Our Treatments | Virtual Pelvic Health Physiotherapy Services

Here is a list of just some of the conditions and concerns we treat.

Women

Pregnancy & Postpartum Care

  • Pregnancy Pains & Musculoskeletal Discomfort: Virtual guidance and movement strategies for pregnancy-related girdle pain, including symphysis pubis dysfunction (SPD), sacroiliac (SI) joint pain, lower back pain, and round ligament strain caused by postural and hormonal changes.
  • Birth Preparation (Pre-Hab): Educating expectant mothers on optimal pelvic relaxation, breathing techniques, and self-care strategies to prepare the body for labor and support tissue recovery.
  • Postpartum Recovery: Comprehensive virtual rehabilitation following vaginal or Cesarean births, addressing abdominal wall healing, scar management education, and restoring overall core function.

Bladder, Bowel & Core Dysfunction

  • Bladder & Bowel Control / Incontinence: Virtual management of stress incontinence (leaking with coughing, sneezing, or lifting), urge incontinence, fecal incontinence, and symptoms associated with an overactive bladder through targeted exercises and lifestyle strategies.
  • Diastasis Recti Abdominis (DRA): Assessing and rehabilitating excessive separation of the rectus abdominis muscles via video consultation, focusing on restoring tension, strength, and load transfer through the linea alba.
  • Pelvic Organ Prolapse (POP): Supporting individuals with cystocele, rectocele, or uterine prolapse by teaching proper intra-abdominal pressure management, lifestyle modifications, and targeted pelvic health exercises.

Pelvic Pain & Chronic Conditions

  • Painful Sex (Dyspareunia) & Vaginismus: Educational and movement-based strategies to address superficial or deep discomfort during intercourse, helping clients navigate hypertonic pelvic muscles and fear-pain cycles.
  • Endometriosis & PCOS Pain: Managing chronic pelvic pain, pacing strategies, and movement modifications associated with inflammatory conditions like endometriosis and polycystic ovary syndrome.
  • Interstitial Cystitis / Bladder Pain Syndrome & IBS: Nervous system regulation strategies and pelvic relaxation techniques that complement medical management for chronic bladder and bowel irritation syndromes.

Specialized Surgeries & Life Transitions

  • Menopause & Perimenopause: Guidance for managing symptoms related to declining estrogen levels, such as genitourinary syndrome of menopause (GSM), tissue changes, and associated bladder health shifts.
  • Vaginoplasty & Gender-Affirming Surgery Prep & Recovery: Specialized virtual pre-surgical conditioning and post-operative rehabilitation guidance for transgender women undergoing gender-affirming pelvic surgeries, focusing on movement, dilation support protocols, and functional recovery.

Men

Urinary & Bladder Dysfunction

  • Urinary Incontinence: Leakage management, particularly post-prostatectomy incontinence following prostate cancer surgery, utilizing targeted neuromuscular retraining and bladder habit strategies.
  • Overactive Bladder (OAB) & Urgency: Characterized by a sudden, intense need to urinate frequently, managed through customized fluid management, bladder retraining, and relaxation techniques.
  • Urinary Hesitancy & Retention: Difficulty initiating a urine stream or completely emptying the bladder, addressed through down-training strategies for hypertonic pelvic muscles.

Pain & Musculoskeletal Conditions

  • Chronic Pelvic Pain Syndrome (CPPS): Virtual care for persistent pain in the perineum, lower abdomen, groin, lower back, or tailbone, focusing on nervous system calming, postural adjustments, and targeted movement.
  • Pudendal Neuralgia: Education and movement modifications to alleviate irritation of the pudendal nerve, focusing on relieving aggravation from sitting and daily postures.
  • Levator Ani Syndrome: Virtual management for rectal or pelvic discomfort caused by tension in the pelvic floor muscles, utilizing breathing mechanics and relaxation strategies.

Sexual Dysfunction

  • Erectile Dysfunction (ED): Addressing ED when linked to pelvic blood flow, posture, or muscle tension rather than organic vascular or hormonal factors, focusing on localized circulation and neuromuscular control.
  • Premature Ejaculation (PE): Guidance on managing ejaculation timing by learning to down-train and relax an overactive or hyper-reactive pelvic system.
  • Painful Ejaculation (Dysorgasmia): Comfort strategies and neuromuscular education for discomfort during or immediately following ejaculation linked to muscular tension.

Pre- and Post-Prostate Surgery Care

  • Pre-Hab (Pre-Surgical Conditioning): Strengthening and educational coaching on how to properly contract and relax pelvic muscles before undergoing prostatectomy or radiation therapy to improve post-operative recovery and continence outcomes.
  • Post-Surgical Rehabilitation: Guided virtual recovery programs to restore bladder control, manage core and scar recovery, and rebuild endurance following prostate cancer treatments.

Everyone (Whole Body Care)

Note: A whole-body approach recognizes that the pelvic region does not function in isolation.

Spine, Pelvis & Lower Extremities

  • Lower Back, Hip & Pelvic Girdle Pain: Comprehensive virtual evaluation and exercise prescription for mechanical, postural, and stability-related pain affecting the lumbar spine, hips, and pelvis.
  • Sciatica & Sacroiliac (SI) Joint Dysfunction: Addressing nerve irritation and stabilizing hypermobile or fixated SI joints through tailored movement plans and postural education.
  • Coccydynia (Tailbone Pain): Postural re-education, ergonomic adjustments, and targeted exercises to relieve chronic or acute pain around the coccyx.
  • Knee, Foot & Ankle Pain: Treating lower extremity biomechanical issues and compensatory movement patterns that contribute to pelvic and spinal misalignments.

Upper Body & Repetitive Strain

  • Neck, Shoulder & Upper Back Pain: Managing postural tension, thoracic stiffness, and strain connected to computer work or caregiving habits (such as holding or nursing infants).
  • Headaches & Jaw Pain (TMJD): Relaxation and movement strategies addressing muscular tension in the jaw, upper cervical spine, and suboccipital region.
  • Carpal Tunnel Syndrome & De Quervain's Tenosynovitis: Ergonomic advice and exercise strategies for nerve entrapments and tendon inflammations in the wrist and thumb.

Post-Surgical & Specialized Care

  • C-Section Scar Pain & Complications: Virtual guidance on self-administered scar mobilization techniques, myofascial release education, and movement strategies following Cesarean deliveries.
  • Mastitis & Clogged Milk Ducts: Education on self-care techniques, positioning, and gentle management strategies to help relieve postpartum breast inflammation.
  • Breast & Shoulder Surgery Recovery: Rehabilitation guidance following mastectomies, lumpectomies, reconstruction, or related procedures, focusing on range-of-motion exercises and gradual functional rebuilding.