Pelvic Floor Physiotherapy: Comprehensive Care for Core Strength and Wellness at Naosu Wellness Coquitlam

The pelvic floor is a crucial group of muscles, ligaments, and connective tissues that support the bladder, uterus, rectum, and overall core stability. Despite its importance, many people—both women and men—overlook the pelvic floor until problems arise, such as urinary incontinence, pelvic pain, or postpartum complications.

At Naosu Wellness Coquitlam, we provide expert pelvic floor physiotherapy with Registered Physiotherapist Uzma Shaikh, helping clients restore function, strength, and confidence. By combining manual therapy, exercise-based rehabilitation, education, and holistic care, we address both symptoms and root causes.

This blog will explore:

1. The anatomy and function of the pelvic floor

2. Common pelvic floor conditions

3. How physiotherapy addresses these conditions

4. Benefits of specialized care at Naosu Wellness

5. Integrating Pilates, posture correction, and lifestyle strategies for long-term wellness

Understanding the Pelvic Floor

The pelvic floor consists of muscles, ligaments, and fascia that stretch from the pubic bone at the front to the tailbone at the back. These structures provide:

• Support for pelvic organs including the bladder, uterus/prostate, and rectum

• Sphincter control for urinary and fecal continence

• Core stability in coordination with the abdominal, back, and hip muscles

• Sexual function through nerve and muscle support

A healthy pelvic floor is flexible, strong, and coordinated. When these muscles are weak, overactive, or dysfunctional, it can lead to a range of physical and emotional challenges.

Common Pelvic Floor Conditions

Pelvic floor dysfunction can affect anyone but is particularly common in:

• Postpartum women – Pregnancy and childbirth often stretch and weaken pelvic floor muscles, leading to urinary incontinence, pelvic pain, or prolapse.

• Men after prostate surgery – Surgery may affect sphincter control and pelvic floor coordination.

• Individuals with chronic pain – Pelvic floor tension can contribute to lower back, hip, and abdominal pain.

• Older adults – Age-related weakening can cause bladder control issues or prolapse.

• Athletes – High-impact activities can strain pelvic floor muscles and compromise function.

Symptoms of pelvic floor dysfunction may include:

• Urinary or fecal incontinence

• Pelvic organ prolapse (bulging of organs into the vagina)

• Chronic pelvic pain or discomfort

• Pain during sexual activity

• Lower back, hip, or abdominal tension

• Difficulty controlling bladder or bowel movements

Why Physiotherapy is Key

Pelvic floor physiotherapy is a non-invasive, evidence-based approach designed to restore proper function, strength, and coordination. At Naosu Wellness, Uzma Shaikh employs a comprehensive, patient-centered approach that includes:

1. Assessment and Evaluation

The first step in treatment is a detailed assessment to identify:

• Muscle strength, endurance, and coordination

• Postural imbalances affecting pelvic alignment

• Movement patterns that exacerbate symptoms

• Trigger points or tension in surrounding musculature

This evaluation allows the physiotherapist to create a personalized treatment plan tailored to the client’s specific condition and goals.

2. Manual Therapy

Manual therapy is used to release tension, improve circulation, and restore mobility in the pelvic floor and surrounding structures. Techniques include:

• Internal and external soft tissue mobilization

• Trigger point release to address localized pain

• Joint mobilization of the hips and lower spine to improve alignment and function

Manual therapy enhances muscle activation, improves blood flow, and reduces pain, preparing the muscles for active rehabilitation exercises.

3. Exercise-Based Rehabilitation

Targeted exercises are designed to strengthen weak muscles, relax overactive muscles, and improve coordination:

• Kegel exercises – Controlled contractions of the pelvic floor for strength

• Reverse Kegels – Relaxation techniques for overactive muscles

• Core stability exercises – Engaging transverse abdominis, multifidus, and gluteal muscles

• Functional training – Integration of pelvic floor activation into daily movements

These exercises help clients regain control, endurance, and flexibility, supporting bladder, bowel, and sexual function.

