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, there is more support available than you may have been offered.
Tip Top Health is an Oakville chiropractic clinic serving patients from both Oakville and Mississauga where 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.
What is pelvic floor rehabilitation?
Your pelvic floor is a group of muscles at the base of your pelvis. It supports your bladder, bowel, and uterus. It controls bathroom function and works with your core when you lift, cough, sneeze, or exercise.
Pelvic floor rehabilitation is a form of muscle retraining. It uses external, non-invasive techniques, with no internal exams and no internal instruments. Dr. Natalie assesses how your core and pelvic floor work together through movement, palpation, and functional testing, then builds a plan to restore coordination, strength, and control.
Who can benefit from pelvic floor rehabilitation?
Pelvic floor rehabilitation may help if you leak when you laugh, cough, sneeze, or exercise. It may also help with urgency, pelvic pressure or heaviness, a core that feels weak or disconnected after pregnancy or delivery, or discomfort with movement that you were told is just normal.
This care is available for postpartum mothers at any stage, whether it has been a few weeks or several years since delivery. Pregnant women can also be seen to prepare for postpartum recovery. Athletes who leak during running, jumping, or lifting are also commonly seen.
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. Pregnant women wanting to prepare for postpartum recovery may also benefit from pregnancy chiropractic care for back pain, pelvic discomfort, and changing movement patterns.
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 concerns that deserve proper support.
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.
What to expect at Tip Top Health
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.
Postpartum pelvic floor recovery
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 concerns Dr. Natalie supports with 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.
Beyond pelvic floor rehabilitation, postpartum chiropractic care and rehabilitation addresses diastasis recti, C-section recovery, back pain, and return to activity.
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.
Common symptoms we help with
What does external-only pelvic floor care mean?
All assessment and treatment at Tip Top Health is done externally. That means no internal exams and no internal instruments.
If Dr. Natalie identifies that your symptoms would benefit from internal assessment, she refers you directly to a qualified pelvic floor physiotherapist. The focus here is on external muscle retraining, coordination work, breathing, and progressive loading.
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.
Ready to start your recovery?
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.