Virtual Pelvic Health: Making Recovery Accessible and Effective

The COVID-19 pandemic opened up a whole new world for physiotherapy, showing us that virtual care can be just as effective as in-person visits. While some people are still a bit skeptical, research keeps proving that telerehabilitation works—and that includes pelvic health physiotherapy.

What Is Pelvic Health Physiotherapy?

Pelvic health physiotherapy helps address a variety of concerns, like bladder, bowel, and sexual issues, as well as pelvic pain. It’s not just about one type of treatment—it can include pelvic floor muscle exercises, breathing techniques, movement therapy, stretching routines, and even strategies to improve mental and emotional well-being.

An integrative approach blends traditional physical therapy with complementary methods, recognizing that pelvic health often goes hand-in-hand with emotional, social, and even spiritual factors. It’s about seeing the whole person, not just the problem.

Why Virtual Care Works So Well

Research shows that active treatments—like exercises and self-care techniques—are super effective for chronic pain. And virtual platforms make it easier for people to stick to their treatment plans. Meeting from the comfort of home reduces stress and anxiety, especially for those who feel vulnerable discussing pelvic health issues in person. Plus, it puts patients in control, giving them the tools they need to take charge of their progress.

There’s solid evidence that virtual pelvic floor physiotherapy (PFPT) is just as effective as face-to-face care, including for conditions like urinary incontinence. A systematic review confirmed that telerehabilitation can match the results of in-person sessions, while being more convenient and accessible—especially for those living far from specialized clinics.

My Experience with Virtual Pelvic Health

I’ve been offering 100% virtual pelvic health physiotherapy for over a year to men and women in British Columbia, Canada. And honestly? It works. My patients have seen real improvements, especially those dealing with chronic pain and long-term symptoms.

My approach starts with a thorough chat about their history and goals. We focus on movement, breathing techniques, and nervous system regulation before diving into pelvic floor muscle training—making sure it doesn’t worsen symptoms. It’s all about building a strong foundation before adding more specific exercises.

Patients often share how practicing at home makes a big difference. Without the stress of traveling to a clinic or feeling judged, they feel more relaxed and in control, which helps them stay consistent and see results.

Rethinking Physiotherapy

It’s time to move beyond the idea that physiotherapy is all about hands-on treatment. Virtual care challenges us to get creative—coaching, educating, and guiding patients from a distance. It’s not about doing less; it’s about doing things differently and recognizing that empowerment and education are just as crucial as manual therapy.

Final Thoughts

Virtual pelvic health care is here to stay. It makes therapy accessible, holistic, and effective—especially for people who might otherwise go without treatment. By combining physical, emotional, and practical care, we’re reshaping how physiotherapy works. And honestly? It’s exciting to be part of this new chapter.

 

More on Pelvic Floor Physiotherapy

What my clients and colleagues have to say about me!

Over the years, I have helped over 2,000 individual with pelvic health related problems, making them less stressed, more productive, and most definitely a little happier. I am humbled by the great feedback I received throughout my career, as it validates my mission to improve quality of life, health and well-being. 

COMING SOON THE SECOND EDITION OF THIS PATIENT GUIDE!

Urinary Incontinence and Erectile Dysfunction can be successfully treated after prostate cancer surgery! If you or your loved one has been diagnosed with prostate cancer and have chosen surgery for treating the cancer, "The Guide to Optimizing Recovery After Prostate Cancer Surgery" is for you!

This guide is recommended by  health care practitioners/ surgeons and pelvic health physiotherapists as a must read before or after prostate cancer surgery.

Order your copy now!

What I Offer

I am a registered physiotherapist, integrated pelvic health practitioner and an educator.  My approach to healing is to address all the independent parts that can affect pelvic health (emotional, physical or psychological). I treat urinary incontinence, pelvic organ prolapse, pelvic pain syndromes (interstitial cystitis, prostatitis, pelvic girdle pain), sexual pain (vulvodynia, dyspareunia, vaginismus), constipation, fecal incontinence (or bowel incontinence), diastasis recti, over-active bladder, and more

Clinical Consultations

I offer Virtual Pelvic Floor Physiotherapy Consultations 

Learning with Sam

I am available as a public speaker in events and conferences, e-mail me for more information

Areas of Expertise

Pregnancy and Post Partum

Pelvic Floor Physiotherapy during  Pregnancy and post partum

Pregnancy and post partum care is essential for a healthy mom and baby. Maintaining health, physical activity and controlling any other symptoms that may occur during pregnancy or delivery is important. Pelvic health physiotherapy helps with pain, urinary incontinence, vaginal heaviness, abdominal weakness and more. The sooner these symptoms are addressed, the sooner recovery is established.  Empowering women with knowledge and care pre-natal can help with optimizing delivery and improving post partum recovery.

In this section you will find information on prenatal and postcartum care, and it will be updated frequently.

Men’s Health

Pelvic Floor Physiotherapy for men.

Men have a pelvis too, and although not as common as women, they may present with pelvic painful syndromes, sexual and bladder symptoms that can be addressed and treated by seeing a pelvic health physiotherapist.

I treat urinary incontinence, urinary retention, prostate painful syndrome (prostatitis), pelvic pain syndrome (localized to scrotum, penis, bladder or generalized on pelvic region), urgency and frequency, and I run a prostate cancer pre and post surgery program. I also wrote "The guide to Optimizing Recovery After Prostate Cancer Surgery": which can be used to complement prostate cancer physiotherapy or be used for men who don't have access to care.

Sexual Health

Pelvic Floor Physiotherapy can help sexual dysfunction.

Conditions such as painful sex (vestibulodynia, vaginismus, vulvodynia), inability to maintain erection, painful ejaculation, decreased vaginal sensation, vaginal dryness post menopause, vaginal sensitivity post partum or post surgery can be treated very successfully with pelvic health physiotherapy. Sexual Health is one of my passion, as I believe it is an area where there is very little discussion between health care providers and clients. Usually vaginal sensitivity and pain can contribute to bladder symptoms, such as urgency, retention and incontinence. Other bladder conditions such as interstitial cystitis can be triggered by painful sex and sensitivity. So it is important to treat sexual pain.

Let’s talk about sexual health, as SEX and PAIN should not go together!

Pelvic Pain

How can pelvic floor physiotherapy help improve pelvic pain?

Pelvic Pain is an umbrella term that encompasses many symptoms and disorders.  It includes location of pain such as pubic, tail bone, sacrum, low back, groin, vaginal, penile, scrotum, bladder, perineum, pelvic floor, and lower abdomen. It also includes chronic pelvic pain syndromes such as prostatitis and interstitial cystitis. If you have pelvic pain with any bladder or sexual symptoms or pelvic pain after or during pregnancy it is recommended to see a pelvic health physiotherapy.

Chronic Pelvic pain syndromes are usually not from an infection or a disease process.
It is a condition where your nervous system becomes de-regulated or sensitized.
Finding strategies to regulate your nervous system, address pelvic floor muscle dysfunction, address emotional or mental health status, use urge suppression techniques and relaxation can help symptoms. Usually, It should be treated holistically with biopsychosocial approach.

I can help address your pain and empower you with tools to help manage your symptoms.