.jpg)
Specialized care for pelvic health and function
Pelvic physiotherapy addresses the muscles, joints, and connective tissues that support the pelvis and lower abdomen. Treatment focuses on how these structures move and coordinate during daily activity, exercise, and recovery. Pelvic floor physiotherapy in Mississauga and Markham targets pain, weakness, or movement limitations linked to the pelvic floor or surrounding areas.
Pelvic discomfort, postnatal changes, or difficulty with muscle control are addressed through targeted assessment and guided treatment plans designed to restore balanced movement and improve function. Both women and men benefit from this specialized care at Revibe's Mississauga and Markham locations.
What Is Pelvic Physiotherapy?
Pelvic physiotherapy targets the pelvic floor and surrounding muscles that support posture, bladder and bowel control, and core stability. The pelvic floor forms the base of the pelvis and influences movement throughout the lower body.
Weak, tense, or uncoordinated muscles contribute to pain, urinary leakage, or restricted movement. A pelvic floor specialist assesses muscle response to motion and develops treatment plans to improve strength, relaxation, and control. Pelvic floor therapy addresses muscle coordination issues that affect daily function. Care is individualized to support recovery goals and restore healthy movement.
How Pelvic Floor Physiotherapy Works
Pelvic floor rehabilitation combines manual techniques, exercise prescription, and patient education to restore muscle function. The pelvic floor consists of layers of muscles and connective tissue stretched between the pubic bone and tailbone. These muscles support the bladder, bowel, and uterus in women, or the bladder and bowel in men. Treatment restores the balance between muscle strength and relaxation.
Integrated Approach to Pelvic Health
The pelvic floor works with the diaphragm, deep abdominal muscles, and back muscles to stabilize the spine and pelvis. Dysfunction in one area affects the entire system. Pelvic health physiotherapy evaluates this interconnected network to identify the root cause of symptoms. Women's health physiotherapy and men's pelvic health treatment use this integrated approach to rehabilitate pelvic function.
Signs You Need Pelvic Floor Physiotherapy
Recognizing when to seek pelvic floor treatment helps prevent long-term dysfunction. Many people delay care due to embarrassment or lack of awareness that treatment exists.
Common Indicators for Women
Leaking urine when laughing, coughing, sneezing, or exercising signals pelvic floor weakness. Urgency that requires immediate bathroom access indicates overactive bladder muscles. Heaviness or bulging in the vaginal area suggests pelvic organ prolapse. Pain during intercourse often stems from muscle tension or scar tissue. Persistent lower back pain that doesn't respond to standard physiotherapy treatment may have pelvic floor involvement.
Pregnancy and postpartum:Prenatal pelvic physiotherapy prepares muscles for delivery. Postnatal pelvic floor therapy addresses changes that occur during pregnancy and birth.
Common Indicators for Men
Urinary dribbling after urination or difficulty starting urination indicates pelvic floor dysfunction. Post-prostate surgery incontinence responds to targeted pelvic floor rehabilitation. Chronic pelvic pain syndrome affects the pelvic floor muscles and surrounding tissues. Erectile dysfunction linked to muscle tension improves with pelvic floor physio treatment.
General Warning Signs
Constipation or straining during bowel movements relates to pelvic floor coordination. Tailbone pain, hip pain, or groin pain that persists despite treatment elsewhere may originate from pelvic floor dysfunction. Difficulty emptying the bladder completely suggests coordination problems between the bladder and pelvic floor muscles.
Conditions Treated by Pelvic Floor Physiotherapy
Pelvic floor rehabilitation addresses conditions that affect muscle strength, coordination, or control in the pelvic region. These develop gradually or after childbirth, surgery, or injury.
Pelvic Pain and Dysfunction
Pelvic or lower abdominal pain stems from muscle tension or joint restriction in the pelvic region. Pain during movement or exercise linked to pelvic dysfunction limits activity. Discomfort following pelvic or abdominal surgery responds to targeted pelvic floor treatment. Chronic pelvic pain syndrome involves multiple factors including muscle dysfunction, nerve sensitivity, and movement patterns.
Related conditions:Endometriosis, interstitial cystitis, and vulvodynia often have pelvic floor muscle involvement that responds to treatment. Painful intercourse (dyspareunia) results from muscle tension, scar tissue, or nerve sensitivity.
