’t worry, there are ways to alleviate the discomfort and enjoy a fulfilling sex life again! One of the most effective methods is through pelvic health physiotherapy.
Pelvic health physiotherapy involves working with a trained professional to strengthen and stretch the muscles in your pelvic floor, which can become weakened or tight due to a variety of factors. By doing so, you can improve your pelvic floor function and reduce pain during sex.
When it comes to sexual dysfunction, pelvic physiotherapy can be an effective treatment option for women. Pelvic physiotherapy can help address issues such as pain during intercourse, difficulty achieving orgasm, or vaginismus (involuntary contraction of the vaginal muscles).
What does a treatment session entail?
During a pelvic physiotherapy session, you’ll typically undergo an initial evaluation where your therapist will assess your pelvic floor muscles and create a personalized treatment plan. The exercises and techniques used will vary depending on your specific needs and goals, but they may include:
- Pelvic floor relaxation exercises
- Deep breathing
- Yoga based therapy
- Functional strengthening such as squats
- Biofeedback and/or muscle stimulation
It’s important to note that pelvic physiotherapy isn’t a quick fix and may take several sessions to see results. However, with dedication and commitment, it can significantly improve your quality of life and sexual function. So if you’re experiencing dyspareunia, don’t suffer in silence. Talk to your healthcare provider about pelvic physiotherapy and take the first step towards a happier, healthier you.
Book your consultation with a pelvic health physiotherapist today. We have pelvic health physiotherapists at all eight of our locations.
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
“Revitalizing your relationship and reclaiming your sex life can be achieved with the help of pelvic floor physiotherapy. Triangle Physiotherapy offers specialized services across the GTA, including Physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. Our experienced team can help you address pelvic floor issues and enhance intimacy through personalized treatment plans.”
Written by Roshni Ravi, Pelvic Health Physiotherapist
Stress incontinence is a type of urinary incontinence that occurs with physical activity or exertion. This can be from coughing, sneezing, laughing or exercise e.g. jumping. All of these actions can put pressure on the bladder thereby causing leaks. The pelvic floor is important in preventing this leaks and supporting the bladder.
Pelvic floor exercises such as a kegel are commonly recommended for leaks. However, a lot of time the pelvic floor is actually tight rather than weak. Reverse Kegels involve relaxing the pelvic floor muscles, allowing them to lengthen and release tension. This helps to prevent over-tightening and over-activity of the pelvic floor muscles, which can contribute to stress incontinence.
Hypertonic pelvic floor
Hypertonic pelvic floor refers to a condition where the pelvic floor muscles are in a state of excessive and persistent contraction. This can lead to a number of symptoms, including pelvic pain, urinary and fecal incontinence, and sexual dysfunction.
Hypertonic pelvic floor can be caused by a number of factors, including pregnancy, childbirth, surgery, chronic constipation, and chronic pelvic pain. It can also be a result of excessive or improper use of pelvic floor muscle exercises, such as Kegels.
Treatment for Hypertonic pelvic floor
Treatment for hypertonic pelvic floor typically involves a combination of physical therapy and relaxation techniques. Physical therapy may include manual therapy to release muscle tension, as well as exercises to stretch and relax the pelvic floor muscles. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and biofeedback, can also be helpful in reducing muscle tension.
If you’re experiencing leaks, reach out to a pelvic floor therapist for an assessment or discovery call!
FAQ’s about Stress Incontinence
Q: What is stress incontinence?
A: Stress incontinence is a type of urinary incontinence that occurs when pressure is placed on the bladder, such as during coughing, sneezing, laughing, or exercising, and causes involuntary urine leakage.
Q: What causes stress incontinence?
A: Stress incontinence is typically caused by weakened pelvic floor muscles and/or a weakened urethral sphincter, which can occur due to aging, pregnancy and childbirth, menopause, obesity, chronic coughing, or certain medical conditions.
Q: Who is at risk for developing stress incontinence?
A: Women are more likely to develop stress incontinence than men, especially those who have gone through pregnancy and childbirth, menopause, or pelvic surgery. Other risk factors include obesity, chronic coughing, and certain medical conditions that affect the bladder or nervous system.
Q: How is stress incontinence diagnosed?
A: Stress incontinence can be diagnosed through a physical exam, a urine test, and other tests such as a bladder diary or urodynamic testing.
