
Pelvic Floor Physiotherapy
in Victoria, BC
OUR SERVICES
Pelvic Floor Physiotherapy
Pelvic floor physiotherapy is a specialized type of physiotherapy that focuses on the assessment and treatment of the muscles, ligaments and connective tissues around your pelvis including the internal ones that support the bladder, uterus and rectum and combining this with a whole-body approach to improving pelvic health.
Pelvic floor physiotherapy is more than just the pelvic floor. It’s a comprehensive, evidence-based approach that looks at the whole body—how you move, breathe, and function in daily life.
Your pelvic floor doesn’t work in isolation. It connects with your core, hips, diaphragm, and nervous system. Whether you’re experiencing pain, leakage, prolapse, or recovering from birth or surgery, pelvic physiotherapists assess the full picture to provide tailored care.
Through movement, hands-on treatment, and education, we help you restore function, build strength, and feel more connected to your body. Backed by research, focused on you, and designed to support long-term wellness. Our compassionate and skilled physiotherapists are here to provide personalized care, ensuring that your concerns are understood and addressed through customized treatment plans in a safe, welcoming space.
Book your appointment today to begin your journey toward relief, recovery, and renewed pelvic health.
-
Preparing you to have an empowered, positive birthing experience (vaginal or c-section)
Pelvic floor and core health throughout pregnancy
Exercise during pregnancy
Incontinence (urinary or fecal)
Dyspareunia (pain with intercourse)
Pelvic girdle pain (including back pain, pelvic pain, hip pain, pubic symphysis pain, tailbone pain)
Round ligament pain
Pelvic organ prolapse
-
Incontinence (urinary and fecal)
Perineal tearing / episiotomy recovery
Scar management (perineal and c-section)
C-section recovery
Diastasis recti (abdominal separation)
Pelvic organ prolapse
Postpartum exercise and return to running
Retraining the pelvic floor muscles
Pain (including back pain, pelvic pain, hip pain, pubic symphysis pain, tailbone pain)
Dyspareunia (pain with intercourse)
-
Preparing you to have an empowered, positive birthing experience (vaginal or c-section)
Hands on labour skills for your partner
Pelvic floor muscle anatomy and function during labour and delivery
Reducing the risk of perineal tears
Labour & delivery postiions
Pushing strategies
Pain management education
Movements and exercises for birth prep and labour
-
C-section scars can lead to symptoms such as:
Numbness
Itchiness
Sensitivity
Restricted movement
“Shelf” appearance
Puckering or pulling
Adhesions contributing to abdominal discomfort or tension
These issues can affect abdominal and pelvic floor function, potentially leading to ongoing discomfort or dysfunction.
During this appointment, your scar will be assessed, and treatments may include:
Massage: To improve scar tissue mobility and circulation.
Cupping: To lift and release adhesions, promoting tissue flexibility.
Manual Mobilization Techniques: To reduce restrictions and improve movement.
Desensitization Techniques: To address sensitivity and reduce discomfort.
Perineal scars from tears or episiotomies can lead to symptoms such as:
Numbness
Itchiness
Sensitivity
Pain or discomfort
Restricted movement
Pulling or tightness
Adhesions that may affect pelvic floor function and surrounding tissues
These symptoms can contribute to challenges with sitting, intimacy, bowel and bladder function, or general pelvic discomfort.
During this appointment, your scar will be assessed, and treatments may include:
Massage: To improve scar tissue flexibility and circulation.
Manual Mobilization Techniques: To reduce tightness and improve tissue mobility.
Desensitization Techniques: To address sensitivity and reduce discomfort.
You will also receive a personalized home program to complement in-clinic treatments and support your recovery.
