What Happens at a Pelvic Floor Physio Assessment?

A pelvic floor physiotherapy assessment begins with a discussion about your symptoms, followed by an external exam of your posture, back, and core muscles. An internal exam is always optional and only done with your full consent; modern clinics may also use contact-free technology. Afterward, your therapist will explain their findings and create a simple, personalized treatment plan to help you reach your goals.


Now, more in detail…

It’s completely normal to have questions about what to expect at your first appointment. Knowing the steps ahead of time can make the whole process feel much more comfortable and straightforward. At The Mom Loft, our goal is to support you with gentle and effective pelvic floor physiotherapy, and that starts with a reassuring assessment. This guide will walk you through exactly what happens, from the initial chat to creating your personalized care plan.

The First Step: A Friendly Chat About You

Your assessment begins not with a physical exam, but with a simple, private conversation. This first step is all about us listening to you. We want to understand your story, what you’re feeling, and what you hope to achieve in a space where you can feel completely comfortable and heard.

Taking Your Medical History

To get a full picture, your physiotherapist will ask some questions about your health. We’ll talk about your medical history, any pregnancies or births, and your daily habits. Think of it as putting together the puzzle pieces so we can see what’s really going on.

Understanding Your Goals and Concerns

This part is all about what matters most to you. Do you want to run without leaking? Do you want to lift your kids without pain? We’ll ask about your personal goals so we can create a plan that helps you get back to living your life fully.


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The Physical Exam: Checking Your Movement

Before focusing on the pelvic floor itself, we look at how your whole body moves. Your pelvic floor is part of a bigger team that includes your core, back, and hips. Understanding how they all work together is key to finding the right solution.

Assessing Your Posture and Hips

Your therapist will start by looking at how you stand, sit, and walk. Sometimes, small issues with your posture or hips can put extra strain on your pelvic floor. We will gently check the muscles in your lower back and around your hips for any tightness or weakness.

The External Pelvic Assessment

Next, your therapist will gently press on different areas of your abdomen and around your pubic bone. This is a simple external check to feel the muscles from the outside. It helps us find any tender spots and see how your core muscles are working.

The Internal Exam: Getting a Clearer Picture

For many, this is the part of the assessment that causes the most concern, and we completely understand. An internal exam is considered the traditional way to get the most accurate information about your pelvic floor muscles. However, it is 100% optional, and we only proceed if you are completely comfortable.

How We Ensure Your Comfort and Consent

Your comfort and trust are the most important things to us. Before an internal exam, we always do three things. First, your therapist will explain every single step of the process so there are no surprises. Second, we will always ask for your clear and enthusiastic permission to proceed. Third, you are always in control and can ask to pause or stop at any time, for any reason.

What We Learn from the Internal Exam

If you choose to have an internal exam, it gives your therapist valuable information. They can gently feel the pelvic floor muscles to check for three key things. We check their resting tone (are they too tight?), their strength (can they squeeze effectively?), and their coordination (do they work at the right time?).

Our Modern Approach: A Contact-Free Assessment

At The Mom Loft, we are proud to offer a modern alternative to the traditional assessment. We use advanced technology that allows us to understand your pelvic floor without needing an internal exam. This is a great option for anyone who prefers a completely contact-free approach.

Using the B-Pulse Chair Technology

We use a state-of-the-art B-pulse chair for many of our assessments and treatments. This chair uses special energy waves (High-Intensity Electromagnetic Technology) to communicate directly with your pelvic floor muscles. It allows us to see how your muscles respond, giving us great information about their function and strength, all while you remain fully clothed.

What a Pain-Free Assessment Feels Like

An assessment with the B-pulse chair is simple and completely painless. You just take a seat in your regular clothes for a short period of time. You might feel your muscles gently contracting on their own, but many women find the sensation relaxing as the technology does all the work.

Creating Your Personalized Treatment Plan

After the assessment is complete, the final step is to put all the information together. Your therapist will use what they learned from our chat and the physical assessment to build a care plan that is unique to you.

Explaining Our Findings in Simple Terms

We will sit down with you and explain everything in plain, easy-to-understand language. There will be no confusing medical jargon. We want you to leave feeling clear, informed, and confident about the state of your pelvic health.

Your First Steps and Home Exercises

Your treatment plan will include the care you receive in our clinic and a few simple things you can do at home. We will give you some easy and effective exercises to get you started on your path to recovery. This helps you take an active role in feeling better right away.

Tight pelvic muscles can sometimes interfere with blood flow, so it is helpful to understand how to know if you have erectile dysfunction if your symptoms continue after a workout.

Final Words: Your first assessment is simply a conversation and a gentle check-up to create the best plan for you. There is nothing to be nervous about, and our team is here to make you feel completely comfortable. If you are ready to take the first step toward feeling stronger and more confident, please contact us.

  • Name: The Mom Loft
  • Address: 420-20 De Boers Drive, North York, ON
  • Phone: 844-666-5638
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