Your presenting condition will serve as the basis for assessment and treatment. The physiotherapist will begin the appointment by taking your confidential and detailed history. This will involve identifying the emergence of your symptoms and how they affect your everyday life. The evaluation of your abdominal muscles, pelvis, and lumbar spine then starts with your physical assessment.
You will also be receiving an internal examination. This is to determine the tone, strength, and control of the muscles in your pelvic floor. The test will involve finger palpation that will determine damage or scarring, pelvic organ prolapse signs, muscle tone, tenderness, muscles of the pelvic floor and feeling of connective tissue and neural sensitivity. The measure for the strength and endurance of the muscles of the pelvic floor will be next. This is to evaluate whether or not the muscles of the left and right, superficial and deep pelvic floor are working together.
The findings of the assessments carried out will be discussed with you and will serve as the basis of your treatment plan.