When to refer?

Consider pelvic floor physiotherapy as a treatment option for the following patients/clients:

Physicians:

  • patients with urinary incontinence, overactive bladder, pelvic pain, pelvic organ prolapse, and chronic low back and pelvic pain that is not responsive to other treatments
  • patients who are pregnant or who are planning on getting pregnant who have an interest in preventing urinary incontinence
  • patients with post-natal core muscle weakness, rectus diastasis, painful perineal scars, and fissures

Orthopedic physiotherapists:

  • clients who cannot feel the pelvic floor muscles contract with verbal cuing
  • clients with urinary incontinence who do not improve with pelvic floor strengthening exercises
  • clients with chronic lumbo-pelvic pain that do not respond to manual therapy
  • clients who have difficulty with diaphragmatic breathing
  • clients who are interested in core muscle strengthening, and pelvic floor health and prevention

Midwives, doulas, personal trainers, public health nurses and other related health practitioners:

  • clients with urinary incontinence, overactive bladder, pelvic pain, pelvic organ prolapse,┬ápost-natal rectus diastasis, painful perineal scars and fissures
  • clients who are interested in core muscle strengthening, and pelvic floor health and prevention