Labour & Delivery // Category

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05 Jul

An episiotomy is a surgical incision made in the perineum (the patch of skin between the vaginal opening and the anus) during childbirth, is a common procedure to aid in a smoother delivery. Despite its benefits, an episiotomy can lead to discomfort, pain, and complications in postpartum recovery. This blog explores how a pelvic health physiotherapist can play a crucial role in managing and alleviating post-episiotomy issues, ensuring a healthier recovery for new mothers.

Our trained and experienced Pelvic Health Physiotherapists in Mississauga can make a significant difference to your recovery after child-birth.

Mississauga Pelvic Health

Why is an episiotomy performed during delivery?

An episiotomy may be performed by the obstetrician during delivery for various reasons:

1. Prevent Severe Tearing

2. Facilitate a Faster Delivery

In situations where a rapid delivery is required for the safety of the baby or mother, an episiotomy can speed up the process. This is particularly crucial in cases of:

  • Fetal Distress: If the baby shows signs of distress, such as an abnormal heart rate, a quick delivery becomes essential. An episiotomy can help expedite the birth, reducing the risk of complications for the baby.
  • Prolonged Labor: When labor is not progressing, and the baby is not moving down the birth canal as expected, an episiotomy can aid in accelerating the delivery.

3. Assisted Deliveries

Episiotomies are more commonly performed during assisted deliveries involving instruments like forceps or vacuum extractors.

4. Shoulder Dystocia

Shoulder dystocia occurs when the baby’s shoulder becomes lodged behind the mother’s pelvic bone during delivery. This can be a critical situation requiring immediate intervention. An episiotomy can provide additional room for the baby’s shoulder to be maneuvered and delivered safely.

5. Large Baby

When a baby is larger than average, delivering them vaginally can be challenging. An episiotomy may be performed to create more space, reducing the risk of severe tearing and facilitating a smoother delivery.

6. Previous Pelvic Surgery or Scarring

What is the role of a pelvic health physiotherapist in recovering from an Episiotomy?

A pelvic health physiotherapist specializes in the rehabilitation of pelvic floor muscles. They are trained to address issues related to childbirth, including those arising from an episiotomy. At Triangle Physiotherapy Mississauga, our pelvic health physiotherapists are highly trained in helping new mothers navigate their post-partum recovery.

  1. Pain Management and Scar Tissue Mobilization
  2. Pelvic Floor Rehabilitation
  3. Bladder and Bowel Function Improvement
    • Addressing Incontinence: Many women experience urinary or fecal incontinence after an episiotomy. Pelvic health physiotherapists can help manage these issues through targeted exercises and lifestyle modifications.
    • Diet and Hydration Advice: Proper diet and hydration are essential for optimal bladder and bowel function. Physiotherapists offer valuable advice on nutrition that supports recovery.
  4. Posture and Mobility
    • Improving Posture: Poor posture can exacerbate pelvic pain. Physiotherapists help new mothers correct their posture, reducing strain on the pelvic floor and aiding in overall recovery.
    • Safe Return to Activity: Guiding new mothers on safely returning to physical activities is vital. Physiotherapists create gradual exercise plans to ensure a safe and effective return to daily activities and fitness routines.
  5. Emotional Support and Counseling
    • Addressing Psychological Aspects: The postpartum period can be emotionally challenging. Physiotherapists provide emotional support and can refer patients to mental health professionals if needed, ensuring a holistic approach to recovery.
    • Building Confidence: Encouraging words and positive reinforcement from physiotherapists can boost new mothers’ confidence in their recovery journey.

If you have had an episiotomy during delivery, contact us to book an appointment to see one of our pelvic health physiotherapists in Mississauga to get started on the road to recovery.

Where can I find a pelvic health physiotherapist in Mississauga?

We have 2 convenient locations in Mississauga that offer pelvic health:

Mississauga Pelvic Health – Triangle Physiotherapy Mississauga

Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills

27 May

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?

  1. 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.
  2. 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.
  3. 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?

  1. Rest and Activity Modification: Reducing activities that exacerbate pain, such as standing for long periods, lifting heavy objects, or walking long distances.
  2. 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.
  3. 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.
  4. Supportive Devices: Wearing a pelvic support belt can help stabilize the pelvis and reduce pain.
  5. 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.