-
Pelvis related pain (including back pain, pelvic pain, hip pain, pubic symphysis pain, tailbone pain)
Vaginismus
Vulvodynia
Endometriosis related symptoms
Interstitial cystitis / bladder pain syndrome
Period pain
Pelvic organ prolapse discomfort
Dyspareunia (pain with intercourse)
Pelvic trauma or injuries to the tailbone or pelvis
Penile or Testicular Pain
-
Vulvodynia is chronic vulvar pain or discomfort without a clear medical cause. Symptoms may include:
Burning, stinging, or raw sensations in the vulva
Pain during intercourse (dyspareunia)
Pain with prolonged sitting, tight clothing, or physical activities
Tenderness or sensitivity to touch
Generalized or localized pain (e.g., vestibulodynia – pain at the vaginal opening)
Vaginismus is the involuntary tightening or spasm of the pelvic floor muscles when penetration or insertion of something is attempted. Symptoms may include:
Difficulty or pain during vaginal penetration (e.g., with intercourse, tampons, or medical exams)
A burning or tight sensation when attempting insertion
Avoidance of intimacy or vaginal insertion due to fear of pain
Involuntary muscle contractions or inability to relax the pelvic floor
Pelvic Health Physiotherapy for Vulvodynia / Vaginismus includes:
Pelvic Floor Muscle Assessment and Treatment
Manual Therapy
Desensitization Techniques
Education on Pain Mechanisms
Breathing and Relaxation Exercises
Dilator Therapy
Scar Tissue Mobilization
Posture and Body Mechanics
Personalized Home Program
Holistic Support
Neurological Reprocessing: Helping the brain adjust and respond more effectively to pain signals, reducing sensitivity and improving pelvic function.
-
Dyspareunia is persistent or recurrent pain experienced during or after vaginal, penile, or anal penetration. It can range from mild discomfort to severe pain and may occur at the vaginal opening (superficial) or deeper in the pelvis (deep).
Symptoms
Burning, stinging, or sharp pain with penetration
Aching or pressure during or after intercourse
Tightness or difficulty relaxing pelvic muscles
Emotional distress, anxiety, or fear of intimacy
How Pelvic Health Physiotherapy Can Help with Dyspareunia
Pelvic Floor Muscle Assessment and Treatment: addressing tightness, weakness or overactivity of the muscles
Manual Therapy
Desensitization Techniques
Education on Pain Mechanisms
Breathing and Relaxation Exercises
Dilator Therapy
Scar Tissue Mobilization
Posture and Body Mechanics
Personalized Home Program
Holistic Support
Retraining Neurological Processes: Helping the brain re-learn how to interpret sensations in the pelvic region, reducing pain responses and promoting healthier, more functional nerve signals.
-
Interstitial Cystitis or Bladder Pain Syndrome (BPS), are chronic conditions that cause bladder discomfort or pain, often accompanied by frequent urination and urgency. The pain can range from mild to severe and may be felt in the bladder, pelvic region, or lower abdomen.
Common Symptoms
Pain or discomfort in the bladder or pelvic area
Increased frequency of urination (often more than 8 times a day)
Urgency to urinate, even if the bladder is not full
Pain during or after sexual intercourse
Discomfort or pressure in the lower abdomen or pelvis
Pelvic health physiotherapy can help manage symptoms through techniques to reduce pelvic muscle tension, improve bladder function, and alleviate pain.
-
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, often on the ovaries, fallopian tubes, or pelvic lining. This can lead to inflammation, pain, and the formation of scar tissue (adhesions). The symptoms of endometriosis can vary, but common ones include:
Chronic pelvic pain, especially around menstruation
Pain during or after intercourse
Painful bowel movements or urination, particularly during menstruation
Heavy or irregular periods
Fatigue
Infertility
Endometriosis can impact the pelvic floor muscles, leading to muscle tightness, dysfunction, or referred pain, and pelvic health physiotherapy can help alleviate these symptoms.
-
Period pain refers to the cramping or discomfort that occurs before or during menstruation
Symptoms of period pain include:
Cramping in the lower abdomen or pelvis
Lower back pain
Nausea
Bloating or digestive issues
Pelvic health physiotherapy can help by addressing pelvic floor muscle tension, improving blood flow, and providing techniques to reduce discomfort during menstruation.
-
Urinary incontinence is the involuntary leakage of urine, which can occur when the bladder is unable to hold urine, or the muscles that control urination are weakened or overactive. There are different types of urinary incontinence:
Stress Incontinence: Leakage of urine during physical activities that put pressure on the bladder, such as coughing, sneezing, laughing, or exercising.
Urge Incontinence: A sudden, intense urge to urinate followed by involuntary leakage before reaching the bathroom.
Mixed Incontinence: A combination of both stress and urge incontinence.
