Pelvic Health Rehab


Do you suffer from incontinence, pelvic pain, pain with intercourse or sexual dysfunction or have you been avoiding pelvic exams?

Cobblestone Medicine and Rehab Centres can help!


Our pelvic health physiotherapists will provide treatment in a safe, respectful, inclusive environment so you can get back to life!

Pelvic rehabilitation program is a safe, drug-free treatment that has been proven highly effective to help individuals with varying pelvic health concerns.

We can help assist with low back pain, pelvic, abdominal and hip pain, pain in the vagina, pseudo-vagina, rectum or perineum, testicular pain, pain with intercourse, bladder or bowel incontinence, urinary urgency/frequency, and bladder pain.

What causes pelvic health issues?

Pelvic health issues can have many causes, including being a consequence of medications, various pelvic surgeries including gender confirmation surgery (GCS), trauma due to pregnancy, labour and delivery, prolapse of pelvic organs, a history of sexual trauma, posture, breast binding, stress, lifestyle/diet, as well as changes due to aging and menopause.

How can a pelvic health treatment plan help me?

By taking an active role and with guidance from a qualified pelvic health physiotherapist, you can take back your life and restore your pelvic health.

Our specially trained therapists commonly assess and successfully treat numerous pelvic health issues and conditions. For example, although urinary incontinence is common, it should not be considered normal. Physiotherapy for urinary incontinence is successful 80-90% of the time.

How does it work?

A customized treatment plan will be developed to meet your needs. Physiotherapy for pelvic health conditions may include a combination of approaches such as kegel and progressive strengthening exercises, stretching, manual therapy, bladder or bowel retraining, vaginal/pseudovaginal dilation, electrical muscle stimulation, biofeedback, behavioural techniques, and education.

What can I expect at my initial appointment?

At your initial appointment the physiotherapist will discuss your unique medical history that relates to your pelvic health concerns, so please bring details of any health problems and past treatments. An internal examination may be conducted, with your consent, to evaluate the function of your pelvic floor, pelvic muscles and connective tissue and assess the neural tension around the pelvis. Our therapist will discuss your customized treatment plan and explain when you can expect to see results.

Most common pelvic conditions that physical therapy treats include:

Postpartum pelvic pain:
After giving birth, it is common for new mothers to experience strained muscles and/or connective tissue damage in their pelvic floor. Pelvic floor rehabilitation helps in reducing the pain that is being felt, in addition to strengthening any damaged muscles or tissues.

Pain following abdominal surgery: 
If you are recovering from a recent surgical procedure, pelvic floor rehabilitation can help in breaking up scar tissue, improving strength, and regaining range of motion in your abdomen/pelvic region.

Endometriosis can affect the bones, muscles, ligaments, and nerves in the pelvic region. Pelvic floor rehabilitation can help reduce the pain and bloating that you may be experiencing with endometriosis, in addition to strengthening the pelvic floor muscles.

Urinary incontinence:
A physical therapist can help determine the root of your problem with urinary incontinence, rather than simply treating the symptoms. Pelvic floor rehabilitation will focus on strengthening the muscles under your bladder in order to treat and eliminate incontinence issues.

Pelvic floor rehabilitation can loosen and relax the muscles in your pelvic and anal areas, which can help relieve and eliminate constipation.

While these are just a few of the most common conditions of pelvic dysfunction that can be treated with physical therapy, there are a number of additional pelvic conditions that PT treatments can relieve. For example, painful intercourse and infertility problems may also be improved with pelvic therapy. Some less common conditions that can be treated also include pelvic organ prolapse, dyspareunia, and diastasis recti.

How will I benefit from pelvic floor therapy? 
The muscles, tendons, and ligaments that comprise the pelvic floor all serve an extremely important purpose, as they support the core of your body. One of our highly trained Physiotherapists can help in relieving your pelvic pain, improving your flexibility, and increasing your overall functionality.

The treatments involved in your pelvic floor rehabilitation plan will be dependent upon the results of your initial assessment. Your injury or condition will be evaluated during a physical examination, and then a qualified physical therapist will form a treatment plan that will address your specific needs. This will typically include several forms of exercise and massage to reduce pain, lessen symptoms, and potentially heal your condition.