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Pelvic Floor Physiotherapy Edmonton

Gentle Care for Everyday Confidence

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Pelvic floor physiotherapy assesses and treats the muscles that support the bladder, bowel and pelvic organs. It helps with leaking when coughing or exercising, urgency, pelvic pain, pain with intercourse, prolapse symptoms, and recovery after childbirth or prostate surgery. At Next Step in Edmonton it is available for women and men, in a private room, with internal assessment only with your consent.

Pelvic Floor Physiotherapy for Pelvic Health and Function

Pelvic Health Care That Listens and Adapts

At Next Step Physiotherapy, we offer pelvic floor physiotherapy that’s grounded in respect, education, and empowerment. Whether you’re recovering from childbirth, living with incontinence, managing pelvic pain, or facing symptoms after surgery, our pelvic floor physiotherapy in Edmonton is here to guide your healing process in a way that makes sense for your body, your goals, and your pace.

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What is Pelvic Floor Physiotherapy?

Pelvic floor physiotherapy focuses on the muscles, tissues, and ligaments located in the pelvic region. These structures play a vital role in many everyday functions, including:

  • Bladder and bowel control
  • Sexual health and function
  • Core and spinal stability
  • Support during pregnancy and postpartum
  • Recovery after surgery

When the pelvic health muscles become weak, tight, overactive, or out of sync, they may cause a vast range of symptoms that impact your quality of life. Our approach at Next Step Physiotherapy in Edmonton is gentle, personalized, and focused on restoring balance without judgment or pressure.

We work with you to understand the root of your symptoms and then create a treatment plan that fits your body and your goals.

Do I Need Pelvic Floor Physiotherapy?

Some symptoms may seem minor or unrelated to the pelvic floor, but they’re often the early signs of dysfunction. If you’re experiencing any of the following, pelvic floor physiotherapy could be helpful:

  • Leaking urine while sneezing, coughing, or exercising
  • Sudden urgency or frequent bathroom trips
  • Difficulty fully emptying your bladder or bowels
  • Pain during or after intimacy
  • Constipation or straining during bowel movements
  • Pelvic heaviness or a feeling of “something falling out.”
  • Pain near the tailbone, hips, or lower back
  • Discomfort after prostate surgery
  • Weakness or bulging in the abdominal area when lifting
  • A general sense that your “core isn’t working right.”

If any of these feel familiar, it’s worth having a conversation. The earlier you address pelvic concerns, the easier they are to manage.

Conditions Treated Using Pelvic Floor Physiotherapy

Our clinic welcomes people of all genders and life stages. Pelvic health is more than postpartum recovery; it touches many areas of life, and we’re here to support your comfort, function, and confidence.

Female Pelvic Health Concerns:

Pelvic floor challenges can surface at any stage of life, from the physical changes of pregnancy to the transitions of menopause, or even without any clear trigger. At Next Step Physiotherapy in Edmonton, we provide personalized care to support women experiencing a wide range of pelvic health concerns.

Here’s a closer look at the common issues we treat and how they typically develop.

Pregnancy-Related Pelvic Pain

Pregnancy brings about major changes in posture, joint alignment, and muscle engagement. As your baby grows, the added weight and shifting center of gravity can strain the pelvic girdle, especially around the sacroiliac (SI) joints and pubic symphysis.

This may lead to:

  • Deep aching in the low back or hips
  • Difficulty walking, rolling over, or climbing stairs
  • Pressure or heaviness in the pelvis

Pelvic floor physiotherapy in Edmonton can help reduce muscle imbalances, improve stability, and ease discomfort through gentle movement and support strategies.

After childbirth, whether vaginal or cesarean, the pelvic floor and core muscles often need time and support to recover. The strain from labour, pushing, and delivery can result in:

  • Weakness or disconnection in the lower core
  • Scar sensitivity (from perineal tearing or episiotomy)
  • Difficulty with bladder or bowel control
  • Pain or discomfort during everyday tasks

Our approach helps reconnect these deep muscles through breathing techniques, scar tissue work, and safe, progressive movement strategies.

Prolapse happens when pelvic organs (such as the bladder, uterus, or rectum) shift downward due to weakened or overstretched support structures, often from pregnancy, aging, or heavy lifting.