Overflow Incontinence: Frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
Symptoms of urinary incontinence include:
Leaking urine during physical activities or when coughing or sneezing
A strong, sudden urge to urinate with little time to reach the bathroom
Frequent urination, including during the night
Involuntary leakage with minimal warning
Pelvic health physiotherapy can help by addressing muscle imbalances, strengthening any weakness in the pelvic floor muscles, improving bladder control, and addressing any underlying issues contributing to incontinence.
-
Fecal incontinence is the inability to control bowel movements, leading to the involuntary loss of stool. This can range from occasional leakage of stool to complete loss of control.
Symptoms of fecal incontinence include:
Involuntary loss of stool, ranging from small amounts to complete bowel movements
Difficulty controlling gas or stool, especially during physical activities
Urgency or an overwhelming need to have a bowel movement with little warning
Feelings of incomplete bowel evacuation
Pelvic health physiotherapy can help by addressing muscle imbalances in the pelvic floor, improving toileting techniques, strengthening any weakness in the pelvic floor muscles, improving bowel control, addressing any underlying pelvic floor dysfunction, and providing techniques to manage and prevent leakage.
-
Pelvic organ prolapse occurs when one or more of the pelvic organs (such as the bladder, uterus, or rectum) descend into or outside of the vaginal canal. The severity can vary, with some cases causing mild symptoms and others more significant discomfort or dysfunction.
Types of pelvic organ prolapse include:
Cystocele: Prolapse of the bladder into the vaginal wall.
Rectocele: Prolapse of the rectum into the vaginal wall.
Uterine Prolapse: Descent of the uterus into the vaginal canal.
Enterocele: Prolapse of the small intestine into the vaginal area.
Symptoms of pelvic organ prolapse include:
A feeling of heaviness or pressure in the pelvic area
A bulge or protrusion in the vaginal canal
Incontinence (urinary or fecal)
Difficulty with bowel movements or urination
Pain or discomfort during intercourse
Pelvic health physiotherapy can help by addressing muscle imbalances, strengthening any weakness in the pelvic floor muscles, improving organ support, teaching proper body mechanics, and providing exercises to reduce symptoms and prevent further prolapse progression.
-
Urinary urgency, or overactive bladder (OAB), refers to a frequent, sudden, and strong urge to urinate that may be difficult to control. It often leads to involuntary leakage and can significantly impact daily activities and quality of life.
Symptoms of urinary urgency / overactive bladder include:
Sudden, intense urge to urinate
Frequent urination
Waking up multiple times during the night to urinate (nocturia)
Involuntary leakage after a strong urge to urinate (urge incontinence)
How Pelvic Health Physiotherapy Can Help with Urinary Urgency / Overactive Bladder:
Bladder Re-training
Pelvic Floor Muscle Training
Bladder Diary
Education on Fluid Management
Relaxation Techniques
Behavioral Modifications
Posture and Body Mechanics
Holistic Support
-
Caesarean section
Hysterectomy
Endometriosis surgery
Pelvic organ prolapse surgery
Bladder sling surgery
Episiotomy / perineal tear repair
Abdominal hernia surgery
Tubal ligation
Laparoscopic surgery (for conditions like endometriosis or ovarian cysts)
Pelvic adhesions removal
Pelvic floor reconstructive surgery
Gender-affirming surgeries
-
Pelvis related pain (including back pain, pelvic pain, hip pain, pubic symphysis pain, tailbone pain)
Vaginismus
Vulvodynia
Endometriosis related symptoms
Interstitial cystitis / bladder pain syndrome
Period pain
Incontinence (urinary and fecal)
Urinary urgency / overactive bladder
Pelvic organ prolapse
Dyspareunia (pain with intercourse)
Pelvic trauma or injuries to the tailbone or pelvis
Erectile dysfunction
Penile Pain
Testicular Pain
Trans / Gender diverse pelvic health conditions
Pre and post gender affirming surgery
-
Pre and post gender affirming surgery
Dysphoria related to genitalia
Post-surgical pelvic floor dysfunction / pain
Urinary incontinence
Erectile dysfunction
Vaginal stenosis or dryness
Pelvic pain
Perineal pain or discomfort
Scar tissue or adhesions from gender-affirming surgeries
Bladder dysfunction or urgency
Sexual dysfunction or pain during intercourse
Pelvic organ prolapse
-
Urinary Incontinence
Erectile Dysfunction
Pelvic Pain Syndrome
Prostatitis
Chronic Pelvic Pain
Overactive Bladder
Urinary Urgency
Interstitial Cystitis / Bladder Pain Syndrome
Pelvic Organ Prolapse
Fecal Incontinence
Post-prostatectomy Dysfunction
Testicular Pain
Inguinal Hernia
Prostate Health Issues
Pelvic Floor Dysfunction
Tailbone Pain
Our Team of Pelvic Floor Physiotherapists
-
Ivy Elling Quaintance (she/her/hers) earned her Master of Physical Therapy degree from McGill University and her Bachelor of Science in Kinesiology from Washington State University, where she rowed on an athletic scholarship and gained experience working in an exercise physiology lab.
