Pelvic Floor Physiotherapists in Victoria B.C.
Pelvic floor physiotherapy is a branch of orthopedic manual therapy that focuses on the muscles, joints, tendons, ligaments, nerves and fascia of the pelvic girdle, low back and hips. Pelvic floor dysfunctions are extremely common and it is our belief that pelvic health is an extremely important part of our overall well being. One in three women who ever had a baby will develop urinary incontinence, and a woman’s risk of developing prolapse is two-fold after the first baby, and increases with subsequent pregnancies.
Pregnancy and childbirth are not the only factors that can contribute to the symptoms of pelvic floor dysfunction – prostate surgery, menopause, aging, respiratory conditions, high-impact exercise and poor bowel patterns are just a few of the many risk factors for developing symptoms. Of course, pelvic floor dysfunction can have huge impact on a person’s well-being and quality of life. Pelvic floor dysfunction can occur when the muscles of the pelvis, hips, or abdominal area become too weak or too tight. Weakness in the pelvic floor can result in urinary and fecal incontinence and pelvic organ prolapse. Pelvic floor tightness can cause urinary urgency and frequency, pain with intercourse, and constipation.
Our Victoria Pelvic Floor Physiotherapist Holly Mallari has extensive mentoring experience with Pelvic Floor Guru Marcy Dayan and post-graduate training in continence and Pelvic Floor Physiotherapy. She has a strong commitment to help prevent and manage the symptoms of pelvic floor dysfunctions. Pelvic floor dysfunctions are a very common problem in both males and females. Many people who suffer from these conditions go untreated, often due to embarrassment. Shelbourne Physiotherapy is committed to providing a professionally discrete and comfortable setting for our patients. Our goal at Shelbourne Physiotherapy is to help each individual develop an understanding of their condition and maximize their ability to independently self manage their treatment program.
Who may Benefit from Pelvic Floor Physiotherapy?
- Men and Women of all ages who suffer from any of the following;
- Stress, urge and/or mixed incontinence or leakage associated with pregnancy, prostatectomies, menopause and hormonal changes
- Urinary frequency and urgency associated with pregnancy, prostatectomies, menopause and hormonal changes
- Pelvic pain associated with endometriosis, interstitial cystitis, and prostatitis.
- Pre and post pregnancy issues including pain, leakage, bulging and scarring from c-sections, tearing or episiotomy
- Persistent or unexplained pelvic pain
- Generalized and localized vulvar pain
- Painful intercourse
- Painful bladder syndrome
- Chronic prostatitis (class 3B)
- Testicular or saddle groin pain
- Pain associated with endometriosis and dysmenorrhea
- Hip, low back and sacroiliac joint pain that has not responded to traditional treatment techniques
- Women with a diagnosis of pelvic organ prolapse
- People with difficulty controlling their bowels including constipation, straining or pain
- Pain during or following intercourse, orgasm or stimulation, ejaculation problems
- Men before or after prostate surgery
- Women pre-or post- gynaecological surgery (pelvic floor physiotherapy advice and treatment is an important adjunct to surgical management as specific training will assist in the support of the pelvic organs)
- Men or women who are experiencing pelvic floor pain
- Conditions related to pelvic floor over-activity (such as vaganismus)
- Women during pregnancy or postnatally to assist in the prevention of incontinence or pelvic organ prolapse
- Women post menopause, as there is a higher incidence of incontinence and prolapse at this time
- Unexplained pain in the low back, the pelvic region, the genital area or the rectum.
- Organ prolapse
- Children’s bedwetting, daytime wetting and bowel problems
- Diastasis rectus management
Our Victoria Pelvic Floor Physiotherapy services are underpinned by a strong evidence base. The International Continence Society (2005) have recommended pelvic floor exercise as a first-line treatment for urinary incontinence, based on a large body of high-level research demonstrating the efficacy of pelvic floor exercise, relatively low cost and lack of side-effects of this management option.
There is other recent research supporting the role of pelvic floor exercise in helping to minimise re-operation rates for pelvic organ surgery.
Clinical Pilates can form part of pelvic floor rehabilitation, and with our pelvic floor assessment services we are able to safely tailor a pilates program for patients who may have symptoms of pelvic floor dysfunction.
If a pelvic floor challenge is keeping you from enjoying life please contact the Shelbourne Physiotherapy-Cook Street Clinic if you have further questions about these services or would like to make an appointment with Holly Mallari.