Pelvic Floor Therapy in Midtown Toronto

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What is Pelvic Floor Therapy?


Pelvic floor physical therapy involves the pelvic floor muscle group, which is responsible for a variety of functions. These muscles support the pelvic organs, assist in bowel and bladder control, and contribute to sexual arousal and orgasm. 


A person may be referred to pelvic floor physical therapy to treat incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse.


Pelvic Floor Therapy Appointments


Our Pelvic floor physical therapist will begin with a thorough history and assessment of the pelvic floor muscle group. Treatment recommendations will be made based on the initial visit that may include education, pelvic floor exercises, manual therapy and biofeedback techniques. Follow up visits are based off of each patient's individual treatment plans.

Pelvic Floor Therapy can assess and treat:

1

Disorders of the Bladder & Bowel

Interstitial Cystitis
Urinary Incontinence
IBS, bloating, etc.
2

Sexual Dysfunctions

Pain with intercourse
Pain with ejaculation
3

Pelvic Pain/Dysfunction

Pelvic Inflammatory Disease
4

Tail Bone Pain

5

Pre & Postnatal Care:

labour prep, incontinence, pelvic weakness
6

Post-Surgical:

hysterectomy, hernia, laparoscopy, caesarean section, appendectomy, prostatectomy, and episiotomy

Pelvic Floor Therapy Appointments - Services

  • Initial Assessment - 60 Mins

    The first visit will consist of a comprehensive appointment to assess and diagnose the area of concern. This visit will include a thorough history, physical exam, diagnosis, plan of care, and treatment.


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  • Pelvic Floor Follow up - 30 Mins

    These are sessions that will include ongoing evaluations of your pelvic concerns well as comprehensive treatment which may include manual therapy, rehabilitation, exercises and more.


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  • Pelvic Floor Follow up Extended - 45 Mins

    These are sessions that will include ongoing evaluations of your pelvic concerns well as comprehensive treatment which may include manual therapy, rehabilitation, exercises and more.


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Pessary Fitting

Discomfort, painful intercourse, and urinary troubles? You're not alone. While pelvic floor therapy often helps, sometimes a boost is needed. That’s where pessary fitting comes into play. A pessary, a device placed in the vagina to support pelvic organs, is a time-honoured solution for conditions like pelvic organ prolapse (POP) and stress urinary incontinence (SUI). For centuries, this simple yet effective tool has provided a non-surgical option for various pelvic floor disorders, offering a practical approach to gynecological care.

A pessary is a safe, non-surgical option to help manage the symptoms of vaginal atrophy and related conditions like pelvic organ prolapse and stress incontinence. Think of it as a supportive device, typically made of silicone, that's inserted into the vagina. It supports the pelvic organs, helping to alleviate feelings of fullness or pressure and reduce urine leakage.


  • How it Works: A pessary works by physically supporting the vaginal walls and pelvic organs. For prolapse, it gently lifts organs that may have shifted out of place. For incontinence, it can support the urethra, reducing accidental urine leakage.



  • Types of Pessaries: There are various types, with the ring and Gellhorn pessaries being the most common. During a fitting, your healthcare provider will determine the best type and size for you.
  1. Ring pessaries are often recommended for stress incontinence and mild to moderate pelvic organ prolapse.
  2. Gellhorn pessaries are typically used for more advanced prolapse.


  • The Fitting Process: A healthcare provider, usually a Pelvic Floor Therapist, performs the fitting. During the appointment at our health care center, they will:
  1. Conduct a pelvic exam to assess your condition.
  2. Determine the appropriate type and size of pessary. A well-fitted pessary should be comfortable and stay in place during everyday activities.
  3. Insert the pessary. They may use lubrication to ensure comfort.
  4. Check the fit. You may be asked to stand, sit, cough, or squat to ensure the pessary is secure.


  • Care and Maintenance: Some pessaries are designed to be removed and cleaned regularly by the patient, while others require professional cleaning. Your provider will give you detailed instructions. Regular follow-up appointments at our health care center are essential to ensure proper fit and monitor for potential issues.