11 Mar

Let’s talk about stretches to do when pregnant. Engaging in stretching exercises during pregnancy can contribute to the elongation of your muscles and overall body flexibility, providing increased comfort whether you’re strolling through the grocery store, engaging in a workout, or simply relaxing. The soothing effects of stretching are particularly helpful during pregnancy, offering significant benefits to your body. Moreover, incorporating stretching into your routine at this stage can aid in preparing your muscles and joints for the challenges of labor in the future.

Mississauga Pelvic Health

What are the benefits of stretching during pregnancy?

Stretching during pregnancy can offer several benefits for expectant mothers. However, it’s crucial to consult with a healthcare provider before starting any new exercise routine during pregnancy. Assuming that the healthcare provider gives the green light, here are some potential benefits of stretching during pregnancy:

  • Improved Flexibility
  • Reduced Muscle Tension
  • Enhanced Circulation
  • Relief from Discomfort
  • Prevention of Muscle Strain
  • Promotion of Relaxation
  • Preparation for Labor
  • Posture Improvement
  • Emotional Well-being
  • Better Sleep

What can I do to stretch safely when I am pregnant?

  • First and foremost, check with your doctor or midwife to ensure that it is safe for your pregnancy.
  • Warm-up
  • Do gentle and controlled movements
  • Avoid over-doing it
  • Listen to your body
  • Maintain good posture
  • Use the right breathing techniques
  • Hydrate

What are some of the stretches I can do when pregnant?

Pregnancy Physiotherapy Mississauga
Mississauga Pelvic Health
Mississauga Pelvic Health

Where can I find a pelvic health physiotherapist in Mississauga?

We have 8 locations with pelvic health physiotherapists to help you.

08 Mar

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.

International Women's Day

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:

  1. 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.
  2. Bowel Issues:
    • Constipation: Difficulty passing stools or infrequent bowel movements.
    • Straining during bowel movements: Experiencing difficulty while trying to have a bowel movement.
  3. 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.
  4. Muscle Tension:
    • Tight or spasming pelvic muscles: Increased muscle tension in the pelvic floor.
  5. Pelvic Organ Prolapse:
    • The feeling of pressure or fullness in the pelvic area: Sensation of something bulging or descending into the vagina.
  6. Lower Back Pain:
    • Chronic lower back pain: Discomfort or pain in the lower back region.
  7. 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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.

22 Jan

There are a lot of unknowns when going into labour and delivery. Whether it’s your first, second, or third child, every birth is very different, and daunting in its way. Some women hope to have a vaginal delivery,  while others schedule or have emergency C-sections. Both forms of delivery are viable options however they can have different effects on your body postpartum. A cesarean section (C-section) can be life-saving for both the baby and mom. A common misconception is that a C-section is somehow “easier” but that is far from the truth. A C-section is a major surgery, that not only affects your abdominal muscles but also your pelvic floor. In this blog post, we will explore what C-sections are, their impact on the pelvic floor, and the benefits of pelvic floor physiotherapy for women who have had C-sections.

What is a C-section?

A C-section is a surgical procedure that involves delivering a baby through an incision made in the mother’s abdomen and uterus. It is usually performed either if the mother schedules a C-section, which may be for a variety of reasons, or in the case of an emergency. This may be done to save and protect the mother and baby. Some reasons for a C-section include a large baby, breech position, multiple pregnancies, maternal health conditions such as high blood pressure (preeclampsia), or labor not progressing as expected (dilation plateauing).

What impact does a C-Section have on the pelvic floor?

Many people assume that a C-section does not have any impact on the pelvic floor because the baby does not pass through the vagina. However, the pelvic floor can still be affected during a C-section. During the procedure, the surgeon may need to move the bladder and intestines to access the uterus, which can cause temporary weakness and stretching of the pelvic floor muscles. The stretching can also occur due to the weight of the baby pushing down on the pelvic floor during pregnancy. The procedure can also impact the nerves supplying the bladder and bowel, thereby reducing or completely removing your urge to pee. This altered sensation can improve over time, but may sometimes linger for years postpartum. In some cases, the sensation never comes back. 

