What Is Pelvic Floor Physical Therapy?

If you've been referred for pelvic floor physical therapy, or you’re simply exploring options for issues like pelvic pain, incontinence, or postpartum recovery—welcome. At Refuge Physiotherapy, we understand that starting pelvic floor physical therapy can feel unfamiliar or even a little intimidating. Our goal is to provide a space that feels safe, supportive, and informed.

Let’s walk you through what pelvic floor therapy is, who it helps, and what to expect as a new patient at Refuge.


What Is Pelvic Floor Physical Therapy?

Pelvic floor physical therapy is a specialized form of physiotherapy focused on the muscles, ligaments, and connective tissues that support your pelvic organs. These muscles play a crucial role in bladder and bowel control, sexual function, posture, and core stability.

When these muscles are weak, tight, or uncoordinated, they can cause a wide range of issues, including:

  • Urinary or fecal incontinence

  • Pelvic pain

  • Pain during sex

  • Constipation

  • Postpartum recovery challenges

  • Prolapse or pressure sensations

  • Pre- and post-operative pelvic care


Who Is Pelvic Floor PT For?

Contrary to popular belief, pelvic floor therapy is not just for women or just for those who have given birth. Pelvic floor physical therapy can work with people across all genders and life stages, including:

  • Postpartum moms looking to heal after delivery

  • Athletes struggling with core instability or leakage during workouts

  • Men recovering from prostate surgery or managing pelvic pain

  • Older adults facing age-related changes in pelvic support

  • Individuals with chronic conditions like endometriosis or interstitial cystitis


Your First Visit: What to Expect

When you step into Refuge Physiotherapy, we aim to create a space that feels exactly like the name implies—a refuge. Here's how your first appointment usually unfolds:

1. Conversation First

We start with a thorough, private discussion about your history, current symptoms, daily habits, and goals. This is a no-judgment zone, and you’ll never be rushed. We take time to listen and understand not just your body, but your story.

2. Movement & Posture Assessment

We'll look at how your body moves—your posture, breathing patterns, core engagement, hip and spine mobility, etc. These can all influence your pelvic floor.

3. Pelvic Floor Muscle Evaluation (Optional)

If appropriate and with your full consent, your therapist may perform a gentle internal and external pelvic exam to assess how the muscles function—checking for strength, tension, coordination, or pain. You’re always in control of what you feel comfortable with, and we’ll talk through every step.

4. Education & Treatment Plan

You’ll leave with a better understanding of what’s happening in your body and a personalized plan of care. This may include:

  • Gentle exercises or stretches

  • Breathing and relaxation techniques

  • Postural or movement modifications

  • Manual therapy

  • Home program guidance


Our Philosophy at Refuge Physiotherapy

We believe in empowering you to reconnect with your body in a meaningful way. Our approach is trauma-informed, whole-person focused, and rooted in dignity and trust. You are more than your symptoms—and healing goes beyond physical strength.


Ready to Take the First Step?

Pelvic health is vital—and you don’t have to deal with discomfort, embarrassment, or dysfunction alone. If you're curious about how pelvic floor physical therapy can support your wellness journey, we're here to guide you with compassion and expertise. Please contact Refuge Physiotherapy to schedule your appointment with Hillary who specializes in Women's Pelvic floor issues. 

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