Physiotherapy in Toronto and Newmarket
Pregnancy, birth and parenting is different for all of us.
If you’re experiencing bladder control issues or pelvic pain pain, whether during a workout, a sneeze, or a cough, Oona in Newmarket is here to provide the support you need.
Our pelvic floor physiotherapy treatments are designed to address and alleviate the discomfort caused by weak or imbalanced pelvic floor muscles. Even if you are diligently performing Kegel exercises, you may still encounter challenges such as lower back pain, abdominal discomfort, or even pain during sex. At Oona, we have the expertise to help you overcome these issues.
Experience the benefits of proactive care with Oona’s pelvic floor physiotherapy in Newmarket. We are here to support you at every stage of your perinatal journey, ensuring you have the best possible foundation for a comfortable and empowered motherhood experience. Pelvic floor physio is complementary to Prenatal and Postnatal chiropractic care, also.
Pelvic Floor Physio for Pregnancy and Postpartum
Pelvic Floor Physiotherapy During Pregnancy
Pelvic Floor Physiotherapy is essential during pregnancy
Have you noticed changes in your pelvic area? Are you leaking when you cough or sneeze? Perhaps sex feels a bit different than it did before you got pregnant. Oona’s specialized prenatal Pelvic Floor Physiotherapy in Newmarket can help. Prepare for childbirth with expert care – preparing your pelvic floor for your birth is just as important as your childbirth education class.
Birth is complex - Pelvic Floor Physio can help make it easier
We often remind our patients that with a vaginal birth, the pelvic floor is the exit route for your baby. Your baby’s head will travel through the pelvis to the pelvic floor, rotate there, and eventually make their grand entrance into the world.
While Pelvic Floor Physio is effective for symptom resolution, it is also an essential part of ensuring that you have an easier delivery.
During prenatal care, your Pelvic Floor Physiotherapist will educate you on important techniques such as how to push your baby out effectively, birthing techniques for an easier birth, and even perineal massage.
At Oona, because we know how important Pelvic Floor Physiotherapy is, we recommend starting at around week 28-32 or even before. If you’re beyond that, no problem – it’s never too late to start. If you are experiencing any symptoms such as incontinence, getting up to pee more than 3 times per night, or painful sex, come in right away.
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Postnatal Pelvic Floor Physiotherapy
Pelvic Floor Physiotherapy is essential after your baby is born
No matter how your baby is born, pregnancy and birth is a physical trauma to the pelvic area. If you had a sprained ankle, you would without a doubt go get rehab treatment for that; Pelvic Floor Physiotherapy is no different – it’s treatment for your pelvic floor after trauma/injury.
You may say “oh but I don’t have any symptoms” – and that’s great! But the reality is that even without symptoms, there is almost always something to work on after having had a baby, and getting a baseline check after your baby is born is a great idea to prevent future chronic issues.
If you have any symptoms of pelvic floor issues such as incontinence, painful sex, low back pain, or just a sensation that things are not quite the same in the pelvic area as they used to be, you need a Pelvic Floor Physiotherapist in Newmarket.
It’s never too late to start. Pelvic Floor Physiotherapy can help, whether you had your baby 6 weeks or 60 years ago.
Pelvic Floor Physiotherapy is essential, whether you had a vaginal birth or a cesarean section.
We recommend you book a Pelvic Floor Physiotherapy appointment after your baby is born, even if you feel great. It’s a great way to get a baseline to find out what’s happening with your pelvic area and your core function (think: diastasis), and Pelvic Floor Physiotherapy is absolutely essential before you have another baby.
You should be checking in with a Pelvic Floor Physiotherapist before you return to activity after your birth. Your Pelvic Floor Physiotherapist will assess you and your core function to make sure that your planned activities are appropriate for you.
Pelvic Floor Physiotherapy Treatments
Pelvic Floor Physiotherapy treatments in Newmarket can prevent and/or treat:
- Incontinence and bladder control issues
- Pelvic pain and discomfort
- Low back pain
- Pain turning over in bed
- Hip Pain
- Abdominal pain
- Caesarean section (c-section) scarring
- Episiotomy and tearing complaints
- Pain during or after postpartum sexual intercourse
- Diastasis Rectus Abdominus
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Book your pelvic floor physiotherapy appointment now
Your First Pelvic Floor Physiotherapy Visit
We'll have a chat first to find out what is going on and establish your goals
Your physio may ask questions like: do you have a history of low back pain? Do you have any issues with leaking while you’re coughing/laughing/sneezing? Is sex painful? Is everything great?
After that, they’ll ask questions pertaining to your current symptoms, if you have any. For example: does everything feel the same in your pelvic area as it did before? Are you going to the bathroom more than 3 times per night? Do you feel like you are rushing to the bathroom in order not to have an accident?
Your physiotherapist will thoroughly explain what they're going to do, and will assess your pelvic floor
It often comes as a surprise that your pelvic floor involves the muscles inside the pelvis.
After explaining how it works and getting your consent, your Pelvic Floor Physiotherapist will do a physical assessment. Often visits include a pelvic floor muscle exam, which is an internal exam, but they don’t always. If you feel that you’re not quite ready for that, no worries, your physiotherapist can work on external muscles first.
Rest assured: a Pelvic Floor Physio appointment is nothing at all like a medical pelvic exam! There’s no bright white light shining at your lady bits, no stirrups, no speculum. You lie on the table, comfortably draped (with fabric, not paper!) and while chatting about your day. Our physios are experts and will make sure you are comfortable through the whole process.