After the C-section, some women may experience pain and discomfort in the pelvic area, which can be exacerbated by activities such as lifting and carrying their newborn. This can lead to muscle tension and tightness, which can cause further issues down the line.

What are the benefits of pelvic floor physiotherapy after a C-section?

Pelvic floor physiotherapy is a specialized form of physical therapy that focuses on strengthening the pelvic floor muscles, improving their function and flexibility, and treating any pain or discomfort in the pelvic area. It can be very beneficial for women who have had a C-section, as it can help to address any issues that may have arisen due to the surgery.

Mississauga Pelvic Health

How can healing and recovery be improved after a C-Section?

Pelvic floor physiotherapy can help to speed up the healing process after a C-section. It can help to reduce pain and swelling in the pelvic area, improve circulation, and promote tissue regeneration. It can also help to prevent the formation of scar tissue, which can cause discomfort and pain in the pelvic area. Keloid scarring is a type of scarring at the C section where the tissue raises and forms adhesions. This can be painful in some cases or uncomfortable and can impact sensation in the region. 

  • Address bladder and bowel issues

After a C-section, some women may experience bladder and bowel issues such as incontinence, urgency, or difficulty emptying their bladder or bowel.  This may be a product of the nerves being impacted during the surgery or other factors. Pelvic floor physiotherapy can help to address these issues by strengthening the pelvic floor muscles and improving their function. It can also help to retrain the bladder and bowel to function properly and reduce incontinence.

  • Improve sexual function

Many women may experience a decrease in sexual function after a C-section due to pain and discomfort in the pelvic area. This may be due to feelings of pelvic heaviness, perineum discomfort, or scar tissue. Pelvic floor physiotherapy can help to address these issues by reducing pain and discomfort and improving the function of the pelvic floor muscles. This can lead to an improvement in sexual function and overall sexual satisfaction.

Seeing a pelvic therapist post-C-section can also get you back to activities you love doing! This can include running, weight lifting, etc. There is no timeline for how quickly you should be recovering. Our bodies take time to heal postpartum. Your body is not broken, but working with a pelvic therapist can help you feel more like yourself again.

Where can I find a pelvic health physiotherapist in Mississauga?

We have 8 locations with pelvic health physiotherapists to help you.

06 Dec

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.

Pelvic Health Physiotherapist in Mississauga

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.

09 Feb

The labour and delivery process can greatly benefit from Pelvic Physiotherapy. Pelvic Physiotherapists can help to improve strength and mobility of the muscles and joints in the pelvic area and help make it easier for the baby to descend through the birth canal during delivery. 

FAQs about the Labour and Delivery Process

What are the different stages of Labour and Delivery?

The three stages of labour and delivery are:

  • Early Labour: This is from the onset of labor to when the cervix is fully dilated to 3-4 centimeters.
  • Active Labour: This is when the cervix is fully dilated to 3-4 centimeters to when it is fully dilated to 10 centimeters.
  • Transition: This is when the cervix is fully dilated to 10 centimeters to the delivery of the baby.

How long does labour usually last?

The duration of labour varies from person to person and can range from a few hours to over 24 hours for first-time mothers.


What are the common signs of labour?

The common signs of labour include:

  • Regular contractions
  • Water breaking
  • Back pain
  • Pelvic pressure
  • Blood-tinged mucus discharge

What is an epidural and how does it work?

An epidural is a type of anesthesia that is used to relieve pain during labor and delivery. It is administered through a small catheter placed in the lower back and works by blocking the sensation of pain in the lower body while allowing the woman to remain conscious.


What is the process of a vaginal delivery like?

A vaginal delivery is the delivery of a baby through the birth canal without the use of surgical intervention. During a vaginal delivery, the baby moves through the birth canal and the mother pushes with contractions to help deliver the baby.


What is a cesarean delivery (C-section)?

Doctors perform a cesarean delivery (C-section) by making an incision in the mother’s abdomen and uterus to deliver the baby. They typically opt for a C-section when a vaginal delivery is not possible or when there is a medical concern for the mother or the baby.


What are some of the risks associated with labour and delivery?

Some of the risks associated with labor and delivery include:

  1. Preterm labour and delivery
  2. Hemorrhage
  3. Infection
  4. Fetal distress
  5. Shoulder dystocia (difficulty delivering the baby’s shoulders)

What can I do to prepare for labour and delivery?

