What Do They Do During a Pelvic Floor Physio Therapy Session?

A pelvic floor physiotherapy session begins with an initial consultation where the therapist gathers detailed information about the patient’s symptoms, medical history, and specific concerns. This is followed by a thorough assessment, which may include real-time ultrasound imaging to evaluate muscle function and identify any imbalances. The therapist employs hands-on techniques such as manual therapy, including internal examinations, to assess and treat pelvic dysfunctions. From this in-depth evaluation, a personalized treatment plan is developed, incorporating exercises, manual therapy, and lifestyle modifications. But what specific techniques and exercises are used to address these issues?

Initial Consultation

During the initial consultation, the pelvic health physiotherapist will conduct a thorough history assessment to fully understand your symptoms and concerns. This in-depth evaluation is essential for tailoring a personalized treatment plan. The session typically begins with a discussion about your medical history, including any previous pregnancies, childbirth experiences, and relevant surgeries.

The physiotherapist may inquire about bladder and bowel function, as well as any pain during sexual intercourse, which can provide vital insights into your condition.

For those seeking pelvic floor physio in Melbourne, it’s common to discuss how daily activities and lifestyle factors impact your symptoms. This may include understanding your posture, movement patterns, and any specific triggers that exacerbate your condition. The physiotherapist might also address any previous treatments or therapies you have attempted, ensuring a holistic view of your pelvic health.

Empathy and professionalism are key during these consultations, especially for sensitive topics. Whether you are searching for pelvic floor therapy near me or need specialized pregnancy physio in Melbourne, the goal is to create a safe and supportive environment.

This initial step is important for developing a targeted approach to improve your pelvic health and overall well-being.

Assessment and Evaluation

A thorough assessment and evaluation are vital components of a pelvic floor physiotherapy session, designed to precisely identify the underlying causes of the patient’s symptoms. This process often begins with a detailed history assessment, where the physiotherapist gathers information about the patient’s symptoms, medical history, lifestyle, and specific concerns. This initial dialogue helps in forming a detailed understanding of the individual’s condition.

The evaluation may include an external examination to observe the pelvic area for signs of muscle dysfunction, pelvic organ prolapse, or other abnormalities. In many cases, an internal vaginal or rectal examination is conducted to assess the strength, tone, and coordination of the pelvic floor muscles. This internal evaluation is essential for identifying muscle imbalances, tightness, or weaknesses that may contribute to the patient’s symptoms.

In addition to manual examinations, real-time ultrasound imaging might be employed. This non-invasive tool provides a visual representation of the pelvic floor muscles in action, allowing for precise assessment and aiding in the formulation of an effective treatment strategy.

The information gleaned from these assessments lays the groundwork for developing a personalized treatment plan tailored to the individual’s needs and goals.

Personalized Treatment Plan

Creating a personalized treatment plan in pelvic floor physiotherapy involves tailoring interventions to the specific needs and assessment findings of the individual, ensuring a targeted and effective approach to improving pelvic health. This bespoke plan is developed after a thorough assessment and evaluation of the patient’s symptoms, lifestyle, and pelvic floor function.

The treatment plan may include a variety of approaches such as targeted exercises designed to either strengthen or relax the pelvic floor muscles depending on the specific dysfunction identified. Manual therapy techniques might be employed to address any muscle tightness or pain. Biofeedback can be used to help patients gain better awareness and control of their pelvic muscles.

In addition, relaxation techniques and lifestyle modifications are often recommended to support the therapy. This could involve guidance on posture, breathing exercises, and dietary changes to mitigate symptoms. The physiotherapist ensures that all interventions are performed without causing pain, focusing on gradual improvement.

Follow-up sessions are essential to monitor progress, make necessary adjustments to the treatment plan, and provide continuous support. The ultimate goal is to alleviate symptoms like incontinence or pelvic pain, thereby enhancing the patient’s overall pelvic health and quality of life.

Hands-On Techniques

Hands-on techniques in pelvic floor physiotherapy involve the application of manual therapy to assess and treat various dysfunctions within the pelvic region. These techniques often start with an internal vaginal or rectal examination to evaluate the pelvic floor muscles. This assessment helps identify factors such as muscle tone, strength, coordination, and areas of tightness or tenderness, providing essential insights into the underlying issues.

Manual therapy may include the application of gentle pressure, stretching, or specific massage techniques aimed at releasing muscle tension, improving blood flow, and enhancing muscle function. The therapist uses their hands to perform these targeted interventions, focusing on alleviating pain, reducing muscle tightness, and improving overall pelvic health.

By addressing muscle imbalances and restrictions, these hands-on techniques can greatly improve muscle function and reduce discomfort. The primary goal of these interventions is to restore ideal pelvic floor function, thereby enhancing the individual’s quality of life.

Through empathetic and professional care, pelvic floor physiotherapists help patients navigate their symptoms and work towards holistic recovery. Each session is tailored to the individual’s specific needs, ensuring that the approach remains both effective and respectful of the patient’s comfort and dignity.

Home Exercise Program

Developing a home exercise program is vital for reinforcing the benefits of pelvic floor physiotherapy and promoting long-term pelvic health. Tailored to the individual’s specific needs, these exercises are designed to strengthen or relax the pelvic floor muscles, thereby improving muscle coordination, endurance, and overall function.

A thorough home exercise program typically includes Kegel exercises, which focus on contracting and relaxing the pelvic floor muscles to enhance bladder and bowel control. Additionally, core strengthening exercises are often incorporated to provide better support to the pelvic organs and improve overall stability. Relaxation techniques may also be included to address issues such as pelvic pain and muscle tension.

Consistency and proper technique are essential for achieving optimal results. The exercises prescribed are meant to complement in-clinic treatments, empowering individuals to take an active role in their rehabilitation process. By following the home exercise program diligently, patients can experience significant improvements in their symptoms and overall pelvic health.

The empathetic guidance of a pelvic health physiotherapist ensures that patients feel supported and confident in their ability to perform these exercises correctly, ultimately fostering a sense of empowerment and commitment to their long-term well-being.


To wrap up, pelvic floor physiotherapy sessions offer a holistic approach to managing pelvic dysfunctions through thorough assessments and personalized treatment plans.

An interesting statistic reveals that approximately one in three women experience pelvic floor disorders, underscoring the significance of specialized care.

Techniques such as manual therapy, real-time ultrasound imaging, and biofeedback are employed to enhance muscle function and improve quality of life.

These interventions are essential for addressing the multifaceted nature of pelvic floor issues.

Please book appointment here or call us on (03) 4821 5023 if you have questions and want to learn about our pelvic floor physiotherpy services – book in for an assessment tailored to your care, needs and well-being.  

Our North East Melbourne metro based physiotherapy clinic is open six days a week and you can book your appointment online for convenience.