Conditions we treat
Pelvic Floor Physiotherapy in Surrey, BC
Leaking when you laugh, pelvic pressure, pain with intimacy — these are common, treatable, and nothing to put up with.
What it feels like
- Leaking urine with coughing, sneezing, running or jumping, or a sudden urgency you can't always beat to the bathroom
- A feeling of heaviness, bulging or pressure in the pelvis, especially late in the day
- Pelvic, tailbone or deep hip pain, pain with intercourse, or difficulty fully emptying the bladder or bowel
Why it happens
The pelvic floor is a sling of muscles that supports the bladder, bowel and (in women) the uterus, and works with the deep abdominals and diaphragm to control pressure in your core. Pregnancy and birth, surgery, chronic coughing or straining, heavy lifting, menopause and even long-term stress can leave these muscles weak, overactive or poorly coordinated. Because the symptoms are private, many people wait years before mentioning them — but pelvic floor problems respond well to physiotherapy at any age, for women and men.
How we can help
Pelvic health physiotherapy starts with a conversation in a private room about what you are experiencing and what you want to get back to. Assessment looks at your breathing, posture, core and hip function, and — only with your consent and only if it is useful — an internal examination to understand how the pelvic floor muscles are actually working. From there your physiotherapist builds a plan that fits your findings: some people need to strengthen, many need to learn to relax and coordinate first, and most benefit from a few changes to daily habits around bladder, bowel and lifting. Everything is explained and nothing is done without your agreement.
Related reading: Pelvic floor physiotherapy: what it is and what to expect
Common questions
Do I have to have an internal exam?
No. An internal assessment gives the most precise picture of the pelvic floor, but it is always optional and only ever done with your informed consent. Plenty of useful assessment and treatment can be done externally, and you can change your mind at any point.
Is pelvic floor physio only for women after childbirth?
No. It helps men as well — for example after prostate surgery, or with pelvic pain — and women at every stage, including pregnancy, years after birth, and through menopause. Athletes with leaking during high-impact sport are another common group.