Pelvic Pain

Normal tests don't mean nothing is wrong.

Pelvic Pain Physiotherapy in Burlington, Ontario

Most people with persistent pelvic pain arrive having had scans, swabs and bloodwork that all came back clear, and having been told — sometimes gently, sometimes not — that it may be in their head. Muscle does not show up on those tests. Overactive, guarded pelvic floor muscles produce very real pain, and they respond to treatment.

Trauma-informed careNo referral neededPrivate treatment roomInternal assessment is always optional

Book an Assessment What we treat

What we treat

What we treat.

These conditions differ in origin but share a common thread: muscles that have learned to protect and cannot let go. That pattern is treatable, including where the original trigger has long resolved.

Painful Intercourse

Pain at entry or with deeper penetration, from any cause — postpartum, post-menopausal, or lifelong. Usually involves protective muscle tension that is directly treatable.

Vulvodynia & Vestibulodynia

Burning, stinging or rawness with or without touch. Frequently involves pelvic floor overactivity and heightened tissue sensitivity, both of which respond to graded treatment.

Pudendal Irritation

Burning, numbness or aching that is worse with sitting and eased by standing or lying down. Treatment addresses the tissues around the nerve and the muscle guarding compressing it.

Tailbone Pain (Coccydynia)

Pain sitting, or standing up from sitting, often after a fall or a birth. Both internal and external treatment approaches are available.

Endometriosis-Related Pain

Physiotherapy does not treat endometriosis itself, but it does treat the secondary muscle guarding, bowel and bladder symptoms and scar restriction that build up around it — often a substantial share of day-to-day pain.

Bladder Pain & Recurring 'UTIs'

Bladder pain with repeatedly negative cultures. Pelvic floor overactivity mimics infection convincingly, and is often what is actually going on.

Persistent Pelvic & Groin Pain

Pain no imaging has explained, sometimes years after an injury, surgery or infection. The original trigger may be gone while the protective pattern remains.

Our approach

How pain treatment is paced.

Pain changes what a body will tolerate. Nothing here is pushed through, and going slowly at the start is usually what makes it work.

Being believed, first

Your history, what has already been ruled out, what makes it better and worse. For many people this is the first appointment where the pain is treated as real and mechanical rather than psychological.

Assessment at your pace

Breathing, posture, hips, abdomen and how you hold tension. An internal assessment is informative but frequently deferred to a later visit, or skipped entirely. Care here is explicitly trauma-informed — you set the pace and can stop at any point.

Down-training, not strengthening

For overactive muscles the work is release, lengthening and calming: manual therapy, breathing, and desensitisation. Strengthening comes later, if at all, and doing it first typically makes pain worse.

Rebuilding tolerance

Graded return to sitting, exercise and intimacy on your terms and your timeline, with strategies for flare-ups so a setback stops being a crisis.

Your team

Who you'll see.

Both physiotherapists hold Pelvic Health Solutions Level 1, 2 and 3 certification, and Devanshi works from an explicitly trauma-informed, biopsychosocial approach. You will see the same clinician each visit.

Juhi Israni

Registered Physiotherapist

Mondays & Fridays: 11am – 6pm

MPT — Master of Physical Therapy
Pelvic Health Solutions – Level 1, 2 & 3
Pediatric Pelvic Floor Physiotherapy

I take time to know you as a person, not just your symptoms. Every session is one-on-one, unhurried, and built around what actually fits your life.

My approach starts with a thorough assessment to find the driver of your pain — not just where it hurts — followed by hands-on treatment and a progressive exercise plan that evolves as you improve.

Alongside general physiotherapy, I hold advanced certifications in pelvic health, which deepens my assessment of core, hip, and low-back problems.

Devanshi Patel

Registered Physiotherapist

Tuesdays & Thursdays: 9am – 4:30pm

MPT — Master of Physical Therapy
Trauma-informed, biopsychosocial approach to care
Pelvic Health Solutions – Level 1, 2 & 3

My care is one-on-one and patient-centred, grounded in a biopsychosocial, trauma-informed approach. Recovery is rarely only physical — so I pay attention to the emotional and lifestyle factors that shape how you heal, too.

Every plan I build combines hands-on therapy, movement, and education, so the progress you make is meaningful and lasts.

Frequently asked questions

What people in pain ask.

Everything came back normal. Is this really physical?+

Yes. Standard investigations look for infection, tissue damage and structural disease. They do not assess muscle tone, coordination or nerve sensitivity — which is where a great deal of persistent pelvic pain actually originates. Clear results rule things out; they do not mean nothing is wrong.

Will the assessment hurt?+

It should not. We work within what you can tolerate, and if something is painful we stop. Internal assessment is often postponed to a second or third visit for people in significant pain, and plenty of treatment happens before it — or without it entirely.

I have a history of trauma. Can I still be treated?+

Yes, and it is important you tell us only as much as you want to. Care is trauma-informed: you control the pace, consent is checked throughout rather than once at the start, you can stop at any moment, and nothing happens without being explained first.

Won't Kegels help?+

Usually the opposite. Most pelvic pain involves muscles that are already too tight and cannot relax. Adding squeezing makes it worse — which is why people with pain who have been given a Kegel handout often report deteriorating.

How long does this take?+

Longer than incontinence, honestly. Pain patterns that have been present for years typically need a few months of consistent work, with improvement arriving in steps rather than steadily. Many people notice meaningful change well before they are finished.

All pelvic health articles →

How Pelvic Floor Physiotherapy Helps Pelvic Pain in Burlington

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Why Tight Pelvic Floor Muscles Cause Pain (And Kegels Won't Help)

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Painful Intercourse: Understanding the Causes and How Pelvic Physiotherapy Can Help You Heal

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Pelvic Physiotherapy for Chronic Vulvar Pain and Vulvodynia

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Sitting Shouldn't Hurt: Understanding and Treating Pudendal Neuralgia in Burlington

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Endometriosis and Pelvic Physiotherapy: Breaking the Chronic Pain Cycle