Urinary and Bladder Concerns
Urinary leakage, urgency, or frequent urination results from weakened or uncoordinated pelvic floor muscles. Stress incontinence occurs when pelvic floor muscles fail to support bladder control during physical activity, coughing, or sneezing. Urge incontinence involves sudden, strong urges to urinate that are difficult to control. Mixed incontinence combines both stress and urge symptoms.
Common scenarios:Overactive bladder causes frequent urination throughout the day and night. Incomplete bladder emptying creates urgency and frequency. The pelvic floor must relax fully to allow complete emptying.
Postpartum Recovery and Pregnancy-Related Conditions
Postpartum recovery involves addressing muscle weakness or scar tissue following childbirth. Pelvic floor dysfunction after pregnancy affects core stability, bladder control, and abdominal muscle coordination. Diastasis recti and pelvic organ prolapse or pressure sensations receive specialized pelvic floor rehabilitation.
Specific concerns:Cesarean section recovery requires specific attention to abdominal scar tissue and core muscle retraining. Perineal tearing during vaginal delivery creates scar tissue that affects muscle function and may cause pain.
Bowel and Digestive Concerns
Constipation, difficulty with bowel movements, or fecal incontinence involve pelvic floor coordination. The pelvic floor muscles must relax during bowel movements. Tension or poor coordination creates difficulty. Pelvic floor therapy teaches proper mechanics and addresses muscle dysfunction contributing to bowel concerns.
Prolapse Management
Pelvic organ prolapse occurs when pelvic organs descend due to weakened support structures. Prolapse physiotherapy focuses on strengthening the pelvic floor and optimizing movement patterns to reduce symptoms. Many people manage prolapse successfully without surgery through targeted physiotherapy treatment.
Men's Pelvic Health
Post-prostatectomy incontinence improves with early pelvic floor muscle training. Chronic prostatitis or chronic pelvic pain syndrome causes persistent discomfort in the pelvis, genitals, or perineum. Erectile dysfunction linked to pelvic floor muscle weakness or tension responds to physiotherapy.
.jpg)
Treatment Methods for Pelvic Floor Dysfunction
Our pelvic floor specialists use evidence-based techniques tailored to your specific condition and goals. Each method addresses different aspects of pelvic floor rehabilitation:
Manual therapy addresses muscle tension or joint restriction in the pelvic region. Techniques include external soft tissue work on the abdomen, inner thighs, and lower back. Myofascial release techniques reduce tension in connective tissue surrounding the pelvic floor. Trigger point therapy releases specific points of muscle tension that contribute to pain and dysfunction. Internal manual therapy releases trigger points and restrictions within the pelvic floor muscles when appropriate.
Pelvic floor muscle training improves coordination and strength through progressive exercises. Training begins with awareness: learning to identify and isolate pelvic floor muscles. Strengthening exercises progress gradually based on muscle response. Relaxation techniques address overactive muscles that create pain or dysfunction. Biofeedback tools provide visual or auditory feedback about muscle activity to help you understand whether muscles are contracting, relaxing, or working correctly.
Education and self-management strategies for posture, breathing, and daily activity reinforce treatment outcomes. Proper body mechanics during lifting, carrying, and daily tasks protect the pelvic floor. Breathing patterns affect pelvic floor function and are addressed when contributing to dysfunction. Home exercise programs reinforce clinic-based progress and maintain pelvic floor strength.
Bladder and bowel retraining strategies address urgency, frequency, and coordination problems. Techniques include timed voiding, urge suppression, and dietary modifications when relevant. Treatment plans adjust as strength, coordination, and control improve. The approach emphasizes privacy, comfort, and gradual progress tailored to individual needs.
What to Expect at Your First Pelvic Floor Physiotherapy Appointment
The initial assessment lasts 60-75 minutes and establishes the foundation for treatment. The pelvic floor specialist creates a comfortable environment for discussing sensitive health concerns. All information shared remains confidential. Treatment progresses at a pace that matches your comfort level.
The physiotherapist reviews your medical history, including pregnancies, surgeries, injuries, and current medications. Discussion covers bladder and bowel habits, pain patterns, exercise routines, and daily activities. Posture, breathing patterns, and movement quality are observed. Core muscle activation and coordination are evaluated through simple movement tests.
An internal pelvic floor muscle assessment may be recommended to evaluate muscle strength, coordination, tone, and tissue quality. The assessment is always optional and only proceeds with your consent. External assessment techniques provide valuable information without internal examination, and some conditions are treated effectively using only external approaches. The physiotherapist explains findings and develops a treatment plan based on assessment results and your goals.