She is passionate about empowering individuals to address pelvic floor health with confidence and manage chronic pain. As a physiotherapist, her goal is to equip patients with knowledge and support through a biopsychosocial lens, combined with her enthusiasm for physical activity.
In her spare time, Ivy enjoys trail running, socializing, backpacking, cooking, and meeting new people.
-
Masters Science applied Physical Therapy (MScPT) McGill University
Bachelor of Applied Science Kinesiology and Exercise Science (BScKin) Washington State University
-
Pelvi-Perineal Re-education Level 1 Female Urinary Incontinence
Level 2: The Role of Physiotherapy in the Treatment of Anyone Experiencing Pelvic Pain Through a Trauma Informed Lens
Level One Advanced Integrated Musculoskeletal (AIM) Orthopedic Division of the CPA
Level Two Lower Advanced Integrated Musculoskeletal (AIM) Orthopedic Division of the CPA
Pelvic Health Physiotherapist
-
Catherine Cantin-Duncan (she/her) completed her Master of Physical Therapy degree at the University of British Columbia, and a Bachelor of Science degree in Kinesiology at the University of Victoria.
Catherine specializes in pelvic health and offers rehabilitation services for all genders in an empowering and inclusive space. She has experience treating bladder & bowel concerns, pelvic organ prolapse, pelvic pain, erectile dysfunction, and penile/testicular pain. Catherine strives to normalize the discussion and pursuit of treatment for pelvic health concerns.
She uses a holistic, evidence-based treatment approach to help patients reach their goals through education, exercise, and manual therapy. In the treatment room, she is an active listener and personalizes her treatment plan to the individual needs of each client.
-
Master of Physical Therapy, University of British Columbia, Vancouver, BC
Bachelor of Science, Kinesiology, University of Victoria, Victoria BC
-
Level 1: Urinary/Fecal Incontinence and Pelvic Organ Prolapse
Level 2: The Role of Physiotherapy in the Treatment of Anyone Experiencing Pelvic Pain Through a Trauma Informed Lens
Level 3: Biopsychosocial Reframed
Pelvic Physiotherapy in Trans Health
Caesarean Birth & Rehabilitation
Comprehensive Physical Therapy of the Breast Cancer Patient
Pessaries: Clinical Integration and Manages of Pelvic Organ Prolapse/Stress Urinary Incontinence
Temporomandibular Disorders and Orofacial Pain – Evaluation and Treatment
The Painful Shoulder
-
Olivia Turgeon (she/her) completed her Doctor of Physiotherapy degree and has since worked in both Australia and Canada. She combines knowledge and training courses from both health systems to provide you with expert, evidence-based pelvic health services.
She specializes in women’s pelvic health, pelvic pain conditions including vulvodynia and vaginismus, pain with intercourse, bladder pain conditions, birth preparation, pre and postnatal care, women’s breast surgeries and gender affirming top surgeries.
Her goal is for you to leave your appointments knowing your body better, experiencing relief from your symptoms and feeling empowered in your future health journey.