Q: What are the treatment options for stress incontinence?
A: Treatment options for stress incontinence may include:
- pelvic floor exercises,
- behavioral therapies,
- medications,
- medical devices such as pessaries, and in some cases,
- surgery.
Q: Can stress incontinence be prevented?
A: While stress incontinence may not be completely preventable, there are steps you can take to reduce your risk. Maintaining a healthy weight, doing regular pelvic floor exercises, and avoiding smoking and excessive caffeine consumption are some of these.
Q: Is stress incontinence a normal part of aging?
A: While stress incontinence is more common in older adults, it is not a normal part of aging and should not be ignored or accepted as an inevitable consequence of getting older. Treatment options are available, and seeking help from a healthcare provider is important.
Managing stress incontinence effectively involves a combination of pelvic floor exercises, lifestyle changes, and sometimes physiotherapy. For those seeking professional physiotherapy services to help manage incontinence and improve pelvic health, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics offer expert care and personalized treatment plans to help you achieve a leak-free life and enhanced quality of life.
Written by Roshni Ravi, Pelvic Health Physiotherapist
Constipation is a common gastrointestinal (GI) condition that causes difficulty with passing stool or reduces the frequency of having a bowel movement. It can be caused by
– dehydration
– diet e.g. not enough fibre
– sedentary lifestyle
– Ignoring the urge for a bowel movement due to pain.
– Pelvic organ prolapse (POP)
– Medications such as anti-inflammatories, iron supplements or anti depressants.
Medically, constipation is defined as having fewer than 3 bowel movements a week with hard stools.
Pelvic muscle dyssynergia (incoordination) can lead to constipation. During a typical bowel movement, the pelvic floor needs to relax in order to evacuate stool. When there is tightness in the pelvic floor muscles, it can be painful or uncomfortable to pass stool.
Treatment for constipation can include a number of lifestyle modifications such as increased fibre and water intake, and regular exercise. However, consulting with a pelvic physiotherapist can improve outcomes, by creating an exercise program specific to your pelvic floor dysfunction. The need for lengthening versus strengthening of the pelvic floor is determined through internal vaginal or rectal examination. Another option is seeing a naturopath for ways to adjust your diet accordingly. Quite often, both treatments go hand in hand.
Experiencing constipation or constipation like symptoms? Book a consultation with one of our pelvic physiotherapists today!
“Pelvic physiotherapy can be an effective solution for relieving constipation and improving overall pelvic health. Triangle Physiotherapy offers specialized services across the GTA, including Physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. Our experienced team can help you develop a personalized treatment plan to address constipation and enhance your quality of life.”
Did you know children can benefit from pelvic physiotherapy too?
Most children are dry at night by school age. Approximately, 30% of children wet the bed at 4 ½ years of age. Fecal incontinence is also common in children. If a child has regular soiling or poo accidents after the age of 4 they should be assessed.
There is no cause to worry. Pelvic Health issues in children can be resolved with the help of a trained pelvic health physiotherapist at Triangle Physiotherapy.
Common conditions experienced by children include:
Constipation: infrequent bowel movements, frequent movements with pain or difficulty
Incontinence: inability to maintain bowel or bladder function. Could be inability to make it to the bathroom in time or leakage with giggles and coughing
Bed Wetting (Enuresis): leaking urine through the night while sleeping.
Voiding issues (eg. Dysfunctional voiding & postponement): inappropriately engaging pelvic floor muscles during voiding or delaying going to the bathroom, sometimes as a result of fear or pain.
Did you know 85% of children have bed wetting or fecal incontinence because of constipation?
If your child is 5 or older and experiencing any of the above symptoms pediatric Pelvic Floor Physiotherapy can help them get back to being kids, and relieve familial stress!
Our trained therapists create a personalized treatment plan with parents and children to better target your concerns and furthermore improve your child’s overall quality of life. Treatment is always in a way that is fun and engaging for your young one.
What does a pelvic floor assessment entail?
Your physical therapist will start by taking a detailed child developmental and family history. We may also ask you to complete a bladder diary to better track your child’s voiding patterns and perform a functional assessment of their breathing. Thereafter, the physiotherapist will do a visual assessment for which the child need not undress. Sometimes, the physiotherapist will use externally placed sensors to assess the functioning of the pelvic floor muscles.
