Which specialist performs pelvic floor physiotherapy?

This specialist works with the muscles, connective tissues, nerves, and movement patterns that support the bladder, bowel, and reproductive organs. Treatment is chosen after a conversation and physical assessment. It may include pelvic floor contractions, relaxation training, breathing, bladder habits, bowel strategies, scar care, hands-on techniques, or graded return to activity. Your symptoms may reflect muscles that are weak, tense, or unable to coordinate, so repeated squeezing is not suitable for everyone.

Look for a licensed physiotherapist whose practice includes pelvic health, pregnancy, postpartum care, continence, pelvic pain, or rehabilitation after pelvic procedures. Bring a symptom diary and relevant operation or birth details. You should receive an explanation of any examination and can ask for a chaperone or decline an internal assessment. Agree on a home plan that fits your daily routine and arrange review when the clinician recommends it.

See a doctor for unexplained vaginal bleeding, blood in urine or stool, a new pelvic mass or bulge, fever, or persistent pelvic pain. Seek urgent help for severe pain, heavy bleeding, fainting, or inability to urinate. Physiotherapy can support rehabilitation, but these findings require medical assessment so another cause is not missed.

Ask what pelvic health qualification the physiotherapist has, whether your symptoms suggest strengthening or relaxation, and what examination options are available. Ask how long to try the home plan before review and which changes should prompt an earlier call.