Peach Physiotherapy is proud to offer Pelvic Health Physiotherapy, otherwise known as Pelvic Floor Physiotherapy in Chatham-Kent.

What is the pelvic floor?

The pelvic floor is a group of muscles that literally forms a ‘floor’ in your pelvis. Think of these muscles like a trampoline. Piercing through the middle of the trampoline are very important structures including your urethra, vagina and rectum. Above this trampoline are your pelvic organs: the bladder, uterus and bowel.

The job of your pelvic floor is to support and hold these organs in place. When you cough, sneeze, jump, or run, there is downward pressure on your bladder, uterus and bowels which pushes down on the pelvic floor similarly to when a person jumps on a trampoline. Much like a trampoline, the pelvic floor reduces the downward pressure and helps the organs return to their intended location.

The pelvic floor also helps close your urethra and rectum, ensuring that you have no unwanted leakage. On the flip side, it helps relax these areas when you want to go to the bathroom. The pelvic floor also has a role in sexual function.

What happens when the pelvic floor isn’t working properly?

Pelvic floor dysfunction can lead to a variety of problems, including:

  • Incontinence (leakage)
  • Urinary frequency, urgency, or difficulty voiding
  • Pelvic organ prolapse
  • Bowel issues
    • Ex: constipation, straining, pain
  • Pain in the low back, pelvic region, genital area or rectum
  • Pelvic pain disorders
    • Ex: endometriosis, interstitial cystitis, prostatitis
  • Pre-natal and postpartum care
    • Ex: labour and delivery preparation, pain, leakage, bulging and scarring from c-sections, tearing or episiotomy
  • Diastasis recti (separated abs)
  • Prostate problems
  • Painful intercourse
  • Sexual dysfunction
  • Weak abdominal muscles

These conditions are common, but they are not normal!

  • It is not normal to leak when you laugh, cough or sneeze.
  • It is not normal to feel pressure or heaviness in your pelvic region.
  • It is not normal to have pain with intercourse.
  • It is not normal to feel pain in the pelvic region.

How can a Physiotherapist help?

Kate Peach is a Registered Physiotherapist who has specialized training in the assessment and treatment of pelvic floor disorders. Through discussion and external and internal techniques, your physiotherapist may assess:

  • Lifestyle, dietary and toileting habits as they relate to your symptoms
  • Tension, strength and endurance of your pelvic floor muscles
  • Adhesion or trigger points in the pelvic floor muscles
  • Bladder, uterus or rectal prolapse
  • Rectus diastasis
  • Low back and sacroiliac function, joint mobility and myofascial tone
  • Strength of core muscles

What to Expect:

Medical History

Your first appointment will be a 60-minute assessment in one of our private treatment rooms in one of our two Chatham-Kent Ontario locations. Your physiotherapist will sit down with you to discuss your medical history and current concerns.

Physical Assessment

After taking your history, your physiotherapist will begin a physical evaluation. This exam assesses your posture as well as the structures of your pelvic region that can cause dysfunction. The pelvic floor is assessed through both external and internal examination. Just like a physiotherapist would assess a knee or shoulder with direct contact to the area, the pelvic area is exposed in an effort to see if your muscles, ligaments and other structures are working the way that they should be. It is important that the therapist performs a detailed assessment of the pelvic floor movement, strength and coordination.


Following your assessment, your physiotherapist will discuss your condition and work with you to set goals and develop a treatment plan. Your physiotherapist will explain the plan and answer any questions you might have.

Is this service covered?

Pelvic Health Physiotherapy services are covered by extended health care plans that cover physiotherapy. Call your health care provider for more information. Peach Physiotherapy direct bills to most major health plans. You do not require a physician’s referral to book an appointment.

If you have any questions, call Peach Physiotherapy at (519) 358- 7342 or email Kate Peach directly at

We now have two locations to serve you better! Check us out at 463 St Clair St, Chatham-Kent, ON or 40 Beatty St, Chatham Ontario (inside Peak Athletic Training).