Perineal Reeducation


What is perineal and pelvic reeducation? Perineal reeducation is a specific branch of physiotherapy that includes the assessment and treatment of health issues related to the pelvic floor and pelvic organs.

Who is pelvic and perineal reeducation intended for?

    • Women
    • Pregnant women
    • People with neurological diseases
    • Elderly
    • Men
    • Children

Which conditions and symptoms can be improved by physiotherapy in perineal reeducation?

In women, the most common symptoms include:

Urinary incontinence (involuntary loss of urine) of due to effort and urgency
Overactive bladder (urgent and frequent urge)
Prolapse (organ descent)
Fecal and anal incontinence (feces and gas)
Pain during sexual intercourse
Vaginal pain and discomfort: dyspareunia, vaginismus, vestibulodynia, vestibulie , vulvodynia
Coccygeal pain
Anorectal disorders (constipation, anal fissures, haemorrhoids, pain, anismus etc.)
Vaginal atrophy and dryness
Pudendal neuralgia
Post-surgical treatment of the urinary or gynecological system

In pregnant women, physiotherapy in perineal reeducation can be an important ally during and after pregnancy:

Preventive monitoring during pregnancy (we recommend 1 appointment per trimester)
Postpartum follow-up (6 weeks after childbirth)
Diastasis recti (abdominal separation)
Lumbopelvic pain
Any neuro-musculoskeletal discomfort related to pregnancy and childbirth
Prolapse (organ descent)
Recovery after childbirth
Treatment of blocked milk ducts (mastitis)

In men:

Post-prostatectomy urinary incontinence
Anorectal disorders (fecal and/or anal incontinence, constipation, anal fissures, anal pain)
Erectile dysfunction
Pelvic, coccygeal and pelvic pain (prostatitis)
Orchialgia (testicular pain)
Proctalgia fugax (cramp at the anus)
Pudendal neuralgia

Why follow a physiotherapist in perineal reeducation?

    • Restore coordination, strength and endurance of pelvic floor musculature
    • Loosen up and relax the pelvic floor musculature
    • Take control and proper functioning of your urinary, anorectal and vaginal systems

How is the first visit?

1) Detailed assessment:

In a confidential environment, the physiotherapist will meet you to identify the source of the problem. He or she will ask you several questions about your lifestyle so that we can identify the source and establish a treatment plan.

2) Physical examination:

The physiotherapist will then perform a physical examination to assess the pelvic area and perineum.

3) Treatment plan:

Once the problem(s) has(ve) been identified, we will be able to establish a treatment plan with you.

Treatments include:

        • 3 to 8 sessions (typically)
        • Advice and education
        • Manual techniques
        • Home exercise program
        • Use of biofeedback or neuromuscular stimulation as needed

The physiotherapy clinic for perineal reeducation is located at the Saint-Laurent and Laval CMI clinics. Contact us today!