Pelvic Physiotherapy for Women
Women experience pelvic floor issues related to pregnancy, childbirth, menopause, and hormonal changes. Hormonal fluctuations throughout the menstrual cycle, during pregnancy, and through menopause affect tissue quality and muscle function. Women's health physiotherapy addresses the full spectrum of female pelvic concerns.
Prenatal physiotherapy prepares the pelvic floor for labor and delivery. Treatment addresses common pregnancy discomfort including pelvic girdle pain, back pain, and muscle weakness. Education covers pushing techniques, breathing strategies, and perineal massage to reduce tearing risk.
Postnatal pelvic physiotherapy supports mothers through postpartum recovery. Treatment begins with gentle assessment to evaluate pelvic floor function, abdominal muscle separation, and scar tissue from tearing or cesarean section. Postpartum pelvic floor therapy addresses incontinence, prolapse, and pelvic pain. Return to exercise guidance ensures safe progression without damaging healing tissues.
Menopause brings hormonal changes that affect tissue quality, vaginal health, and muscle function. Pelvic floor physiotherapy for menopause addresses dryness, discomfort, and changes in bladder control. Treatment supports tissue health and maintains muscle function through this transition.
Pelvic Physiotherapy for Men
Men benefit from pelvic floor physiotherapy following prostate surgery, for chronic pelvic pain, or erectile dysfunction linked to muscle tension. Male pelvic floor dysfunction is underrecognized but responds well to treatment. Men's pelvic health treatment addresses conditions unique to male anatomy and function.
Prostate surgery affects the muscles and nerves controlling urinary continence. Post-prostatectomy incontinence improves with early pelvic floor muscle training. Male pelvic floor rehabilitation begins before surgery when possible and continues through recovery. Strengthening exercises restore bladder control. Most men regain continence within 3-12 months with consistent pelvic floor physiotherapy treatment.
Chronic prostatitis or chronic pelvic pain syndrome causes persistent discomfort in the pelvis, genitals, or perineum. Pelvic floor muscle tension contributes to symptoms. Male pelvic physiotherapy releases muscle tension and retrains movement patterns to reduce pain. Erectile dysfunction linked to pelvic floor muscle weakness or tension responds to physiotherapy.
Post-Prostatectomy Rehabilitation
Post-prostatectomy incontinence improves with early pelvic floor muscle training. Male pelvic floor rehabilitation in Markham and Mississauga begins before surgery when possible and continues through recovery. A pelvic floor specialist experienced in post-surgical rehabilitation guides recovery. Most men regain continence within 3-12 months with consistent treatment.
Chronic Pelvic Pain and Erectile Dysfunction
Chronic pelvic pain syndrome affects the pelvic floor muscles and surrounding tissues. Male pelvic physiotherapy releases muscle tension and retrains movement patterns to reduce pain. Erectile dysfunction linked to pelvic floor muscle weakness or tension responds to physiotherapy. Pelvic floor exercises improve blood flow and muscle support necessary for erectile function.
Frequently Asked Questions About Pelvic Floor Physiotherapy
Treatment duration varies based on condition severity, how long symptoms have been present, and individual response to treatment. Most people attend 6-12 sessions over 3-6 months. Simple cases may resolve faster. Complex or chronic conditions require longer treatment. Improvement often begins within 4-6 weeks of starting treatment. Consistent home exercise practice between appointments accelerates progress.
The assessment includes discussion of your symptoms and medical history, observation of posture and movement patterns, and evaluation of core and pelvic floor muscle function. Internal examination may be recommended but is always optional. External assessment provides substantial information and some conditions are treated effectively without internal work.
Extended health insurance plans typically cover pelvic floor physiotherapy under physiotherapy benefits. Coverage amounts vary by plan. Direct billing may be available depending on your insurance provider. Verify your coverage details before your first appointment. Contact us at (905) 783-8423 to discuss payment options and verify your specific insurance coverage.
Seek pelvic floor physiotherapy when experiencing urinary leakage, urgency, or frequency that affects daily life. Pelvic or sexual pain, prolapse symptoms, or bowel dysfunction warrant assessment. Prenatal and postpartum care optimizes pregnancy and recovery outcomes even without symptoms. Starting treatment early prevents minor issues from becoming chronic problems.
Pelvic floor physiotherapy reduces prolapse symptoms and improves quality of life. Treatment strengthens supporting muscles, optimizes movement patterns, and provides strategies to manage symptoms. Many people avoid or delay surgery through effective physiotherapy management. Physiotherapy is recommended before considering surgical options.