You might feel:

  • A bulging or “falling out” sensation
  • Pressure in the vaginal area, especially at the end of the day
  • Discomfort with prolonged standing or during bowel movements

We offer education and exercises that support better pressure management and functional strength to help manage symptoms and improve quality of life.

This type of pain is often linked to tight or overly reactive pelvic floor muscles, scar tissue, or nervous system sensitivity. It may occur after childbirth, with hormonal changes, or seemingly out of nowhere.

Pain can be:

  • Superficial or deep
  • Sharp, burning, or aching
  • Triggered by certain positions or movements

Pelvic floor physiotherapy focuses on calming and coordinating the involved muscles, often using breathing work, manual therapy, and gradual desensitization techniques.

C-sections are major abdominal surgeries, and the healing process can affect far more than just the visible scar. The abdominal muscles, fascia, and nerves may be impacted, which can lead to:

  • Restricted movement or discomfort around the incision
  • Core weakness or doming
  • Back or pelvic discomfort due to compensations

We support C-section recovery with gentle scar mobilization, postural retraining, and progressive core reactivation to help restore smooth movement and strength.

With hormonal changes, estrogen levels drop, affecting tissue elasticity and hydration. This can result in:

  • Vaginal dryness or discomfort
  • Reduced pelvic floor muscle tone
  • Bladder urgency or leakage
  • Increased pelvic heaviness

Our physiotherapy care offers strategies to support comfort, maintain muscle function, and help clients stay active and confident during this life transition.

Male Pelvic Health Concerns:

Pelvic floor dysfunction isn’t limited to one gender; it affects men, too, though it’s often under-discussed. At Next Step Physiotherapy, we provide a welcoming, respectful space for men navigating the following challenges:

Urinary Urgency and Leakage

This often stems from overactive or weakened pelvic floor muscles that don’t coordinate well with the bladder. It may result in:

  • Rushing to the bathroom frequently
  • Inability to fully empty the bladder
  • Leaks during activity or after voiding

Sometimes these symptoms follow prostate surgery or are related to long-standing pelvic tension.

These issues can be linked to muscle tension, nerve irritation, or blood flow restriction in the pelvic region. They’re often made worse by stress or poor breathing habits.

Clients may report:

  • Pain or pressure during or after arousal
  • Decreased erection quality
  • Fear or frustration around intimacy

Our physiotherapists address this through a combination of breathing, muscle coordination training, and tension-releasing techniques.

Following prostate surgery (like prostatectomy), the pelvic floor and surrounding muscles may become tight, weak, or misaligned, leading to:

  • Pain in the lower pelvis or perineum
  • Urinary incontinence
  • Fatigue or stiffness in the surrounding muscles

Through individualized therapy, we help restore comfort and coordination as the body adjusts post-surgery.

Chronic pelvic pain in men is often linked to persistent muscle guarding or nerve sensitivity, sometimes without any active infection. Symptoms may include:

  • Deep aching in the perineum or testicles.
  • Discomfort while sitting or during bowel movements
  • Pressure-like sensations in the pelvis

A pelvic floor approach can calm these systems down through gentle desensitization and neuromuscular retraining.

Difficulty with bowel movements may result from tight or uncoordinated pelvic floor muscles, especially when straining becomes a habit.

You might experience:

  • A sensation of incomplete emptying
  • Pushing to have a bowel movement
  • Painful bowel movements or inconsistent habits

Pelvic floor therapy helps retrain the muscles to allow smoother, easier elimination and reduce associated symptoms.

For some men, sexual activity triggers pain or discomfort due to tight pelvic floor muscles, past trauma, or postural issues.

This can present as:

  • Aching after intercourse
  • Pain during climax
  • Discomfort with certain positions

We work collaboratively to address both the physical and emotional impact through a respectful, tailored care plan.

Pelvic Floor Dysfunction Across All Genders:

Not all pelvic floor concerns are gender-specific. At Next Step Physiotherapy, we welcome clients of all gender identities and offer care that supports comfort, inclusion, and real-life improvements.