4. Education and Lifestyle Modifications

Education is a critical component of pelvic floor rehabilitation. Clients learn:

• Proper posture and body mechanics to reduce strain

• Breathing techniques to coordinate diaphragm and pelvic floor function

• Lifestyle strategies to manage symptoms, including diet, hydration, and bladder training

• Guidance for returning to physical activity or sports safely

By understanding how their body works, clients can prevent recurrence and maintain long-term wellness.

5. Integrating Pilates and Core Training

Pilates is an effective tool for pelvic floor rehabilitation, focusing on core stability, posture, and controlled movement. At Naosu Wellness:

• Pilates exercises are adapted to strengthen the pelvic floor and deep core muscles

• Movement patterns are designed to support alignment and reduce stress on the pelvic floor

• Integration with physiotherapy ensures clients develop functional strength for everyday activities

Benefits of Pelvic Floor Physiotherapy

Comprehensive care offers a wide range of benefits:

• Improved bladder and bowel control

• Reduced pelvic pain and discomfort

• Enhanced postpartum recovery

• Stronger, more coordinated core and pelvic muscles

• Better posture and spinal alignment

• Enhanced sexual function and confidence

• Prevention of future injuries or dysfunction

Clients often notice immediate relief from tension and discomfort, and progressive improvement in strength and function with ongoing therapy.

Postpartum and Pregnancy Support

Pregnancy and childbirth place significant strain on the pelvic floor. Physiotherapy can:

• Strengthen weakened muscles post-delivery

• Reduce urinary incontinence and pelvic pressure

• Support recovery from diastasis recti (abdominal separation)

• Prepare the body for safe return to exercise and daily activities

Physiotherapy sessions are gentle, customized, and safe for postpartum recovery.

Men’s Pelvic Health

Pelvic floor dysfunction is not exclusive to women. Men may experience:

• Urinary or fecal incontinence, often post-prostate surgery

• Pelvic pain or tightness affecting sexual function

• Weak core and pelvic muscles impacting stability

Male clients benefit from targeted strengthening, manual therapy, and lifestyle guidance to restore pelvic floor function and prevent recurrence.

ICBC and Rehabilitation Support

At Naosu Wellness Coquitlam, our physiotherapy services for pelvic floor and core health can also support ICBC claims for clients recovering from motor vehicle accidents. Through insurance benefits:

• Post-accident pelvic floor rehabilitation is covered by ICBC

• Direct billing reduces out-of-pocket costs

• Clients receive personalized rehabilitation programs to regain strength, mobility, and confidence

Why Choose Naosu Wellness for Pelvic Floor Care

Uzma Shaikh, our Registered Physiotherapist, combines:

• Clinical expertise in musculoskeletal and pelvic health

• Hands-on manual therapy skills

• Integrated approaches including Pilates, posture training, and lifestyle modifications

• Patient-centered care, tailored to each individual’s goals and needs

Our multidisciplinary clinic ensures clients have access to chiropractic care, RMT, acupuncture, and Pilates, providing a holistic approach to pelvic floor wellness.

Home Care and Maintenance

To maintain results, clients are guided in:

• Daily pelvic floor exercises and stretches

• Breathing and relaxation techniques

• Posture and ergonomic adjustments at work and home

• Lifestyle modifications to reduce strain and improve core stability

Long-term adherence ensures sustained strength, improved function, and prevention of future dysfunction.

Success Stories

Many clients report:

• Reduced urinary leakage postpartum

• Alleviation of chronic pelvic pain

• Improved core strength and confidence

• Better posture and functional mobility

  
  

These outcomes highlight the importance of personalized, multidisciplinary pelvic floor physiotherapy.

Book Your Pelvic Floor Physiotherapy Session

If you’re experiencing pelvic floor dysfunction or want to strengthen and support your core, Naosu Wellness Coquitlam is here to help.

📍 Location: 1020 Austin Ave #201, Coquitlam, BC

📞 Phone: (236) 553-2299

🌐 Book Online: www.naosuwellness.com

Take the first step toward core strength, confidence, and long-term wellness with our expert team!