At The WOMB, we prioritize pelvic health in all that we do! Many people experience common pelvic floor challenges, but we truly believe that they do not have to live that way and we can help. Pelvic Health Physiotherapy can help women prepare for childbirth, as well as to restore and recover the core and pelvic floor afterwards. Common reasons to see a pelvic physiotherapist include pelvic pain, back pain, painful intercourse, diastasis recti, pelvic organ prolapse, urinary incontinence, toilet learning, bedwetting, constipation, and more! A visit usually includes a full history, as well as an external physical exam, an internal pelvic floor exam, education, and exercise prescription. Our passionate and experienced team is here and ready to help!
Fertility Services
Many conditions that cause pelvic pain, such as endometriosis, interstitial cystitis and pelvic congestion syndrome have also been connected to infertility. Our team of pelvic health physiotherapists use a combination of lifestyle education, evidence-based manual therapies, neuro-modulation techniques and exercise prescription to optimize the health of the pelvic region, enhancing its readiness for conception.
Pregnancy Care
Pelvic girdle pain is very common during pregnancy and our wonderful team has specialized training in this area to help make the pregnancy a more enjoyable experience. We also focus on educating women about optimal birthing positions and breathing techniques to prepare them for birth. Research studies confirm that women who learn how to properly train their pelvic floors during pregnancy have shorter, less painful labors, less soft tissue damage, and faster recoveries.
Postpartum Care
In France, every woman is assessed and treated by a pelvic health physiotherapist as standard care. We do our best at The WOMB to educate families on how important this is, as many women will continue to have pelvic floor dysfunction for many years after giving birth. Pelvic floor muscles are just like any other skeletal muscle in our body, and they need to be restored after childbirth. Our team of pelvic health physiotherapists ensures that the lingering causes of pelvic or back pain, painful intercourse, bladder issues such as leaking during movement or a sneeze, and connective tissue separation (or widening) of the abdomen, (diastasis recti, commonly referred to as “Mummy Tummy”), are all corrected to optimize physical function.
Pediatric Services
The two most common pelvic floor dysfunctions amongst children are constipation and bedwetting. Our team of pelvic health physiotherapists treat children who are experiencing day or nighttime incontinence. We utilize a holistic approach that includes education and counselling related to lifestyle or behaviour changes, specific manual therapy techniques, and exercise/movement prescription. Our team can also help families with toilet learning and developing healthy habits.
Family Services
Did you know that men have a pelvic floor too? Our team is able to help men with many common conditions that they may be experiencing including the following:
• Tight pelvic floor
• Chronic Constipation
• Frequent urination at night
• Pelvic pain
• Erectile dysfunction
• Symptoms of retention, which can often be associated with a tight pelvic floor
• Post-prostatectomy incontinence
We can also see women through the menopausal period and assist with the following:
• Pelvic organ prolapse
• Urinary incontinence
• Painful intercourse
• Urethral irritation (painful urination, frequent urination, frequent UTIs)
• Fecal incontinence
• Constipation
Our Pelvic Health Physiotherapists
Jackie Grunebaum
Pelvic Health Physiotherapist
Jackie graduated from the University of Toronto, from the Department of Physical Therapy, Faculty of Medicine...
Liron Kvaterman
Pelvic Health Physiotherapist
Liron has always had an interest in pregnancy, labour and delivery, and postpartum care. These interests naturally...
Adriana Spassova
Pelvic Health Physiotherapist
Adriana Spassova graduated from Queens University where she completed her Masters of Physiotherapy in 2012...
Barbara Szczerba
Pelvic Health Physiotherapist
Barbara is a passionate Registered Physiotherapist with over 13 years of experience. In 2013 she started completing...
Michelle Watkin
Pelvic Health Physiotherapist
With a background in fitness, kinesiology and physiotherapy, and a passion for pregnancy and babies, Michelle was...Frequently Asked Questions About Pelvic Health Physiotherapy
For most women, the treatment is not painful and we strive to make each session as comfortable as possible. We inform clients about what to expect throughout the treatment and we encourage helpful breathing techniques. Some women have different levels of sensitivity which will be taken into account. It is always at the discretion of the client if they would like to have the internal portion of the session. It will only be performed with full consent and can be stopped at any time.
Each individual is different, so there’s no set number as to how many sessions you will need. We will work with you to determine the best schedule, including frequency of visits, length of follow ups, and self-management strategies including exercises you can do at home to help get results faster.
Yes, absolutely! Our therapists are highly experienced and they are still able to do the internal exam even if you are on your period. If you are not comfortable coming in, you are always welcome to reschedule your appointment, but it is not necessary.
It is highly recommended that every woman have a pelvic floor exam after giving birth. If you are experiencing any symptoms of pelvic floor dysfunction including incontinence, sexual discomfort or symptoms of prolapse such as heaviness in the pelvis, it is all the more important to help prevent future complications over time.
For Cesarean births, the focus shifts largely to dealing with scar tissue, and repairing and restoring of the core. Painful intercourse (possibly due to overprotective or tense pelvic floor muscles) are also very common after a Cesarean birth. Other reasons may include body pains (specifically lower back and pelvic pain), and weakness in the abdominal muscles.
We will provide the option for an internal examination if it is indicated in your treatment, but it will always be at your discretion. We will educate you on the reasons for the recommendation and how it can help you. If you choose to proceed, you will be fully informed about the process and what to expect.
Absolutely not! We can definitely help at all stages, even many years postpartum or in the menopause period.
We will advise you as to the benefits, and recommend you go through with an examination if we believe it is necessary, but the choice is ultimately yours. Our team is extremely sensitive to your comfort and will never push you into something that makes you uncomfortable. There are many other therapies that can be done externally as well as through exercise, so you will always still receive value out of your session.
Find out the availability, pricing and booking options for this service.
Complementary Services
At The WOMB Vaughan, we have an entire integrative health team that can work collaboratively to provide the best possible combination of care to you and your family. Here are a few services that work well in conjunction with Pelvic Health Physiotherapy. Please contact us anytime to help you put together the best team for your needs!
Personal Training
Counselling
