As a doula and a yoga teacher, I am always touting the benefits of seeing a pelvic floor physiotherapist after birth and beyond. I, myself, have training in core training and healing after birth. However, a pelvic floor physio has specialized training and they can assess individuals holistically. That is why I always recommend people book an appointment after birth, when there is consistent pain, incontinence, or just as a check-up. Since it has been over ten years since I last gave birth, I decided it was time for my pelvic check-up. I thought it might be helpful for some if I recount what it was like and how it has helped me.
Make sure you investigate your physiotherapist beforehand. They should have specialized training beyond basic physiotherapy. You should feel comfortable around them as your treatments will involve an internal exam. Ask friends for a recommendation. You do not need a doctor referral and your treatments fall under physiotherapy if you have extended health benefits.
And, the question that is on most people’s minds….No need for a fresh wax down there. Your physiotherapist is a professional and doesn’t care if you are bare or au naturel.
Your first appointment will be an hour in length. You will start with a chat about your current health and history. This is the time to communicate anything that has been going on that is affecting you and perhaps your sexual health. Tell her everything. It’s surprising how our overall health is affected by our pelvis! She will ask you about pain during intercourse and various other questions designed to guide her exam and treatment plan. My advice, be honest. She has probably heard it all, she won’t judge, she just wants to help!
Your physiotherapist will then explain what the internal exam will be like. This is not like a pap test. There is no speculum and it should not hurt. She is gently feeling for anything that is abnormal, like tension or weakness. She will leave the room while you remove your bottoms and lay on a bed with a small sheet covering your lower half. You will bend your knees up with the sheet still on you. She is always asking for permission when her touch changes and you can refuse anything at any time. In fact, the internal exam is optional. She can treat you without it if you so wish. She will ask you to move a bit while she is examining you, a crunch, sit-up, leg lift, might be some of the movements she asks you to do. She may ask you to cough a few times to see how your inner core muscles activate when needed.
Once the exam is complete. Your physio will leave the room and give you time to dress. She will come back in and give you an idea of what is happening in your body and some exercises you can do at home. She may suggest another visit as a follow up. It doesn’t usually take more than a couple of visits before you see an improvement in your symptoms.
Robyn and Jenny at Your Ebb and Flow in Burlington are amazing and I feel privileged to know them both and to have been treated by Jenny. I do have other people I refer to in other areas if you need a recommendation. Stop putting this off and book an appointment. You will be so glad you did!
