Pelvic floor concerns are common — but they are not something you have to live with.
Pelvic floor physiotherapy focuses on the assessment and treatment of the muscles, joints, and connective tissues that support the bladder, bowel, and reproductive organs. These structures play a key role in continence, posture, core stability, and overall comfort.
At Fulcrum Therapy, pelvic floor physiotherapy is provided by Aishwarya Pandya, Registered Physiotherapist, in a supportive and respectful environment where your comfort, consent, and understanding always comes first.
Care is always individualized based on your symptoms, goals, and stage of life. Treatment approaches may vary based on your symptom presentation, pain levels, and level of comfort. This is why an initial assessment with our physiotherapist is crucial to ensure we provide the most tailored 1:1 treatment to achieve remarkable results.
Conditions We Treat
Pelvic floor physiotherapy can help with a wide range of concerns, including:
Urinary or Bowel Incontinence
Chronic Groin Strains
Recurrent Groin Strains
Pelvic Girdle Pain
Tailbone Pain (Coccydynia)
Sacroiliac (Si) Joint Dysfunction
Perinatal Recovery
Post-Partum Recovery
Low Back Pain
Pelvic Organ Prolapse
Painful Intercourse
Pelvic Pain
Pelvic Pressure
Pelvic Heaviness
What to Expect During Your Appointment
Your first session begins with a detailed conversation about your concerns, medical history, and goals for treatment. Education is a key part of care — you’ll always understand why something is being assessed or treated before it begins.
You are always in control of your care. Consent is ongoing, and techniques are adapted to your comfort level.
Assessment and Treatment May Include:
External posture, breathing, core, hips & pelvic mechanics assessment
Internal assessment if needed, appropriate & with informed consent
Use of manual therapy techniques to assist in immediate pain relief
Advice and education on movement retraining
Guided exercises to strengthen pelvic floor muscles when warranted
Education on mechanism of injury & how to avoid re-injury in the future
Education on bladder, bowel, and pelvic health strategies
At home care exercises and recommendations for a faster recovery
Call +1 (604) 227-4536 or book online to schedule your visit. Walk-ins are welcome as space allows, and no referral is needed.
Coverage options include most extended health plans, MSP supplementary benefits, ICBC, and Worksafe BC.
Pelvic floor physiotherapy may be especially beneficial for:
If you’re unsure whether pelvic floor physiotherapy is right for you, we’re happy to help guide you.
Book an appointment with Aishwarya Pandya, Physiotherapist, or contact our clinic to learn more.
Have questions about our services, appointments, or coverage? Find quick answers to common inquiries here. Need more help? Our team is always happy to assist.
Before your visit, please complete all intake forms online so your physiotherapist can review your history in advance. To help with assessment accuracy, we recommend
No, you do not need a referral from your doctor to see a pelvic floor physiotherapist in BC.
Yes. Having your period does not prevent you from attending pelvic floor physiotherapy.
If you’re beginning care postpartum, we suggest booking around 6–8 weeks after delivery, unless your healthcare provider recommends earlier support.
Bladder leakage is common, but it’s not something you have to accept as normal or permanent. Pelvic floor physiotherapy can assess contributing factors and help improve control, confidence, and function.
The session begins with a thorough explanation and guidance to help you understand what will be evaluated and the reasons behind it.
With your explicit, ongoing consent, assessment may include:
You may stop, pause, or decline any part of the assessment at any time.
Your comfort is a priority. Your physiotherapist will explain what to expect, check in frequently, and adapt treatment as needed. You are always encouraged to ask questions or change direction at any point.
Yes. Pain with intercourse can be influenced by muscle tension, coordination, breathing patterns, and other contributing factors. Pelvic floor physiotherapy focuses on understanding these contributors and guiding you toward safe, gradual improvement.
That’s completely normal. Pelvic floor physiotherapy involves sensitive topics, and your physiotherapist is trained to provide care that is respectful, informative, and paced according to your comfort level. You are always in control of your care.
The number of visits varies depending on your goals, symptoms, and how your body responds to treatment. Your physiotherapist will discuss a recommended plan after your assessment and adjust it as needed.
Yes, we do offer direct billing to majority of insurance companies. We also accept MSP and ICBC related claims as well.
Currently, we do not offer any home visits.
Yes. It is safe to begin pelvic floor physiotherapy during pregnancy, and it often helps relieve pelvic pain, tailbone discomfort, lower back pain, or bladder issues.
Internal assessments are avoided during the first trimester, but education and external treatment can still be highly effective. Learning how to coordinate and relax your pelvic floor during pregnancy may also support labour and postpartum recovery.
Many people seek pelvic floor physiotherapy as a preventative or educational step, especially after pregnancy. Even without pain or leakage, learning how to properly engage and protect your pelvic floor and core can be extremely valuable.
No. In fact, pelvic floor muscles are often too tight or overactive, rather than weak. In these cases, focusing only on strengthening may worsen symptoms. Your physiotherapist will assess muscle coordination, tone, and control to determine the right approach for you.
Not always. Many treatment plans rely heavily on external techniques, education, and movement strategies. Internal techniques are only discussed if relevant and are never mandatory.
Yes. Tailbone (coccyx) pain is often connected to pelvic floor tension, pelvic mechanics, or surrounding joints. Addressing these factors can significantly reduce discomfort and improve sitting tolerance.
Pelvic floor physiotherapy can help manage symptoms related to prolapse by improving muscle coordination, pressure management, and functional strength. While it may not reverse anatomical changes, it can significantly improve comfort and confidence.
For the initial assessment, we recommend arranging childcare, if possible, as the visit is longer and education focused. Follow-up sessions are shorter and may be more flexible. Please feel free to discuss your situation with your therapist. You are welcome to bring someone with you if it helps you feel more at ease.
Our Process
Healing starts with understanding. Our process blends personalized care, mindful movement, and education to help you thrive beyond recovery.
We discuss your goals, review concerns & assess your physical limitations.
We explain each step, ensure your consent, and provide one-on-one personalized care.
You receive expert, one-on-one care aimed at relief, mobility, and better function.
We empower you with guidance and tools to manage symptoms & gain independence.
At Fulcrum Therapy, we support your health with personalized, evidence based care. Our team integrates chiropractic, physiotherapy, massage, kinesiology, and more to tailor treatment to your needs. Safety, comfort, and lasting results come first. Whether you are recovering from injury or managing a chronic condition, we are with you every step.
All sessions are one on one with your clinician’s full attention, so you feel informed, confident, and in control. We collaborate to speed recovery and deliver care that empowers lasting wellness.
Our approach combines personalized, evidence-based care with compassion, collaboration, and respect for your well-being.
100% therapist attention for faster, safer progress.
Services that support body and mind from chiro to pilates.
We coordinate with your care providers for one unified plan.
Hands-on techniques to relieve pain and restore movement.
Evidence-based protocols to speed recovery after surgery.
We help you manage symptoms confidently with informed care.
Multilingual, LGBTQ+ affirming, and inclusive care.
Specialized practitioners creating plans tailored to you.
See What Others Say About Us
Real stories from our patients highlight how expert care, compassion, and collaboration at our clinic. We deliver lasting results, relief, and confidence in recovery.
Making Direct Billing Easy For Our Patients
We work with most major insurance plans and submit claims directly for you to save you time and direct out-of-pocket costs.
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