Specialized approaches
- Advanced Manual Therapy
- Global Postural Reeducation
- Pelvic Floor Rehabilitation
- Osteoarthritis Program
- Concussion Management
- Jaw Pain (TMJ)
- Functional Assessment
- CNESST
- Vestibular Rehabilitation
- Running Biomechanical Assessment
- Physiotherapy Dry Needling
- Motor Control
- Pediatrics
- SAAQ
- Cyclist Positioning Assessment
- Post-Operative Rehabilitation
- Chronic Pain
- Frozen Shoulder Program
- Cervicogenic Headaches
- Platelet-Rich Plasma (PRP)
- Non-Acoustic Tinnitus
- The McKenzie Method
- Shockwave Therapy
- Blood Flow Restriction (BFR)
- Knee Clinic
Pelvic Floor Rehabilitation
What is pelvic floor rehabilitation?
Pelvic and perineal rehabilitation is a physiotherapy approach aimed primarily at restoring certain pelvic floor dysfunctions. The pelvic floor consists, among other things, of a group of muscles located at the base of the pelvis whose role is to maintain control of urine, gas and bowel movements. It also supports the organs contained in the pelvis (bladder, uterus, rectum), plays a role in sexual function and contributes to trunk stabilization.
When the pelvic floor is weakened or lacks endurance or coordination, it becomes less effective at preventing urinary, fecal or gas incontinence, or even organ prolapse. Conversely, when it is overly tense, it can lead to pain during sexual intercourse or difficulties with bowel movements.
What conditions can be treated with pelvic floor rehabilitation?
- Stress urinary incontinence: involuntary urine leakage when coughing, sneezing, exercising, etc.
- Urge urinary incontinence: involuntary urine leakage associated with a strong and difficult-to-control urge to urinate
- Mixed urinary incontinence: combination of stress and urge urinary incontinence symptoms
- Anal incontinence: involuntary loss of stool or gas
- Difficulty with bowel evacuation
- Pelvic organ prolapse: bladder, uterus or rectum prolapse
- Vaginismus: pelvic floor muscle tension making penetration difficult or impossible
- Vulvodynia / vestibulodynia: pain in the vulva or at the entrance of the vagina (vestibule)
- Painful perineal scar: following a tear, episiotomy during childbirth or surgery
- Diastasis recti: separation of the superficial abdominal muscles (rectus abdominis), which can occur, among other situations, after pregnancy
What interventions and techniques may be used?
- Internal assessment (vaginal and/or anal examination)
- Exercise instruction, home exercise programs and guidance
- Internal and external manual techniques
- Electromyographic biofeedback
- Electrical stimulation
Useful links
https://oppq.qc.ca/blogue/traiter-incontinence/
https://oppq.qc.ca/blogue/incontinence-femme-enceinte/