UNDERSTANDING TREATMENTS

DO I NEED A DOCTOR’S PRESCRIPTION?
You do not need a doctors prescription to access our services; however, some insurance companies may need a referral for reimbursement. Please contact your insurance company to determine if you need a doctors referral to access your physiotherapy benefits.


IS THIS COVERED BY MY EXTENDED HEALTH BENEFITS?
If you have extended health benefits that include physiotherapy care, then yes, your Pelvic Health physiotherapy care will be covered under the same heading. You will be required to pay at each session and are responsible for submitting your receipts to your insurance company.


WHY DO YOU DO AN INTERNAL EXAM?
Firstly, your assessment and treatment program will be specific to you, your needs, and your comfort level. These are delicate personal issues and your rehabilitation is respected as a sacred and highly personal process. We will always proceed within the realm of what you are ready for and capable of. The physiotherapist treating you is a highly trained, sensitive professional who will discuss any issues with you before carrying out any treatment. An open dialogue of how you are finding the treatment, and any difficulties you are having emotionally or physically will be ongoing and will help guide your care.
In many European counties, internal examination and treatment of the pelvic floor has been the norm for years. In some countries, pelvic floor physiotherapy is even covered by government health care after child birth, and always the first option before pelvic surgeries are considered. When the pelvic floor muscles are assessed internally, the research has shown that the treatments carried out by a physiotherapist for pelvic floor problems are highly successful for both pelvic pain and incontinence. Assessing the pelvic floor without doing an internal exam is like an orthopaedic surgeon or a physiotherapist doing a knee exam through a pair of jeans. Treating any other part of the body without touching the affected body part to see which muscles are tight, or weak, and how the joints move and glide would be completely unacceptable. Internal palpation is an integral part of treating the pelvic floor and is the “gold standard” for pelvic floor care. (www.pelvichealthsolutions.ca)


CAN I BRING MY BABY WITH ME?
If you have an infant you are always more than welcome to bring them with you; however, coming to sessions solo is preferred, simply because we can concentrate on you and the whole visit can be spent working through your assessment and treatment. This is understandably not always possible and your baby is always welcome! Please be aware that if you bring your baby, it is possible we may have to curtail the amount of work we can do within the session if you need to tend to baby and pause treatment. Patients are often scheduled back to back and sessions will need to end on time in order to honour the time of the next patient. Please remember you are responsible for the safety of your baby while on the premises.


WHAT TO EXPECT DURING YOUR ASSESSMENT AND TREATMENT
• In your pelvic floor assessment and follow up appointment we will:
• Take a detailed personal and medical history
• Assess your posture, spine, and check for muscle imbalances
• Assess the strength, tone, and function of your pelvic floor muscles and core (this is done with an external and an internal exam of the pelvic floor) *NOTE: An internal Pelvic exam is the gold standard for Pelvic floor care. If you are uncomfortable or have questions please talk to your physiotherapist for the best possible treatment for you.
• Check for Diastasis Recti – abdominal separation
• Check for pelvic organ prolapse
• Assess and treat any scar tissue from tears or incisions from previous births or surgeries in our pelvic floor and abdomen
• Put together a comprehensive treatment plan that may include exercise, manual therapy, education, and self management of your symptoms.
• Address any questions or concerns you may have in regards to your care