Pelvic Pain Physiotherapy Edmonton

Careful, consent-led pelvic floor physiotherapy for persistent pelvic, tailbone, pubic and perineal pain, at our Millwoods clinic.

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Pelvic Pain Physiotherapy in Edmonton

Pelvic pain physiotherapy treats pain in and around the pelvis that often involves the pelvic floor muscles, nerves and joints. At Next Step Physio & Neurorehab Clinic in Edmonton, our pelvic floor physiotherapist assesses muscle tension, movement and breathing, then uses hands-on treatment, relaxation training and graded exercise that may help reduce pain and restore comfort.

We see adults of all genders with pelvic pain that has lasted weeks, months or years, including pain linked to endometriosis, interstitial cystitis, prostatitis-like symptoms, vulvodynia, tailbone injury and pain after surgery or childbirth. No referral is needed, and visits are direct-billed to many extended health plans.

(587) 855-4559

What pelvic pain can look like

Pelvic pain does not always feel like it comes from the pelvic floor. People describe aching in the lower abdomen, groin or hips; burning or sharp pain at the perineum, vulva, penis or rectum; tailbone pain with sitting; pain with intercourse, orgasm or ejaculation; pain with urination or bowel movements without infection; and a constant sense of tightness or pressure.

In many of these cases the pelvic floor muscles are overactive: held tight for long periods, often without the person realizing it. Tight muscles can compress nerves, limit blood flow and become tender, which keeps the pain cycle going. Stress, bracing, breath-holding and prior injury can all feed into this pattern.

How physiotherapy approaches pelvic pain

Treatment for pelvic pain is usually about down-training rather than strengthening. Commonly used approaches include:

Education about pain and the pelvic floor, so symptoms make sense and feel less threatening
Breathing and relaxation techniques to release a habitually tight pelvic floor
Manual therapy to tender muscles, scars and connective tissue in the pelvis, hips and low back
Gentle stretching and mobility work for the hips, spine and pelvis
Graded return to sitting, exercise and intimacy at a pace your body accepts
Bladder and bowel strategies where pain is linked to urgency or constipation

Mercy, our pelvic floor physiotherapist, provides pelvic pain care at Next Step. Where useful, we coordinate with your doctor, gynaecologist, urologist or counsellor so care fits together.

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What happens at your first appointment

Your initial visit is private and moves at your pace. You can pause or stop at any time.

Your story:

We listen to how the pain started, where you feel it, what makes it better or worse, and how it affects sleep, work, exercise and relationships.

Screening questions:

We ask about bladder, bowel and sexual function, past surgery or injury, and any diagnoses so we can rule in or out what physiotherapy can address.

Movement and breathing:

We look at posture, how you breathe, hip and back mobility and whether you brace or hold tension without noticing.

External assessment:

With consent, we gently assess the muscles around the pelvis, hips, abdomen and tailbone for tension and tenderness.

Internal assessment (optional):

If appropriate and only with your consent, an internal assessment gives more detail about pelvic floor tone and trigger points. It is never required.

Plan and first steps:

We explain what we found, agree on realistic goals and start with simple techniques you can use at home the same day.

Follow-ups build on what works for you. Pain that has been present for a long time usually improves gradually rather than overnight.

When to see a doctor first

Pelvic pain has many possible causes, and physiotherapy works alongside medical care, not instead of it. Please see your doctor before booking if you have fever, blood in your urine or stool, unexplained weight loss, new or severe pain, pain during pregnancy, or pain that started after trauma. Infections, gynaecological and urological conditions and other medical issues need to be assessed and treated appropriately.

If you have already been assessed and told your tests are normal, or you have a diagnosis and want help managing the muscular and nervous-system side of the pain, physiotherapy is often a reasonable next step.

Book pelvic pain physiotherapy in Edmonton

Pelvic pain physiotherapy is available at Next Step Physio & Neurorehab Clinic in Millwoods (Suite 106A, 7319-29 Avenue NW). No referral is needed. Book online, call the clinic, or ask reception to add this to an existing treatment plan. Bring your extended health details so we can direct-bill many major insurers.

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FREQUENTLY ASKED QUESTIONS

FAQ

Before your visit

Can physiotherapy help pain that has lasted for years?

Many people with long-standing pelvic pain find that pelvic floor physiotherapy helps, especially when muscle tension is part of the picture. Progress tends to be gradual.

Do you treat men with pelvic pain?

Yes. We see men with perineal, testicular, penile and rectal pain, including pain that has been labelled chronic prostatitis or chronic pelvic pain syndrome.

Do I need a referral?

No. You can book directly. Some extended health plans require a doctor's note for reimbursement, so check your policy.

Will the assessment make my pain worse?

Assessment is gentle and adapted to your sensitivity. Some mild soreness afterwards can happen, but we work within your tolerance.

Is internal treatment required?

No. Internal techniques can be helpful for some people, but they are always optional and can be introduced later, or not at all.

Treatment and progress

How many sessions will I need?

It varies. Many people begin with weekly or fortnightly visits for a few months, then space them out as self-management improves.

Is pelvic pain physiotherapy covered by insurance?

It is billed as physiotherapy and covered by many extended health plans. We direct-bill many major insurers; ask reception about yours.

Can it help pain with intimacy?

Pain with intercourse is a common reason people book. Relaxation training, manual therapy and a graded approach are commonly used and may help.

Should I keep doing Kegels?

If your pelvic floor is overactive, strengthening exercises can make pain worse. We will tell you what is appropriate after assessment.

Can you work with my other providers?

Yes. With your permission we share findings and coordinate with your doctor, gynaecologist, urologist or mental health provider.

Related services at Next Step:

Available at our Millwoods clinic in Edmonton. Book an appointment.