Interstitial Cystitis (Bladder Pain Syndrome)

This condition involves ongoing bladder pressure or pain not caused by infection. It’s often linked to tension in surrounding pelvic muscles or heightened nerve sensitivity.

Symptoms may include:

  • Frequent urination (even without a full bladder)
  • Bladder discomfort or spasms
  • Pain during intercourse or after voiding

Physiotherapy focuses on calming irritated tissues and restoring muscle coordination to ease symptoms over time.

Leaking can happen with:

  • Sudden urges that are hard to control (urge incontinence)
  • Physical effort, like coughing or jumping (stress incontinence)

These types often occur when pelvic floor muscles aren’t functioning in sync with bladder signals. We guide you in retraining those connections.

Falls, childbirth, or even poor sitting posture can trigger coccyx pain. It can cause:

  • Sharp or dull pain while sitting
  • Discomfort when transitioning from sitting to standing
  • Ongoing tenderness in the lower back

Through manual therapy and posture education, we help reduce pressure on the coccyx and improve sitting comfort.

Stress, poor posture, and past trauma can lead to persistent muscle guarding in the pelvic floor. Over time, this may contribute to:

  • Painful intercourse
  • Constipation
  • Aching hips or back
  • Reduced flexibility and movement ease

We use a calming, whole-body approach to release tension and teach the body how to relax again.

High-impact sports, weightlifting, or intense core work can sometimes cause pelvic floor strain. Symptoms may include:

  • Leaking during workouts
  • Pelvic heaviness
  • Core discomfort or doming

We help athletes adjust form, improve breathing mechanics, and support strength without overload.

Irritable Bowel Syndrome can impact how the pelvic floor behaves, especially during flare-ups. It may cause:

  • Pelvic cramping
  • Sensitivity around bowel movements
  • Inconsistent bowel patterns

Pelvic floor therapy can help you improve bowel habits, relax overactive muscles, and reduce discomfort.

Pain, pressure, or discomfort during intimacy can affect anyone. These concerns often stem from:

  • Tension in the pelvic floor
  • Scar tissue
  • Emotional and physical trauma
  • Nerve sensitivity

At Next Step Physiotherapy, we create a respectful, inclusive space where all clients can feel safe discussing and addressing these deeply personal concerns.

What Happens During Your First Visit?

We get it, talking about pelvic health can be uncomfortable. That’s why your first visit is designed to help you feel safe, heard, and supported every step of the way.

Here’s what your first appointment looks like:

1
Conversation First
We take time to listen to your concerns, goals, and history; there’s no rushing.
2
Movement and Breathing Screening
We assess your posture, breathing patterns, and how your core and hips move together.
3
Pelvic Muscle Assessment
With your full consent, this may include an external and/or internal exam to understand muscle tone, coordination, and tension.
4
Personalized Home Routine
We’ll send you home with exercises and strategies that fit your lifestyle, not a long list you can’t follow.
5
Clear Treatment Plan
We’ll map out how often you may want to return, what to track, and how to adjust care based on your progress.

Treatment Techniques Used in Our Edmonton Clinic

Your pelvic floor physiotherapy at Next Step isn’t one-size-fits-all. We build your treatment around your specific symptoms, goals, and pace.

Manual Therapy Techniques:

These hands-on methods are used to release tension, improve circulation, and restore normal tissue and joint mobility, often reducing pain significantly in the process.

Myofascial Release

Helps release tension in connective tissue (fascia) around the abdomen, hips, and pelvic region. This can relieve that “tight” or “pulling” sensation often felt deep in the pelvis, especially after surgery or childbirth.

Trigger Point Therapy

Addresses tight, irritable spots in pelvic floor muscles like the levator ani or obturator internus. These trigger points can cause pain during sitting, intimacy, or even bathroom use. Releasing them helps restore muscle relaxation and reduce referred pain.

Scar Mobilization

Particularly helpful after a C-section, episiotomy, or abdominal surgery. Gentle work on scar tissue helps prevent restrictions that can pull on surrounding muscles and lead to pain or altered posture.

Soft Tissue Massage

Reduces muscle guarding and promotes relaxation in areas like the hips, low back, and pelvic floor. It can also improve blood flow, helping tissues heal and feel less sensitive.