Your Pelvic Floor Physio will gently treat your pelvic floor muscles to ensure you are at your best
Just like any other physiotherapy treatment in Newmarket, your physiotherapist will test your muscles (in this case, in the ones in your pelvis) to check if your pelvic floor muscles are strong, weak, or just right. Your physiotherapist will check for areas of tension and tightness. They will also assess for trigger points or muscle knots which may contribute to pain and pelvic floor dysfunction. If you have more complex factors contributing to your pain, your Pelvic Floor Physio will address those too.
For birth preparation, your Pelvic Floor Physiotherapist will give you instructions on perineal massage (your partner is welcome to join you at that appointment if they wish so that they can learn this essential skill), and they’ll give you important tips on pushing techniques for your birth.
Just like with any other physiotherapy appointment, you will likely be sent home with some rehab exercises so that you can work towards your treatment goals.
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Commonly Asked Questions About Pelvic Floor Physio
The physiotherapist will start by getting a detailed health history. This will include discussions around your bowel and bladder function, if you experience discomfort or pain with intercourse, your pregnancy, labour, and delivery history, what activities/exercises you enjoy, your sleep, diet, and water intake as well as your overall goals for treatment.
We will then provide education on pelvic floor physiotherapy, what and how we assess, what we look for and how we build a treatment plan from what we find.
Next we’ll assess your general movement patterns for your low back, hips, and pelvis. As well as check for core function.
Then, as long as you’ve provided informed consent, we’ll do the internal pelvic floor assessment. This may involve internal palpation of both the vagina and rectum, again, only with your consent.
Once we’re all done, we’ll discuss the findings and send you home with some exercises to get you moving forward towards reaching your goals!
Absolutely, yes! Truly every birthing person could benefit from pelvic floor physiotherapy. Think of it like getting a massage — you may not have a current “issue” going into treatment, but in our experience, everyone has something that can be worked on to make them stronger and more balanced. That said, the most common indications that you need a pelvic floor physio are incontinence (urinary or fecal), pain with intercourse, pelvic pressure and heaviness, and/or prolapse. It is advised that all pregnant mothers visit a pelvic floor physio during pregnancy before birth for labour preparation. We then recommend a first appointment roughly 6 weeks after delivery for an assessment and rehabilitation.
We do an internal treatment for both, however, we spend more time on the scar tissue and releasing connective tissue over the abdominal cavity with Caesarean sections. It’s major surgery and needs to be viewed as such. During the surgery, both the abdominal musculature and connective tissue are cut, which can cause extreme weakness and tension in both structures. This can create a lot of mechanical issues over time, such as lower back pain, pelvic dysfunction, hip pain, and more. The c-section scar itself may create tension and tightness, so we perform gentle scar tissue release and teach patients how to continue doing this at home. We also do core retraining to strengthen the integrity of the abdominal muscles after the surgery.
Absolutely not. Whether you had a baby a year ago, 20 years ago, or are just starting to try to get pregnant, it’s never too late to get started with pelvic floor physiotherapy.
No, you don’t have to. As pelvic health physiotherapists, this does not phase us nor does it affect our ability to carry out our treatment plan, we can still do internal treatment if needed. If you aren’t comfortable with the internal work while you have your period, that’s ok too. You should still come in. There are other ways we can still work on moving forward with your treatment plan.
This depends on what we find during our initial assessment and how your body responds to the treatment. Re-assessing the muscles to make sure we’re on the right track is an important part of the process.
If we don’t have your consent to proceed with the internal assessment, we won’t do it. We will educate you on the benefits of performing the internal assessment, risks of not performing the internal assessment, as well as the alternative options.
Depending on the sensitivity of your tissues, it’s possible that you may experience some discomfort – however we are trained on gentle treatment strategies to help make things as comfortable as possible. As always, we keep in constant communication to ensure your comfort.
The number of pelvic physiotherapy treatments will depend on the mama. Each treatment plan is individualized — similar to other physiotherapy treatments. Sometimes it’s just once a month, while in other cases it may be weekly, depending on the initial assessment and symptoms .
If you have any symptoms at all, we recommend you come in as soon as possible. Symptoms include pain with sex, getting up to pee more than 3 times per night, concern over your diastasis, or leaking at all when you’re not on the toilet.
If you have no symptoms, we recommend your first prenatal visit should be sometime between weeks 28-32, so that you can establish a baseline for where your pelvic floor is at, get treatment if there is something happening that you weren’t aware of until the assessment (this is very, very common), and get started with labour prep.
Generally, we recommend waiting about 6 weeks after your birth – no matter how you birthed your baby – to come in for your postnatal assessment. Don’t worry if it’s been longer than that though. We are happy to see you at any time, even if your children are grown and out of the house. It’s never too late to start.
Yes. The appointment is devoted to manual therapy and treatment, so we always send people home with some guidelines to follow or exercises that are specific to their situation, which may take just a few minutes per day to complete.
Believe it or not, kegels are not for everyone. A lot of people are doing kegels unnecessarily or improperly and they may be causing more harm than good. This is why it is so important to have a proper assessment by a pelvic floor therapist.
Not at all! We may ask you to make reasonable accommodations depending on your own situation, but we know that exercise and your favourite activities are important for yourphysical and mental health. Instead of writing off your favourite activities, we may work towards a modified goal while we get you to where you want to be.
Direct insurance billing
Oona works with insurance companies to do online billing for treatments, whenever possible. Simply ask if your insurance company is compliant when you book your appointment.