What to expect during a pelvic floor assessment?

 In Women's Health

Pelvic floor physiotherapy is very similar to regular physiotherapy; however, we concentrate on a very different part of the body. Pelvic floor physiotherapists have advanced training on the muscles, ligaments, and nerves, that affect the pelvic region. Whether you have concerns about leakage of urine, are having pain with intercourse, are planning to conceive or have already had a baby, pelvic floor physiotherapy could be an option for you. This article describes what you can expect during a pelvic floor assessment.

Medical History

On your first day, during the initial assessment, we will begin with a subjective exam similar to what you have previously experienced with a “normal” physiotherapy appointment. During this exam, we will be talking about some different subjects however, like bladder and bowel habits, pelvic pain, daily physical activity routines, and much more. You can get an idea of what we will be talking about based on the Female Symptom Monitor that you will receive by email or once you arrive at the clinic.

Urinary Incontinence

Physical Assessment

Following the subjective exam, we will transition towards the objective exam where we will look at your posture, back and hip mechanics, analyzing breathing mechanics and then transition into the pelvic portion of the exam. In this portion we will perform an external as well as internal vaginal and rectal exam, similar to what you would experience in your doctor’s office. However, there are no stirrups. You will be lying comfortably on your back, discreetly covered by a sheet. During this exam we will be looking at the strength and tone of muscles of the pelvic floor and find the contributors to your pelvic dysfunction. Don’t worry though, everyone always tells me it’s not as bad as they had originally expected.

Education and Plan

Just like any physio visit, we will finish our session by giving you some advice on do’s and don’ts for pelvic health, decide on a physiotherapy commitment plan, and your pelvic floor physiotherapist will probably give you some exercises to go home with as well.

Looking forward to seeing you for your pelvic health assessment. If you have any further questions, you can leave them below in the comments section or you can call 613-424-7852. Congratulations on taking the first step towards improving your care, down there.

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