A pelvic floor physiotherapist is trained to assess, educate, treat, and prescribe exercise and behaviour modifications to alleviate symptoms of pelvic floor dysfunction.
An assessment starts with a thorough history of your concerns, questions of bowel, bladder, birth and pregnancy history, menstrual or menopause history, prolapse symptoms, trauma history, dietary or digestion concerns, and sexual function.
A physical assessment involves looking at posture, abdomen, breathing mechanics, movement and strength of the back and hips, as well as an external and internal assessment of the pelvic floor. The internal assessment involves assessing vaginally (for those with a vagina) and rectally. Your physiotherapist will take the time to explain what to expect in the assessment and which parts of the assessments would be helpful based on your specific concerns.
Then from the assessment your pelvic floor physiotherapist will come up with a plan for how to manage your condition. This may include treatment of manual therapy and modalities, exercises to help improve pelvic floor muscle awareness, tension, strength, and coordination, recommendation of potential tools or other resources to help, and a home management plan.
Your pelvic health physiotherapist will coach you through each session and help you throughout to reach your goals of restoring function, returning to exercise and intimacy without pain or discomfort and improvement in symptoms.
Check out the video to learn great tips for low back issues for pregnancy courtesy of Donald Physiotherapy