Pelvic health physiotherapists use digital palpation to directly assess the pelvic floor, grading scores are used to measure risk of vaginal prolapse and muscle strength/co-ordination to best determine treatment options. Real time ultrasound scanning can also be key in examining the pelvic floor, providing moving images from external scanning. This can be really insightful for patients to see how to best contract and relax this vital muscle group during rehabilitation and for future pelvic floor health.