Myofascial Pelvic Pain (MFPP) is characteristically defined by short, tight and tender pelvic floor muscles, with palpable nodules and sensitive areas in known as trigger points that exacerbate the pain.

It can be either episodic or continuous, which means it can be ongoing or it may come up from time to time. MFPP can have debilitating effects on day to day activities, impacting the urinary, bowel, and sexual functions of the body.

MFPP is often difficult to recognise and hence, goes undiagnosed, since most practitioners do not even provide vaginal digital palpation to check for trigger points and nodules. Though there are no definitive treatments for this syndrome, physical therapy is an excellent option that has proven to provide relief.

Physical therapy for MFPP? But how does it work?

Pelvic physical therapy often involves exercises of the pelvic floor which can help strengthen it. It can also involve internal vaginal manipulation and massage, though the latter might be difficult for survivors of abuse and assault, or with conditions such as vagismus.

If you’re unsure about how to find the right physical therapist to consult, look for someone trained to provide pelvic floor physiotherapy in Toronto, such as the pelvic health program at Sports and Exercise Medicine Institute (SEMI). Following a detailed medical history and examination, the program walks you step by step to identify symptoms you might be experiencing.

It’s important to work with practitioners who understand that this process can be frustrating and somewhat embarrassing as well, which is why it makes all the difference if your therapist is compassionate and accommodating. Examination for MFPP can be physically taxing as well, which is why we believe in providing our clients with a safe and holistic approach to treatment.

Physical therapy treatment with us involves several customisable techniques suited to each patient’s individual needs and wants, alongside their specific condition. MFPP can be treated using manual therapy for muscle activation, soft tissue release and passive stretching, joint mobilization and trigger point release.

Other alternatives include electrical muscular stimulation to improve muscle contractions and deal with pain symptoms. Not just expansive treatment and therapy options, we also offer long term training and education on the importance of posture and breathing among other factors that contribute to your physical health.

Pelvic health physiotherapy can be incredibly effective when treating conditions like endometriosis, for pre and post-partum care, pelvic organ prolapse, urinary and/or fecal incontinence and much more.

If you’re in Toronto and in search of a licensed physical therapist who practices and provides pelvic health physiotherapy, get in touch with us at