You can prepare for labour and delivery by:

  • Take childbirth education classes
  • See a pelvic health physiotherapist
  • Create a birth plan
  • Find a supportive birth team like doulas or midwives
  • Pack a hospital bag
  • Discuss pain management options with your healthcare provider.
Labour and Delivery Prep Mississauga

The role of Pelvic Health Physiotherapists in preparing you for Labour and Delivery

Mississauga Pelvic Health

Pelvic physiotherapy can help to alleviate common pregnancy-related symptoms such as back pain, incontinence, and pelvic pain. A combination of manual therapy techniques with soft tissue and joint mobilization along with mobility work can be used to alleviate pain in the pelvic area, additionally, the physiotherapist can also work on alignment and posture to help prevent injury and reduce discomfort. 

Leading up to labour, a pelvic physiotherapist can provide you with a variety of tools to help with pain relief and positioning to improve your experience during labour. One of the common techniques taught to birthing parents at 32 weeks, is the perineal massage to reduce the chance of tearing during delivery. In addition, you would also be taught positions to help reduce discomfort during contractions as well as pushing techniques.

After delivery, a physiotherapist can help restore strength and mobility along with providing education on suitable abdominal and pelvic floor exercises based on weaknesses and tone, moreover, any side effects from delivery such as perineal tearing can also be treated post-partum. 

Have questions? Discuss your options with a pelvic health physiotherapist for pregnancy and post-partum care!

How do I find a pelvic health physiotherapist near me?

We have 8 locations with pelvic health physiotherapists to help you.

17 Nov

What is incontinence?

Incontinence can be a fairly sensitive or embarrassing subject to those who suffer from it. Incontinence is the involuntary loss of urine or feces from the bladder and bowel. But know this, incontinence is an ACCIDENT, it is something that is uncontrollable and can happen to any expecting mother. Urinary incontinence affects around 10-13 million men and women, and it is twice as common in women as in men. Anthony Atala, MD, said, “I would say virtually all pregnant women experience some type of incontinence”. Incontinence should not rule your pregnancy or your life. Mississauga Pelvic Health

What does pregnancy have to do with incontinence?

Pregnancy can interfere with the normal way your urethra relaxes and contracts. You are able to urinate when the muscles around your urethra relax, allowing urine to pass through your bladder and out of your body. After urination, the muscles around your urethra contract, holding off urine flow until your body is ready to urinate again.  Hormone changes during pregnancy and the additional pressure on the bladder from your uterus can cause stress incontinence. Mothers who are experiencing stress incontinence may urinate whilst sneezing, walking, coughing, laughing, running, and during exercise. Women who have a family history of incontinence, gain more weight than recommended during pregnancy, and are over the age of 35 are at higher risk of experiencing incontinence. How do I avoid incontinence during pregnancy?

There are numerous ways to avoid pregnancy incontinence, along with visiting a pelvic health physiotherapist, to avoid leakage.

  1. Schedule your bathroom breaks. Try to make it to the toilet at least every two hours, as when pregnant, women urinate more frequently.
  2. If you think your bathroom visits are proper, try practicing kegel exercises. Kegels help strengthen the pelvic floor. Practicing a kegel is the same as stopping the flow of urine within your urethra. Contract your muscles to the count of ten and then release. Repeat exercises ten to twenty times in a row two to three times a day. The average time to see results is four to eight weeks of regular practice.
  3. Watching your weight while carrying has a significant effect on developing incontinence.  Women who gain more weight during pregnancy are more likely to experience incontinence. Combining these factors with your pelvic physiotherapist will lower your risk of developing incontinence during your pregnancy, allowing your experience to be worry-free.
If you are still unsure or worried about the risk of incontinence during your pregnancy, contact a pelvic floor physiotherapist at Triangle Physiotherapy. Triangle Physiotherapy has eight convenient locations: Etobicoke, Oakville, Mississauga, North York, Toronto, and King West. At Triangle Physiotherapy, our team is compromised of professionals who love what they do. Triangle staff will ensure that you will have a safe and comfortable pregnancy while in their care, and will help get your pregnancy back on track and in your hands.

Click HERE to book an appointment with a physiotherapist at one of our eight locations.