If you’re experiencing pelvic discomfort, bladder leakage, postpartum changes, or simply feel that something is off—you’ve probably been told it’s “just part of getting older” or “normal after having kids.”
But here’s what most people don’t realize: pelvic floor dysfunction is common, but it’s not something you just have to live with. Research shows that one in three Canadian adults experiences chronic pain, with pelvic problems frequently going unreported or misunderstood—not because they’re untreatable, but because many people don’t know treatment exists.
Pelvic floor physiotherapy is a safe, evidence-based approach that can reduce symptoms, restore function, and help you feel more confident in your body—no matter your age or stage.
At Richmond Blundell Physiotherapy & Sports Injury Clinic in Richmond, BC, we take a supportive, whole-body approach to pelvic health, helping you understand what’s happening, why it’s happening, and how to manage it effectively.
What Is Pelvic Floor Physiotherapy?
Your pelvic floor is a group of muscles that act like a supportive “hammock” for your bladder, uterus/prostate, and bowel. When these muscles become weak, tight, or hypersensitive, they can cause a range of symptoms — from leaks to pelvic pain to pressure or heaviness.
Pelvic floor physiotherapy is a specialized form of treatment that helps you:
- Strengthen weak pelvic muscles
- Release and relax tight pelvic muscles
- Improve coordination and timing
- Restore healthy breathing mechanics
- Reduce pain and improve function in daily activities
Using a combination of manual therapy, biofeedback, education, and targeted exercises, physiotherapy supports the body’s natural ability to heal.
Common Signs You May Benefit From Pelvic Floor Physiotherapy
You might be surprised how many issues tie back to pelvic floor function. You may benefit from therapy if you experience:
1. Incontinence (bladder or bowel leaks)
This is more common than most people realize. Pelvic floor strengthening and bladder retraining can dramatically improve control and prevent accidents from happening.
2. Pelvic pain or discomfort
Tight, irritated, or overloaded muscles often play a big role in persistent pelvic or lower abdominal pain.
3. Pelvic organ prolapse symptoms
A feeling of heaviness, pressure, or “something dropping” can improve with pressure management and targeted lifting strategies.
4. Prenatal or postpartum pain
Pregnancy and childbirth change core and pelvic mechanics — physiotherapy helps restore stability and confidence.
5. Low back or hip pain that keeps returning
Your pelvic floor is part of your core system. When it’s not functioning well, the rest of your body compensates.
The Benefits of Pelvic Floor Physiotherapy
Here’s what you can expect when you begin general pelvic floor physiotherapy:
1. Better Bladder Control
Pelvic floor retraining, which may include strengthening, relaxation, or coordination exercises, helps improve bladder and bowel control.
This means better control during everyday activities like coughing, laughing, or exercise.
2. Reduced Pelvic Pain
Pelvic pain often involves overactive or poorly coordinated muscles, rather than weakness alone. Manual therapy, breathing retraining, and relaxation strategies help calm the system so movement becomes comfortable again.
3. Improved Core Strength and Stability
Your pelvic floor works with your diaphragm, deep abdominal muscles, and glutes. When this system is balanced, the rest of your body moves with more power and less strain.
4. Support During Pregnancy and Postpartum Recovery
From relieving back and hip pain to rebuilding strength after delivery, pelvic floor physio helps you navigate pregnancy and postpartum confidently and safely.
5. Better Sexual Function
Many people experience pain or tension due to pelvic muscle dysfunction. Improving coordination and relaxation can enhance comfort and enjoyment.
6. Increased Confidence and Quality of Life
Many people notice increased confidence and comfort in daily life as their symptoms improve.
What Does a Pelvic Floor Assessment Look Like?
Your visit at Richmond Blundell Physiotherapy & Sports Injury Clinic is always private, respectful, and at your pace.
A typical initial session may include:
- A conversation about your goals, symptoms, and health history
- A look at posture, breathing patterns, and movement mechanics
- Gentle core and pelvic muscle testing
- An internal pelvic exam if appropriate (always optional)
- A personalized treatment plan tailored to your needs
We place a strong emphasis on education, so you understand your body and feel confident managing your symptoms.
Treatment Approaches We Use
Depending on your symptoms, your physiotherapist may include:
Pelvic Floor Muscle Training
Targeted retraining, which may include strengthening, endurance work, relaxation, or coordination exercises depending on your needs.
Manual Therapy
Internal or external muscle release, soft tissue work, and mobility techniques.
Breathing and Pressure Management
Because your diaphragm and pelvic floor work as a team.
Core and Hip Strengthening
Glute bridges, TVA activation, and stability exercises to support your pelvis long-term.
Lifestyle & Posture Coaching
Strategies to prevent strain and help you feel your best day to day.
Why Pelvic Floor Physiotherapy Works
Pelvic floor dysfunction is rarely a “quick fix,” but with the right guidance, the body responds remarkably well.
Consistent, evidence-based physiotherapy helps:
- Rebuild neuromuscular control
- Improve muscle strength and coordination
- Reduce nerve irritation
- Restore healthy movement patterns
- Prevent future issues
And because pelvic health is deeply connected to your whole body — breathing, posture, core strength, stress levels — each improvement creates a ripple effect.
What Pelvic Floor Physiotherapy Is Not
- It is not painful or invasive by default
- Internal exams are optional and only done with consent
- Treatment is always tailored to your comfort and goals
Care is always guided by your comfort level, with clear communication at every step.
How Long Does Pelvic Floor Physiotherapy Take?
Everyone is different, but many people notice improvement within a few sessions. Long-standing or complex symptoms may take longer and benefit from a gradual, progressive approach.
Who Can Benefit From Pelvic Floor Physiotherapy
It can help:
- Women and men of all ages
- People experiencing pelvic pain, bladder or bowel changes
- Individuals preparing for or recovering from surgery
- People navigating menopause or aging-related changes
If you’ve been living with leaks, pain, or pelvic discomfort, you don’t have to “just put up with it.” These symptoms are common, but they are not something you need to accept.
At Richmond Blundell Physiotherapy & Sports Injury Clinic, we help you reconnect with your body, restore function, and move with confidence again.
If pelvic floor symptoms are affecting your daily life, an assessment can help clarify your next steps. Reach out for your pelvic floor physiotherapy appointment today and take the first step toward feeling your best.