Pelvic floor physiotherapy · Hamilton & Mississauga
If you're nodding to any of these, you're in the right place.
Tick the ones that sound like you. There are no wrong answers here, and nothing you pick is unusual.
Most people tick more than one. That's normal.
Who you'll be seeing
My clients come to me because they're tired of being told “just do your Kegels” — and have likely already tried.
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.
That means I'm interested in more than the muscle. How you're sleeping, what your bladder habits actually look like, what you've been told before and what it did to your confidence — all of it shapes the plan we build together.
Your first visit
Here is exactly what happens, so nothing is a surprise.
Pre-visit
You complete an online intake form and questionnaires. I review them before your first visit so I 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.
About the internal exam: it is never a condition of being treated here. We discuss every option before anything happens, and you decide what works for you. Plenty of people are assessed and treated without one.
In their words
People who were where you are now.
“Madelaine's approach has been a game changer for me. After years of dealing with bladder leaks, I finally feel in control and can enjoy my life again.”
“I was skeptical about online consultations, but Madelaine's expertise shone through. Her advice was spot on and I noticed improvement quickly with my frequency and urgency.”
“After my prostate surgery, I struggled with bladder control. The personalized sessions with Madelaine made a huge difference. I'm so grateful for her guidance!”
What I treat
Women and men, 18 and over.
Bladder & bowel
- Urinary incontinence — stress, urge, mixed
- Overactive bladder
- Night-time urination (nocturia)
- Post-prostatectomy recovery
- Constipation and bowel urgency
Pelvic pain & more
- Pelvic pain, men and women
- Painful sex
- Pudendal nerve issues
- Pregnancy and postpartum care
- Prolapse symptoms
Session fees
Most extended health plans cover physiotherapy. See all services
Where to find me
Two clinics, same care.
Arriving in Hamilton: look for the sign out front, then the brown door at number 76. By appointment only — no walk-ins.
Arriving in Mississauga: I see clients at ECO Physiotherapy on Clayhill Road — look for the green ECO sign, with parking right out front. By appointment only — no walk-ins.
Free mini training
The real reason you feel the urge to pee — and how to stop it.
Without medication, and without Kegels. A short training you can watch tonight, whether or not you ever book with me.
Before you book
Everything people ask me first.
Your appointment
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 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.
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 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 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 or treatment and we can make appropriate changes if required.
Fees, insurance & policies
How much does it cost?
Assessment (60 min): $185 · Treatment (45 min): $150 · Treatment (30 min): $110. Most extended health plans cover physiotherapy.
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: your yearly maximum, how much they pay for assessments and treatments, whether they cover you 100%, and whether you need a doctor's referral. I do not require one, but your insurance company might. Having these details prior to booking reduces surprises. I do not accept OHIP, ODSP, WSIB or MVA.
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 and 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 and 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.
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 outside our control, we offer one grace for a late cancellation. The second late cancel will be charged 50% of the visit fee, and a third will be charged 100%.
A no-show is defined as not calling or emailing at all and completely missing your appointment. This provides no opportunity for someone else to receive care and no chance to fill the slot. The first no-show is 50% of the visit fee and the second is 100%. Cancellation and no-show fees cannot be submitted to insurance — they are an out-of-pocket expense.
Ready when you are
You've managed this on your own for long enough.
Book a first visit, or start with a free 15-minute discovery call if you'd rather talk it through before committing to anything.
Questions first? Call or text 289-489-2803