Joint Mobilization

Targets the sacroiliac joints, hips, and lumbar spine. Improved mobility here supports pelvic balance and reduces strain that can contribute to ongoing discomfort or instability.

Muscle Training & Coordination:

Pelvic pain often comes from muscles that are too tight, not just weak. These techniques focus on retraining your pelvic muscles to engage properly, reducing pain from overuse, tension, or imbalance.

Breathwork & Pressure Management

Teaching coordinated breathing helps manage pressure inside the abdomen. Many people hold their breath or brace their core without realizing it, which can worsen pelvic pain. Learning proper breath patterns reduces unnecessary tension on the pelvic floor.

Core and Postural Retraining

Your posture and core control affect how your pelvic muscles behave. By improving alignment and teaching gentle core activation, we help reduce strain on pelvic tissues during everyday movements.

Gentle Strengthening and Guided Movement

Not all pelvic floor muscles need to be “tightened”; some need to be retrained to relax and activate when needed. These exercises are tailored to your current ability and are designed to relieve pelvic pain caused by overactivity or imbalance.

Bladder and Bowel Habit Coaching

Functional pelvic pain can be worsened by habits like straining, pushing, or frequent urgency. We guide you through practical adjustments to bathroom habits that reduce pelvic floor stress and discomfort.

Technology-Assisted Feedback:

Sometimes, seeing how your body is working makes all the difference. These tools help us (and you) understand what’s really going on with your muscles and how to change it.

Surface EMG Biofeedback

Non-invasive sensors track your pelvic floor muscle activity and display it on a screen. This shows when you’re contracting, holding, or relaxing the muscles, helping you gain awareness and learn to control tight or weak areas that may be contributing to pain.

On-Screen Muscle Activity Tracking

Real-time visual feedback allows you to see how your pelvic muscles respond to exercises. It’s helpful for those with chronic tension or difficulty isolating the right muscles.

Gentle Electrical Stimulation (E-Stim)

For muscles that are too weak or tense to activate properly, electrical stimulation therapy can help “wake them up” or guide them toward a more balanced state. It’s especially useful in cases of chronic pain due to inactivity or post-surgical recovery.

Additional Tools and Techniques:

We also use a combination of other evidence-informed approaches to support healing and function.

Dry Needling (When Appropriate)

Targets deep muscle trigger points that may not be reached through manual therapy alone. It can help release stubborn tension and reduce nerve irritation that contributes to pelvic pain. This technique is only offered when clinically appropriate and with full patient consent.

Neuromobilization (Nerve Mobility Exercises)

Nerve irritation can be part of the pelvic pain picture. We use gentle movements to help nerves glide more freely, which may ease burning, tingling, or shooting pain that comes with certain types of pelvic dysfunction.

Virtual Sessions (Tele-Rehab)

For clients unable to come in regularly, our tele-rehab sessions ensure continuity of care. We guide you through breathing, posture, and home-based strategies to manage pelvic discomfort from wherever you are.

Home Program Check-Ins and Progress Updates

We believe that progress happens between appointments, not just during them. We help you build a sustainable home program and check in often to adjust exercises based on how your body is responding.

Why These Techniques Matter for Pelvic Pain Relief

Pelvic pain is often complex; it can involve muscle tension, nerve irritation, organ sensitivity, and emotional stress. That’s why our techniques don’t just treat the surface. We look at how all your systems work together, including:

  • How you sit, breathe, and move throughout the day
  • How scar tissue or previous injuries may be affecting the surrounding areas
  • How your pelvic floor works with your hips, spine, and core
  • What habits or patterns might be unknowingly adding strain

Our approach at Next Step Physiotherapy in Edmonton isn’t just about managing symptoms. It’s about helping you understand your body, reconnect with your core, and move forward with confidence.

How Long Does Pelvic Floor Physiotherapy Take?

Recovery time varies, but many of our clients see changes within 3–6 sessions, especially for mild to moderate concerns. More complex or long-standing issues may take longer, and that’s okay. We’re in this with you for the long run.

What matters most is consistency, a plan that adapts as you do, and communication that keeps you informed along the way.

Why Choose Next Step Physiotherapy for Pelvic Floor Physiotherapy in Edmonton?

