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Physiotherapy and Pelvic Health Physiotherapy

Physiotherapy is a drug-free, holistic treatment focused on rehabilitation and health promotion. A physiotherapist helps people of all ages recover from surgery, illness, chronic disease, injuries, or age-related conditions. The first step is an assessment including your health history, evaluation of movement and associated pain. Assessment of reflexes, range of motion, strength and cardio-respiratory status are also part of this initial process.

Next, the physiotherapist will work in partnership with you to develop an individualized treatment program and health goals. Using manual therapy, ultrasound and prescribed exercises, the physiotherapist will work to restore physical function for maximum independence.

Emphasis is also placed on education to prevent future injuries.

Lisa Napoli, MPT, Registered Physiotherapist and Pelvic Health Physiotherapist

Lisa Napoli, MPT, Registered Physiotherapist and Pelvic Health Physiotherapist

Lisa Napoli, MPT, Registered Physiotherapist and Pelvic Health Physiotherapist

Lisa received her Masters in Science in Physiotherapy in 2010 at the University of Western Ontario. Since then, she has extensive experience working with various ages with a variety of musculoskeletal conditions.

Lisa’s objective is to find the root cause of a patient’s symptoms which aids in the effective treatment of those complaints. Based on each individual’s needs, she works with her patients to achieve their specific goals using a combination of treatment techniques such as manual therapy, soft tissue release, acupuncture/dry needling and exercise therapy.

Additionally, as a Pelvic Health Physiotherapist, Lisa takes an interest in helping treat those with pelvic floor dysfunctions such as incontinence, prolapse, constipation, IBS, pain with intercourse, and pre and postpartum clients.

Lisa is a member in good standing with the Canadian Physiotherapy Association (CPA) and Orthopaedic Division. She is also a Physiotherapist Examiner for the Canadian Alliance of Physiotherapy Regulators.

In her spare time, Lisa enjoys staying active through a balance of strength training, running, and yoga.

Pelvic Health Physiotherapy

Pelvic Health ExamPelvic health physiotherapy is a specialized area of physiotherapy that assesses and treats both women and men with problems in and around the pelvis.

Part of this includes the pelvic floor, which is made up of joints, ligaments, nerves, andmuscles. The muscles attach to the front, back and sides of our pelvic bone and sacrum.

Why is this important?

Everything that happens in our pelvic floor is the basis of human need.

They help control bladder and bowel function, provide support to our pelvic organs, and are involved in our sexual function. They are also part of our deep ‘core muscles’ that work together with the back, abdominals, and diaphragm providing stability and support for a healthy back.

Like any other muscles in our body, they too can become weak or tight leading to pain and dysfunction.

Weakness can contribute to urinary incontinence, prolapse, or a weak core.

Tightness can cause issues such as urge incontinence, constipation, pelvic pain, or pain with intercourse, just to name a few.

Sometimes this can be caused by pregnancy, childbirth, strenuous activity, low back or hip pain, or post surgery.

Roles of Pelvic Muscles

Did you know…

Research has shown that the treatments carried out by a physiotherapist for pelvic floor problems are highly successful for both pelvic pain and incontinence.

The Cochrane Collaboration 2010 concluded, “physiotherapists with specialized training in pelvic floor rehabilitation should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence”

How do you test for this?

Like any other body part, such as the shoulder or ankle, assessment findings work best when we can see and test it. Because these muscles are located internally via the vagina or rectum an internal exam is performed using a 1-2 gloved fingers.

This allows us objectively to test for strength, tightness, or timing coordination dysfunction providing valuable information for diagnosing and treatment.

Did you also know…

In Europe, internal examination of the pelvic floor has been the gold standard by which treatment of the pelvic floor has been carried out for more than 30 years.

Women in France and other government funded European countries are given 10 free physiotherapy sessions after childbirth to help ‘re-educate’ their pelvic floor.

Here in Canada, pelvic issues still remain taboo and education is lacking.
Why are we behind in the times?

Are Kegels the solution?

Most of us have heard of Kegels however they are not the answer for everyone. Depending on your condition they can do more harm than good by worsening symptoms, and often they are performed incorrectly.

Pelvic health physiotherapists can determine if they are appropriate for you and if so, how to do them correctly and when.

Pelvic Health physiotherapy is for anyone experiencing:

  • Stress/ Urge Incontinence
  • Constipation/ Irritable Bowel Syndrome
  • Pelvic Organ Prolapse (‘sense of heaviness’ in vagina or rectum)
  • Dyspareunia (painful intercourse)
  • Vulvodynia/ Vaginismus
  • Dysmenorrhea / Endometriosis
  • Interstitial Cystitis/ Bladder Pain Syndrome
  • Coccydynia (tailbone pain)
  • Pudendal Neuralgia
  • Pregnancy and Postpartum related concerns (pain, leakage, scarring)
  • Diastasis Recti
  • Low back and hip related to pelvic floor dysfunction

What is Treatment like?

Treatment varies from person to person. It can include:

  • Connective tissue massage, gentle trigger point release to normalize tight & painful muscles
  • Strengthening exercises
  • Bladder and bowel re-training
  • Manual therapy techniques to joints
  • Alignment and posture awareness / breathing mechanics
  • Home exercise program
  • Nervous system re-training (examples: for muscle coordination, reducing pain, stress management)

Modalities Used

Dry Needling:

Dry needling incorporates the act of inserting a thin needle into the body which helps stimulate healing of soft tissues, such as fascia, muscle, tendons, and ligaments, resulting in pain relief and restoration of the body.

  • Reduces local or radiating pain from “knots” or “trigger points”
  • Releases the tension in the muscle
  • Improves range of motion and speeds up active rehabilitation
  • Normalizes nerve dysfunction

ultrasound-therapy

Ultrasound Therapy

Therapeutic ultrasound is a non-invasive way of administering medications below the skin. The technique emits energy forces via vibrations of the crystal that is inside the probe. The vibration causes deep heating which encourages healing of the area, however, it is usually not felt by the patient.

Benefits include increases in:

  • healing rate
  • tissue relaxation
  • tissue heating
  • local blood flow
  • scar tissue breakdown

Please check our office hours page for more information or call our Mississauga chiropractic office.


Physiotherapy in South Mississauga | (905) 891-2288