SEMI's Pelvic Health Program

Our pelvic health physiotherapists provide professional, compassionate and evidence-based care in the assessment, diagnosis and treatment of women and men experiencing pelvic pain and incontinence. Our goal is to help you improve your overall health and well-being!

Overview

The pelvic floor includes the muscles, nerves, connective tissue and ligaments that attach to all sides of the pelvic bone and sacrum (bottom of the spine). These tissues have several important roles in the body including:

  • Support to the bladder, genitals, uterus and anus
  • Control of bowel/bladder function
  • Stability of the lumbopelvic region by working with muscles of the low back, core and diaphragm
  • Sexual Function

Many of us are unaware of these muscles and their important functions and do very little to maintain their health. Symptoms of pelvic floor dysfunction can include:

  • Urinary Urgency/Frequency
  • Pelvic pain or unexplained pain around the pelvic region (low back, pelvic girdle)
  • Urine or Fecal Incontinence (leakage)
  • Pelvic organ prolapse
  • Painful intercourse

Those that suffer from any of the above symptoms may benefit from pelvic floor physiotherapy. Specialized Physiotherapy is becoming more established in the literature as the first-line of defense, before surgical consultation, against incontinence and pelvic pain.

Assessment

A pelvic floor assessment is a comprehensive examination carried out by a practitioner with advanced and specialized training. It includes:

  • Detailed medical history
  • Discussion of current problems and symptoms. Some of this information may be collected prior to assessment using a Symptom Monitor
  • Internal examination (vaginal and/or rectal) of musculature to directly assess musculature for strength, tension and function
  • Objective assessment of low back, pelvis, hips and surrounding muscles and ligaments. These are common areas that may refer pain to the pelvic region.

SEMI therapists understand that the symptoms of pelvic floor dysfunction can be frustrating, stressful, embarrassing and sensitive. We adopt a compassionate and holistic approach to understand your unique story.

Treatment

The information gathered in an assessment is used to develop a treatment plan that is customized to the unique needs and goals of each individual. It includes a combination of various techniques that are well supported in the literature.

  • Manual therapy techniques such as facilitation to improve muscle activation, soft tissue release and passive stretching, joint mobilization and trigger point release.
  • Therapeutic Exercise. Research shows that proper performance of Kegels needs to be confirmed by digital examination; verbal instruction alone is not adequate! Furthermore, these exercises are not always indicated in every individual case!
  • Electrical Muscle Stimulation. The use of electrical impulses to improve muscle contraction, proprioception/awareness, and help with symptoms of pain and urgency.
  • Bowel/Bladder Routine Tracking and Re-training
  • Education to understand the influences of posture, breathing, psychological state, urinary and bowel hygiene, diet and hydration on pelvic pain to improve symptoms

We treat women and men of all ages with a wide range of presenting symptoms. Contact SEMI to schedule a consultation with one of our qualified pelvic health physiotherapists today and let us show you how we can help!

Questions about the Pelvic Health Program at SEMI are included in the FAQ Section.

Further inquiries can be directed to: ellen.hagglund@semisportmed.com

 

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Sports & Exercise Medicine Institute

2 Sheppard Avenue E

Suite 601
Toronto, ON
M2N 5Y7

Phone: (416) 223-7364 (SEMI)
Fax: (416) 223-8048
Email: sheppard@semisportmed.com

Monday: 7 – 7
Tuesday: 7 – 7
Wednesday: 7 – 7
Thursday: 7 – 7
Friday: 7 – 5:30
Saturday: Open last Saturday of each month, (times vary) except long weekends, July and August
Sunday: Closed
(Not open long weekends nor Saturdays in July and August.)

40 St. Clair Avenue W

Suite 410
Toronto, ON
M4V 1M2

Phone: (416) 927-7364 (SEMI)
Fax: (647) 930-9536
Email: stclair@semisportmed.com
Monday: 7 – 7
Tuesday: 7 – 3
Wednesday: 7 – 3
Thursday: 7 – 7
Friday: 7 – 3
Saturday: Closed
Sunday: Closed

8150 Yonge Street, Suite 1
Thornhill, ON
L4J 1W5

Phone: (289) 459-7364
Fax: (905) 731-3336
Email: thornhill@semisportmed.com
Monday: 11 – 7
Tuesday: 9 – 5
Wednesday: 11 – 7
Thursday: 11 – 6
Friday: 9 – 2
Saturday: Closed
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