Looking for a Pelvic Floor Physiotherapist?

PELVIC HEALTH

Jodi Bremner PT, Founder of Hervana Women's Wellness

5 min read

a woman sitting on a bed with a woman in a gray sweater
a woman sitting on a bed with a woman in a gray sweater

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Finding the right pelvic floor physiotherapist feels a bit like searching for a sanctuary, a place where you can exhale, be heard, and begin to heal. It's not just about finding someone with the right credentials. It's about finding someone who sees you.

Whether you're navigating postpartum recovery, dealing with persistent pelvic pain, or simply feeling disconnected from your body, choosing a pelvic floor physiotherapist is a deeply personal decision. And you deserve to feel informed and empowered as you take this step.

So, let's walk through ten things you should know, not just about pelvic floor physiotherapy itself, but about what to look for in a provider who truly honours your whole self.

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1. Training Makes All the Difference

Not all physiotherapists are trained in pelvic health. Pelvic floor physiotherapists have advanced education that allows them to assess the muscles inside your pelvis, through internal vaginal or rectal exams when appropriate.

This isn't something a general physiotherapist can do. So when you're searching for a provider, look for someone who has invested in this deeper level of training. It means they understand the nuances of your body and can offer assessments that get to the root of what's happening.

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2. It's About So Much More Than Incontinence

Yes, pelvic floor physiotherapy can help with bladder leaks. But did you know it also addresses:

  • Chronic pelvic pain

  • Pain during intimacy

  • Pregnancy-related discomfort

  • Postpartum recovery (vaginal and cesarean)

  • Endometriosis and perimenopausal/menopausal symptoms

  • Lower back, tailbone, or sacroiliac joint pain

  • Recovery after pelvic surgeries

Your pelvic floor is connected to so much of your daily life. A skilled physiotherapist understands this intricate web and meets you wherever you are on your journey.

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a pregnant woman sitting on a pillow on a floor
a pregnant woman sitting on a pillow on a floor

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3. Your Pelvic Floor Has Four Beautiful Functions

Understanding what your pelvic floor actually does can be incredibly empowering. These muscles:

  • Support your pelvic organs, bladder, uterus, and rectum

  • Stabilize your pelvis and spine

  • Assist with sexual function and pleasure

  • Control your bladder and bowel

When even one of these functions is out of balance, it can ripple through your entire sense of well-being. A good pelvic floor physiotherapist helps you understand your body's wisdom, and how to restore harmony.

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4. Treatment Goes Far Beyond Kegels

Here's something that surprises many women: pelvic floor therapy isn't just about squeezing and releasing.

Your physiotherapist may use a variety of evidence-based techniques, including:

  • Nervous system regulation to calm an overactive stress response

  • Manual therapy and myofascial release

  • Tender point work to ease tension

  • Gentle electrical stimulation when appropriate

The right approach depends entirely on your body and your needs. Cookie-cutter solutions don't belong here.

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5. Tight Muscles Need Love Too

We often hear about "weak" pelvic floors, but what about muscles that are too tight?

Just like any muscle in your body, your pelvic floor can hold tension. Sometimes, the answer isn't strengthening at all. It's learning to soften, release, and let go.

A compassionate physiotherapist will assess whether your muscles need strengthening, relaxation, or retraining, and guide you with patience and care.

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a woman laying on a treatment table with her eyes closed
a woman laying on a treatment table with her eyes closed

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6. These Conditions Are Common, But Rarely Talked About

Urinary incontinence. Painful sex. Fecal leakage. These aren't easy things to bring up, even with a healthcare provider.

But here's the truth: you are not alone. These conditions affect people of all ages and backgrounds. They're far more common than most people realize, and they're absolutely treatable.

When you're choosing a pelvic floor physiotherapist, look for someone who creates a space where you can speak openly, without shame. Healing begins when you feel safe enough to be honest.

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7. Pregnancy and Postpartum Are Peak Times for Support

Your body does extraordinary things during pregnancy and birth. It also needs extraordinary care afterward.

  • Pelvic floor physiotherapy can support you through:

  • Pelvic girdle pain during pregnancy

  • Diastasis recti (abdominal separation)

  • Recovery after vaginal or cesarean delivery

  • Restoring strength and function as your body heals

This isn't about "bouncing back." It's about honouring the season your body has moved through, and giving it the support it deserves.

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a woman's body and neck with the words,'hernana women
a woman's body and neck with the words,'hernana women

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8. The Research Backs It Up

If you're wondering whether pelvic floor physiotherapy actually works, the evidence says yes.

Studies show that pelvic floor therapy can improve or even resolve symptoms of urinary incontinence, pelvic organ prolapse, fecal incontinence, and conditions like vaginismus and painful intercourse.

When you choose a physiotherapist who uses evidence-based methods, you're investing in care that's been proven to help women feel better, stronger, and more connected to their bodies.

9. Healing Extends Beyond the Physical

This might be the most important thing to know.

Yes, pelvic floor physiotherapy addresses physical symptoms. But the benefits reach so much further:

  • Restored confidence in social situations

  • Improved intimacy and sexual satisfaction

  • Reduced anxiety around your body

  • A deeper sense of self-trust and empowerment

When you find a provider who understands that healing is holistic: that your emotional and mental well-being matter just as much as your physical symptoms: you've found something special.

At Hervana Women's Wellness, we call this the Haven Concept. It's about creating a sanctuary where you're seen as a whole person, not just a set of symptoms to fix.

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two women sitting on a couch, supporting each other
two women sitting on a couch, supporting each other

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10. It's Not Just About Now: It's About Your Future

Pelvic floor therapy isn't only for when something feels "wrong." It's also a beautiful form of prevention.

Regular care can help protect against issues that become more common with age and after menopause: like pelvic organ prolapse and incontinence. Think of it as tending to your body the way you might tend to a garden. A little attention now helps everything flourish later.

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Finding Your Haven

Searching for a pelvic floor physiotherapist is really about searching for a place where you feel held. Where your story matters. Where healing happens gently, at your own pace.

As you explore your options, trust your intuition. Notice how you feel when you read about a provider or step into their space. Do you feel welcomed? Do you feel seen?

You deserve care that honours every part of you: body, mind, and spirit.

If you have questions or want to learn more about our approach, we'd love to hear from you. Visit our services page to explore what we offer, or reach out directly to connect.

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Your healing journey is uniquely yours. And we're here (whenever you're ready.)