You will be asked about your issue and how it impacts your life. The physiotherapist will also ask questions about previous and current medical conditions, past or up-coming surgeries, medications that you are taking, bladder and bowel habits, as well as sexual function.
There is an external and internal exam
During the external assessment, the physiotherapist will assess your posture, breathing, flexibility of the spine, pelvis, hips and knees, and the strength of your core, buttocks, and muscles around your pelvic floor and tailbone.
Sometimes is also necessary for an internal assessment for men. This is a rectal exam to examining the muscles, tissues and skin of the thighs, buttocks, abdomen and pelvic floor internally. No instruments are used during the exam. The physiotherapist will assess for muscular strength, endurance and tonus.
Even If an internal exam or internal treatment is recommended, clients still have the right to refuse an internal exam during the assessment or follow-up treatments. The physiotherapist will discuss it with you.
After the assessment, a personal tailored treatment plan is developed. The treatment can be with an education component, manual therapy, home exercises programs, therapeutic ultrasound, electrotherapeutic modalities, tape techniques or any other physiotherapy technique.