Pelvic Health Physiotherapy
Assessment and treatment of the pelvic floor — leaking, urgency, prolapse, pelvic pain and the back or hip pain that travels with them.
Pelvic health physiotherapy focuses on the pelvic floor and the muscles around it — the group that supports your bladder and bowel, stabilises your core, and lets you move comfortably. Because the pelvic floor sits at the base of the pelvis, how well it works affects movement and stability through the whole lower body.
When those muscles are weak, too tense, or poorly coordinated, the result can be leaking, urgency, pelvic pain, or a feeling that something is not quite supported. A Pelvic Floor Physiotherapist in High Park assesses which of those is actually happening — it is not always weakness, and a plan built on the wrong assumption tends not to work — and builds a treatment plan around strength, release, coordination and control.
Signs pelvic floor physiotherapy may help
- Leaking with a laugh, cough, sneeze, run or workout
- Sudden urgency, or not always reaching the bathroom in time
- A feeling of heaviness, pressure or bulging, which can point to prolapse
- Pain during intercourse, often linked to muscle tension, sensitivity or scar tissue
- Lower back or pelvic pain that has not settled with usual treatment
- Constipation, straining, or difficulty fully emptying the bladder or bowel
- Tailbone, hip or persistent groin pain
What pelvic health physiotherapy addresses
- Pelvic pain and pelvic floor dysfunction
- Bladder and urinary concerns — leaking, urgency, frequency
- Pregnancy-related and postpartum recovery
- Bowel and digestive concerns with a pelvic floor component
- Pelvic organ prolapse, including pessary support where appropriate
If you have been searching for a pelvic health clinic in Toronto, we can assess your symptoms and determine whether pelvic floor physiotherapy is right for you. As a pelvic health centre in Toronto’s High Park, we provide individualized treatment focused on pelvic floor function, comfort and everyday mobility. Every part of the assessment and treatment is explained first, and nothing happens without your consent and at your pace.
Conditions We Treat
Pelvic health physiotherapy helps across bladder, bowel, sexual, and pelvic-pain health — for women, at every stage of life. These are the conditions we see most often; if what you're experiencing isn't listed, reach out and we'll talk it through first.
Urinary Incontinence
Leaking with a cough, sneeze, laugh, or workout (stress incontinence), or a sudden urge that's hard to hold (urge incontinence) — a common concern that pelvic floor physiotherapy addresses directly.
Pelvic Organ Prolapse
A feeling of heaviness, pressure, or a bulge as the bladder, uterus, or rectum loses some of its usual support — eased with guided pelvic floor work and, where it helps, a pessary.
Vaginismus & Penetration Difficulty
Involuntary tightening of the pelvic floor that makes penetration — tampons, intimacy, or an exam — painful or difficult; it responds well to gentle, graded physiotherapy.
Pregnancy & Postpartum Concerns
Pelvic-girdle and back pain, leaking, heaviness, core separation (diastasis recti), or a slow recovery through pregnancy and after birth — vaginal or c-section, recent or years ago.
Bowel Dysfunction
Constipation and straining, incomplete emptying, or trouble controlling gas or stool — often tied to how the pelvic floor coordinates.
Painful Intercourse (Dyspareunia)
Pain with penetration, deeper pain, or discomfort afterward — assessed gently and privately to find what's driving it.
Sexual Dysfunction
Changes in comfort, arousal, sensation, or orgasm connected to pelvic floor tension or weakness — after birth, surgery, or with menopause.
Endometriosis
Cyclical or ongoing pelvic pain related to endometriosis, supported with pelvic floor physiotherapy that works alongside the rest of your medical team.
Menopause-Related Symptoms
Bladder leaks, urgency, dryness, prolapse, or discomfort as hormones shift through perimenopause and beyond — treatable rather than inevitable.
Vulvodynia
Ongoing burning, stinging, or rawness of the vulva, with or without touch and without a clear infection — often eased by settling an overactive pelvic floor.
Vestibulodynia
Sharp pain or burning at the vaginal opening (the vestibule), frequently triggered by touch, tampons, or intimacy.
Interstitial Cystitis (Bladder Pain Syndrome)
Bladder pressure, pain, and urinary frequency in the absence of infection — physiotherapy helps calm the pelvic floor and bladder symptoms, alongside your physician.
Pudendal Neuralgia
Nerve-related pain, burning, or numbness through the pelvis, sit bones, or genitals — often worse with prolonged sitting.
Coccydynia (Tailbone Pain)
Persistent pain at the tailbone, usually worse when sitting or rising from a seat — common after a fall, childbirth, or long hours seated.
Levator Ani Syndrome
Aching, pressure, or spasm felt deep in the pelvic floor or rectum from chronically tight levator ani muscles.
