★★★★★ Trusted by clients across Ontario since 2012 · McMaster University · Women & Men Welcome
If you’re nodding to any of these, you’re in the right place.
- Leaking when you laugh, cough, sneeze, run, or jump
- Urgency and frequency — racing to the bathroom, peeing more than 8 times a day
- Waking up at night to pee once, twice, or more
- Prostate related symptoms: hesitation, incomplete emptying, urgency, frequency, nocturia
- Pelvic pain — with sex, with sitting, with tampons, or for no clear reason
- Post-prostate surgery recovery — leaks, urgency, or control issues after prostatectomy
- Pre/Postpartum —Birth prep, pregnancy pain (pelvic girdle/lower back), postpartum heaviness, pressure, prolapse symptoms, or “something feels off down there”
About The Pelvic Health Lady
Hi I’m Madelaine
I’m a pelvic floor physiotherapist (MScPT, McMaster 2012) and I’ve been focusing on pelvic health since 2014.
I treat women and men for bladder, bowel, and pelvic pain issues using an evidence-based, nervous-system-informed approach. My clients come to me because they’re tired of being told “just do your Kegels” — and likely have already tried.
I see clients in person in Hamilton and Mississauga, and online anywhere in Ontario.
What happens at your first visit?
No surprises. No pressure. Here’s exactly what to expect.
Pre-Visit:
You complete an online intake form and questionnaires. I review before your first visit to come prepared.
We talk (30 minutes).
You tell me what’s going on. I listen. I ask questions that probably no one has asked you before. Your history, your goals, your fears — all welcome.
We assess.
A physical exam tailored to your symptoms and explained before we actually start. An internal exam is sometimes warranted but is always optional and only with your full, informed consent. There is more than one way to assess the pelvic floor.
We make a plan.
I explain what I found in plain language and walk you through what we’ll do together. You leave with a clear next step
You go home with homework that actually fits your life.
No 40-exercise printout. Real strategies you’ll actually do.
Details:
- 60 minutes · First visit
- No-Direct Billing· Services covered by most extended health plans under Physiotherapy
- In person or online · Hamilton, Mississauga, or virtual across Ontario
- Women and men welcome (18+ years old)
Client Testimonials
What I Treat
Bladder & bowel
• Urinary incontinence (stress, urge, mixed)
• Overactive bladder
• Night-time urination (nocturia)
• Post-prostatectomy recovery
• Constipation and bowel urgency
Pelvic pain & other
• Pelvic pain (men and women)
• Painful sex
• Pudendal nerve issues
• Pregnancy and postpartum care
• Prolapse symptoms
Where to Find Me
Hamilton
76 Walnut Street South, Hamilton, ON
Mississauga
3-3045 Clayhill Rd Mississauga, ON
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.
FAQ
Do I Need A Doctor's Referral
You do not need a doctor’s referral to book, but your insurance company may want one. Best to call your insurance to find out.
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.
Do men actually see pelvic floor physiotherapists?
Yes. Men have a pelvic floor too. I regularly treat men for post-prostatectomy incontinence, urinary urgency, pelvic pain, and post-surgical recovery. You are welcome here.
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.
How much does it cost?
Assessment (60 Min): $185
30 Min Treatment: $110
45 Min Treatment: $150
Most extended health plans cover physiotherapy
How long until I feel better?
Most clients feel meaningful change within 4–6 visits. Everyone is different and I’ll give you a realistic timeline after your first assessment.
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.