Pelvic Health Physiotherapy


What is the Pelvic Floor?​​​​

The pelvic floor is a group of muscles that form a basket shape at the bottom of our pelvis. This basket supports all of our internal organs from below. The pelvic floor works alongside our diaphragm, transversus abdominus and multifidus to form our "core muscles". Just like external muscles can become tight, painful, weak or overworked your pelvic floor muscles can too! These muscles are often referred to as your "kegel muscles", "pee muscles" or in females "vagina muscles". 





What is Pelvic Health Physiotherapy?​​​

Pelvic Floor Physiotherapy is the assessment, treatment and prevention of pelvic floor dysfunctions. It is much more than just "kegels". In fact, most individuals don't perform kegels as effectively as they could. 


Any of the following signs, symptoms and conditions can be the result of a pelvic floor dysfunction:​


Urinary and/or Bowel Incontinence - Do you pee your pants when you laugh, cough, sneeze, jump, squat, run? This is called stress incontinence. Do you have difficulty making it to the toilet on time? This is called urge incontinence.  





Pelvic Organ Prolapse - Do you feel a heavyness or pressure in your vagina when exercising or performing any day to day activities? Do you feel a bulge in your vagina? Is your tampon or diva cup falling out?

Diastasis Rectus Abdominus - Do you feel like your abs are separating or have an abdominal separation? Do you feel your abs are bulging, coning, tenting or doming? Do your abdominals feel weak? Do you still have a "mummy tummy"? Do you want to prevent abdominal separation?







Dyspareunia and Vaginismus - Do you have pain during or after sex, pain with using a tampon or diva cup, pain with pelvic exams or pap tests? Can you not use a tampon or have penetration? Do you feel your pelvic floor muscles are "too tight"?


Constipation - Do you have pain with bowel movements? Do you poop less frequently? Are you straining to have a bowel movement?


Painful Bladder Syndrome & Interstitial Cystitis - Do you have an increased urge to go to the washroom? Or are you going pee all the time? Do you feel you have an "overactive" bladder? Do you have pain with a full bladder? Do you have pain peeing? Do you have difficulty emptying your bladder fully? Are you peeing frequently at night? 


Dysmenorrhea - Do you have painful periods?

Pelvic Girdle Pain - Do you have hip pain, low back pain, sacroiliac (SI) joint pain, tailbone pain, pubic bone pain? Do you have SPD (symphysis pubis dysfunction)? Do you have other pregnancy pain or feel like you have a "loose" pelvis?


Vulvodynia, Vestibulodynia & Persistent Pelvic Pain - Do you have chronic back pain, chronic hip pain, chronic groin pain, chronic tailbone pain, chronic sit bone pain, chronic vaginal pain or chronic rectal pain that has remained un-diagnosed?





Statistics on Pelvic Floor Dysfunction


1 in 4 women and 1 in 9 men experience urinary incontinence 


58% of women 3 months post-partum have pain with sex 


Chronic pelvic pain affects 24% of adult women 


96% of women with low back pain have a pelvic floor dysfunction  


71% of women with low back pain have an overactive (tight) pelvic floor









What should I expect from my Pelvic Health Physiotherapist?

Your initial assessment from your Victoria BC Pelvic Floor Physiotherapist will cover your medical history and symptoms in detail. A physical orthopaedic and internal pelvic exam may take place on the first session. 


At Core Connection we use an evidence-based biopsychosocial approach to assessment and treatment. We will look beyond your pelvic floor to ensure we are addressing any other factors that may be contributing to your dysfunction.

The pelvic exam consists of an internal vaginal and/or rectal exam. The internal exam is helpful in determining the state of your pelvic floor muscles.


We will discuss with you our findings and devise a treatment plan based on your functional goals.

Your treatment plan may include: pelvic floor exercises, pelvic floor strengthening, exercises for labour, core strengthening exercises, exercises or manual treatment for a tight pelvic floor and so much more!

Our care is client-centered. We are committed to getting you back performing whatever activity it is that is being negatively affected by your dysfunction. 


Woman in Pain
Image by Jonathan Borba
Image by Jonathan Borba