Pelvic Floor Physio in Montreal: Who Assesses, When, and What It Costs

Pelvic Floor. We have all heard it. We don’t really know why it’s floor-related. At some point you realize you’d like to achieve physical intimacy with your partner without pain again, and stop peeing when you sneeze. Who you gonna call?

Who does the assessment

In Quebec, you want a physiotherapist trained in perineal and pelvic rehabilitation.  No referral is needed to see a physiotherapist here, but  your insurer may want one on file, so if you’re hoping for reimbursement check that before you go.

When

Six weeks is the usual starting point, and it is not a hard line. Booking at four weeks for an appointment that lands at eight makes sense in Montreal, where waits at the better-known clinics can be several weeks. Symptoms that are new and severe (no control over urine at all, something visibly protruding, pain that stops you walking) are a reason to call your doctor or the CLSC now rather than wait it out on a list.

What happens

The first appointment runs about an hour and a lot of it is talking: the birth, the stitches if there were any, how you pee and how you poo, what you carry in a day, what leaks and when. The physical part starts external. The internal exam is a gloved finger, with your consent, while you are asked to squeeze, let go, and breathe, and it can be stopped at any point. They are checking whether the muscles contract and release (a pelvic floor that stays tight causes as many problems as one that is weak), and whether the two sides work the same, whether scar tissue is stuck down, and how far down things are sitting.

If you are not quite healed, tender, or afraid: say so. Say so when you book and again when you arrive. You can also ask not to do any internal work: it can be breathing and external. Do not do anything you’re not comfortable with. If you don’t fw the practitioner, you can end the meeting. This is your body.

What it costs

Outpatient private physiotherapy is not covered by RAMQ (I think ever, but don’t quote me), so it’s out of pocket or private or group insurance plan. In Montreal, a first assessment generally runs somewhere in the range of $110 to $160*, follow-ups a little less, and a you’re fixing for four to six visits rather than a standing weekly appointment*. Physio is physio as far as insurance maximums go, so your PFPT and ankle PT are all hitting that same cap – check your coverage before you book like ten appointments.

*YMMV, ballpark. Ballpark. 2026.

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