Pelvic Floor Rehabilitation in Mississauga
Leaking when you laugh. Pressure when you stand. A core that does not feel like yours anymore. If you have been told this is just part of having a baby, you were told wrong.
Dr. Natalie Lopez helps women retrain their pelvic floor muscles through external, non-invasive rehabilitation. No internal exams. No uncomfortable assessment. Just a clear, supported path to feeling like yourself again.
Restore coordination, control, and confidence.
Your pelvic floor is a group of muscles that sit at the base of your pelvis. They support your bladder, bowel, and uterus. They help you control when you go to the bathroom, and they work with your core every time you move, lift, cough, or exercise.
When these muscles are not functioning well, symptoms show up. Leaking, urgency, pressure, heaviness, core weakness. These are not just annoyances. They are signals that the muscles need retraining.
Pelvic floor rehabilitation is about restoring how those muscles work: how they contract, how they relax, and how they coordinate with your breathing and your core. It is not diagnosis. It is not internal assessment. It is functional retraining, and for most common pelvic floor symptoms, it works.
Related support at Tip Top
Support for the women who need this most.
These symptoms are common, but they do not need to become your new normal. Dr. Natalie meets you where you are and builds care around what you want to get back to doing.
Postpartum mothers
If you are anywhere from a few weeks to a few years after delivery and experiencing leaking, pressure, or core weakness, this is for you. You do not need to wait until things feel “bad enough.”
Pregnant women preparing for recovery
If you are expecting and want a plan for how your pelvic floor will be supported after birth, Dr. Natalie can help you set that foundation.
Women experiencing pelvic floor symptoms at any stage
Leaking during exercise, urgency that interrupts your day, or a feeling of heaviness that will not go away are common, treatable symptoms.
Athletes dealing with leaking during activity
Running, lifting, and jumping all depend on coordination. If your pelvic floor cannot keep up with what the rest of your body is doing, retraining can change that.
Clear guidance, hands-on care, and a plan you can actually follow.
Your first visit
Your initial visit is a full 60 minutes. Dr. Natalie starts with a thorough conversation about your symptoms, your birth experience if relevant, and what you want to get back to doing. She examines how your spine, hips, and pelvis are moving and how your core and pelvic floor muscles are coordinating. Everything is explained in plain language before it happens. You are in control the entire time.
No internal exam. This is not part of Dr. Natalie’s assessment model. Everything she evaluates is done externally, through movement, palpation, and functional testing.
What rehabilitation looks like
Dr. Natalie uses external muscle retraining. That means breathing work to reconnect your diaphragm, core, and pelvic floor. Core coordination exercises to restore timing and control. Progressive loading to rebuild strength in the right sequence. Hands-on soft tissue therapy where needed to release tension that is getting in the way.
She also uses the GROWCO framework, a structured postnatal rehabilitation approach that guides progressive recovery from early postpartum through return to full activity. Dr. Natalie is a GROWCO Ambassador, and she applies this framework to build recovery plans that move at your pace.
Between visits
You leave each visit with specific things to work on. Movement cues, breathing exercises, and gentle strengthening adapted to where your body is at. Most of the real progress happens between appointments. Dr. Natalie’s job is to guide that progress so you are never guessing.
Recovery is not about bouncing back. It is about rebuilding.
Pregnancy and delivery change how your pelvic floor and core function. Some of those changes resolve on their own. Many do not. Leaking when you cough or exercise, a feeling of heaviness or pressure in your pelvis, and a core that feels disconnected or weak are among the most common postpartum pelvic floor symptoms, and they respond well to rehabilitation.
Dr. Natalie works with mothers at every stage of recovery, whether you are 6 weeks or 2 years postpartum. There is no window that closes. Your body can make meaningful change at any point.
If your concerns go beyond pelvic floor rehabilitation, including diastasis recti, C-section recovery, or broader postpartum chiropractic care, Dr. Natalie addresses those as well.
The GROWCO framework is central to Dr. Natalie’s postpartum approach. It provides a structured path through core coordination, pelvic floor function, alignment, and progressive return to exercise. You will always know where you are in the process and what comes next.
Problems that deserve more than “just wait it out.”
Because pelvic floor issues are often about timing, not just strength.
Your pelvic floor muscles need to work with your breathing, your core, and your hips in a specific sequence every time you move, lift, or brace. When that coordination breaks down, symptoms appear.
External retraining addresses this directly. By evaluating how your muscles fire, how your breathing patterns interact with your pelvic floor, and how your core and pelvis move together, Dr. Natalie can identify what is not coordinating well and build a plan to fix it.
This approach is effective for the majority of common pelvic floor symptoms. Breathing retraining, progressive exercise, and soft tissue work produce real results without requiring internal assessment.
Ideal for
Women who want effective pelvic floor rehabilitation without an internal exam, especially postpartum mothers who prefer a more comfortable starting point.
How it helps
Breathing retraining, progressive exercise, and hands-on care restore coordination so you can move, lift, cough, and exercise with more confidence.
When to refer
If Dr. Natalie identifies symptoms that require internal assessment, such as complex pelvic pain conditions or specific organ prolapse concerns, she will refer you to a qualified pelvic floor physiotherapist.
Pelvic floor rehabilitation FAQs
No. Dr. Natalie’s approach is entirely external. She assesses and treats pelvic floor dysfunction through movement, palpation, breathing, and progressive exercise. Internal examination is not part of her model. If at any point she believes internal assessment would benefit you, she will refer you to an appropriate provider.
Yes. Dr. Natalie can help you prepare your pelvic floor for birth and build a plan for postpartum recovery. Many women benefit from starting rehabilitation concepts during pregnancy so they have a clearer path after delivery. Learn more about pregnancy chiropractic care.
Many new mothers begin within the first few weeks after a vaginal delivery. If you had a C-section, Dr. Natalie will work with your timeline and adapt everything to your recovery stage. There is no deadline. Meaningful change is possible whether you are 6 weeks or 2 years postpartum.
Dr. Natalie is a chiropractor, not a physiotherapist. Her approach focuses on external muscle retraining through breathing, core coordination, progressive loading, and soft tissue work. She does not perform internal pelvic floor assessment or internal manual therapy. If your symptoms require internal assessment, she will refer you to a pelvic floor physiotherapist.
Chiropractic care is covered under most extended health insurance plans in Ontario. Coverage varies by plan, so check with your provider. Direct billing is available for most major insurance companies.
No. Chiropractic is a primary health care service in Ontario. You can book directly without seeing a doctor first.
That depends on your symptoms and goals. Dr. Natalie builds a personalized plan and reassesses as you progress. Most patients begin with weekly or biweekly visits, spacing them out as they improve and become more independent with their home program. You will always know where you stand and what comes next.
No referral needed. No waiting to feel ready.
Just a first step toward feeling like yourself again. Dr. Natalie will meet you exactly where you are.
Questions about what to expect? See what to expect or book a free 15-minute consultation.