I Can Help With

for all people, including children and youth

chronic/persistent pain in the pelvis

synonymous with chronic nonbacterial prostatitis, prostatodynia, and pelvic floor myalgia. Can occur with endometriosis and interstitial cystitis (IC) / painful bladder syndrome (PBS)

tailbone pain

Ideal bowel movements are soft and formed, easy to initiate, easy to pass and the person should feel completely empty afterwards. When this is not the case, and underlying medical causes have been ruled out, physiotherapy may be able to help.

a combination of observation, palpation (assessment by touch) and Real-Time Ultrasound Imaging will be used to assess and teach proper abdominal technique

descent of the anterior vaginal wall that supports the bladder into the vagina; leads to bulging of the bladder into the vagina

also known as DRA; occurs when the distance in the connective tissue (linea alba) between the left and right rectus abdominus muscles exceeds “normal” values

pelvic floor incoordination during bowel movements; leads to difficulty evacuating stools

occurs when impacted stool collects in the colon and rectum and liquid stool involuntarily leaks around the retained stool

occurs when the pressure within the abdominal cavity exceeds the closure pressure of the pelvic floor muscles. Actions that increase pressure within the abdominal cavity include coughing, laughing, sneezing, walking, running, jumping, lifting, carrying, squatting, rising from sitting, bending over, etc.

may be accompanied by stiffness, decreased movement, and challenges with standing posture

unexplained pain in the penis, testicles, and/or groin

synonymous with chronic pelvic pain, prostatodynia, and pelvic floor myalgia

also known as interstitial cystitis (IC) symptoms can include bladder pressure, bladder pain, and pelvic pain

chronic pelvic pain linked to increased resting activity of the pelvic floor muscles

synonymous with chronic nonbacterial prostatitis, prostatodynia, and chronic pelvic pain

pain at the front (symphysis pubis/SP joint) and/or back of the pelvis (sacroiliac/SI joints); can refer to buttocks, thighs, groin

when one or more organs in the pelvis (uterus, bowel, bladder, top of vagina) descend from their original position and bulge into the vagina

pain/discomfort on vaginal penetration/insertion

watch a video of me explaining how I assess and treat vulvar pain

unexplained pain in the penis, testicles, and/or groin

synonymous with chronic pelvic pain, prostatodynia, non-bacterial prostatitis, and pelvic floor myalgia

optimizing pelvic floor health during pregnancy, preparing for delivery/checking pushing technique, and facilitating recovery after delivery

re-education of the pelvic floor and abdominals in the postpartum period

retraining of the pelvic floor and core muscles following surgery, normalizing bladder, bowel, and sexual function

synonymous with chronic nonbacterial prostatitis, chronic pelvic pain syndrome, and pelvic floor myalgia

descent of the posterior vaginal wall that supports the rectum into the vagina; leads to bulging of the rectum into the vagina

can be mistaken as low back pain

a dull, low-level ache that is felt across the pelvic and can refer to the buttocks, down the back of the thigh, around the hips and the side of the waist

can be one-sided, both sides, and switch sides

pain in the symphysis pubis (SP) joint

Stress urinary incontinence (SUI) occurs when the pressure within the abdominal cavity exceeds the closure pressure of the pelvic floor muscles. Actions that increase pressure within the abdominal cavity include coughing, laughing, sneezing, walking, running, jumping, lifting, carrying, squatting, rising from sitting, bending over, etc.

Urgency Urinary Incontinence (UUI) occurs when the bladder signal to void is too strong, creating pressure that exceeds the closure pressure of the pelvic floor muscles.

when the uterus descends into the vaginal canal

a normal, reactive guarding response of the pelvic floor muscles that occurs with anticipation of or experience of pain on vaginal/vulvar penetration/insertion; involuntary tensioning of the pelvic floor muscles

watch a video of me explaining how I assess and treat vulvar pain

the most common subtype of vulvodynia

a pain sensitization condition at the entrance of the vagina where the vulvar skin transitions to become vaginal mucosa

watch a video of me explaining how I assess and treat vulvar pain