Pelvic floor physiotherapy for women in Kelowna:

Your pelvic floor supports your bladder, bowel and uterus, keeps you from leaking, and plays a key role in sex, pregnancy, birth and core strength. Pregnancy, childbirth, hormone changes, surgery and even years of high-impact exercise can affect how these muscles work.

At Kare Physiotherapy, we’ve specialized in pelvic health for over 30 years. Our registered physiotherapists help women at every stage of life, from first periods to pregnancy, postpartum, perimenopause and beyond. We take a whole-body, movement-based approach, looking at your breathing, posture, hips, back and core muscles as well as your pelvic floor, so we treat the root cause of your symptoms, not just the symptoms themselves.

Our clinic is a calm, private and inclusive space in Kelowna. We also welcome trans, queer and non-binary patients, and offer virtual appointments anywhere in British Columbia.

Pregnancy

Pelvic physiotherapy during pregnancy helps you stay comfortable, active and prepared for birth. We treat pelvic girdle pain, pubic symphysis pain, low back and tailbone pain, leaking and pelvic heaviness. We also help you prepare your body for labour, including how to relax your pelvic floor and protect it during birth.

We recommend at least one visit around 16 weeks of pregnancy, so you understand your pelvic floor and core before your body changes further. Many patients continue to see us throughout pregnancy to stay strong and pain-free.

Postpartum recovery

Whether you gave birth vaginally or by C-section, your pelvic floor and abdominal muscles need time and guidance to recover. Postpartum physiotherapy can help with leaking, pelvic heaviness, painful sex, C-section scar pain, perineal tear recovery, abdominal separation and a safe return to exercise.

Most people start around 4 to 6 weeks after birth, but you’re welcome to come sooner for education and gentle early support. Virtual appointments are a great option if you’re not ready to leave the house with a newborn. 

Bladder leaks and incontinence

Leaking when you cough, sneeze, laugh, run or jump is common, but it isn’t something you have to live with. We also treat urgency, frequent urination, getting up at night to pee, and difficulty emptying your bladder.

Pelvic floor physiotherapy is recommended as a first-line treatment for stress urinary incontinence, and many women see major improvement. Not everyone needs kegels. Many women need to learn to relax their pelvic floor instead, and our assessment shows exactly what your body needs. 

Pelvic organ prolapse

Prolapse happens when the bladder, uterus or rectum drops lower into the vagina, often causing heaviness, bulging or a dragging feeling, especially at the end of the day or with exercise. Prolapse is very common after childbirth and around menopause.

Physiotherapy is a first-line treatment for mild to moderate prolapse. We teach you how to strengthen and coordinate your pelvic floor, manage pressure during lifting and exercise, and improve bladder and bowel habits. Many women feel dramatically better and return to the activities they love. 

Perimenopause and menopause

Falling estrogen levels affect the pelvic floor and vaginal tissues. Women often notice new leaking, urgency, frequent bladder irritation, prolapse symptoms, dryness or pain with sex during this transition.

Pelvic physiotherapy can restore strength, coordination and comfort, and works well alongside treatments your doctor may recommend, such as vaginal estrogen. You don’t have to accept these changes as just part of getting older. 

Pelvic pain and painful sex

Pain with sex, tampon insertion or pelvic exams is common and treatable. Pelvic pain is often linked to pelvic floor muscles that are too tight or can’t relax, and to a sensitized nervous system.

We treat vaginismus, vulvodynia, vestibulodynia, pudendal neuralgia, painful bladder syndrome, tailbone pain and painful periods. Treatment is always gentle, paced to your comfort, and delivered through a trauma-informed lens. You stay in control at every step. 

Endometriosis

Physiotherapy can’t remove endometriosis, but it can significantly reduce pain and improve how you function. We help with pelvic floor tension, painful periods, painful sex, bowel and bladder symptoms, and flare-up management, and we support you before and after endometriosis surgery. We work alongside your ObGyn so your care is coordinated.

Core strength and diastasis recti

Abdominal separation (diastasis recti) is normal during pregnancy, but some women continue to have a gap, doming or core weakness long after birth. We assess your abdominal wall and pelvic floor together, then guide you through a safe, progressive plan to rebuild core strength and return to running, lifting, sport and everyday life without leaking, pain or pressure.

Conditions we treat

Bladder and bowel: stress and urge incontinence, frequency and urgency, interstitial cystitis / painful bladder syndrome, constipation, bowel or gas leakage, IBS-related pelvic symptoms

Pregnancy and postpartum: pelvic girdle and pubic symphysis pain, birth preparation, perineal tears, C-section recovery, diastasis recti, return to exercise

Pelvic organ prolapse: cystocele, rectocele, uterine prolapse; preparation and recovery after prolapse surgery if needed

Pelvic and sexual pain: vaginismus, vulvodynia, vestibulodynia, pain with sex or tampons, pudendal neuralgia, tailbone pain, sacroiliac and low back pain, painful periods (dysmenorrhea), vaginal flatulence (queefing), pain with sex

Hormonal and gynaecological: perimenopause and menopause, endometriosis, lichen sclerosus, symptoms related to hormone suppression after cancer treatment

Before and after surgery: hysterectomy, C-section, prolapse repair, hernia repair, gynaecological cancer surgery, gender-affirming surgery

What happens at your first appointment?

Your first visit starts with a conversation about your health history, symptoms and goals. We then assess your posture, breathing, movement and core. With your consent, the assessment may include an internal vaginal or rectal exam, which gives the most accurate picture of your pelvic floor function. It is always optional, and we have effective alternatives if you’d prefer not to.

You’ll leave understanding what’s causing your symptoms, with a personalized treatment plan and exercises to start at home. You’re welcome to bring a support person, and you can still attend if you’re on your period.

Virtual pelvic physiotherapy across BC

Our secure virtual appointments are available to anyone living in British Columbia. They’re ideal for postpartum recovery, pregnancy preparation, education, bladder and bowel strategies, and exercise progression, especially if there’s no pelvic physiotherapist in your community.

No referral needed

You don’t need a doctor’s referral to book with us. Pelvic floor physiotherapy is covered by most extended health plans. .

Book your appointment

You deserve to feel strong, comfortable and confident in your body. Book online, or email us at [email protected] with any questions.

Book an appointment: https://karephysio.janeapp.com/