One in three women has a form of pelvic dysfunction that affects her quality of life. A weakened pelvic floor can result in urinary leakage, constipation and painful intercourse. Sometimes pelvic floor issues emerge pre- or post-partum; they can become more common as women age. Pelvic floor physiotherapy can significantly reduce these symptoms, resulting in a much improved quality of life, and in some cases can help a patient avoid surgery.
The term “pelvic floor” describes a group of muscles that support the pelvic organs (uterus, bladder, and rectum), and encompass the urethra, rectum, and vagina. These muscles span from the pubic bones to the tailbone, like a hammock. If these muscles are too tight, weakened, injured (or a combination of all the above), it can result in incontinence, or difficulty with bowel function, and/or sexual function.
Our primary objectives during your first visit will be to identify the structures that are causing your symptoms, and to ensure that you are comfortable with the treatment approach and relaxed during assessment.
Your first appointment will be 60 minutes long and have two components:
First, your therapist will take a comprehensive history of your current issue(s). She will ask questions about past injuries/traumas, bowel and bladder habits, diet, exercise, and your gynecological history.
This will be followed by a physical assessment of the structures in your pelvic floor as well as your lower quadrant (e.g. low back, hips). This is an external exam of the abdomen, thighs, and the vagina. An internal exam will then be conducted of the vagina and the rectum. The internal exam focuses on assessing muscle tone, muscle strength, trigger points, and overall tissue health. No speculum is used during the internal exam.
We will do all we can to make sure that you are comfortable with the care you are receiving. All appointments are conducted in a private treatment room with a female physiotherapist. All appointments are one-on-one.
You will always have the right to refuse an internal exam or treatment at any time, whether during the initial assessment or a subsequent appointment. Other treatment and assessment options may still be available to you.
During your care, your therapist will build your understanding of the structures that are contributing to your symptoms and explain treatment options. She will create a personalized treatment plan and prescribe take home exercises to improve your recovery. Often manual therapy (hands on techniques used to decrease pain and improve tissue healing) will be used during the initial assessment and in the majority of your subsequent appointments.
We are excited to be able to offer Pilates specific exercise programs at Kachan Physiotherapy with the applied principles we use within our physiotherapy practice. Pilates is an excellent compliment to how we work in clinic to achieve balance, proper alignment, core strength and proper motor patterning to optimize movement.
The Stott Pilates method is an evidence-based repertoire of exercises that focuses on optimizing musculoskeletal performance by improving strength, flexibility and endurance. It includes focused key principles that include core stability, pelvic and shoulder girdle stabilization, mobility, alignment and breathing. The result is a body that is well balanced and optimally aligned, that moves with ease and feels fit and revitalized.
A Stott Pilates trained instructor has the following credentials:
Being Stott certified and a physiotherapist allows our trained instructor to apply a comprehensive approach to your exercise prescription.
We offer both Foundational (beginner) and Advance classes that are open to anyone who is interested and has been assessed as safe to participate. You do not have to be a previous client of the clinic to join. All fitness levels are welcome.
We offer an introductory 5 week (2x/week) program and an advanced class (5 week, 1x/week) for those who have previously participated in the introductory class. This allows participants to master both the repertoire and form, along with having developed fitness in the introductory class prior to participating in the advanced sessions.
Requirements: A pre-scheduled 1 hour individualized evaluation at our clinic. This allows us to determine the necessary modifications we will need to make to your Pilates repertoire and help to establish the important core principles that are essential to Pilates.
The required 1 hour individualized evaluation at the clinic is billable to some private insurance plans with physiotherapy insurance coverage as the evaluation is done by a physiotherapist.
If you are interested or would like to be added to our mailing list regarding future programs please .
One-on-one personal approach to help support changes for health, nutrition and performance in real life. Offering health behavior changes that don’t focus on taking away foods like many fads, but practical methods based on the latest scientific research.
To make an appointment, please contact .
We are excited to be able to offer The GLA:D program for management of osteoarthritis of the hip and knee. GLA:D is an evidence-based education and exercise program for individuals experiencing pain or stiffness in their hip(s) and/or knee(s) from osteoarthritis. Initially developed in Denmark and launched across Canada in 2016, this program combines education, neuromuscular exercise sessions and data collection to help those living with hip and knee osteoarthritis. GLA:D is a physiotherapist led program that will teach you the right way to move to reduce your osteoarthritis symptoms.
1 hour in length
Baseline measurements taken to track future progress.
2 sessions, 90 minutes each
Learn about what is osteoarthritis, current treatments, self-management strategies and how exercise can help
12 sessions (2 per week for 6 weeks), 60 minutes each
Build strength with functional exercises
Learn how to apply these exercises to everyday activities
Data is collected at your first visit, 3 and 12 months after starting the program
Helps monitor how the program is working for people with osteoarthritis all over Canada and will help improve the program over time
If you are interested or would like more information .
Intermediate and Advanced
Individual pilates one-on-one
David Kachan PT
BSc.PT, DipManipPT, FCAMPT, C.G.I.M.S.
David holds a Bachelor of Science (Physical Therapy) degree from the University of Saskatchewan and has spent his career practicing in the area of orthopaedic physiotherapy. . . .
Ainslee McCann PT
MSc.PT, DipManipPT, FCAMPT
Jessie Roy PT
MSc.PT, DipManipPT, FCAMPT, C.G.I.M.S.
Daniel Muise PT
Your initial appointment will be 60-minutes, with your physiotherapist who is dedicated exclusively to one-on-one treatment time with you in our private and spacious treatment rooms.
To protect patients and staff, we will ask you COVID-19 screening questions and you will be required to disinfect your hands before being guided directly to your treatment room.
We will ask a lot of questions about your injury—the information you tell us plays a big part in making an accurate diagnosis. Then we’ll do some clinical and “hands-on” assessment to confirm the diagnosis.
We will take time and care at the end of the appointment to explain your problem and a treatment plan—in language you can understand—including why you, why now and, most importantly, what to do about it.
You may receive some hands-on treatment during the first visit depending on your injury. We will go over your plan for the on-going management of your injury, including a time frame for your recovery, plans for further visits, if they are required, and the exercises you need to do at home. We will focus on the two or three things you should do at home so you’re not burdened with too much to do. Your customized home-management program will be available to you via a website program called SimpleSet that you access from a link we will email you.
Wear a non-surgical mask to minimize the risk of COVID-19 spread and also wear appropriate clothing to expose the area requiring treatment. We can lend you shorts or an examination shirt (Johnny Shirt) if you need them.
Bring any investigations you have (x-ray, CT, MRI, etc). If you have a referral letter from a doctor bring that, too. Also, bring your health plan policy information, if you are a member of one.
Subsequent treatments last 30-minutes and always provide you with exclusive one-on-one time with your therapist.
Payment is required at the time of your appointment, we take debit and credit cards and can accept e-transfer. Certain private health insurance plans allow direct payment from the insurer and can be processed, where applicable, at the time of your appointment provided you have brought along your appropriate health plan policy information.