Physio Pelvic Floor
Pelvic Health Clinic
Our physiotherapists bring together full PT licensure, specialized post-graduate pelvic health training, and BC college certification for internal assessment. Every appointment is one-on-one, unhurried, and clinically rigorous.
Our physiotherapists are first qualified and licensed physiotherapists, then they pursue dedicated post-graduate training in pelvic anatomy, internal assessment, and the treatment of conditions including incontinence, prolapse, pelvic pain, sexual dysfunction, and pregnancy and postpartum recovery.
Because pelvic floor muscles interact with almost every movement affecting posture, breathing, and core strength, expert physiotherapists can influence muscle function more profoundly than interventions targeting other isolated structures.
In BC, pelvic floor physiotherapists must also be certified with the college to perform internal examinations and treatment.
Complete an accredited PT program (MScPT, BScPT or equivalent) and obtain licensure with the provincial regulatory body.
Structured continuing education in anatomy, assessment, and treatment of pelvic conditions, plus hands-on lab training in internal techniques.
Co-treatment, chart review, and case discussion with experienced pelvic health clinicians to ensure safe clinical decision-making.
Advanced courses in low back/hip pain, pelvic pain, incontinence, prolapse, complex presentations, and trauma-informed practice.
Options for post-licensure pathways include Canadian Pelvic Health Academy, Pelvic Health Solutions, Australian Physiotherapy Association, Women's Health Training Associates (Australia), to name a few.
Individuals with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), pelvic pain, vulvodynia, vaginismus, people who struggle with incontinence, prolapse, sexual dysfunction, constipation, or anyone recovering from pelvic surgery or wanting to prepare for one.
A thorough history, review of bladder and bowel habits, external physical exam, and, with your full agreement, possible internal assessment of pelvic floor muscle tone, strength, and coordination.
Marie-Josée Ryan, BScPT, is a certified pelvic floor physiotherapist based in Maple Ridge and Pitt Meadows, BC. After more than a decade as a general physiotherapist, she was approached by a retiring colleague to take over her pelvic floor practice, and the work transformed her. Her own experience with chronic pelvic pain, and the lasting relief she found through specialized treatment, shapes how she works with every patient.
She practises out of a shared space with a urologist, which allows for organic cross-discipline knowledge exchange and a team approach to care. Every appointment is one-on-one, evidence-based, and unhurried.
Marie-Josée’s continuing education reflects her commitment to specialized pelvic floor physiotherapy and broader clinical excellence. Recent courses include:
No. Internal assessment is one tool among many and is only performed with full, your full agreement. Many aspects of assessment and treatment, including exercise prescription, education, breathing retraining, and external manual therapy, do not require it.
No. You can book directly without a referral needed. Occasionally, some extended health insurance companies require a referral for reimbursement if you have extended health. Please check with your insurance company if you suspect you need a physician referral for reimbursement.
Progress can be affected by many factors and cannot be guaranteed. Some people notice early changes within 2–4 weeks of consistent exercise. Most see significant improvement after 6–8 weeks of regular therapy. Chronic or complex conditions may require 3–6 months. Maintenance exercises are often recommended long-term.
Not at all. Men can benefit from pelvic floor physiotherapy for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), before/after prostate surgery and when dealing with incontinence, for erectile dysfunction, and bowel concerns. The anatomy is different; the principles of assessment and rehabilitation are the same.
Real-time ultrasound gives real-time information about muscle activity, on a screen. It helps patients learn to contract or relax the pelvic floor correctly, which is useful when sensation or voluntary control is unclear.
Book your initial assessment. No referral required. We'll give you a clear picture and a plan.