Note: An internal assessment is not performed.
What does the pelvic floor treatment entail?
- Education dietary foods/irritants, habit training, digestion, pelvic floor anatomy
- Biofeedback machines using Bluetooth to keep children engaged playing games with the aid of their pelvic floor muscles.
- Electrical Stimulation
- Toilet training
- Massage
Which locations of Triangle Physiotherapy offer Pediatric Pelvic Health in Toronto?
Pediatric Pelvic Floor Physiotherapy is offered at Triangle Physiotherapy North York, Triangle Physiotherapy Mississauga and Triangle Physiotherapy Lawrence Park.
Click here to book an appointment for your child.
Pediatric pelvic floor physiotherapy is essential for addressing bladder and bowel control issues in children. Triangle Physiotherapy offers specialized services across the GTA, including Physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. Our experienced team provides personalized care to help young patients overcome these challenges and improve their quality of life.
Pelvic floor physiotherapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues of the pelvic floor. While both men and women have a pelvic floor, this form of therapy is particularly relevant for women due to specific concerns related to pregnancy, childbirth, and menopause.
Did you know:
- 1 in 5 women who have had a baby suffer from poor bladder and bowel control
- 1 in 2 experience pelvic organ prolapse
- 1 in 5 women suffer from pelvic or sexual pain
- Most physical activity will engage your Pelvic Floor Muscles
Also read, Physiotherapy Clinic in Etobicoke
Pelvic Floor Muscles
In order to better understand what happens in muscular dysfunction, it is important to first understand the normal function of these muscles, as well as other muscles that they work with. The Pelvic Floor Muscles are part of a group of muscles that are collectively referred to as your “core” muscles. This muscle group is composed of 4 distinct but linked group of muscles:
- Pelvic Floor Muscles
- Diaphragm
- Abdominal Muscles
- Lower Back Muscles
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The Pelvic Floor muscle group is located at the base of the core. It is an important muscle group that works with the rest of the core to maintain pressure inside the torso when lifting heavy objects, coughing/sneezing or doing any other physical activity involving your lower back muscles. Some of the most important functions of the Pelvic Floor Muscles are:
- Maintaining control of the bowel and bladder in order to control leakage
- Holding up and supporting the bowel, bladder, and in the case of women, the uterus
- Playing an important role in sexual function
Pelvic Floor Muscles are located within the pelvic cavity and attach from the front to the pubic bone to the back to your tailbone or coccyx.
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Pelvic Floor Dysfunctions in Women
For women, the Pelvic Floor holds additional importance as it is the group of muscles that handles enormous pressure during pregnancy. The ever-increasing weight of a child puts a strain on the pelvic muscles and the bladder, leading to frequent urination. As such, pelvic floor discomfort is quite common in women that are pregnant.
Advantages of Pelvic Physiotherapy for Women
Pelvic Floor Physiotherapy helps in the treatment and prevention of:
- Pelvic and bladder pain
- Painful intercourse
- Urinary leakage, frequency or urgency
- Post-pregnancy related problems
- Abdominal pain
What Do We Treat and How Do We Treat It?
At Triangle Physiotherapy, our Pelvic Health Physiotherapists can help treat:
- Vaginal Pain Syndrome (as a result of pelvic dysfunction)
- Pelvic Floor Dysfunction
- Pelvic Organ Prolapse
- Urinary Conditions
- And many more conditions!
Our assessments include:
- A thorough, 1-hour detailed history of your health issues, and specifically your pelvic issues
- A brief internal and external examination
Our treatments involve:
- Individualized treatment sessions that are 30 – 45 minutes in duration
- Generally, 4 – 8 treatments at a frequency of 1x/week* (varies from patient to patient) is recommended to best address your symptoms
If you’re a woman suffering from any of these conditions or are expecting a baby and would like to have healthy pelvic muscles, book an appointment today at any one of our 8 clinics in Etobicoke, Oakville, Mississauga (Square One), Mississauga (Erin Mills), North York, Toronto (King Street) Toronto (Queens Quay) and Toronto (Yonge Street).
Pelvic floor physiotherapy can significantly benefit women dealing with issues like incontinence, pelvic pain, and postpartum recovery. If you need specialized physiotherapy services, there are excellent clinics available in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations offer expert care and tailored treatment plans to support women’s pelvic health and overall well-being.