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You Were Told to Wait It Out. We Have a Better Answer.

You are doing everything you were told. Resting. Waiting. Maybe trying Kegels. But months after your baby arrived, the leaking, the pelvic pain, the scar tightness, and the exhaustion are still there. You were told this is normal. It does not have to be.

We assess the whole picture, not just the symptom.

We look at your pelvic floor, joint mechanics, and any scar tissue from delivery together, because treating any one of them in isolation is why most postpartum care stalls.

Advanced therapies combined with targeted rehabilitation.

When appropriate, we pair pelvic floor physiotherapy with focused shockwave, EMTT, and manual care, addressing what exercises alone cannot reach.

We stay with you until real function returns.

We do not discharge you the moment symptoms ease. We build a graded return-to-activity plan that carries you back to running, lifting, and everything else you want to do again.

60-minute one-on-one assessment + treatment plan.

No pressure, no contracts.

Is This You?

If any of this sounds familiar, you're in the right place.

Leaking when you cough, laugh, sneeze, or try to exercise

Pelvic heaviness or pressure, like something is falling or dropping

Pubic bone, SI joint, or tailbone pain when walking, rolling in bed, or climbing stairs

Sex is still painful or uncomfortable months after delivery

Core weakness, belly "doming," or lost trust in your trunk when lifting your baby

Tightness, pulling, or numbness around a C-section or episiotomy scar

You have been told "it is normal" or "just wait it out," and you know something still is not right.

The Real Problem

Why Your Pelvic Floor Still Hurts After "Trying Everything"

Explore 4 slides on Pregnancy & Postpartum: Preparation for birth and rehabilitation afterwards.

Most people have several of these happening at once. That is why we assess the whole chain, from your pelvic floor and deep abdominals to your sacroiliac joints and any delivery-related scar tissue, not just the spot that hurts most.

OUR APPROACH

The Unpain 3-Part Pregnancy & Postpartum: Preparation for birth and rehabilitation afterwards. Relief Program

INITIAL VISIT

Whole-Body Root-Cause Assessment

Pelvic floor function testing covering muscle strength, coordination, tone, and endurance

Lumbopelvic joint screening and scar tissue evaluation of C-section, perineal, or episiotomy sites

A written clinical plan with transparent recommendations and pricing before any commitment is made

Weeks 1 to 8

Symptom Reduction and Tissue Recovery

Pelvic health physiotherapy targeting pelvic floor retraining, breathing coordination, and gentle core activation

Massage therapy to support muscle function, reduce postpartum tension, and complement pelvic floor work

Chiropractic care to address pelvic alignment and lumbopelvic joint mechanics contributing to pain

Once healing milestones are met: focused shockwave for scar remodelling or stress urinary incontinence, and EMTT as a supportive adjunct for pain and tissue response

Make carrying your baby, walking, and daily movement manageable and pain-free.

8+ Weeks and Beyond

Progressive Strengthening and Return to Activity

Graded strength programming for pelvic floor, hip, and trunk, progressed by symptoms and healing milestones rather than a fixed calendar

A structured return-to-activity plan for running, lifting, exercise classes, and sport built around your specific goals

Ongoing support until you reach your return-to-activity targets, not just until symptoms ease

What To Expect

What Results Can I Expect?

Every case is different, but research and our clinical experience consistently show:

Many patients notice meaningful improvement in leaking and pelvic symptoms within 4 to 8 weeks of starting targeted pelvic floor rehabilitation, with continued gains through 6 months of care.

Structured postpartum rehabilitation supports safe return to daily activity, exercise, and sport, with pelvic floor strength and endurance gains that outlast symptom improvement alone.

Addressing pelvic floor, joint mechanics, and scar tissue together, rather than any one in isolation, is consistently associated with better outcomes than single-modality postpartum care.

Our promise: we will tell you honestly at the assessment if we do not believe you are a good candidate for this approach. If your condition needs something different, we will refer you directly.

EVIDENCE

The Research Behind Our Approach

Pelvic floor muscle training has been shown to reduce the odds of postpartum urinary incontinence by 37%, confirmed by a meta-analysis of seven randomized controlled trials involving nearly 2,000 women.

