What Happens at Physiotherapy for Pelvic Floor?
- physiotherapytownl
- Jan 15
- 4 min read
Pelvic floor physiotherapy is a specialized form of treatment designed to assess and restore the function of the pelvic floor muscles. These muscles play a crucial role in bladder and bowel control, sexual health, posture, and core stability. Yet many people feel unsure—or even anxious—about what actually happens during a pelvic floor physiotherapy appointment.
If you’ve been referred for pelvic floor treatment or are considering it yourself, understanding the process can help you feel more confident and prepared. This blog walks you through what to expect, step by step, and explains how pelvic floor physiotherapy can support long-term health and quality of life.
What Is the Pelvic Floor?
The pelvic floor is a group of muscles and connective tissues that form a supportive sling at the base of the pelvis. These muscles support organs such as the bladder, bowel, and uterus or prostate. They also help with:
Controlling urination and bowel movements
Supporting the spine and core
Sexual function and sensation
Managing pressure during activities like lifting, coughing, or exercising
When these muscles are too weak, too tight, or poorly coordinated, symptoms can develop.
Conditions Treated by Pelvic Floor Physiotherapy
Pelvic floor physiotherapy can help with a wide range of concerns, including:
Urinary or fecal incontinence
Pelvic pain or pressure
Painful intercourse
Pregnancy and postpartum recovery
Pelvic organ prolapse
Constipation
Pain after pelvic surgery
Core weakness or instability
Both women and men can benefit from pelvic floor physiotherapy at different stages of life.
What Happens During the First Appointment?
Your first pelvic floor physiotherapy session is primarily focused on assessment and education.
1. Detailed Health History
Your physiotherapist will ask questions about your symptoms, medical history, lifestyle, posture, bladder and bowel habits, and any pain you may be experiencing. These questions help identify contributing factors and guide treatment.
2. Education and Explanation
Before any physical assessment, your physiotherapist will explain pelvic floor anatomy, how the muscles function, and how they may be related to your symptoms. This is also the time to ask questions or express concerns.
3. Physical Assessment (With Consent)
A physical assessment may include:
Posture and breathing assessment
Hip, lower back, and abdominal muscle evaluation
External pelvic floor assessment
In some cases, an internal vaginal or rectal exam may be recommended to assess muscle strength, tension, coordination, and endurance. This is always optional and only performed with informed consent. You are in control throughout the session.
Treatment Techniques Used in Pelvic Floor Physiotherapy
Once the assessment is complete, your physiotherapist will create a personalized treatment plan. Techniques may include:
Pelvic Floor Muscle Training
Contrary to popular belief, pelvic floor therapy is not just about Kegels. Some people need strengthening, while others need relaxation and lengthening. Your therapist will guide you through the correct technique for your specific needs.
Manual Therapy
Hands-on techniques may be used to release tight muscles, reduce pain, and improve tissue mobility in the pelvis, hips, or lower back.
Breathing and Core Retraining
Breathing patterns are closely linked to pelvic floor function. Physiotherapists often work on diaphragmatic breathing and coordination between the pelvic floor and deep core muscles.
Education and Lifestyle Strategies
You may receive guidance on:
Bladder and bowel habits
Toileting posture
Activity modification
Exercise adjustments
Pain management strategies
Pelvic Floor Therapy in Abbotsford: A Personalized Approach
When seeking pelvic floor therapy in Abbotsford, patients benefit from a one-on-one, individualized approach that focuses on both symptom relief and long-term prevention. Treatment plans are tailored to your goals—whether that’s returning to exercise, improving bladder control, managing pelvic pain, or supporting recovery after childbirth or surgery.
Pelvic floor physiotherapy is not a one-size-fits-all solution. Each person’s pelvic health needs are unique, and progress is guided at a pace that feels safe and comfortable.
What Does a Typical Treatment Plan Look Like?
Most people attend several sessions over a few weeks or months, depending on the condition being treated. Sessions often include:
Progression of exercises
Reassessment of muscle function
Adjustments to home programs
Ongoing education and support
Consistency with home exercises and recommendations plays a key role in achieving lasting results.
Is Pelvic Floor Physiotherapy Uncomfortable?
It’s common to feel nervous before starting pelvic floor physiotherapy, but treatment should never be painful or rushed. Physiotherapists are trained to work sensitively and professionally. Open communication is encouraged, and you can stop or modify any part of the session at any time.
Most patients report feeling empowered and relieved once they understand their condition and how to manage it.
Benefits of Pelvic Floor Physiotherapy
With proper treatment, many people experience:
Improved bladder and bowel control
Reduced pelvic pain
Better core strength and posture
Increased confidence during daily activities
Improved sexual function
Faster recovery after pregnancy or surgery
Pelvic floor physiotherapy focuses not just on managing symptoms, but on improving overall quality of life.
Final Thoughts
Pelvic floor physiotherapy is a highly effective, evidence-based approach to treating a wide range of pelvic health concerns. Knowing what happens during sessions can ease anxiety and help you take the first step toward recovery with confidence.
If you’re experiencing pelvic floor symptoms, seeking professional guidance early can make a significant difference in long-term outcomes. Pelvic health is an essential part of overall well-being—and it deserves expert care.Here are more article on pelvic floor therapy
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