Perineal and pelvic rehabilitation

What is perineal AND PELVIC rehabilitation?

Perineal and pelvic rehabilitation consists in strengthening the muscles of the pelvic floor. Strong perineal muscles improve pelvic health, which reduces the risk of incontinence and prevents future problems. Perineal rehabilitation also helps to improve tissue elasticity and the ability of the pelvic floor muscles to contract and relax. This treatment is performed by a physiotherapist with postgraduate perineal rehabilitation training.

Perineal rehabilitation will also help with urinary emergencies (having to run to the bathroom to avoid wetting oneself), the uncomfortable feeling associated with prolapsed organs, and pelvic pain, among other things.

What is the pelvic floor?Plancher pelvien

The pelvic floor is a group of muscles that originate from the pubic symphysis, surround the vagina (in women) and the anus, and then attach to the coccyx. Men have one as well; in fact, the cavernous body of the penis is an extension of the pelvic floor.


  • Holds in urine, feces, and gas
  • Supports the organs in the pelvis (bladder, uterus, and rectum)
  • Supports normal sexual functions (orgasms for women and erections for men)
  • Helps provide stability in the abdominal and lumbar regions


Pregnancy and childbirth are the primary causes of pelvic floor weakening and the resulting problems, including leakage of urine or gas, organ prolapse, decreased sexual satisfaction, and back pain. Approximately 50% of pregnant women regularly or occasionally experience leakage of urine or gas. Moreover, stress urinary incontinence (urine leakage when you cough, sneeze, or exercise) is a condition that affects up to 77% of women after childbirth. Studies show that 9 in 10 women with persistent stress urinary incontinence (SUI) at three months postpartum still have urinary incontinence at five years.

How to prevent THIS PROBLEM?

Physiotherapy has been established as an effective primary care treatment for stress urinary incontinence.

It is important to strengthen the pelvic floor muscles during and after pregnancy, and especially in the weeks following childbirth, in order to prevent urinary incontinence.

A consultation with a physiotherapist specializing in perineal rehabilitation allows the strength and elasticity of the pelvic floor and abdominal muscles to be assessed. You will subsequently be given a personalized exercise program to help you identify and strengthen your pelvic floor muscles. You will be guided through specific abdominal strengthening exercises to prevent diastasis rectus abdominis and back pain due to the relaxin hormone. Follow-up visits with your physiotherapist are needed to progressively modify these exercises and manually massage the perineum in preparation for childbirth and to minimize the risk of tearing. The number of treatments varies depending on the client. One treatment is performed after childbirth, if necessary, to help restore perineal muscle strength and treat any scar tissue. Pelvic floor strengthening exercises can help heal the injuries brought on by pregnancy and childbirth.

Experience a healthy pregnancy and prevent postpartum urinary incontinence by strengthening your pelvic floor muscles!