Estriol (Estrogen/Hormone) Therapy


Estriol is a type of estrogen that can be prescribed by a naturopathic doctor or a nurse practitioner. It can help restore the health and elasticity of the vaginal tissues.


  • How it Works: Estriol is a natural female hormone. In cases of vaginal atrophy, Estriol helps to normalize the urogenital epithelium, which is the lining of the vagina and urinary tract. This can alleviate dryness, itching, and pain. It also helps restore the normal microflora and pH in the vagina, increasing resistance to infections.


  • Forms of Estriol Therapy: Estriol is available in various forms, including creams, tablets, suppositories, and rings. These are typically applied directly to the vagina.


  • Application: The method of application varies depending on the form of Estriol. Creams and tablets are often applied with an applicator. Rings are inserted into the vagina and release Estriol over time. Your doctor will provide specific instructions based on the chosen form.


  • Benefits: Estriol therapy can significantly improve symptoms of vaginal atrophy, such as dryness, itching, pain during intercourse, and urinary problems. It can also reduce the risk of vaginal and urinary infections.


  • Important Considerations: While Estriol is generally safe, it's crucial to discuss your medical history with your doctor. They can assess whether Estriol therapy is appropriate for you and monitor for any potential side effects.


Pelvic Floor Therapy: A Holistic Approach


At The Village Health Clinic, we believe in a holistic approach to health. Pelvic floor therapy is often the first line of defence for vaginal atrophy and related issues. Our experienced pelvic floor physical therapists will assess your individual needs and create a personalized treatment plan. This may include exercises to strengthen the pelvic floor muscles, manual therapy, and education on lifestyle modifications. Pelvic floor therapy can address disorders of the bladder & bowel, sexual dysfunctions, pelvic pain/dysfunction, tail bone pain, pre & postnatal care and post-surgical issues.


We are a healthcare center dedicated to providing comprehensive, natural, and adjunctive therapies to support your body's healing process. We work to understand the source of your health concerns by addressing the whole picture by following evidence-based medicine and safety guidelines in conjunction with conventional medicine. If you're experiencing symptoms of vaginal atrophy or other pelvic floor issues, we encourage you to contact us. If you ever find yourself searching for a “health clinic near me,” We are ready to partner with you on your journey to better health. 



Pelvic Floor Therapy FAQ

  • What is a pessary, and how might it make a difference for me?

    Think of a pessary as a gentle, supportive friend made of soft silicone that we can fit inside your vagina. It's a non-surgical way to help if you're feeling pressure or a bulge due to pelvic organ prolapse, where organs might have shifted a bit. It can also be a game-changer for stress urinary incontinence, those little leaks that can happen when you cough or sneeze. By providing internal support to the vaginal walls and pelvic organs, a pessary can ease those feelings of heaviness and help reduce unexpected urine leakage. It’s all about giving your body extra help where it needs it! (102 words)


  • How does the pessary fitting process work here at Village Health, and will it be uncomfortable?

    When you come in for a pessary fitting at our clinic, you'll meet with one of our caring healthcare providers, often a pelvic floor therapist. They'll start with a gentle pelvic exam to understand what's happening. Then, they'll figure out the best type and size of pessary for you – the ring and Gellhorn are common types, each with its strengths! To make sure you're comfortable, they'll use a bit of lubrication when they gently insert the pessary. We'll even have you move around a bit – standing, sitting, maybe a slight cough – to ensure it fits just right and stays put during your daily activities. We want it to feel supportive, not bothersome! (131 words)


  • Once I have a pessary, what kind of care will it need, and how often will I need to return to Village Health?

    That's a great question! The care routine can vary depending on the type of pessary that works best for you. Some pessaries are designed so you can take them out and clean them regularly, while others might need a professional cleaning. Don't worry. Our team will give you all the detailed instructions to feel confident about caring for your pessary. Regular follow-up appointments here at Village Health are also super important. These visits allow us to check that the pessary is still fitting well, make any necessary adjustments, and keep an eye out for potential issues. We're here to support you every step of the way!