Perineal and pelvic rehabilitation in Montréal

Physiothérapie périnéale et pelvienne

Perineal and pelvic rehabilitation (PPR) is a discipline in physiotherapy that consists in treating any condition implicating the muscles of the pelvic floor. The pelvic floor is composed of approximately 20 muscles that support the pelvic organs—this goes for men, women and non-binary individuals. It’s wrong to think that discomforts like incontinence or pelvic pain are only possible in women. Men can also get perineal and pelvic rehabilitation

We use neutral appellations for relating with all types of individuals. In this sense, the following includes a list of typical clients who come in for PPR : 

  • Person with a vagina
  • Person with a phallus 
  • During pregnancy
  • Postpartum
  • Person with nursing difficulties
  • Person dealing or is finished with menopause 
  • Post-op : hysterectomy, rectal surgery, prostate surgery

The treatments are only administered by a physiotherapist who’s PPR certification is at a high level. 

What’s a pelvic floor?

The pelvic floor is the area between the hips that’s composed of muscles holding a function for either sexual intercourse, continence, support or posture. This area from the pubis to the coccyx supports the pelvic organs (vagina, prostate, anus, urethra, etc.) and stabilizes the lower body. The anatomy of the pelvic floor varies, depending on if one has a vagina or a phallus.  

In both cases, it plays a huge role in continence, supporting organs (bladder, uterus, prostate, etc.), sexual function and stabilizing the lumbo-pelvic area. Its muscles, just like any other contractible muscle, can become weak and lose motor control. They have to be enduring, supple and treated with total care too. 

Possible causes of pelvic floor impairment: 

  • Pregnancy
  • Hormonal changes
  • Aging
  • Prostate surgery
  • Constipation
  • Rectal surgeries
  • Chronic cough
  • Obesity
  • Heavy weight lifting 
  • Impact sports

Linked dysfunctions 

The issues linked to an impaired pelvic floor are long and varied, being due to lifestyle and health state. For this matter, our PPR physiotherapist offers custom care for everyone.

The following includes a list of typical cases–treatable with PPR

  • Incontinence (urinal and fecal) 
  • Pre- or post-birth pain or reinforcement 
  • Pain during sexual intercourse
  • Pain in genitals, lower body or abdomen
    • Vulvodynia, vestibulodynia
    • Aching bladder and interstitial cystitis 
    • Chronic pelvic pain syndrome 
    • Nerve pain
    • Endometriosis 
  • Overactive bladder syndrome
  • Constipation
  • Lowering organs
  • Persistent genital arousal disorder 
  • Erectile dysfunction
  • Hard flaccid syndrome
  • Abdominal diastasis recti 
  • Bed-wetting
  • Mammary issues while nursing  

Thus, these conditions are often overlooked or unknown by the public due to the taboos of society. For this matter, we offer a free 15-min consultation over the phone for anyone who’s thinking about needing PPR. Don’t hesitate to call us for more details.

Physiothérapie femme enceinte