Men benefit from pelvic floor physiotherapy for post-surgical incontinence, chronic pelvic pain, erectile dysfunction, and bowel concerns. Male pelvic floor physiotherapy is underutilized but highly effective. Pelvic floor dysfunction in men responds well to targeted treatment.
Treatment prioritizes your comfort. Communication between you and your physiotherapist ensures techniques remain within your comfort level. Internal work is gentle and proceeds only with ongoing consent. External techniques and exercises form the majority of treatment and are not uncomfortable. Some manual therapy creates temporary soreness similar to other physiotherapy treatment, which resolves quickly.
Wear comfortable, loose-fitting clothing that allows easy movement. Athletic wear works well. Your therapist may need to assess specific body areas, so dress in layers or bring shorts if treating lower body conditions. Avoid restrictive clothing like jeans or dress pants for treatment sessions.
Empty your bladder partially before assessment—a partially full bladder allows better evaluation of bladder function. Avoid using heavy lotions or creams on the day of assessment. Bring relevant medical records, imaging results, or previous treatment notes. A list of current medications and supplements provides complete information for assessment.
Home exercise programs reinforce clinic-based progress and maintain pelvic floor strength. Exercises are individualized based on assessment findings and progress. Your physiotherapist provides clear instructions on exercise frequency, repetitions, and progression. Consistency with home exercises accelerates improvement and maintains progress between sessions.
Meet Our Physiotherapy Team
Scott French Physiotherapist
Michael Leung Physiotherapist
Zeeruk Rehman Physiotherapist
What Our Patients Are Saying
Best physio, tore my ACL and I feel amazing after 4 months. Zee is your guy!
I have been seeing Zee and he has been helping me with my knee rehab. Very professional and knowledgable Physio. I have been feeling better and better and honestly, it has changed my life. Clean facility with all the amenities you need and a very friendly staff.
highly recommend Revibe Mississauga for anyone needing physiotherapy, chiropractic, or massage therapy. I saw Zeeruk for physiotherapy to treat my injury, and I couldn’t be happier with the results. Zeeruk truly takes the time to listen and understand his patients’ concerns, tailoring a solution that directly addresses each individual’s needs. His knowledge and dedication to his craft are clear as day, and he’s highly invested in helping his patients, like myself, recover. After over ten sessions, I see real progress and improvements daily. The clinic is excellent—it has a great location, modern facilities, and a wide range of amenities. Without a doubt, this is
Zeeruk Rehman has been a revelation in my rehab, I’ve regained my confidence in my athletic ability after my injury, and highly recommend him for anyone looking for physiotherapy. The facility and staff are top notch as well, and it’s great to be able to go to a resource like that when I need! The space has everything I need and the staff make it enjoyable to focus on getting better
Book Your Appointment in Mississauga, Markham or Burlington
Revibe operates clinics in Mississauga (serving Streetsville, Erin Mills, Meadowvale, and surrounding areas) and Markham (serving Unionville, Thornhill, Buttonville, and surrounding areas). Both locations provide comprehensive assessment and treatment services for your health and wellness needs.
Mississauga Clinic
Location: 2290 Dixie Rd, Mississauga, ON L4Y 1Z4
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
New patient visits include comprehensive assessment and first treatment session (75 minutes). Bring previous imaging reports, medical diagnoses, and lists of current symptoms. Wear comfortable clothing that allows access to treatment areas.
Serving: Streetsville, Erin Mills, Meadowvale, Churchill Meadows, Lorne Park, Port Credit, Clarkson, and surrounding Mississauga neighborhoods. Convenient access from Highway 403, QEW, and Erin Mills Parkway.
Book Mississauga
Markham Clinic
Location: 220 Torbay Rd, Markham ON, L3R 1G6
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
Insurance coverage varies by provider. Extended health plans often include manual therapy and wellness services. Direct billing available for plans that Revibe accepts. Receipts provided for insurance submission or tax purposes.
Serving: Unionville, Thornhill, Markham Village, Buttonville, Milliken, Cornell, Angus Glen, and surrounding Markham and Richmond Hill areas. Easy access from Highway 7, Highway 404, and Major Mackenzie Drive.
Book Markham
Burlington Clinic
Coming Soon
We're excited to announce that our Burlington location will be opening soon. Stay tuned for updates on our new clinic serving the Burlington, Oakville, and surrounding areas.
