Pelvic health is a crucial aspect of overall well-being, yet it’s often overlooked or misunderstood. Issues like prolapse and incontinence can significantly impact one’s quality of life. Fortunately, pelvic floor physiotherapy offers effective solutions. In this blog, we’ll delve into what happens during a pelvic floor physiotherapy initial assessment, highlighting the importance of addressing pelvic health concerns.


What is Pelvic Floor Physiotherapy?

Pelvic floor physiotherapy focuses on assessing and treating conditions related to the pelvic floor muscles, ligaments, and connective tissues. These muscles play a vital role in supporting pelvic organs, bladder, and bowel function. Conditions such as pelvic organ prolapse, urinary incontinence, and fecal incontinence often stem from pelvic floor dysfunction. Pelvic floor physiotherapists are specially trained to address these issues through targeted exercises, manual therapy, and education.


Importance of Pelvic Health:

Maintaining pelvic health is essential for overall well-being. Pelvic floor muscles support the bladder, uterus, and bowel, helping to control urinary and fecal continence. However, factors like pregnancy, childbirth, aging, and high-impact activities can weaken these muscles, leading to various pelvic floor disorders. Addressing pelvic health concerns early can prevent complications such as prolapse and incontinence, improving quality of life and confidence.


The Initial Assessment Process:

During a pelvic floor physiotherapy initial assessment, several key steps are taken to understand the patient’s condition comprehensively.


  1. Medical History:

The assessment begins with a detailed review of the patient’s medical history, including any past surgeries, pregnancies, and pelvic floor symptoms. This helps the physiotherapist gain insight into potential risk factors and underlying causes of pelvic floor dysfunction, such as pelvic organ prolapse or urinary incontinence.

  1. Symptom Assessment:

The patient is asked about specific symptoms related to pelvic health, including urinary and fecal incontinence, pelvic pain, and sexual dysfunction. Understanding the nature and severity of these symptoms guides the treatment plan and interventions tailored to the individual’s needs.

  1. Pelvic Floor Examination:

A physical examination of the pelvic floor muscles is conducted to assess their strength, tone, and coordination. This may involve internal palpation of the pelvic floor muscles to identify areas of weakness, tightness, or dysfunction. While this may seem intimidating, pelvic floor physiotherapists are trained to ensure the patient’s comfort and privacy throughout the examination and only proceed with consent.

  1. Functional Assessment:

In addition to the pelvic floor examination, functional assessments may be performed to evaluate how pelvic floor dysfunction impacts daily activities. This may include assessing posture, movement patterns, and bladder/bowel habits to identify contributing factors and develop a comprehensive treatment plan.

  1. Education and Treatment Plan:

Based on the assessment findings, the physiotherapist educates the patient about their pelvic health condition, including the role of pelvic floor muscles and potential contributing factors. A personalized treatment plan is then developed, incorporating strategies such as pelvic floor exercises, behavioral modifications, and lifestyle recommendations to address prolapse, incontinence, or other pelvic floor disorders.


Addressing Prolapse, Incontinence, and Pelvic Health:

Pelvic floor physiotherapy plays a crucial role in addressing pelvic organ prolapse, urinary incontinence, and fecal incontinence through targeted interventions.


  • Prolapse: Pelvic floor exercises, also known as Kegels, can help strengthen the pelvic floor muscles, providing support to pelvic organs and reducing the severity of prolapse symptoms. Additionally, manual therapy techniques may be used to improve pelvic floor muscle function and alignment.
  • Urinary Incontinence: Behavioral modifications, such as bladder retraining and fluid management, can help manage urinary incontinence symptoms. Pelvic floor exercises aimed at improving muscle strength and coordination are also effective in reducing urine leakage and improving bladder control.
  • Fecal Incontinence: Pelvic floor exercises combined with bowel management strategies can help improve bowel control and reduce episodes of fecal incontinence. Dietary changes, such as increasing fiber intake, may also be recommended to promote regular bowel movements and reduce stool consistency.



A pelvic floor physiotherapy initial assessment is a comprehensive process aimed at addressing pelvic health concerns, including prolapse, incontinence, and pelvic floor dysfunction. By understanding the importance of pelvic health and seeking early intervention, individuals can improve their quality of life and regain confidence in daily activities. Don’t let pelvic health issues go untreated – take the first step towards a healthier pelvic floor today.