What is Physiotherapy?

Physiotherapy is a field of healthcare concerned with restoring and maintaining functional movement, reducing pain, and promoting health in individuals who may be affected by injury or disease. Physiotherapists work with people to maximize their physical and functional capacity, according to their own potential for recovery using a variety of methods. Physiotherapists also provide education and advice on a person’s ailment, since understanding your injury is key to recovery and prevention of future injury.

We offer direct billing to all of our clients including:

– Personal Health Insurance
– Motor Vehicle Accidents (MVA)

Who can benefit from Physiotherapy?

Physiotherapy can help people who are limited or affected by injury, illness, imbalances, or disability. This can be people of all ages, including infants, children, adults, and geriatric populations. Whatever your age, physiotherapy can help with many conditions or injuries, including, but not limited to:

  • Muscle, joint, ligament injuries
  • Complications resulting from fracture, sprain or strain
  • Postural problems
  • Arthritis, tendonitis, bursitis
  • Backache, headache, neck pain
  • Loss of balance
  • Sport injuries
  • Workplace injuries
  • Motor Vehicle Accidents
  • Neurological problems
  • Respiratory and cardiac disorders
  • Dizziness and Vestibular conditions
  • TMJ Dysfunction
  • Concussions
  • Motor development problems in children
  • Perineal and pelvic rehabilitation
  • Urinary incontinence
  • Any other issue leading to loss of physical independence

What is Pelvic Floor Physiotherapy? 

Pelvic floor physiotherapy specializes in the treatment of pelvic floor muscles. These muscles extend from the pubic bone to the tailbone, and support the low back, hips, and pelvic organs (including the bladder, uterus, and rectum in women). They also work together to facilitate bowel, bladder, and sexual function. Just like any other muscles, however, the pelvic floor muscles can become weak, tight, or injured. These kind of muscular disturbances can arise for many reasons, including pregnancy, delivery, menopause, hormonal changes, surgery, trauma, falls, repeated infection, gastrointestinal problem, exercise, stress, trauma, or even prolonged sitting. The list of reasons can go on and on,  but the result can be pain and dysfunction. 

Many conditions of the pelvic floor go unrecognized or unaddressed because of their embarrassing nature, but can be successfully treated. Physiotherapists who are trained in Pelvic Health can help individuals who have incontinence, urgency, constipation, pelvic organ prolapse, sexual dysfunction, or pelvic pain disorders. Through familiar physiotherapy techniques, a Pelvic Floor Physiotherapist can help strengthen, train, and improve coordination of weak pelvic floor muscles, as well as relax or stretch tight ones. Patient education is also very important in the treatment of any pelvic condition.


What to Expect?

 Your initial appointment usually takes about an hour and will include a private assessment with a trained pelvic health physiotherapist. The therapist will ask questions about what’s happening with your body and how it affects your life.  You will also be asked to discuss your current and past health status, sexual activity, and birthing history (if applicable). There will be a short anatomy lesson to explain the roll and components of the pelvic floor, followed by a physical examination. Based on the exam findings, you will work together with your therapist to develop an appropriate treatment plan.


The Examination 

The physical examination will begin with an evaluation of posture, pelvic alignment, back and hip mobility and strength. If deemed appropriate by the therapist and patient, an internal examination will follow. For the internal exam, you will be asked to undress from the waist down, lie on your back, and you will be draped. There are no instruments used, only gloves and lubricant, and the therapist will gently use her finger to assess the tone, strength, endurance, and coordination of the pelvic floor muscles via the vaginal or rectal canal. She will also check for tender spots or trigger points. The initial internal examination usually takes 5-10 minutes or less, and sometimes a small amount of therapy can be done during this time if appropriate. This may include teaching someone how to properly squeeze or relax the muscles, or some internal muscle massage techniques to relieve tightness.

 While an internal examination can offer a great deal of information to the therapist regarding your condition, it may not be appropriate for everyone.  At any time, patients have the right to refuse or discontinue any part of the exam or follow-up treatments. Even without the internal exam, there are a variety of other treatment options a physiotherapist can offer for pelvic floor conditions.

 Patients are welcome to bring a partner or friend with them if it increases their comfort level.



 Once the physiotherapist has completed the initial assessment, she will use the findings to develop a comprehensive and personalized treatment plan for you. Education of your condition and on behavioural modification will be a large part of treatment. There is often a component of manual therapy involved as well, which is the use of the therapists hands to help with painful or tight tissues, or weak muscles. Sometimes modalities, such as EMG biofeedback or muscle stimulation, may be used. Patients are always given some kind of homework, including a home exercise program.





Shockwave Therapy

Shockwave Therapy is used to accelerate the body’s healing process by reducing inflammation, increasing circulation, and stimulating collagen synthesis. It is also used to break down calcium deposits and scar tissue that may be restricting motion or causing pain. Its use is intended as a noninvasive alternative to surgical treatment in selected patients whose symptoms persist despite an appropriate course of
conservative treatment. Shockwave therapy is commonly used to treat calcific tendonitis, plantar fasciitis, and lateral epicondylitis, among many other tendinopathies and ailments. Because of the non-invasive
nature of this treatment, individuals treated with Shockwave therapy do not experience periods of time away from daily activities or of immobilization.




Dry Needling

Many people are familiar with Traditional Chinese Acupuncture, which is the insertion of small needles into specific points of the body that will assist in healing, lessen pain, and improve function of injured areas. Dry needling is a Western approach and although it is similar to Traditional Acupuncture in that it assists with pain control, there are distinct differences. Dry needling is used primarily to treat trigger points which can be considered “knots” in the muscle and the surrounding connective tissue (fascia) that can develop after an injury. Stimulation of the trigger point through insertion of a needle can cause a muscle twitch and a dull achy sensation; this indicates that the muscle is starting to relax resulting in a decrease in pain. Research indicates that dry needling can be an effective intervention when combined with other treatments such as stretching and injury specific exercise.
The Physiotherapists at ProActive Wellness and Prevention are dedicated to assisting you in your recovery through a variety of evidence-based interventions to provide you with an individualized plan specific to your needs.

For more information please find a ProActive clinic near you!