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Pelvic Floor Rehabilitation


What is it?

Pelvic floor physiotherapy is a specialized branch of physiotherapy involving internal and external assessment and treatment of the pelvic floor muscles. Those muscles are located between the hip bones and the sacrum, and they serve as a hammock/sling to support the pelvic organs including the bladder, colon and uterus.


Why might I need it?

Pelvic floor physiotherapy is becoming more established in the literature as a first-line of defence against incontinence and pelvic pain. You may benefit from this specialized physiotherapy if you have any type of pelvic floor dysfunction, generally classified into two problems: your muscles are overactive (too tight) or they are underactive (too weak).

A tight pelvic floor can contribute to:

  • urinary frequency and urgency

  • pain with urination

  • waking up during the night to urinate

  • urinary incontinence (loss of urine before making it to the washroom)

  • constipation, straining or painful bowel movements

  • sexual dysfunction (inability to have vaginal penetration, or pain with penetration)


A weak pelvic floor can contribute to:

  • stress incontinence (loss of urine during jumping, running, coughing or sneezing)

  • pelvic organ prolapse (a pelvic organ shifts out of place creating heaviness or bulging at the vaginal or rectal opening)


Other conditions that pelvic floor physiotherapy can treat are:

  • Dysmenorrhea (painful periods)

  • Vulvodynia and Vaginismus

  • Clitoral Phimosis

  • Lichens Simplex, Sclerosis, or Planus

  • Interstitial Cystitis and Bladder Pain Syndrome

  • Endometriosis

  • Irritable Bowel Syndrome

  • Pelvic Congestion Syndrome


These pelvic conditions can occur during any point in a woman’s life, but commonly after birth or during menopause. Sadly, women think they must live with these symptoms for the remainder of their life, but luckily there is much that can be done to correct these problems and lessen/get rid of symptoms!

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Leanna Taggio

Registered Physiotherapist

BSc(Kin), MSc(PT) & Pelvic Floor Therapist specializing in Women's Health

My interest in physiotherapy developed at an early age while participating in athletics during high school. I competed in various sports, such as track and field, taekwondo, volleyball, soccer and gymnastics. With the frequency that I participated in these activities, my body underwent a tremendous amount of stress resulting in multiple overuse injuries. Luckily, I had a really great physiotherapist who rehabbed me back to sport. Having been a patient myself, I can easily relate to the feelings of helplessness and frustration that can occur with injury and during recovery.


As I continued to learn in my career, I discovered the essential benefit of pelvic floor physiotherapy and how under-utilized and unrecognized it is. Pelvic floor muscle dysfunction can occur at any age, even during or after pregnancy and/or menopause. It can be linked to low back pain, hip/pelvic pain, constipation, endometriosis, painful menstruation, and so much more! When I was pregnant, pelvic floor physiotherapy became vital in my prenatal care. 

From paediatric to geriatric, I work with clients of all ages, shapes, and sizes to help achieve their goals and maximize their daily function.

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Ksenya Kharnam

Registered Physiotherapist

BPT & Pelvic Floor Therapist


Ksenya Kharnam obtained her Bachelor of Physical Therapy from University of Haifa in 2014. Ksenya is an internationally trained physiotherapist with experience in both acute and chronic patient care treating patients of all ages. Ksenya has worked in both the public and private sector.


Ksenya continues to expand her knowledge by taking ongoing courses to provide the best evidence-based treatment for her patients.  Some of the certifications she has obtained include Massage Therapy, The Mulligan Concept, The McKenzie Method, Acupuncture, Personal Trainer and Pelvic Floor Health.  Ksenya believes patients' quality of life can be improved and maintained by education, life-style modification, exercises, and therapy.


Ksenya is very passionate about all her physiotherapy treatment tools, however, Ksenya has a special interest in Pelvic Floor Health. Ksenya provides care for a variety of Pelvic floor conditions such as: all types of incontinence, pelvic organ prolapse, acute and chronic pelvic pain conditions, and chronic urological pain syndromes and more.


In her spare time, you can find Ksenya enjoying quality time camping and travelling with her family and dancing.