Prenatal Physiotherapy

Ideal for every pregnant person! Prepare for a vaginal or cesarean birth while maintaining a comfortable and active pregnancy.

Pregnancy and birth are risk factors for developing pelvic floor symptoms such as urinary incontinence and pelvic organ prolapse. Prenatal physiotherapy can help you prepare your pelvic floor for birth and get a head start on your postpartum recovery. Learn how to prepare your mind, body, and pelvic floor for birth with prenatal physiotherapy.

pelvic health physiotherapy treatment for pregnant and postpartum women

Prenatal physiotherapy treatment includes:

Pain management techniques, comfort strategies and optimal labour positions
Pelvic mobilizations that can be performed by your birthing partner
Optimal birthing positions and efficient pushing techniques that help to minimize impact to the pelvic floor muscles
Prevention and treatment for common pregnancy conditions: pelvic girdle pain (SI joints, pubic symphysis), low back pain, tailbone pain, urinary/fecal incontinence, prolapse, diastasis recti, urinary urgency and frequency, constipation.
Pelvic floor muscle training to prevent leakage of urine during pregnancy and after birth.
Perineal massage to help reduce tearing during delivery and ongoing perineal pain.
Internal assessment and treatment techniques to help decrease tension and increase function of your pelvic floor.
External manual and manipulative therapy to improve joint mobility and tissue dynamics.
Exercise prescription to help you connect to your deep core/pelvic floor, maintain a comfortable and active pregnancy, and help you prepare your body for birth.
Management strategies for diastasis recti (abdominal separation).
Education on how to effectively restore your core and pelvic floor after birth.

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Possible Outcomes with Pelvic Health PT

No Leaking

Get back to activities you love without worrying about leaking with things like jumping, running, or lifting, even after kids.
Relief from Pain

You do not need to live with pelvic pain. Pelvic physio can help whether you are experiencing it during pregnancy or otherwise.
Prepared for Birth

Get the education you deserve on how to effectively prepare your mind and body for birth while minimizing impact on the pelvic floor.
Relief from Pelvic Pressure

Participate in daily life and activities you enjoy without the heaviness holding you back.
Stronger Core

Stay connected to your core in pregnancy, and rehab and retrain it postpartum - after vaginal or cesarean birth, and if dealing with diastasis recti.
Fewer Bathroom Trips

Learn tips to reduce those inconvenient bathroom trips. It’s not your “small bladder” causing them.

Frequently Asked Questions

Pelvic health physiotherapy is a branch of orthopedic physiotherapy that focuses on the muscles, joints, tendons, ligaments, nerves, and fascia of the pelvic girdle. The pelvic floor muscles are a basket of muscles that sit at the base of the pelvis connecting from the pubic bone in the front to the tailbone at the back, and side to side between the sitz bones. They provide support for your pelvic organs (bladder, rectum, uterus), help to maintain urinary and fecal continence, provide stability for the lumbo-pelvic and hip joints, and aid in sexual function and circulation through the pelvis. A registered pelvic health physiotherapist has received advanced training and certification in the muscles and tissues of the pelvis and will use internal (vaginal and/or rectal) and external techniques to assess and treat the pelvic floor and associated structures.
Those experiencing any of the following:
Incontinence (urinary or fecal)
Urinary/fecal urgency and frequency
Pelvic organ prolapse
Diastasis recti (abdominal separation)
Pelvic girdle pain (SI joint, pubic symphysis)
Coccydynia (tailbone pain)
Dyspareunia (pain during intercourse)
Vaginismus
Vulvodynia/Vestibulodynia
Pudendal neuralgia
Bladder Pain Syndrome/Interstitial Cystitis
Pain associated with endometriosis and/or dysmenorrhea (painful periods)
Constipation
Hip, low back and sacroiliac joint pain that has not responded to traditional care
If pregnant and wanting to prepare your body (including pelvic floor) for birth and get a head start on your postpartum recovery.
Absolutely. A comprehensive pelvic assessment should involve the whole body as everything is connected. In order to address your pelvic symptoms we may need to treat beyond the pelvis (upper/mid/low back, hips, knees, ankles, etc).
The internal exam (vaginal and/or rectal) is performed to assess the pelvic floor muscles and associated structures. This is critical in identifying the tone, strength, and control of your pelvic floor muscles. However, if you do not want to have an internal exam it is not mandatory. The procedure, benefits, and alternative options will be explained to you so you can make an informed decision. You may withdraw consent at any time should you change your mind.