Pelvic Floor Physiotherapy in Waterloo

Sneeze, jump, laugh out loud. Without hesitation.

An appointment with our pelvic health physiotherapists will provide solutions to give you the confidence to enjoy everyday activities. We have the knowledge and tools to help those who've tried Kegels with no luck.

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Get peace of mind with a roadmap for recovery

A pelvic floor physiotherapist can assess and address your condition with a degree of specificity and expertise you won’t find with an online tutorial.

Objective Examination

We complete an objective exam to look at your body at rest and with movement to evaluate various areas of the body that could be contributing to your condition.

Clarity about your condition

You'll get peace of mind with a clear understanding of your diagnosis and a plan for recovery.

A plan for recovery

Treatment may include exercises, manual treatment of the pelvic floor muscles, advice about daily function and fitness, as well as good bowel and bladder habits.

Our physiotherapists can help if...

If you are like the majority of our patients, you've already tried to do something about your issue yourself or have waited for it to resolve itself.

You've tried Kegels or other exercises from the Internet, but they didn't help your issue

You have difficulty with urination, bowel movement, or controlling gas

You make multiple trips to the bathroom at night

You have leakage when you cough or sneeze

You've been diagnosed with organ prolapse, vaginismus, endometriosis, or volvodynia

You have some of the symptoms above and you think they're "just part of life"

I left my treatment with a sense of hope and excitement for my healing journey with pelvic physiotherapy! I guarantee you will feel the same as me ❤️

- Tammy B.

Common issues we help patients with

Women

Pelvic floor physiotherapy helps women improve strength, coordination, and function of the pelvic floor, to address incontinence, pelvic pain, and discomfort during sex, and supporting recovery after pregnancy and childbirth.

Persistent pelvic pain

Pelvic organ prolapse

Pain with intercourse

Urinary incontinence

Rectus diastasis

Many more

Men

Pelvic floor physiotherapy helps men by strengthening and retraining the pelvic floor muscles to improve bladder and bowel control, reduce pelvic pain, support recovery after prostate or pelvic surgery, and enhance sexual function and comfort.

Frequent urination at night

Before & after prostate surgery

Tight pelvic floor

Erectile dysfunction

Many more

Kids

Pediatric Pelvic Physiotherapy focuses on helping children who have difficulties with bladder, bowel, or pelvic floor function.

Bed wetting

Constipation and stool withholding

Fecal incontinence

Urinary urgency/frequency

Painful urination or bowel movements

Pregnancy

Pelvic floor physiotherapy can help mange symptoms that many women experience with pregnancy. This can include:

Diastasis rectus abdominus
Constipation, haemorrhoids, pain with bowel movements, fecal incontinence or urgency
Low back pain, hip pain, sacral pain, tailbone and or coccyx pain
Urinary incontinence, frequency, painful urination, incomplete bladder emptying
Painful intercourse, organs or sexual stimulation (Dyspareunia and vaginismus)
Pelvic girdle pain, sacral (SIJ) pain, and pubic symphysis pain
Bladder pain

Labour and delivery

Postnatal

Male pelvic pain

It's not uncommon for men to have pelvic floor issues and pelvic pain. An assessment by a pelvic floor physiotherapist can help by looking for tension in pelvic muscles, joint restrictions, or nerve irritations. We may be able to help is you are experiencing:

Pain in the penis, scrotum, anus/rectum, perineum
Pain in the lower abdomen, groin, sacrum, tailbone
Urinary urgency, frequency, difficulty urinating
Constipation, difficulty or pain with emptying bowels
Pain with or after ejaculation
Erectile dysfunction

Prostate surgery prehab and rehab

During prostatectomy surgery, the internal urethral sphincter may be removed along with your prostate. This can cause leakage after your surgery. However, your pelvic floor muscles can be re-trained to act similarly to the lost sphincter. We can help you train these pelvic floor muscles to optimize their strength, endurance, and coordination in their new role. It's better to start your program before your surgery. Our pelvic health physiotherapists can help you:

Provide exercises to restore strength of pelvic floor muscles
Work on endurance, and flexibility of pelvic floor muscles
Guide you to coordinate pelvic floor muscles with other core muscles
Address voiding issues by providing education on toileting positions

Pediatric Pelvic Floor Physiotherapy

Pediatric Pelvic Physiotherapy focuses on helping children who have difficulties with bladder, bowel, or pelvic floor function. Using gentle, kid-friendly techniques, a pediatric pelvic physiotherapist helps children learn how to relax or strengthen the pelvic floor muscles, improve coordination, and develop healthy toileting habits.

Common conditions it can help with include:

Bedwetting and daytime urinary accidents
Constipation and stool withholding
Fecal incontinence
Urinary urgency/frequency
Painful urination or bowel movements
Pelvic pain
Post-surgical or developmental pelvic floor issues

What parents can expect:

A thorough, child-sensitive assessment (no internal exams for children)
Education about how the bladder and bowel work
Simple exercises, breathing strategies, and posture training
Guidance on routines, hydration, and toileting habits
Play-based techniques to help children understand and engage
A supportive, judgment-free environment focused on building confidence

What to expect

A thorough assessment

The first appointment consists of an assessment. This includes a detailed history taking of your complaints and symptoms.

Comfortable setting

In our private treatment rooms, we aim to create a comfortable environment for you to feel zero hesitation to raise any concerns or ask questions about anything you want to know.

Consent at every step

If we determine internal and external physiotherapy examination and treatments would be beneficial, we will only perform them with your explicit and ongoing consent.

How does pelvic floor physiotherapy work

The pelvic floor muscles form a 'sling' to support the organs inside the pelvis—bladder, bowel (colon), uterus. Proper function of these muscles can be disrupted by surgery, heavy lifting, being overweight, childbirth, constipation or menopause, affecting bladder and bowel control, leading to incontinence (leakage) or prolapse. Physiotherapists are experts in muscle function, tone, and strength, and therefore have the expertise to help with these and many other pelvic floor conditions.

Patient success stories

Proof we deliver on our promise. We have over

⭐⭐⭐⭐⭐ reviews.

"She was so personable, calming and the only person who reassured me and took my health concerns seriously. With her expertise, she found that I had hypertonicity of my pelvic floor." - AN, Google Review

"I started with Mira ... to resolve complicated pelvic muscle issues. Mira analyzed my issue with a whole body approach. She assessed me knowing that one part of the body does not work in isolation from the others." - MS, Google Review

"I’m a prostate cancer survivor... strengthening of my pelvic floor has improved my recovery continuing incontinence. Mira is willing to work with men who have an extremely embarrassing condition." - DO, Google Review