Pregnancy, Postpartum & Pelvic Health

You rely on your pelvic floor every day, and plenty can affect it, childbirth especially.

We're glad to hear about all of it.

A lot of people go through this, and a lot can be done.

Leaks, urgency, pressure, and pain can turn up after a pregnancy, in midlife, or years later, and they seldom get talked about.

Over 4 in 10

Over 4 in 10

women report bladder leaks in the first two years after giving birth

women report bladder leaks in the first two years after giving birth

About 1 in 4

About 1 in 4

Canadian adults report bladder leaks

Canadian adults report bladder leaks

Less than 1 in 2

Less than 1 in 2

Canadians with bladder leaks or urgency have sought care.

Canadians with bladder leaks or urgency have sought care.

Physiotherapist supporting a client’s form during a plank in the clinic gym

Care from more than one angle

Care from more than one angle

Hands-on care, breathing work, and strength training can each play a part in your pelvic health, and our team offers all three, at either clinic.

Hands-on care, breathing work, and strength training can each play a part in your pelvic health, and our team offers all three, at either clinic.

This is for you if...

This is for you if...

You're pregnant and want to keep moving comfortably as your body changes

You're pregnant and want to keep moving comfortably as your body changes

You're recovering from birth or pelvic surgery and want to build strength at a pace that suits you

You're recovering from birth or pelvic surgery and want to build strength at a pace that suits you

You've started to shape your day around where your nearest bathroom is

You've started to shape your day around where your nearest bathroom is

You struggle to empty your bowels, or feel a heaviness low in your pelvis most days

You struggle to empty your bowels, or feel a heaviness low in your pelvis most days

Frequently asked questions

Frequently asked questions

Still not sure where to go? Our full FAQ covers booking, billing, and what to expect across every service. Or reach out and we'll point you in the right direction.

Still not sure where to go? Our full FAQ covers booking, billing, and what to expect across every service. Or reach out and we'll point you in the right direction.

Is it normal to leak when I cough, laugh, or exercise?

It's common, but it's not something you have to just live with. Leakage usually comes down to timing, strength, or coordination in your pelvic floor and core — and targeted physiotherapy addresses what's actually causing it, rather than just managing the symptom, so you can move, exercise, and laugh without worrying about it.

What's the difference between a weak and tight pelvic floor?

A weak pelvic floor lacks the endurance to support your organs or prevent leaks. A tight pelvic floor is stuck in constant tension instead, which can cause pain, urgency, or painful intercourse (dyspareunia). Because Kegels on an already-tight muscle can make things worse, assessment comes first — so we prescribe the right mix of release, breathing work, and stretching, not just strengthening by default.

When can I start pelvic floor physiotherapy postpartum?

Gentle breathing, core re-engagement, and posture guidance can start within the first few weeks. For internal assessment and direct pelvic rehab, we typically wait until after your 6-week checkup.

A C-section doesn't exempt you, either — months of pregnancy still put pressure on your pelvic floor, and abdominal scar tissue can restrict movement on its own.

Can pelvic physiotherapy help with abdominal separation?

Yes, and it's about more than closing the visible gap between your abdominal muscles — it's about how well your deep core handles everyday load. We use targeted exercises to get your transverse abdominis and pelvic floor working together, building strength and stability without straining your connective tissue.

Can pelvic physio help with bowel issues or cramps?

Yes. Your pelvic floor wraps around the rectum and needs to fully relax for smooth bowel movements — and conditions like endometriosis or severe cramping often trigger protective muscle guarding across the abdomen and pelvis. We use gentle soft tissue work, visceral release, and coordination retraining to ease that tension and reduce flare-ups.

What People Say

We work with your coverage

We work with your coverage

Paperwork shouldn’t be the hard part of getting help. We direct bill many extended health plans and work with ICBC and MSP, so there’s less for you to sort out before your first visit.

Paperwork shouldn’t be the hard part of getting help. We direct bill many extended health plans and work with ICBC and MSP, so there’s less for you to sort out before your first visit.

Friends hiking together through a forest
Friends hiking together through a forest

Your body has a long life ahead of it. Let's make sure it's ready.

FIND A CLINIC

Kitsilano

3303 West 4th Ave, Vancouver BC, V6R 1N6

UBC Wesbrook Village

#6-5958 Webber Lane (Second Floor) Vancouver, BC V6S 0J9

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Be the first to hear about wellness tips, clinic news, workshops, and resources to help you stay active.

Grateful to live, work, and play on the unceded Coast Salish territory of the sḵwx̱wú7mesh (Squamish), sel̓íl̓witulh (Tsleil-Waututh), and xʷməθkʷəy̓əm (Musqueam) Nations.

FIND A CLINIC

Kitsilano

3303 West 4th Ave, Vancouver BC, V6R 1N6

UBC Wesbrook Village

#6-5958 Webber Lane (Second Floor) Vancouver, BC V6S 0J9

Join the PhysioWorks Community

Be the first to hear about wellness tips, clinic news, workshops, and resources to help you stay active.

Grateful to live, work, and play on the unceded Coast Salish territory of the sḵwx̱wú7mesh (Squamish), sel̓íl̓witulh (Tsleil-Waututh), and xʷməθkʷəy̓əm (Musqueam) Nations.

FIND A CLINIC

Kitsilano

3303 West 4th Ave, Vancouver BC, V6R 1N6

UBC Wesbrook Village

#6-5958 Webber Lane (Second Floor) Vancouver, BC V6S 0J9

Join the PhysioWorks Community

Be the first to hear about wellness tips, clinic news, workshops, and resources to help you stay active.

Grateful to live, work, and play on the unceded Coast Salish territory of the sḵwx̱wú7mesh (Squamish), sel̓íl̓witulh (Tsleil-Waututh), and xʷməθkʷəy̓əm (Musqueam) Nations.