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, BC

    Bachelor 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

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