What is Occupational Therapy?

Occupational therapy is a wide-ranging discipline that addresses musculosketal, cognitive, and psychological challenges.  External pelvic floor therapy and integrative application of behaviour and cognitive therapies fall within the scope of occupational therapy.

What is external pelvic floor therapy?

External pelvic floor therapy involves evidence based functional assessment, manual therapy and mobilization, education and biofeedback, and the provision of focused exercises to address core & pelvic floor dysfunction.  For all treatment sessions, clothing remains on and there is no direct contact with genital organs or the perineum. 

Treatment sessions also include interview and discussion of stressors and emotional challenges.  Goal and solution oriented counselling strategies are employed to better understand the emotional impact of physical limitations and develop strategies to address them.  

What happens during assessment and treatment sessions?

The first session is a 60 minute evaluation, which may include assessment of alignment, muscle tension, somatosensory awareness, and central sensitization factors.  Subsequent treatment sessions are 45 minutes long and may include manual therapy, education and counselling, and prescription of exercises and techniques for independent management of symptoms. 


Treatment sessions are initially booked approximately one week apart, however, more time may be required between sessions to allow adequate time to practice assigned exercises, gain independence with applying learned strategies, and to identify any areas that require greater support.


The initial assessment is in-person, and the possibility of video conferencing treatment sessions over the internet may be discussed at this time.  The feasibility of internet-based video conference sessions depends largely on the nature of the treatment being recommended. 

What do I need to be prepared for an assessment/treatment session?

All you need is a room where you will feel comfortable completing the assessment/treatment.  A full length mirror may be helpful to help you understand your body's movements, however this is not necessary.  All other materials required for the assessment, including manual therapy tools will be provided.  

What are the risks and/or benefits of treatment?

The benefits of this therapy include overcoming physical limitations, strengthening the core, improving overall alignment and physical function, and enhanced emotional regulation.  There are, however, some risks.  Manual therapy may can  cause discomfort as tension is being released; this tension is expected to resolve as myofascial and muscular tension decreases.  Additionally, discussion of diagnoses, symptoms, and difficulties may cause feelings of unease and discomfort that linger after the treatment session. However, treatment sessions will also help identify, understand, and manage these uncomfortable sensations.  For all services provided, while written or verbal consent is obtained at the outset of treatment, consent may be withdrawn, and treatment may be discontinued, at any time.

Do you work with insurance companies?

Yes.  Many insurance companies provide coverage for Occupational Therapy.  Please call for more details.