Starting pelvic floor exercises during pregnancy reduces the risk of urinary leaking in late pregnancy and in the months after delivery, according to a Cochrane systematic review.

Low-intensity shockwave therapy improved stress urinary incontinence symptoms in 84.5% of treated participants at the 6-month follow-up in a randomized controlled trial.

Multimodal rehabilitation programs combining exercise, education, and manual therapy outperform single-modality approaches for pregnancy-related lumbopelvic pain, based on systematic review evidence.

Canadian postpartum physical activity guidelines support a gradual, symptom-based return to movement, with measurable health and pelvic floor improvements documented across the first postpartum year.

Outcomes are group averages from clinical trials. Individual results vary based on presentation, healing, and adherence.

See full references
  1. [1] Cochrane Authors. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews. 2020. pubmed.ncbi.nlm.nih.gov/32378735
  2. [2] Davenport MH, et al. 2025 Canadian guideline for physical activity, sedentary behaviour and sleep throughout the first year post partum. British Journal of Sports Medicine. 2025. DOI: 10.1136/bjsports-2025-109785
  3. [3] Sigurdardottir T, et al. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? American Journal of Obstetrics and Gynecology. 2020;222:247.e1–247.e8. DOI: 10.1016/j.ajog.2019.09.011
  4. [4] Gutke A, et al. Specific muscle stabilizing as home exercises for persistent pelvic girdle pain after pregnancy: a randomized, controlled clinical trial. Journal of Rehabilitation Medicine. 2010;42:929–935. DOI: 10.2340/16501977-0615
  5. [5] Moossdorff-Steinhauser HFA, et al. Pelvic floor muscle group therapy for the treatment of urinary incontinence during pregnancy and post-partum: a randomized controlled trial. Pelviperineology. 2021;40(2):67–75
  6. [6] Lin K-L, et al. Low Intensity Extracorporeal Shock Wave Therapy as a Novel Treatment for Stress Urinary Incontinence. Medicina. 2021;57(9):947. DOI: 10.3390/medicina57090947
  7. [7] Chuangsuwanich A, et al. Extracorporeal Shock Wave Therapy for Hypertrophic Scars. Archives of Plastic Surgery. 2022. DOI: 10.1055/s-0042-1751027
  8. [8] Cui H, et al. Effect of extracorporeal shock wave therapy on hypertrophic scar cellular behaviour. Scientific Reports. 2021. DOI: 10.1038/s41598-021-96537-8
  9. [9] Tung CW, et al. Novel treatment of chronic perineal pain by extracorporeal shock wave therapy (case report). Urology. 2015. pubmed.ncbi.nlm.nih.gov/25164767
  10. [10] Hollander K, et al. Extracorporeal magnetotransduction therapy (EMTT) for management of musculoskeletal disorders: a double-blind, placebo-controlled, randomised trial. Journal of Back and Musculoskeletal Rehabilitation. 2025. DOI: 10.1177/10538127251400083
  11. [11] Hall H, et al. The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain: a systematic review with meta-analysis. Medicine. 2016
  12. [12] Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database of Systematic Reviews. 2015. pubmed.ncbi.nlm.nih.gov/26422811
  13. [13] Gausel AM, et al. Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women: a randomized controlled trial. BMC Pregnancy and Childbirth. 2017. pubmed.ncbi.nlm.nih.gov/28962596
  14. [14] Stuber KJ, et al. Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review. Chiropractic & Manual Therapies. 2012. pubmed.ncbi.nlm.nih.gov/22455720
  15. [15] Licciardone JC, et al. Osteopathic Manipulative Treatment of Back Pain and Related Symptoms during Pregnancy. American Journal of Obstetrics and Gynecology. 2010. pubmed.ncbi.nlm.nih.gov/19766977
  16. [16] Mueller SM, Grunwald M. Effects, Side Effects and Contraindications of Relaxation Massage during Pregnancy. Journal of Clinical Medicine. 2021;10(16):3485. DOI: 10.3390/jcm10163485
  17. [17] Field T, et al. Massage therapy reduces pain in pregnant women, alleviates prenatal depression in both parents and improves their relationships. Journal of Bodywork and Movement Therapies. 2008;12(2):146–150
  18. [18] Banaei M, et al. Prevalence of postpartum dyspareunia: a systematic review and meta-analysis. International Journal of Gynecology & Obstetrics. 2021. pubmed.ncbi.nlm.nih.gov/33300122
  19. [19] Giugale LE, et al. Prevalence and Predictors of Urinary Incontinence at 1 Year Postpartum. American Journal of Obstetrics and Gynecology. 2021. pubmed.ncbi.nlm.nih.gov/33009263
  20. [20] Huber M, et al. Pelvic floor dysfunction one year after first childbirth. Scientific Reports. 2021. DOI: 10.1038/s41598-021-91799-8

