Pelvic Floor Rehabilitation 

Pelvic floor rehabilitation is a first-line, conservative approach for many pelvic floor concerns, including urinary and fecal incontinence, pelvic organ prolapse, sexual pain/dysfunction, and pelvic pain. It’s an evidence-based form of physiotherapy that focuses on improving pelvic floor muscle strength, endurance, coordination, and—just as importantly—relaxation when needed.
[1][4][5]

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At Stride Physio & Performance, pelvic floor rehab is collaborative and patient-centred. We’ll talk through your symptoms, goals, and comfort level, then build a plan that fits your life.

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How Pelvic Floor Rehabilitation Can Help 

Pelvic floor physiotherapy may be helpful for:

• Urinary incontinence (stress, urge, or mixed)

• Fecal incontinence

• Pelvic organ prolapse

• Sexual dysfunction (including pain with intercourse, vaginismus)

• Pelvic pain and myofascial pelvic pain

• Pregnancy and postpartum pelvic floor concerns

• Diastasis recti (abdominal separation) [1][3]

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What to Expect During Appointments

Your first appointment typically includes a detailed history, education, and a movement-based assessment to understand what’s contributing to your symptoms and what your goals are. Depending on your needs—and only with your informed consent—assessment and treatment may include internal pelvic floor evaluation and hands-on techniques.

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Treatment can include:

• Pelvic floor muscle training (PFMT) and progressive exercise

• Coordination and relaxation strategies (not just “strengthening”)

• Biofeedback training

• Electrical stimulation when appropriate

• Manual therapy

• Behavioural education and practical self-management strategies [1][2][4][5]

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What the Evidence Says

Pelvic floor muscle training is strongly supported by research and is recommended as a first-line option for urinary incontinence. Clinical reviews and guideline-level evidence show meaningful improvements in symptoms with structured PFMT programs. [4][5]

Outcomes are generally better when it is individualized and supervised, rather than relying on generic exercise or unsupervised “Kegels.” [1][5]

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Different formats can also be effective. Research supports both individual and group-based pelvic floor training programs for certain populations, which can improve access while still producing meaningful results.
[6] Emerging evidence is also exploring video-based and virtual options to increase accessibility. [8]

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Pregnancy, Postpartum, and Special Considerations

Pelvic floor muscle training is considered safe during pregnancy and postpartum for many people and may help prevent or reduce pelvic floor symptoms such as incontinence. [2][7]

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Your plan will always be adjusted to your stage of pregnancy or postpartum recovery, symptoms, and activity goals.

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When Pelvic Floor Rehab May Not Be Appropriate

There are times when internal pelvic assessment or certain interventions may be delayed or modified—such as with active pelvic infections, unexplained bleeding, open wounds/sutures, or other medical considerations. We’ll screen carefully and coordinate with your healthcare team when needed. [2]