SOS: Pelvic Physiotherapy

PELVIC HEALTH PHYSIOTHERAPY

www.sosphysiotherapy.ca

KNOW YOUR PHYSIO'S

Christine Ecclestone Belmont Clinic Location

Nimmy Thomas Elmira Clinic Location

Jessica Clancy Northfield Clinic Location

PATIENT TESTIMONIALS

"I was treated by Christine and can’t say enough about the accuracy of her assessment, ability to explain, and level of care she was able to deliver in response to my issue. She was super personable and yet professional". - Susan "If you need to get Physiotherapy, you should definitely go to SOS Physio! I had the pleasure to have Jessica as my pelvic physiotherapist, she made me feel very comfortable and prepared for giving birth! She's super knowledgeable, always pays attention to what you're saying and following her recommendations helped me a lot with relieving my back pain during pregnancy. The location is very convenient, with lots of parking, the environment is great, the place is very clean, and making my appointments or rescheduling them was always quick and easy!" - Hannah "I saw Nimmy for pelvic physio after undergoing a procedure that caused me to have pelvic pain. Nimmy made sure I understood why I was having my symptoms, and she explained in depth both the internal and external components of her assessment. She was very thorough and professional throughout our treatments. Nimmy's kind nature and keen interest in helping people always shown through her treatments." - Melissa

WHAT IS PELVIC FLOOR PHYSIOTHERAPY?

Pelvic floor physiotherapy focuses on the treatment involving both the internal and external pelvic muscles and joints. These tissues are extremely important in providing support and stability to our pelvic girdle. When the system is not functioning optimally, it can lead to issues such as incontinence, pelvic pain, sexual dysfunction, prolapse and more. The pelvic muscles help with bladder control, smooth bowel movements, organ support, sexual function and pain-free movements of the hips, lower back and pelvis. If the pelvic muscles are either too tight or weak, pelvic floor dysfunction occurs. Pelvic floor dysfunction can have a huge impact on quality of life, intimate relationships and should be recognized as an imperative aspect of overall health and well-being.

WE HAVE 3

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CONDITIONS WE TREAT

PELVIC PAIN · Painful urination or bowel movements · Pain with intercourse

· Coccydynia (tailbone pain) · Vulvodynia (vaginal pain) · Vaginismus · Chronic Urological Pain Syndromes · Rectal or testicular pain · Pain with ejaculation · Unresolved chronic prostatitis · Post-surgical pain (C-section, hernia repair, hysterectomy, prostatectomy) INCONTINENCE: · Urinary or fecal incontinence · Urinary urgency and leakage with sneezing/coughing/ laughing/athletics PREGNANCY AND POST-PARTUM: · Diastasis Recti · Weakness in core musculature · Preparation for and recovery following birth (vaginal or C-section)

PROLAPSE: · Cystocele, Uterocele, & Rectocele

WE HAVE 3 LOCATIONS TO BETTER SERVE YOU! GIVE US A CALL TODAY! UNSUCCESSFUL VOIDING: · Feeling of incomplete bowel movement or the need for several bowel movements · Increased frequency of urination · Constipation LOCATIONS TO BETTER S GIVE US A C L TODAY!

WHAT TO EXPECT AT YOUR VISITS Your pelvic health physiotherapy treatments will be dependent upon the findings at your initial assessment. Your assessment will involve: MEDICAL HISTORY: You and your therapist will discuss your medical history, history of symptoms, aggravating factors, and how your current symptoms impact your daily life. This helps your therapist gain a thorough understanding of your condition and will guide the rest of the assessment. Your therapist will explain the role and functions of the pelvic floor using a model. They will also explain how (if indicated for your condition) an internal examination would be performed, as well as the purpose of such an examination. EXAMINATION: After the above steps have been completed, with informed consent provided, your physiotherapist will begin an assessment. This will begin by looking at your whole body: posture, breathing, and movement patterns. Next, your physiotherapist will assess the range of motion and strength of areas that work in conjunction with the pelvic floor (core, low back, hips, sacroiliac joints, abdomen, etc). Your therapist will continuously check in on your comfort and willingness to proceed throughout the assessment. At any point during the external or internal examination, you can withdraw your consent and stop the examination. During the internal examination, your therapist will leave the room, giving you time to change and get set up on the examination table as instructed. The purpose of the internal assessment is to assess the tissues of the pelvic floor including their tone, strength, coordination and endurance. An internal exam is not required, but this information allows your therapist to better tailor your treatment plan specifically to you.

www.sosphysiotherapy.ca

SERVE YOU!

WE HAVE 3 LOCATIONS TO BETTER SERVE YOU! GIVE US A CALL TODAY!

EVIDENCE SUPPORTING PELVIC HEALTH PHYSIOTHERAPY? Physiotherapists who are trained in pelvic floor therapy should be the first line of treatment for stress and mixed urinary incontinence in women, before surgical interventions (Cochrane Collaboration 2014). Pelvic floor muscle training is effective and cost-effective in reducing prolapse symptoms and should be recommended as first line treatment for prolapse (Hagen 2011). Canadian Physiotherapy Association & The Society of Gynecologists of Canada recommend: Pelvic floor muscle training with a physiotherapist is recommended to prevent urinary incontinence during pregnancy and after delivery. Core stability training with a physiotherapist is recommended to prevent/treat back and pelvic pain during and following pregnancy .

Belmont Clinic Belmont Professional Center 564 Belmont Avenue West, Ste. 301 Kitchener, Ontario N2M 5N6 Tel: (519) 743-8787

SOS Belmont

Northfield Clinic Waterloo Corporate Campus Sobeys Plaza 595 Parkside Drive, Suite 5 Waterloo, ON N2L 0C7 Tel: (519) 888-7070 Elmira Clinic Behind Wellness Centre (Clock Tower) 3 Wyatt Street East, Suite 2 Elmira, Ontario N3B 2H4 Tel: (519) 669-1212

SOS Elmira

SOS Northfield

www.sosphysiotherapy.ca

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