BY THE NUMBERS

What the Research Shows

These figures represent group-level outcomes from published clinical research. Individual results depend on presentation, healing stage, and adherence.

Pregnancy & Postpartum: Preparation for birth and rehabilitation afterwards.FAQ

Here are answers to some of the most common questions about Pregnancy & Postpartum: Preparation for birth and rehabilitation afterwards..

6 results found

Do Kegels always help postpartum, or can they make symptoms worse?

Not always. Kegels are a strengthening exercise, but not all pelvic floor problems are caused by weakness. If your muscles are overactive or poorly coordinated, Kegels can increase tension and actually worsen symptoms like pelvic pain, urgency, or discomfort during sex. A proper assessment determines whether your pelvic floor needs to strengthen, relax, or retrain its timing before anything else. We review this with you at your initial assessment.

Can a C-section scar cause ongoing back pain or pelvic symptoms?

Yes. Scar tissue from a C-section incision can create restrictions in the fascial layers beneath the skin. That restriction can alter movement mechanics, refer pain into the lower back or hips, and in some cases affect bladder and bowel function. Many patients never connect their ongoing symptoms to a healed scar. Scar tissue assessment and mobilization are a standard part of our postpartum evaluation.

How long does pelvic floor physiotherapy take to work?

Research trials typically show measurable symptom improvement by around 6 months postpartum with supervised pelvic floor training starting at 6 to 10 weeks after delivery. Many patients notice meaningful changes within the first 4 to 8 weeks when care is individualized and consistent. Strength and endurance gains often persist even longer than symptom improvements. We outline a realistic timeline based on your specific case in your first visit.

Why does my pelvic pain keep coming back?

Recurring symptoms usually mean the underlying drivers, such as coordination deficits, scar restrictions, joint mechanics issues, or poor load tolerance, have not been fully addressed. Pain that returns with activity typically signals that the system has not been trained for that level of demand yet. Relying on a single modality or stopping care too early are common reasons progress stalls. We identify those gaps at the assessment and build a plan that closes them.

When can I safely return to running or heavier exercise after giving birth?

There is no single universal timeline. Safe return to higher-impact activity depends on how well incisions or tears have healed, whether activity increases bleeding or symptoms, your pelvic floor function, and your overall strength. Canadian postpartum guidelines support a gradual, symptom-based progression rather than a fixed date. We help you build a specific return-to-activity plan so you are not guessing. We map this out in your first visit.

Is shockwave therapy safe and effective for postpartum scar pain or leaking?

Shockwave is not applied during pregnancy. Once appropriate healing milestones are met postpartum, low-intensity shockwave has shown promising results for stress urinary incontinence and for scar-related stiffness in clinical research. It is used as part of a broader rehabilitation plan and is most effective when combined with pelvic floor retraining and strength work, not as a standalone treatment. We discuss whether it is appropriate for your case at your assessment.

YOUR NEXT STEP

Ready to See What Is Actually Driving Your Pelvic Symptoms?

Stop collecting one-size-fits-all advice and get a plan that addresses your pelvic floor, your joints, and your scar tissue together.

Initial Pregnancy & Postpartum: Preparation for birth and rehabilitation afterwards. Assessment — Edmonton

60-minute one-on-one session. Here’s what’s included:

1

Full pelvic floor, lumbopelvic joint, and scar tissue assessment

2

Identify which pain and dysfunction drivers matter most for your specific case

3

Review of delivery history, symptoms, and any relevant imaging or clinical reports

4

A clear written treatment plan with transparent pricing before you commit to anything

No referral needed. No obligation to continue beyond the first visit.

No pressure, no contracts.

We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.