During your initial assessment, your therapist will get a better understanding of what brings you to pelvic physiotherapy and what your goals for treatment are. This includes taking a detailed history about your current symptoms, discussing your current pelvic health (urinary, bowel, sexual history) and your past medical history. We will discuss what you are hoping to gain from treatment to make specific and measurable treatment goals.
Your initial assessment may also involve a physical exam. Although our focus is on pelvic health, our assessment looks at the whole person. Your exam may include assessment of the back, hips, pelvis and functional movements like walking and squatting.
Assessment of the pelvic floor muscles may include both an external and/or internal examination vaginally and/or rectally. Sometimes this exam is completed in the initial assessment but is always optional. Depending on your symptoms, comfort level and treatment goals any internal examination will be discussed thoroughly with you prior.