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.
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