Pelvic Floor Physiotherapy in the Toronto Annex

Reviewed by Audrey Cullis, Registered Physiotherapist (Pelvic Health) · Updated October 2026

Many people live with pelvic health issues, such as bladder leaks when coughing, persistent pelvic pain, or core weakness after childbirth, assuming these symptoms are just an inevitable part of aging or lifestyle changes. However, these common struggles are not something you simply have to tolerate.

At Resilience Physiotherapy, located in the vibrant Toronto Annex neighbourhood, we provide compassionate, evidence-based pelvic floor physiotherapy. Our private, one-on-one treatments are designed to help you regain control, relieve pain and discomfort, and restore confidence in your body. Whether you are navigating pregnancy, recovering postpartum, or dealing with chronic pelvic floor dysfunction, our dedicated team is here to guide you through a personalized recovery framework.

Quick facts

How much does pelvic floor physiotherapy cost?

An initial assessment is 60 minutes and costs $190. Follow-ups are $130 for 30 minutes, $160 for 45 minutes and $190 for 60 minutes.

Is it covered by insurance?

Pelvic floor physiotherapy is covered by most extended health plans under physiotherapy. We don't bill insurers directly; we provide a receipt for you to submit.

Understanding the Role of Your Pelvic Floor Muscles

The pelvic floor is a critical group of muscles, ligaments, and connective tissues that stretch like a supportive hammock across the base of your pelvis. These muscles serve several essential physiological functions, including:

Sustaining Internal Organs: They provide physical support to your bladder, bowel, and uterus (in women), keeping them securely in their proper anatomical positions.
Maintaining Continence: They wrap tightly around your urethra and anus, allowing you to voluntarily control urination and bowel movements.
Stabilizing Your Core: Working seamlessly with your deep abdominal muscles, diaphragm, and lower back muscles, the pelvic floor acts as a vital stabilizer for your spine and hips.
Assisting Sexual Function: Healthy muscle tone in this area is directly tied to sexual comfort, sensation, and overall function.

When these muscles become either too weak (hypotonic) or too tight and unable to relax (hypertonic), it can lead to structural dysfunction, chronic discomfort, and frustrating limitations in your everyday life.

Common Conditions We Treat at Our Toronto Clinic

Pelvic health challenges can affect individuals of all genders, ages, and fitness backgrounds. At our Spadina Ave clinic, we regularly assess and treat a wide range of pelvic floor concerns, including:

Urinary Incontinence: This includes stress incontinence (leaking urine when laughing, coughing, running, or lifting) and urge incontinence (a sudden, overwhelming need to use the washroom).
Pelvic Organ Prolapse (POP): A condition where pelvic organs descend from their normal position, often causing a heavy, dragging, or full sensation in the pelvis.
Pregnancy and Postpartum Concerns: Supporting patients with core weakness, lower back pain, pelvic girdle instability, and diastasis recti (separation of the abdominal muscles) as they prepare to return to fitness.
Chronic Pelvic Pain: Managing conditions like vulvodynia, interstitial cystitis (painful bladder syndrome), dyspareunia (painful intercourse), and generalized pelvic floor muscle spasms.
Bowel Dysfunction: Helping individuals overcome chronic constipation, straining, or fecal urgency by retraining coordinated muscle relaxation.

What to Expect During a Pelvic Health Assessment

We understand that seeking help for pelvic health concerns can feel vulnerable or intimidating. That is why your comfort, privacy, and clinical safety guide every assessment and treatment. All assessments and follow-up treatments take place in a completely private, quiet treatment room.

A Holistic, Evidence-Based Clinical Approach

Your initial consultation begins with a comprehensive discussion of your medical history, symptoms, lifestyle, and unique recovery goals. Because the pelvic floor does not function in isolation, your physiotherapist will also assess your overall movement mechanics, breathing patterns, hip mobility, and lower back stability.

With your explicit, informed consent, a physical assessment may be recommended. This can include an external orthopaedic examination and, when appropriate, an internal evaluation of the pelvic floor muscles. The internal exam allows your therapist to precisely measure muscle strength, resting tone, endurance, and coordination. If an internal exam is not comfortable or appropriate for you, we adapt your plan using external assessment techniques and ultrasound feedback.

Specialized Treatment Strategies for Lasting Results

Once we pinpoint the underlying source of your dysfunction, we design a customized rehabilitation roadmap. Depending on your needs, your care plan may include:

Targeted Muscle Retraining: For weak or stretched muscles, we teach precise coordination exercises that go far beyond basic, unguided "Kegels."
Manual Therapy and Down-Training: For tight, hypertonic muscles, we utilize gentle internal and external soft tissue release, trigger point therapy, and fascial stretching to alleviate localized pain and tension.
Biofeedback and Education: Helping you build a strong mind-body connection so you can consciously relax or engage your pelvic floor during daily tasks.
Functional Movement Integration: We progress your exercises into functional movements like squatting, lifting, and running, helping your core handle real-world physical demands.

Convenient Local Care in the Heart of the Annex

Resilience Physiotherapy is proudly located at 738 Spadina Ave, Suite 200, providing convenient access to pelvic health care for residents across Toronto. Our clinic is situated just a brief 3-minute walk south of the Spadina TTC Subway Station, right beside the Miles Nadal Jewish Community Centre (JCC).

We regularly welcome patients from surrounding neighbourhoods, including Yorkville, the University of Toronto campus, Little Italy, and Harbord Village. Whether you want to exercise without fear of leaking, prepare your body for childbirth, or find lasting relief from chronic pelvic pain, our welcoming environment is built to support your healing journey.

Take Control of Your Pelvic Health Today

You do not have to navigate pelvic discomfort or core weakness on your own. At Resilience Physiotherapy, your pelvic health assessment takes place in a private treatment room and begins with a conversation about your symptoms, goals, and comfort level.

BOOK YOUR PELVIC FLOOR PHYSIOTHERAPY APPOINTMENT ONLINE

or call or text our team at 647-691-5447 to discuss the support you need.

Frequently Asked Questions About Pelvic Physiotherapy

No, an internal exam is entirely optional. While it provides the most accurate data regarding muscle tone and strength, it is never mandatory. We can assess and treat many aspects of pelvic floor health using external manual therapies, hip and core assessments, breathing techniques, and lifestyle education.
Yes, absolutely. Having your period does not interfere with the assessment or treatment process, and it is completely safe to proceed with an internal exam if you are comfortable doing so. However, if you prefer to avoid internal work during your cycle, we can pivot that session entirely to external manual therapy, core mechanics, and exercise rehabilitation.
Yes, it is highly beneficial. Seeing a pelvic health physiotherapist during pregnancy can help you manage pelvic girdle pain, maintain core and pelvic floor endurance as your body changes, and teach you how to properly relax your muscles in preparation for labour and delivery.