We know you have options. Here’s what makes our clinic a supportive choice for so many people across Edmonton:

01
You’re Always in Control
We follow your lead, whether it’s about treatment preferences, goals, or comfort levels. Your consent, your pace, your story.
02
Respectful, Private Care
Every session is one-on-one, in a private room, where you can feel safe discussing and exploring sensitive concerns.
03
Whole-Body Focus
Your pelvic floor doesn’t work in isolation. We look at your posture, breath, movement habits, and lifestyle to support long-term results.
04
Clear, Simple Communication
No medical jargon or confusing plans. We break things down so they make sense in your everyday life.
05
Flexible Scheduling
With daytime, evening, and weekend appointments, we work around your life, not the other way around.

Is Pelvic Floor Physiotherapy at Next Step Physiotherapy in Edmonton Covered by Insurance?

Great news, yes, in most cases!
Pelvic floor physiotherapy is often included under general physiotherapy services in extended health benefits plans.

Here’s how we make it easy:

Direct Billing Available

We work with most major insurance companies, so you don’t have to pay upfront or file claims yourself.

No Doctor Referral Needed

Most plans don’t require a referral. If yours does, we’ll help coordinate with your physician.

Detailed Receipts Provided

For manual submission or personal records, we provide all necessary documentation.

We Help You Understand Your Coverage

Not sure what your plan includes? We’ll walk you through it, no pressure, no confusion.

Flexible Appointment Timing

Our scheduling team will help you make the most of your coverage while fitting your treatment into your routine.

💡 Tip: It’s always a good idea to contact your provider directly to confirm your coverage limits and requirements.

Still have questions? Feel free to give us a call; we’re happy to help.

Reconnect With Your Core. Restore Your Confidence.

Pelvic floor challenges don’t define you, and they don’t have to hold you back. Whether you’re managing recovery after childbirth, navigating new sensations post-surgery, or quietly living with discomfort you’ve never talked about, our pelvic floor physiotherapy in Edmonton is here to help.

Next Step Physio & Neurorehab Clinic provides pelvic floor physiotherapy from our Edmonton clinic at Suite 106A, 7319–29 Avenue NW in Southeast Edmonton in a supportive and confidential clinical environment. We help individuals experiencing pelvic pain, bladder control issues, postpartum recovery concerns, and core stability challenges.

Conveniently located near neighbourhoods such as Mill Woods, Kameyosek, Meyonohk, and Tawa, our clinic offers accessible pelvic health physiotherapy services for patients seeking care close to home.

Our physiotherapists assess pelvic floor muscle function and develop personalized treatment programs to improve strength, coordination, and overall pelvic health.

Residents across Edmonton choose Next Step Physio & Neurorehab Clinic for professional, discreet, and personalized pelvic floor physiotherapy and rehabilitation services near them.

We offer a respectful, client-centred approach that prioritizes your comfort, your timeline, and your goals. From the first session to your final follow-up, we walk beside you every step of the way.

Give us a call or book online to get started. We’re ready when you are.

Meet Our Pelvic Floor Physiotherapists:

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Jaiganesh Ravindra Babu

Pelvic Floor Physiotherapist

Jaiganesh brings years of experience in orthopedic and movement-based care to his pelvic floor practice. With a whole-body focus, he looks beyond symptoms to understand how posture, joint mechanics, and muscle patterns affect pelvic function. His goal is to help clients feel stronger and more connected to their core and daily movement.

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Mercy Manoharan

Pelvic Floor Physiotherapist

With over two decades of clinical experience, Mercy supports each client with a calm, compassionate presence and a thoughtful, evidence-informed approach. Her work in pelvic health is grounded in understanding the physical and emotional impact of pelvic floor concerns, helping people of all ages find comfort, strength, and confidence in their recovery.

FREQUENTLY ASKED QUESTIONS

FAQ

Understanding Pelvic Floor Physiotherapy

What is pelvic floor physiotherapy, and how does it work?

Pelvic floor physiotherapy focuses on improving how the pelvic muscles move, relax, and support daily functions. It uses guided exercises, hands-on care, and education to restore balance and comfort.

Who may benefit from pelvic floor physiotherapy?

