Frequently Asked Questions

Is the program primarily for women?
No, the program is for both men and women with pelvic disorders.

What is the benefit of coming to your program?
We have multiple providers on-site who are skilled in their respective areas to integrate your care according to your particular needs. Unique to Synergy are our group exercises classes that help you take what you have learned with your individual practitioners to the next level.

What kinds of services are available in the program?
The program is made up of physiotherapy, massage therapy, mindfulness based therapy, naturopathy, osteopathy, physicians, psychology, and exercise classes. Each client sees the physiotherapist, and only participates in the other services if appropriate.

How do I participate in the Pelvic Health Program?
If you are interested in taking part in this program, your first step is to book an appointment with one of our Pelvic Health Physiotherapists. With your permission, a Pelvic Health Questionnaire will be sent out to you by email for you to complete at home and to bring with you to your first appointment. Some of the questions are of a personal nature; you are not required to answer any questions that make you uncomfortable.
At your first visit, we complete an initial assessment, and together we will decide on a treatment plan and whether it would be helpful for you to be seen by other practitioners in our Pelvic Health Program

Where will the assessment/treatment take place?
The assessment/treatment will be performed in a private room for massage, physiotherapy, and psychology.

Will an internal examination be done as part of the procedure?
An internal examination will be performed in many circumstances, and the physiotherapist will explain the procedure in detail before it is performed. Internal examinations are conducted only if you provide your consent, and you have the right to withdraw consent at any time. Performing an internal examination is within the scope of practice of physiotherapists in Ontario, as per the College of Physiotherapists of Ontario. For more information, please refer to

Can I join the class without seeing a provider at Synergy?
The pregnancy/post partum class can be taken without seeing a provider at Synergy although all patients are encouraged to do a private Pilates session first as they will get more out of the classes if they can learn the basic breathing and muscle activation patterns before they attend classes.

The pelvic health class can only be taken after the patient has seen either the physiotherapist or the osteopath who are part of the pelvic health program.

Who teaches the classes?
The classes will be taught either by a physiotherapist or a rehabilitative Pilates/yoga instructor who is trained to modify the exercise as needed for pelvic health conditions.

Are my visits covered under OHIP?
The services that make up the Pelvic Health program are not covered under OHIP, however many extended health benefits cover these services. The classes are typically not covered under extended health benefits unless you have a flexible health spending account where funds can be allocated to any type of treatments. As each insurance plan is different, please check with your insurer to determine what is covered.

Do I need a doctor’s referral to see the pelvic physiotherapist?
A doctors’ referral is not required to see the physiotherapist. However some insurance plans require a physician’ prescription in order to be reimbursed for physiotherapy services.

If you have Extended Health Benefits and your Insurance requires a referral you are welcome to print off the Pelvic Health Referral Sheet and bring it to your next doctor's appointment. Please note we do offer walk-in appointments for musculoskeletal injuries with our General Practitioner (OHIP-covered physician) Dr. Ken Vanlerberghe.

What special training does a pelvic health physiotherapist have?
Pelvic floor physiotherapists have been trained to assess and treat muscle activity of the pelvic floor, in addition to assessment and treatment of the surrounding area (low back, pelvis joints, hips). They have practised internal examinations while under supervision, and have undergone a practical examination. They are rostered with their regulatory body (College of Physiotherapists of Ontario) – in order to roster they must meet criteria set out by the regulatory body in order to demonstrate their competence.

Who is part of Synergy's Pelvic Health Program?
Synergy's Pelvic Health team includes:

Pelvic Health Physiotherapists
Michelle Fraser
Natalie Diez d'Aux

Osteopathic Manual Practitioner
Riki Richter

RMT / Craniosacral Therapist
Lesley Greco

Rehabilitative Pilates and Yoga
Exercise Teachers