Lisa Flanders, Registered Physiotherapist

Connecting you with your Pelvic Floor

Pelvic Floor Physiotherapy – What to Expect at Your First Visit: Part 1

Pelvic floor physiotherapy is a branch of orthopaedic physiotherapy with the focus being on the muscles, joints, tendons, bones and organs found in and around the vagina and rectum.


I encounter so many wonderful questions regarding the first visit with a pelvic floor physiotherapist and what to expect, that I compiled them into one place.


Below is a list of frequently asked questions about your first visit.


  1. What can be expected at my first visit?


At your first visit, you can expect a thorough health history.  Each concern you have will be addressed. A physical exam will be conducted including a postural and movement exam as well as a gentle abdominal examination. If you are comfortable, an internal evaluation will be completed.


Following the assessment, the findings of the exam will be discussed. You will be provided with a home exercise program and a treatment plan will be created.


  1. How long does the assessment take?


Each initial visit is scheduled for 60 minutes as there is a lot of cover. There will be ample time to answer all questions and address all concerns you may have.


  1. Will there be an internal evaluation?


Typically there is an internal exam at your first appointment as this is considered the gold standard for evaluating the pelvic floor. If you are not comfortable with an internal evaluation, we will work around this to design a treatment plan that is right for you.


  1. Is pelvic floor physiotherapy covered by OHIP or private insurance?


Unfortunately pelvic floor physiotherapy is not covered under OHIP (Ontario government). However, if you have private insurance, pelvic floor physiotherapy is covered by extended health benefits, it falls under your physiotherapy benefit.


  1. How many treatments will be required?


Everyone will respond to treatment differently. We will typically have follow up visits every 2-4 weeks. Typical number of treatments varies between 4 and 12. This will be discussed with you at your first visit following the assessment.


Stay tuned for part 2……


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