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Pelvic health therapy

Pelvic health, beyond the symptoms.

If you’re living with a pelvic health concern, I’m here to support you through every stage of life, so you can participate in daily activities, work, sports, and social outings with greater comfort and confidence.

  • William Street, Montréal
  • In English or French
  • Free 15-minute first call
Karina Jackson, seated on the floor and smiling, holding an anatomical pelvis model, surrounded by books, an emotion-wheel cushion and pelvic health tools

Who it's for

What might bring you here.

Pelvic health support for urinary concerns (leaks, urgency, frequency), constipation, chronic pelvic pain, discomfort during intercourse (dyspareunia), or difficulty or pain with vaginal insertion (vaginismus).

  • Whatever your stage of life

    Your concerns don't need to be related to pregnancy or childbirth for occupational therapy to help.

  • Whatever you're experiencing

    From pelvic pain to bladder concerns or discomfort with intimacy, your concerns deserve support.

  • To get back to what matters

    Work, sports, intimacy, and everyday life, with greater comfort and confidence.

Beyond the pelvic floor

Pelvic health is more than just Kegels.

Pelvic health is influenced by more than pelvic floor muscles alone. Occupational therapy considers how the body, nervous system, mental health, and daily habits interact to shape bladder, bowel, sexual, and everyday functioning.

Often, the pelvic floor itself isn't the root cause: it's a nervous system stuck in overdrive, a body holding onto stress.

Your pelvic floor works with your breath: it lowers slightly as you breathe in, and lifts as you breathe out.
Karina Jackson's hands holding an anatomical pelvis model, her smile at the top of the frame

What it includes

In practice, in our sessions.

  1. Functional exercises

    Exercises and practical strategies built into everyday movements and activities to improve body awareness, manage pressure, and reduce leakage.

  2. Sexuality counselling

    Explore concerns around pain, desire, and intimacy in a collaborative space. Together, we’ll work toward building confidence and finding what feels right for you.

  3. Relaxation strategies and body awareness

    Learn ways to release tension and feel more connected to your body.

  4. Behavioural modifications

    Explore simple changes to your daily habits, from toileting posture and hydration to sleep and stress management, to support bladder and bowel function.

  5. Pain education

    Understanding your pain and why it happens can help you better manage your symptoms.

  6. Mental health support

    Living with pelvic health concerns can be frustrating and overwhelming. Explore ways to cope with the emotional impact of your symptoms.

  7. Nervous system regulation

    Learn strategies to help your body respond to stress, reduce feelings of tension, and feel safer in your body.

How it works

From the first call to your plan.

A trauma-informed approach: nothing happens without you, and nothing is rushed.

  1. A free 15-minute call

    Together, we see whether occupational therapy can help, before any appointment. Call me, or write to me to set up the call.

  2. The first session: Connecting the dots

    We’ll discuss your concerns and goals while exploring how your breathing, posture, movement, daily habits, and routines may be influencing your symptoms. Together, we’ll identify what matters most to you and where we can start.

    • Safety
    • Choice
    • Pacing
    • Collaboration
  3. A plan that fits your days

    Together, we’ll choose strategies based on your needs and goals, and find ways to apply them to everyday life, at home, at work, and when you’re out.

    My approach

What pelvic health taught me

When I look back at my early days in pelvic health, I realize that my biggest strength wasn't in knowing every biomechanical detail: it was in listening.

I'm a certified trauma-informed pelvic health practitioner, a member of the Ordre des ergothérapeutes du Québec, and I also mentor other occupational therapists who want to integrate pelvic health into their practice.

Karina Jackson standing in her bright office, in front of her bookshelves, holding an anatomical pelvis model

Frequently asked questions

What people ask me before getting started.

Another question? Ask me directly.

514 500-1185
Make an appointment
Do you perform internal pelvic floor exams?

I don’t perform internal pelvic floor assessments. My approach focuses on understanding how your symptoms affect your daily life, including your breathing, movement, habits, and nervous system. If an internal assessment would be helpful for your care, I can connect you with another trusted pelvic floor therapist.

Will I have to talk about my intimate life?

Only if you want to. You choose what we talk about, and when. My approach is trauma-informed: your safety and your pace come first.

How long is a session?

Usually 60 minutes, for the first assessment and follow-ups alike. If you'd rather meet online, that's possible upon request.

Is it covered by my insurance?

Not by RAMQ, but possibly by your private health insurance plan: check your coverage with your insurer. The details are at the bottom of the page, with my contact information.

I'm not sure occupational therapy can help me. What should I do?

Book the free 15-minute call: that's what it's for. Together, we look at your challenges, your goals, and the next steps.

All my frequently asked questions

Make an appointment

Let's start with a free 15-minute call.

Karina Jackson's face, smiling

Karina JacksonI'm the one who answers, in English or French.

To better understand how occupational therapy can help you, before a first appointment. During this call, we will discuss:

  • your specific challenges and goals
  • what the assessment entails
  • possible treatment options
  • any other concerns you may have
  • the next steps
514 500-1185 contact@otwithkarina.com
1744 William Street, Suite 310
Montréal, Quebec H3J 1R4
Directions in Google Maps

HoursView availability on GoRendez. Other times available upon request.

Services provided through my private practice are not covered by RAMQ. However, occupational therapy may be covered by private health insurance plans. Check with your insurance provider to confirm your coverage and reimbursement limits.

Write to me

I'll get back to you to set up the call.

What brings you here

To protect your privacy, please don't describe your health situation in detail here: we'll talk about it on the phone.

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