Physiotherapy / Pelvic Floor Physiotherapy
Physiotherapists are primary health care professionals that play a significant role in health promotion and the treatment of injury and disease. And as such, you do not require a referral from a physician to access physiotherapy services. Physiotherapists also have the ability to refer to certain specialists. They combine their in-depth knowledge of human anatomy and physiology, exercise physiology, pain science, biomechanics with specialized hands-on techniques (manual therapy) to assess, diagnosis and treat a wide variety conditions that have resulted from either disease or injury.
Pelvic Floor Physiotherapy
Pelvic Floor Physiotherapists are physiotherapists with specialized training the anatomy, physiology and biomechanics of the pelvic floor muscles and are trained in manual therapy skills to be able to perform internal exams (vaginally and/or rectally) to assess and treat pelvic floor dysfunction such as: stress incontinence, urge incontinence, pelvic organ prolapse, constipation, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, and Interstitial Cystitis.
Pelvic floor dysfunction can be caused by the muscles in the pelvic floor not able to either contract OR relax in response to loading and movement and subsequently results in issues of incontinence (urge or stress), pelvic organ prolapse, or pelvic pain (dyspareunia, vaginismus, vulvodynia, puendal neuralgia).
Pelvic Floor Physiotherapy is becoming more established in the literature as a first-line of defence against incontinence (leaking) and pelvic pain. The Cochrane Collaboration 2010 (highest quality evidence) concluded that Physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.