What to Expect with Marie-Josée
Marie-Josée uses Real-time Ultrasound Imaging (RTUS) to assess and treat incontinence, low back, pelvic floor, groin, hip and pelvic/tailbone issues.
Your First Visit
When you book your initial visit, you will be emailed a link to complete our intake form. Please fill it in prior to coming in. This will give Marie-Josée prior knowledge of the matter at hand, as well as a full health history that allows her to know what modifications might be needed, or if this treatment is right for you.
The initial assessment consists of two parts, the ultrasound assessment and the internal examination. Prior to beginning the assessment, the entire examination will be explained and you will be asked for your informed consent to continue. This consent can be rescinded at any time during the examination.
The first part consists of a thorough examination including the use of Real-time Ultrasound Imaging will be done. To enable viewing of your pelvic floor through the abdominal wall, you need to come to the appointment with a full bladder.
Bladder Filling Protocol
Empty your bladder one hour before your scheduled appointment. Then immediately drink 12 ounces of water. Do not void again until after your RTUS assessment.
The second part consists of an internal examination of the pelvic floor muscles. The purpose of this assessment is to evaluate how the pelvic floor muscles and connective tissue are working. As well, the position of the bladder and uterus can be determined to evaluate for possible pelvic organ prolapse. You will be asked to undress from the waist down in a curtained cubicle and lie on the physiotherapy plinth. A drape will be provided to cover yourself. A clean technique, using non-latex gloves will be employed throughout the assessment. One or two gloved fingers will be inserted into the vaginal canal or one finger is inserted into the rectum to assess the pelvic floor in terms of muscle strength, co-ordination and tone, connective tissue laxity, scarring and adhesions.
Immediately following the assessment, a detailed explanation of your condition along with treatment options will be discussed with you. Treatment can include pelvic floor exercises (both relaxation and activation as indicated), biofeedback with ultrasound imaging, core muscle re-training, voiding strategies and toileting patterns, myofascial release and education.
Can I still come if I have my period?
Yes! You can still see Marie-Josée if you have your period. Your period will not hinder treatment in any way. If this is your initial assessment with Marie-Josée, you have the option to defer the internal exam portion until your next appointment but Marie-Josée is well equipped to give treatment at any point of the menstrual cycle. If you are thinking about rescheduling because of your period, please just come. It will be fine, we promise.
These are shorter visits and will be used to carry out the treatment plan outlined in the assessment. You do not need to have a full bladder for these appointments unless you have been told to do so.
Booking Your Appointments
All of our bookings are done online. For instructions about how to make an appointment, visit our FAQ page or click here. Remember, you can add yourself to the wait list should you not find an appointment time that suits you and we will contact you if slots open up.