-
Doctor of Physiotherapy, Macquarie University Sydney Australia
Bachelor of Commerce, University of Saskatchewan
Bachelor of Arts, University of Saskatchewan
-
Women’s Health Training Associates Maternity and Pelvic Floor Health Comprehensive Course Certification
Anorectal Evaluation and Management for Physiotherapists
Anatomy of the Female Pelvis
Continence and Women’s Health Level 1
Continence and Women’s Health Level 2
Bulletproof Your Body - Pelvic Floor and Core Level 1
Nutrition Recommendations Relating to Women’s Health Physiotherapy
Recognizing and Treating Clinical Conditions Related to the Pelvic Floor
How to Implement a Biopsychosocial Approach in Pelvic Pain
Healing Pelvic Pain and Abdominal Pain
Role of Manometry Assessment for the Investigation of Pelvic Floor Dysfunction
Comprehensive Physical Therapy of the Breast Cancer Patient
Advanced Rehab Techniques in Breast Cancer
Pelvic Health Physiotherapy in the Trans Community
Intro to Gender Diversity – Expanded
Cesarean Birth & Rehabilitation
Advanced Pelvic Floor: Birth Choices Antenatal Predictive Pelvic Floor
Pelvic Health Physiotherapist
Musculoskeletal Physiotherapist
Clinic Owner
Pelvic Health Physiotherapist
-
Robyn earned her Masters degree in Physical Therapy at the University of British Columbia. She practiced for many years in private practice orthopedic clinics before specializing in pelvic floor health care.
She is a kind, compassionate therapist that strives to provide comprehensive, trauma informed pelvic health care. She has experience with pre and postnatal care, pelvic pain conditions, bowel and bladder concerns and pelvic organ prolapse. With a strong focus on empowering the client, she loves to integrate her knowledge of pilates and movement into her sessions as well as other training including IMS when appropriate.
She strives to leave each client feeling heard and understood with a plan and confidence in moving forwards. Helping clients return to their activities, daily tasks or other meaningful goals they might have is the favorite aspect of her work.
-
Masters of Physical Therapy, University of British Columbia
Bachelor of Science, Microbiology, University of Victoria
-
Pelvic Health Solutions Level 1: The Physical Therapy Approach to Anyone Experiencing Urinary Incontinence
Pelvic Health Solutions Level 2: The Role of Physiotherapy in the Treatment of Pelvic Pain
Pelvic Health Solutions: Pregnancy, Pelvic Girdle Pain and the Pelvic Floor
The Female Athlete Level 1 (Anthony Lo)
STOTT Clinical Pilates: Rehab Mat level 1
Calibrate Comprehensive Clinical Pilates
Introductory and Advanced Vestibular Rehabilitation
FDN Kinetachore Certified Level 1
Acupuncture Canada: AA1 and AA2
Orthopedic Manual Therapy: Level 2 (Upper and Lower)
Pelvic Health Physiotherapist
Musculoskeletal Physiotherapist
-
Jennifer Mildon (she/her) completed her Master of Physical Therapy degree at the University of British Columbia in 2015 and has since worked in private practice treating musculoskeletal and pelvic health conditions.
Jennifer has a special interest in treating all pelvic health related issues for all genders. She has completed extensive postgraduate training to develop the skills necessary for treating bowel and bladder conditions, pelvic organ prolapse, pelvic pain, menopause related symptoms, and sexual function concerns. Jennifer also provides pre and post operative care for gender affirming surgeries. She enjoys providing pregnancy and postpartum care and helping her clients to reconnect with their bodies after childbirth.
Jennifer creates a supportive and safe space for all of her clients. She takes a holistic approach by assessing and treating the whole body, not just the pelvis. She will provide you with an individualized rehabilitation plan and will encourage you to take an active role in your health care. Jennifer uses a combination of dry needling, manual therapy, education, and exercise prescription to help you achieve your goals.
-
Master of Physical Therapy,
University of British Columbia,
Vancouver, BCBachelor of Science,
Dalhousie University,
Halifax, NS -
Level 1 The Physical Therapy Approach for Anyone Experiencing Urinary Incontinence
Level 2 The Role of Physiotherapy in the Treatment of Anyone Experiencing Pelvic Pain through a Trauma Informed Lens
Level 3 Biopsychosocial Reframed
Pregnancy & Postpartum Corrective Exercise Specialist
Cesarean Birth
Physioyoga and the Pelvic Floor
Motivational Interviewing, CBT, and ACT for treating pain
Highlights of Examining and Treating Males
Introductory Pelvic Health Care for Trans and Gender Diverse People
Clinical Update: SUI and POP Research and Management Review
The Running Athlete
Key Concepts in Pain Science
Pelvic Health Physiotherapist
Musculoskeletal Physiotherapist

Schedule an appointment today