Pelvic Floor Rehabilitation with a physiotherapist
2025
Pelvic Floor Physiotherapy: What It Is, How It Works, and Why It Matters | Physiotherapy Madeira

Pelvic floor physiotherapy is becoming one of the most important areas of modern rehabilitation. Whether you experience pelvic pain, urinary incontinence, postpartum discomfort, or core weakness, strengthening the pelvic floor can dramatically improve your quality of life.
At Physiotherapy Madeira, we specialise in evidence-based pelvic floor treatment to help you move, live, and feel better—naturally and safely.
What Is the Pelvic Floor?
The pelvic floor is a group of muscles, ligaments, and tissues located at the base of the pelvis. These muscles act like a supportive “hammock”, holding up your:
- bladder
- uterus or prostate
- bowel
- core and spine
A healthy pelvic floor is essential for stability, continence, sexual function, posture, and overall wellbeing.
What Is Pelvic Floor Physiotherapy?
Pelvic floor physiotherapy focuses on assessing and treating dysfunctions in the pelvic region. It is performed by a trained physiotherapist using specialised techniques to improve muscle coordination, strength, and relaxation.
It is non-invasive, personalised, and backed by scientific evidence.
Who Can Benefit from Pelvic Floor Physiotherapy?
Pelvic floor issues affect women, men, and children. You may benefit from treatment if you experience:
For Women
- urine leakage when coughing, laughing, or exercising
- pain during intercourse
- heaviness or pressure (possible prolapse)
- pregnancy-related discomfort
- postpartum recovery needs
- abdominal separation (diastasis recti)
For Men
- urinary frequency or urgency
- chronic pelvic pain
- post-prostate surgery complications
- erectile dysfunction influenced by muscle tension
For All Clients
- lower back pain
- hip or pelvic instability
- constipation or bowel dysfunction
- difficulty activating the core
If any of these symptoms affect your daily life, pelvic floor physiotherapy can help.
How Pelvic Floor Physiotherapy Works
At Physiotherapy Madeira, each session is tailored to your specific needs. Here’s what you can expect:
1. Personal Assessment
Your physiotherapist will evaluate:
- posture and breathing
- pelvic alignment
- movement patterns
- pelvic floor muscle strength and coordination
- abdominal and core involvement
This assessment is gentle, professional, and confidential.
2. Specialised Treatment Techniques
Your rehabilitation plan may include:
Manual Therapy
Hands-on techniques to release tension, reduce pain, and improve mobility.
Pelvic Floor Strengthening
Targeted exercises to improve muscle control and endurance.
Relaxation & Down-Training
For clients with an overactive or tight pelvic floor.
Biofeedback
Helps you see and feel how your pelvic floor is working.
Breathing & Core Integration
Connecting diaphragmatic breathing with pelvic stability.
Lifestyle & Posture Education
Guidance on daily habits that support long-term pelvic health.
Why Pelvic Floor Physiotherapy Works
The pelvic floor is directly connected to the spine, hips, diaphragm, and deep core. When treated correctly, clients often notice improvements such as:
- better bladder control
- reduced pelvic or lower back pain
- stronger core stability
- improved sexual function
- postpartum recovery and confidence
- improved athletic performance
The pelvis is the centre of the body—when it functions well, everything else moves better.
Common Myths About Pelvic Floor Physiotherapy
“Only women need pelvic floor physio.”
False. Men also experience pelvic issues, especially after prostate surgery or due to chronic tension.
“It’s just doing Kegels.”
Not true. Many clients actually need relaxation rather than tightening. Proper assessment is essential.
“It’s embarrassing.”
Sessions are completely professional, private, and focused on your comfort.
Pelvic Floor Physiotherapy in Madeira
At Physiotherapy Madeira, we provide personalised pelvic floor treatment for locals and visitors to the island. Whether you're recovering after childbirth, dealing with chronic pain, or simply want to feel stronger and more confident, we’re here to help.
Our Pelvic Floor Services Include:
Pelvic floor assessment;
Postpartum recovery programs
Pain & tension management
Bladder control rehabilitation
Core strengthening
Sport-specific pelvic stability training
If you are experiencing pelvic pain, urinary leakage, or core weakness, don’t wait—these issues are treatable, and improvement often comes faster than expected.
Book your session at Physiotherapy Madeira today
and let’s build a stronger, healthier foundation for your body.




