Core including Pelvic Health Physiotherapy

Pelvic health, also known as pelvic floor physical therapy further explores pelvic floor dysfunction or other symptoms related to the pelvic area, this includes surrounding joints, muscles and connective tissue.

The Pelvic Health Physiotherapy in general includes a large range of assessment possibilities depending on stage of healing, indication, and goals of the client.

Options to help you learn more about your body and build on different factors may include, but are not limited to:

Movement Analysis

If you are having troubles or have questions about a specific exercise or movement in sport the most beneficial way to answer questions and improve is to address the source!

Movement analysis helps you learn more about what you may find helpful new strategies to support your end goal.

Supplemental exercises or movement will be provided to help you improve as well.

External Examination

External assessment of tissue and pelvic floor muscles might include hands-on assessment over clothes, as in the picture below, or on the skin which provides information about tissue healing post-partum. It may also include hands-off approaches, for example being

For example: You are unaware if when you lift your baby in the car seat or weights at the gym if you are bearing down. With consent, Myranda may provide hands-on assessment and feedback about your strategy that can help you make changes.

Internal Examination

Internal vaginal or rectal pelvic examinations from a certified pelvic health physiotherapist can provide you specific information about your pelvic floor muscles, pelvic organs and connective tissue.

Pelvic floor muscles have a number of important functions. The connective tissue and muscles can be affected during pregnancy, labor and delivery, secondary to menopause, and for other resources not specific to having a baby. Myranda will support you in the ways you think are best for you, and internal assessments are only one option for supporting you!

Abdominal Muscle Physiotherapy

We can continue to strength train our core during pregnancy AND it is beneficial to begin again after all births. To make it “safe” and appropriate, we will match it to you.

During and after pregnancy, it is common to have questions about how your abdomen looks at rest and during exercise. Some women experience stretch marks, loose skin, or an appearance of budging in the abdomen with movement or exercise after birth.

You may have questions about what movements are helpful for supporting your abdominal muscles to regain tone, strength and improve function within the first year.

Myranda has continuing education in the following areas of abdominal muscle health and support you if you are wanting to learn more about:

• Pregnancy abdominal muscle concerns: pain into the abdomen or pelvis, exercise modifications, after birth planning

• Postnatal abdominal muscle rehabilitation

• Abdominal muscle separation aka Diastasis Recti

• Cesarean Section preparation and Postnatal recovery

• Day to day movement and exercise concerns

• Laparoscopic surgeries that require “ports” in the abdomen

Preparing for or recovering from an abdominal surgery? Myranda has a special interest in providing physiotherapy to help you prepare and recover with reduced pain and challenge.

• Prehab = learning strategies ahead of time to help you prepare for what is to come and reduce the learning curve during recovery

Your surgeon will provide you with some information to help prep you and for general recovery. However, for some the brief sessions and information may not be enough to give us all the information we may want or need, and likely will not include hands on assessment or exercises to help further with recovery.