Virtual Physio Visits
Because pelvic health problems don’t stop when you’re stuck at home, you may be left wondering how you are going to get the care you need. Whether you’re social distancing, live remotely, have a newborn at home, or have other barriers making it difficult to leave your home, we’ve got you covered.
You stay comfortable at home, and we’ll come to you – virtually.
An important note on Covid19:
At the Mama’s Physio, your health and safety are truly the main thing. In keeping with the requirements from our nation’s leaders, all face-to-face appointments need to be deferred for now.
During this time of social distancing, if you’re a current client, we highly recommend that you book a virtual care appointment to go over strategies and progress exercises so that you don’t lose your therapeutic momentum. If you are a new client seeking care, we are able to get started virtually and cover some really good ground. After restrictions are lifted, you’ll have the option to see us in person and/or to continue your virtual visits.
We take a biopsychosocial approach to treatment because that’s how our clients get better for the long run. There are three things that majorly impact how we feel in our bodies and that certainly worsen pelvic health (and any health) symptoms: they are stress, anxiety, and fear.
These three detractors of health are all pretty prominent right now in our world. So if you have noticed that your pelvic health symptoms have worsened over the last couple months, there is a good scientific explanation. But be encouraged! There is help available so please reach out if you need support any time – whether it is pelvic health related or not. We are here for you.
Frequently Asked Questions
What is virtual physiotherapy?
Virtual physiotherapy, (or tele-rehabilitation or online visits), involves using video conferencing to provide physiotherapy services remotely. You may have barriers that make it difficult to leave your home or you may simply prefer the convenience of physio on your own terms. With virtual physiotherapy, you can connect with our experienced team for 1-on-1 sessions from anywhere in Ontario. This type of physiotherapy upholds the same safety, effectiveness, and ethical standards of care as in-person visits (see College of Physiotherapists of Ontario for more information).
Can you treat my pelvic health condition virtually?
There are number of pelvic health conditions that we are able to help manage:
- Urinary incontinence
- Urinary urgency and frequency (overactive bladder)
- Pelvic organ prolapse
- Persistent pelvic pain conditions such as
- painful intercourse
- interstitial cystitis/painful bladder
- Prenatal pelvic health preparation
- Postpartum recovery
- Caesarean section recovery
- Diastasis recti and core rehabilitation
- Menopausal pelvic health symptoms
- Orthopaedic conditions
- Pre/post gynaecological surgery
- Paediatric pelvic floor health
During the course of your evaluation, if we feel virtual care is not the best for you, then we will make other recommendations so you can get the help you need. We may also recommend that, once able, you come see us in person for further evaluation.
What can I expect during an online visit?
- Security & Privacy: It is important that your privacy and confidentiality is maintained during your virtual visit. We use a secure video conferencing internet-based software that is both HIPPA and PIPEDA compliant and that follows Canadian health and privacy legislation. If at any time you wish to discontinue, that is completely fine; you have the option of continuing over telephone or seeing us in person.
- Health Interview: If it is your first visit with us, we will take a detailed health history. We will ask about the challenges you’ve experienced, any official diagnoses or medical testing you’ve received, your concerns and goals, strategies tried so far, and your perspective. We will review your questionnaire and pelvic health inventories that you submit prior to your visit.
- Examination: During an online visit, we are able to evaluate many elements visually such as posture, positioning, breathing, movement patterns, range of motion, muscle recruitment strategies, and more. These things all influence and impact your pelvic health and is often where we start your treatment, whether in person or online. We do not complete any visual inspection of the perineum or pelvic floor muscles during online visits. However, we are still able to gain many insights to guide our care plan based on your symptoms, health interview, movement evaluation, and extensive experience in the field of pelvic health.
- Recommendations: Once we have completed the above steps, we will let you know our assessment of the situation and propose a plan of care. We’ll also teach you some strategies to get started right away. You can expect to receive digital resources and home exercises to help guide your progress until we meet again virtually or face-to-face.
What does treatment involve?
Treatment is highly individualized and based on evaluation findings and your specific goals. We aim to keep your program engaging, simple, and effective. Treatment includes much of the same strategies we teach during in-person sessions:
- Education about your pain, condition or injury – and how to manage it
- Bowel or bladder retraining
- Biofeedback techniques or awareness training for the pelvic floor
- Training another person (eg. your partner) to assist you with exercises
- Teaching you how to use pelvic health tools and equipment for internal self-treatment
- Teaching soft tissue release techniques
- Breathing re-education
- Prenatal education and birth preparation with a pelvic health focus
- Constipation management
- Exercises to retrain the pelvic floor, core, and supporting systems
- Exercises and stretches – with supporting photos/videos
- Correcting exercises and teaching you how to do them more effectively
- Progress or modify your current treatment plan to move you towards your goals
- Equipment/product recommendations
- Collaborating with the rest of your care team such as your midwife, OB, specialist, family doctor, etc.
- A home program to follow in your own environment
How can I be sure virtual visits are going to be effective?
This is a great question. We’ll let you in on a secret: our goal as pelvic health physios is and has always been to teach YOU to be the leader in your recovery. Much of what we do during our in-person sessions revolves around training you in how to care for yourself. It has never been about making you dependent on us or our hands. If you’re a current client, you will already realize that we don’t see you as frequently as traditional physiotherapy practices. We teach you what you need to know, then let you have at it for a week or two before checking in again to progress your program. Our clients experience great success with this teaching model of care. So it is not a huge leap for us to continue offering the same excellent care and treatment strategies via virtual visits. It’s about empowering and equipping you with the knowledge and skills you will need to heal – and you’ll get to take all the credit for it when you do.
There may be some situations where in-person physiotherapy is mandatory to see clinical improvement. If this is your case, we will certainly let you know that it’s in your best interest to come in to our office for a face-to-face session.
Does insurance cover virtual physiotherapy?
Yes, the majority of extended health benefit plans in Ontario that which cover in-person physiotherapy also cover virtual physiotherapy sessions. These insurers include Sunlife, Manulife, Great West Life, Medavie, Green Shield Canada, Blue Cross, Canada Life and more. Since insurance policies are constantly being updates, we advise that you contact your insurance company to confirm your coverage details.
What do I need to get started?
You will need a computer, tablet, or phone with reliable internet connection and a webcam. Set your device up so that you can do a face-to-face interview and so you can also move away to show your full body. We will send you the link to connect to your online visit once you book your session.