Perineal and pelvic rehabilitation

What is perineal AND PELVIC rehabilitation?

Perineal and pelvic rehabilitation is a comprehensive approach centred on strengthening the pelvic floor, hip, and lumbar stabilizer muscles. It also involves working on posture, breathing, and lifestyle habits. This treatment is performed by a physiotherapist with postgraduate perineal rehabilitation training. Both men and women can benefit from this treatment.

Strong perineal muscles and good posture improve pelvic health, which reduces the risk of incontinence and prevents future problems, such as prolapsed organs. Perineal and pelvic rehabilitation also helps to improve tissue elasticity and the ability of the pelvic floor muscles to contract and relax.

Perineal rehabilitation can also treat urinary urgency, urinary leakage, the uncomfortable feeling associated with prolapsed organs, and pelvic pain in both women and men. It can also be a complementary therapy in cases of low back or hip pain that isn’t improving as well as might be expected.

Perineal and pelvic rehabilitation treatments can also help to prevent constipation, which can wreak havoc on the pelvic floor muscles, and to identify irritants that could be aggravating the sensations of urinary urgency or incontinence.

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 corpus cavernosa of the penis are an extension of the pelvic floor.


  • Holds in urine, feces, and gas in both men and women
  • Supports the pelvic organs in women (bladder, uterus, and rectum)
  • Aids in normal sexual functions (clitoral orgasms for women and erections for men)
  • Helps provide stability in the lumbar region, in combination with the abdominal muscles


Pregnancy and childbirth are the main causes of pelvic floor weakening and the resulting problems, including leakage of urine or gas, organ prolapse, decreased sexual satisfaction, and low back pain. Approximately 50% of pregnant women regularly or occasionally experience leakage of urine or gas. Moreover, stress urinary incontinence (urine leakage during coughing, sneezing, or exercising) is a condition that affects up to 77% of women after childbirth. Studies show that 9 in 10 women with persistent stress urinary incontinence at three months postpartum still have urinary incontinence five years later. This is why treatment is often needed and is increasingly prescribed by attending physicians as a preventive measure.

How to prevent THIS PROBLEM?

Perineal physiotherapy has been recognized 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.

During a consultation with a physiotherapist who is an expert in perineal rehabilitation, the therapist will assess the strength and elasticity of your pelvic floor and abdominal muscles, and give you guidance on your posture and breathing, which may have been affected by the pregnancy. You will then be given a personalized exercise program to help you identify and strengthen your pelvic floor muscles. You will be guided through specific exercises to improve your posture and strengthen your abdominal muscles in order to prevent diastasis recti (separation of your abdominal wall muscles) and back pain. During follow-up appointments, your physiotherapist will gradually modify these exercises and manually massage the perineum in preparation for childbirth and to reduce the risk of tearing. The number of treatments varies depending on the client. As needed, one treatment is performed after childbirth to help restore perineal muscle strength and treat any scar tissue. Pelvic floor exercises will not only help heal the injuries brought on by pregnancy and childbirth, they will also let you get back to your normal day-to-day activities and exercise routine.

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