Anyone experiencing pelvic pain, bladder or bowel control issues, discomfort with intimacy, or core weakness may benefit, regardless of age or gender.

What symptoms may be linked to pelvic floor issues?

Symptoms can include leaking urine, pelvic pressure, pain with sitting, difficulty emptying the bladder or bowels, and discomfort during physical activity or intimacy.

Is pelvic floor physiotherapy only for women?

No, pelvic floor physiotherapy supports people of all genders, including men and non-binary individuals, with concerns that affect pelvic function.

Can men receive pelvic floor physiotherapy in Edmonton?

Yes, men commonly seek pelvic floor physiotherapy for concerns like urinary leakage, pelvic pain, bowel issues, and recovery after prostate-related procedures.

How does pelvic floor therapy help with bladder or bowel control?

It helps by retraining muscle coordination, improving awareness, and teaching healthy habits that support better timing and control.

What makes the difference between internal and external pelvic floor treatment?

External treatment focuses on muscles around the hips, abdomen, and lower back, while internal treatment (with consent) allows direct assessment of pelvic muscles for more precise guidance.

Treatment Process at Next Step Physiotherapy

What should I expect during my first pelvic floor physiotherapy visit?

Your first visit includes a detailed conversation, movement screening, and a gentle assessment to understand how your pelvic muscles are functioning.

How long does pelvic floor physiotherapy take to show results?

Many people notice changes within a few sessions, though timelines vary depending on symptoms, consistency, and individual goals.

What types of treatments are used during pelvic physio sessions?

Treatment may include manual therapy, guided exercises, breathing strategies, posture work, and education tailored to your needs.

Does pelvic floor physiotherapy involve exercises at home?

Yes, home exercises are a key part of progress and are designed to be manageable and fit into daily routines.

How do biofeedback and electrical stimulation help with pelvic pain?

These tools improve awareness of muscle activity, helping people learn when to relax or engage muscles more effectively.

Can I do pelvic floor therapy virtually or from home?

Yes, virtual sessions allow guided care, education, and exercise progression from the comfort of your home.

Common Pelvic Health Concerns

Why do I feel pressure or heaviness in my pelvic area?

This sensation often occurs when pelvic support muscles are strained, weakened, or not coordinating well, especially after pregnancy, lifting, or prolonged standing.

What causes leaking when I laugh or cough?

Leaking with movement usually happens when pelvic muscles aren’t responding quickly enough to pressure changes in the abdomen.

Can pelvic floor therapy help with painful intercourse?

Yes, discomfort during intimacy is often linked to muscle tightness, tension, or sensitivity, which physiotherapy can help calm and retrain.

How does pelvic physiotherapy support postpartum healing?

It helps reconnect core and pelvic muscles, improve scar mobility, and support a gradual return to daily activities after childbirth.

What are the signs of pelvic organ prolapse?

Common signs include pelvic pressure, a bulging sensation, discomfort after standing, or difficulty with bladder or bowel emptying.

Can pelvic floor dysfunction cause low back or hip pain?

Yes, pelvic muscles work closely with the spine and hips, so imbalance or tension can contribute to pain in these areas.

Is pelvic floor physiotherapy helpful after prostate surgery?

Pelvic floor physiotherapy can support recovery by improving muscle control, reducing discomfort, and helping manage bladder or bowel changes.

Can tight pelvic muscles cause constipation or discomfort during bowel movements?

Yes, overly tense pelvic muscles can make it difficult to relax during bowel time, leading to straining or incomplete emptying.

Booking, Coverage & Access in Edmonton

Is pelvic floor physiotherapy covered by insurance in Edmonton?

In most cases, pelvic floor physiotherapy is included under standard physiotherapy benefits in extended health plans.

Do I need a referral to book pelvic floor physiotherapy?

Most plans do not require a referral, though some providers may ask for one. It's better to check your policy.

How do I choose a physiotherapy clinic for pelvic floor care in Edmonton?

Look for a clinic that offers private treatment rooms, clear communication, and a personalized approach that respects your comfort.

Where can I book a pelvic floor physiotherapy appointment in Edmonton?

You can book directly with Next Step Physiotherapy in Edmonton by phone, email, or online scheduling.

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