Frequently Asked Questions About SEMI

Below are a few of the most frequently asked questions received at our sports medicine clinic. If you have a question that isn’t answered below, please feel free to call us, or fill out our contact form. We’ll get back to you promptly.

What services are offered at SEMI?

SEMI is an interdisciplinary sport medicine clinic. This means that we use a team approach in all that we do. We have professionals on staff with specialties in sports medicine, orthopedic surgery, sport physiotherapy, sport massage, sport podiatry, injection therapy, active release therapy and sport psychology services.

Pelvic Health Program

Who do we treat?

Women and men of all ages with a wide range of presenting symptoms can benefit from pelvic floor physiotherapy. Conditions treated might include:

  • Perineal pain (dyspareunia, vulvodynia, vaginismus, vestibulodynia, testicular pain, penile pain, persistent genital arousal disorder)
  • Urologically-based pelvic pain (endometriosis, dysmennorhea)
  • Pre and post-partum care
  • Pelvic organ prolapse
  • Urinary and/or Fecal Incontinence
  • Constipation
  • Low Back Pain and Pelvic Girdle Pain

Can pelvic physical therapy help those that have had surgery or are planning to have surgery?

Yes! Pelvic floor physiotherapists often work closely with surgeons and other specialists. In Britain, women with prolapse undergo pelvic floor muscle retaining BEFORE surgical procedures are even considered. Invasive procedures are sometimes needed to correct medical/anatomical problems, but research has shown that conservative treatment prior to and after surgery improves patient outcomes by optimizing tissue function and addressing contributing factors. This can reduce the need for future pain and surgeries.

Should I cancel my appointment if I have my period?

No, this will not affect the ability of the pelvic floor therapist to conduct their assessment. They are trained to make you feel comfortable throughout the examination and can stop at any time if you do not wish to continue. It may actually be beneficial to the assessment if your symptoms are influenced by hormonal fluctuations associated with your period.

How should I prepare for the assessment?

To ensure that the pelvic floor physiotherapist has a thorough understanding of your unique case, please ensure to bring all relevant medical information to the assessment. This might include: reports from diagnostic imaging (MRI, U/S, X-rays), and specialist investigations (urodynamic exams or urinalysis). You may also be asked to complete a symptom monitor tool, which includes detailed questions about your problems, prior to the assessment. There will be time prior to the assessment to ask the therapist any questions about benefits, risks and alternatives to pelvic physiotherapy. You will be asked to undress from the waist down for the internal component and you will be draped throughout to ensure comfort.

Why is the internal exam necessary? Do I need to have one?

The purpose of the internal exam is to directly assess the tissues of the pelvic floor for length, tension, strength and function. This is the gold standard to identify tissues that may be contributing to pelvic symptoms. Research also states that the proper performance of kegel strengthening exercises needs to be confirmed by digital examination; verbal instruction by a therapist alone is not sufficient to ensure proper performance and muscle recruitment. Alternatives to an internal examination include observation of the pelvic region and/or palpation over the abdomen. However, these options may result in a longer treatment plan and slower progress.

Appointments & Billing

Does my health plan cover your sports medicine services?

If you are a Canadian resident, your provincial health plan covers consultations with our sports medicine doctors and orthopedic surgeons. All of our other services are private, and may be covered by your workplace’s extended health care plan. Please see our services for more information.

How do I book an appointment?

If you are an existing patient at one of our sport medicine clinics, you may book an appointment online by registering for online access to our Patient Access Portal, and then signing in once you have been granted access privileges from SEMI.

Otherwise, whether you are a new or existing patient, you may fill out our contact us form. We’ll follow up with you promptly.

What are your hours?

We are open Monday to Saturday, with early morning and early evening appointments available upon request. Please view the open hours for each of our sports medicine clinics for further details.