General & Advanced Physiotherapy Practice

Myranda is a Registered and Licensed Physiotherapist / Physical Therapist in Saskatchewan.

In Person in Saskatoon within gym and clinic Synergy Strength & Sports Therapy

Virtual support available to any Saskatchewan resident - supporting care for those living rural

With a Masters in Physiotherapy (MPT) from the University of Saskatchewan, Myranda provides whole body physiotherapy (hands on manual therapy, exercises, health coaching) for rehab and proactive care purposes. We can help you find strategies to support overcoming pain and symptoms. We can also help you advance to a degree as well!

Since graduating, Myranda has additionally trained and provides support in the advanced practice areas of Physiotherapy:

• Pelvic Health / Floor Certified Physiotherapist

• Abdominal wall and Whole Core Physiotherapy - pre & post- pregnancy & surgical

• Strength & Conditioning Coaching & Programming

• Integrative Women’s Health Coaching certification

• Functional Nutrition Coaching certification

• Perineal and Abdominal Wound tending (vaginal delivery injuries, cesarean section, healing form other laparoscopic or incisional procedures)

• Certified Biomedical Dry Needling provider

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. Pelvic health also includes understanding and addressing pelvic organ function for the bladder, bowels, and reproductive organs.

Reproductive and sexual health screening and physiotherapy are options to support your health as well.

The Pelvic Health Physiotherapy starts with getting to know your story, medical history, as well as your goals for support. Physical assessment includes a large range of assessment possibilities depending on stage of healing, indication, and goals of the client.

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

• Movement based assessment

• Hands On assessment - using touch to assess movement of joints, tension with in muscles, strength testing

• Hands In assessment - Internal Pelvic floor muscle or tissue assessment, same concept as assessing internal jaw muscles
  

What to expect in your first session:

Every Physiotherapy sessions, regardless of what we are going to support you with starts with getting to know your story, medical history, as well as your goals for support.

Physical assessment includes a large range of assessment possibilities depending on option feels will best support you, stage of healing, indications for assessment option, and your goals. Some

Depending on what you feel could be helpful, Physical Therapy support can include movement based support and/or manual therapy (hands-on) support.

At the end of each session we will review your session, write down take home notes, and outline a plan that can help, discussing follow up sessions individualized to your schedule and access to resources.

More information specific to Pelvic Floor Muscle Assessment

Assessment approaches will be discussed with you and determined based on need yes, but also significantly on what feels safe and appropriate for you

Movement Analysis

Included in all sessions for assessment and continuing care.

If you are having pain, troubles or have questions about a specific exercise or movement we will review it.

Movement analysis can help determine root cause of symptoms.

Supplemental exercises or movement will be provided to help you improve if you want.

External Pelvic 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 Pelvic 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

Individualized support during Pregnancy/Post-Partum or Before/After Surgery

Receive support for:

• Abdominal muscle pain, muscle strain/injury

• Abdominal muscle separation aka Diastasis Recti

• Abdominal muscle and Core Weakness and Strengthening

• Cesarean Section preparation and Postnatal recovery

• Laparoscopic surgeries that require “ports” in the abdomen

Pregnancy Specifics: It is important and simple to strength train our core during pregnancy. It is also beneficial to start after birth. 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.

Prehab & Rehab for Surgery

For years Myranda has been providing Physiotherapy to women and men having abdominal or pelvic surgeries.

Physiotherapy support BEFORE reduces the recovery learning curve, setting you up for less stress

• Learn pain management and wound recovery

• Early rehab exercises to assist with healing

• Progressed exercises to assist with strength and coordination recovery

Your surgeon will provide you with some information to help prep you and for general recovery. However, for some people 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.