Vulvar Skin Conditions
Support for the pelvic floor tension and discomfort that can accompany vulvar skin conditions, working alongside your dermatologist or physician.
Chronic Pelvic Pain Syndrome
Pelvic pain lasting three months or more without a clear medical cause — often driven by a guarding, overactive pelvic floor that responds to release-focused physiotherapy.
Clitorodynia & PGAD
Pain at the clitoris, or persistent unwanted arousal (persistent genital arousal disorder), linked to pelvic floor and nerve irritation — assessed sensitively, at your pace.
How This Helps at Every Stage
Fertility & Preconception
Many people don't realize pelvic floor physiotherapy is useful before you even start trying to conceive. A tense, uncoordinated pelvic floor can restrict blood flow to the reproductive organs and add unnecessary tension through the pelvis — addressing that ahead of time, rather than after a diagnosis, gives your body the most time to respond. It's also the easiest window to treat restrictions from past surgery, endometriosis, or scar tissue, before pregnancy adds another layer of change on top.
During Pregnancy
As your uterus grows, it changes how your pelvic floor is loaded, while the hormone relaxin loosens connective tissue throughout your pelvis and spine to prepare for birth — a combination that commonly shows up as pelvic girdle pain or low back pain long before delivery. Physiotherapy through pregnancy manages that pain trimester by trimester, and also prepares the pelvic floor itself for labour: teaching it to release and coordinate, not just tighten, so pushing works with your body instead of against it.
Postpartum Recovery
Whatever kind of delivery you had, the postpartum period is when the changes of pregnancy and birth actually get treated, rather than just monitored at a single six-week checkup — diastasis recti, incontinence, scar mobility, and pelvic pain are all addressable, and it is never too late to start, whether your baby is six weeks or six years old. A C-section doesn't mean you skip this stage either: nine months of pregnancy still loads the pelvic floor, and a C-section is still major abdominal surgery your core has to recover from.
Perimenopause & Menopause
Declining estrogen thins and reduces the elasticity of pelvic tissue, which is why bladder leakage, prolapse symptoms, or pain can appear for the first time in your 40s or 50s, or return after years of feeling fine. It's easy to dismiss this as "just aging," but the muscles themselves respond to the same physiotherapy approach as at any other stage, often alongside options like pessary fitting for extra support.
Ready to start your pelvic health physiotherapy?
What to Expect
Your first visit is 60 minutes and starts with a conversation about your symptoms, history and goals — bladder and bowel habits, pain, activity, posture and breathing. Simple physical checks may look at core activation, muscle control and coordination.
Depending on your symptoms, an internal pelvic floor assessment may be offered to check muscle tone, strength, coordination and tissue function. It is entirely optional and only done with your informed consent — many concerns can be assessed and treated externally. Afterwards your physiotherapist explains what they found and builds a plan around your comfort and recovery.
After birth, an assessment is commonly done around six weeks postpartum, or after your first visit with your OB, midwife or family doctor — sooner if you are in significant pain or discomfort. The setting is private and confidential throughout.
Frequently Asked Questions
Do I need a doctor's referral to book?
No referral is required — you can book directly online or by phone.
Is pelvic health physiotherapy covered by insurance?
Most extended health plans cover physiotherapy. We offer direct billing so you don't have to pay out of pocket and claim later.
How many sessions will I need?
This varies by individual — your physiotherapist will discuss a recommended plan based on your assessment and goals.
What should I wear to my appointment?
Comfortable, loose-fitting clothing that allows easy movement is best.
Explore by Life Stage
Fertility Care
Physiotherapy support in the months before pregnancy — pelvic floor function, core, mobility and movement, alongside your medical fertility care.
Explore fertility care
Prenatal Care
Physiotherapy through pregnancy — pelvic girdle and back pain, pelvic floor preparation, and staying active safely, alongside your maternity care.
Explore prenatal care
Postpartum Care
Rebuilding after birth — pelvic floor and core recovery, scar and back pain, and a graded return to exercise, at your own pace.
Explore postpartum care
Menopause Management
We help ease your most challenging perimenopause and menopause symptoms, restoring balance and vitality to your everyday life.
Explore menopause management
Orthopedic Physiotherapy
Assessment and treatment for joint, muscle and post-surgical concerns — back, neck, shoulder, hip and knee.
Explore orthopedic physiotherapy
Diastasis Recti (Mommy Tummy)
Assessment and progressive rehabilitation for abdominal separation after pregnancy — the gap, and the strength around it.
Explore diastasis recti (mommy tummy)
TMJ Physiotherapy
Physiotherapy for jaw pain, clicking, limited opening and related headaches — assessing the jaw, neck and posture together.
Explore tmj physiotherapyStill have questions? Let Leo help.
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