What I Treat...
Bladder: urgency, frequency, leakage, prolapse, Overactive Bladder
Bowel: constipation, rectal pressure, incomplete emptying
Pain: pelvic pain, painful sitting, vaginismus, dyspareunia
Incontinence: stress, urge, mixed types
Pregnancy & Postpartum: Birth prep and recovery, Diastasis Recti
Men’s Health: prostatectomy, pelvic pain, prostatitis/Pelvic Pain, LUTS,
What To Expect Working With Me
Comprehensive Intake & Questionnaires
We begin by understanding your full story — not just your symptoms, but also your lifestyle, stressors, and how your symptoms affect your daily life.Exploring the Emotional & Psychological Impact
Symptoms aren’t just physical — they can also carry emotional weight. We’ll explore how your symptoms may be influencing your confidence, relationships, and ability to participate fully in life.Whole-Body, Whole-Person Conversation
We go beyond just the body. We’ll talk about your nervous system, mindset, daily habits, and how your life context may be contributing to your symptoms.Comprehensive Physical Examination
We assess movement, breathing, tissue sensitivity in the the different layers (skin, fascia, muscle), nerves and pelvic floor function to determine how much your symptoms are related to the body versus other drivers.Nervous System & Brain-Based Insight
Not all symptoms come from tissue damage or dysfunction. Many can be influenced by how the brain and nervous system interpret signals. The physical exam helps us understand the full picture.Collaborative Goal Setting
Together, we’ll clarify your goals — whether it’s pain relief, bladder control, better intimacy, or postpartum healing.Personalized Treatment Plan
Your plan will address physical, emotional, and nervous system factors to support lasting change — not just symptom management.
About The Pelvic Health Lady
Meet Madelaine Golec, The Pelvic Health Lady. She is a dedicated pelvic floor physiotherapist with over a decade of experience helping individuals overcome bladder-related challenges, as well as supporting clients to prepare for birth and beyond.
Her approach combines evidence-based physiotherapy practices with Somatic Experiencing and Pain Reprocessing Therapy to provide a biopsychosocial model of care. That is to say, she takes a holistic mind-body approach to her care.
Client Testimonials
Ready to Take the First Step?
Don’t let your symptoms hold you back any longer. Whether you need one-to-one physiotherapy, or professional advice, The Pelvic Health Lady is here to help you every step of the way.
Pelvic floor physiotherapy in Mississauga & Hamilton. We help women and men with bladder leaks, pelvic pain, intimacy issues, pregnancy, and postpartum recovery. Book your appointment today.
FAQ
Do you take insurance?
I do not offer direct billing services to insurance. All services must be paid in full at the end of the session and an invoice will be sent to you.
If you are a resident of Ontario, Canada, with insurance coverage for physiotherapy services you can submit to your benefits for one to one pelvic floor physiotherapy care and they will send the money directly to you.
I always recommend calling or checking your app for details on your coverage such as: your yearly maximum, how much they pay for assessments and treatments. Do they cover you 100%. Do you need a doctor’s referral. I do not require a doctor’s referral, but your insurance company might. Having these details prior to booking reduces surprises.
I do not accept OHIP, ODSP, WSIB or MVA.
What do I need to bring for my appointment?
If you have any specific test results or notes from your doctor those are helpful to bring with you. Otherwise all you need to do is bring yourself, an open mind to learn and comfortable clothes.
Do I have to do an internal exam?
As a physiotherapist, I have a variety of different ways to evaluate.
While an internal vaginal or rectal exam may provide me more details related to your pelvic floor, it is not necessary for us to help you.
We will always discuss the options for assessment and treatment so that you can decide what works for you.
Do I Cancel my Appointment If I get my period?
This is a common question I get asked.
As a physiotherapist there is no problem if you are on your period. It won’t impact our assessment/treatment and we can make appropriate changes if required.
What is Your Cancellation Policy?
In order for me to accommodate all those who need support from me, I ask for 24 hours notice.
This allows me time to schedule someone else in your place and ensures my ability to continue providing services at the current cost.
While we understand things come up without our control and as such we offer one grace for late cancellation. The second late cancel we will charge you 50% of the visit fee. Third late cancel will 100% of the visit fee.
Let’s talk about NO Shows. A no show is defined as not calling/emailing at all and completely missing your appointment. This provides no opportunity for someone else to receive care and no chance for the therapist to fill in that slot. The first no show is 50% of the visit fee and the second is 100% of the visit fee.
You cannot submit cancellation/no show fees to insurance. It is an out of pocket expense.
What If I don't have insurance?
We accept cash clients! We do not offer discounts on our services but have a variety of ways that you can access information/support at a lower cost.
The first is checking out our Free mini Bladder Training.
From there if you need more detail, information, exercises and support, you can take our do-it-yourself, self paced online course (details can be found in our services section).
This course allows you to access the information/exercises I teach clients in person, but without the one to one individualized care.
Please note: should you decide to do the online course: this is not a medical service and won’t be covered by insurance.