Does a physiotherapy perform pelvic floor physiotherapy?

Pelvic floor physiotherapy looks at the muscles and surrounding areas involved in bladder, bowel, sexual, and pelvic support symptoms. The physiotherapist may discuss your health history, pregnancy or birth, surgery, pain, leakage, constipation, urgency, or pain with penetration. Movement, breathing, posture, and abdominal coordination may be assessed. With your permission, an internal vaginal or rectal assessment may be offered, but you can discuss alternatives or decline. Treatment may combine education, exercises, relaxation, manual techniques, bladder or bowel strategies, and home practice.

Choose a provider who describes pelvic health experience and explain your main goal when booking. Wear clothing that allows comfortable movement and bring relevant reports or a symptom list. You remain in control of consent throughout the visit. Follow the home plan at a manageable pace, recording changes in pain, pressure, control, or function. Tell the therapist about pregnancy, recent procedures, infection symptoms, or any concern about an examination so the session can be adapted.

Seek prompt medical care for heavy or unexplained bleeding, fever, severe pelvic or abdominal pain, a new lump, sudden weakness or numbness, or inability to pass urine or stool. Ask for assessment before starting treatment if symptoms are new and unexplained. Physiotherapy can support recovery, but urgent symptoms may require examination or other medical treatment first.

Ask what type of pelvic floor assessment is suitable, whether an internal examination is necessary, and what treatment options are available without one. You can also ask how progress will be measured and whether another specialist should be involved.