Pelvic Pain Specialists
Maiden Lane Medical – Gynecologists located in New York, NY
Our doctors at Maiden Lane Medical have extensive expertise and advanced training in identifying the causes of pelvic pain and providing treatment to relieve symptoms. They are helping women throughout the New York City region receive the most appropriate care so they can feel confident about their health.
Our pelvic pain clinic combines the best of medical care and pelvic physical therapy to relieve your pelvic pain and other symptoms so you can return to your regular activities.
What Causes Pelvic Pain?
The pelvic region is comprised of many structures, and as a result, there are many possible causes for acute and chronic pelvic pain, including:
- Painful menstruation or ovulation
- Uterine fibroids
- Ovarian cysts
- Pelvic inflammatory disease
- Internal swelling (edema)
- Pudendal neuralgia and other peripheral nerve disorders
- Structural defects in the uterus or other organs
- Bladder problems including interstitial cystitis / painful bladder syndrome
- Pelvic floor muscle spasm and pelvic floor disorders
- Vulvodynia and vulvar skin disorders
Some types of pelvic pain can emanate from issues affecting the pelvic floor, including uterine and vaginal prolapse. Sometimes conditions occurring elsewhere, such as in the digestive system, may cause referred pelvic pain.
You should never ignore pelvic pain or assume that it’s just part of being a woman. Pain is a warning that something is wrong.
Additionally, living with chronic pain contributes to your risk of developing anxiety and depression.
While our team at Maiden Lane Medical focuses on treating women with chronic pelvic pain, they can also address pelvic pain in men.
What Is Pelvic Floor Dysfunction?
Pelvic floor dysfunction occurs when you have too much or too little tension in the muscles that form your pelvic floor.
It can cause sexual dysfunction, including painful intercourse and arousal disorder. It can also contribute to incontinence and constipation.
In addition to these disruptive problems, it also causes chronic pelvic pain.
How Can The Causes Of Pain Be Diagnosed?
We use the most advanced techniques to determine the causes of your pelvic pain so you can be treated appropriately.
Diagnosis begins with a thorough discussion of your symptoms, followed by a physical and pelvic exam and Pap test.
Blood work, urinalysis, and other diagnostic testing such as ultrasound, CT scan, or in-office evaluations to look at the uterus, vagina, cervix, and fallopian tubes may also be ordered to look for signs of specific causes.
What Is Laparoscopy?
Laparoscopy is a minimally invasive surgical technique that uses very small incisions to perform surgical procedures and medical assessments.
It offers a much faster recovery time and less discomfort compared to traditional surgery.
What Treatments Are Available For Chronic Pelvic Pain?
Treatment depends on the underlying cause of your pain and may include pelvic floor physical therapy, medication, minimally invasive laparoscopic or robotic procedures.
When an underlying cause cannot be determined, your treatment will focus on relieving the symptoms and pain management.
What Is Pelvic Floor Physical Therapy?
During your first visit, your pelvic pain specialist will begin with a comprehensive exam and consultation.
They will review your lifestyle and other details including previous pregnancies, your menstrual cycle, dietary issues, urinary and bowel habits, and any pelvic pain.
Your physical therapists will also complete other evaluations including:
- Posture assessment
- Movement assessment
- Special tests, such as assessing if the stress on the pelvic girdle, back, or hip increases the pain
- Strength testing
- Palpation of the affected and related areas
Your physical therapist will provide personalized treatment plans to address your pelvic pain.
Some of the therapies used to treat pelvic pain include:
- Myofascial release
- Scar massaging
- Joint mobilization
- Postural re-education using Gravityfit
- Visceral mobilization
- Biofeedback to retrain the pelvic floor
- Electric stimulation for pain relief and muscle retraining
- Stretching and strengthening exercises
- Functional movement re-education
- Relaxation programs
Your pelvic pain specialist aims to manage pelvic pain by identifying pelvic floor disorders and delivering treatment options to relieve your pelvic pain and heal the underlying medical condition.
They often take a multidisciplinary approach, combining their specialized training with medicine, physical therapy, gynecologic surgery, and behavioral health services.
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How Can Gynecologic Surgery Relieve Pelvic Pain?
Your doctor will provide thorough exams and testing before recommending surgery to address pelvic pain and may try other therapies first.
Minimally invasive gynecologic surgery isn’t usually the first-line approach.
However, if you have fibroids, endometriosis, or pelvic adhesions, your doctor may suggest surgery to remove the abnormal tissue.
Whenever possible, our team at Maiden Lane Medical uses minimally invasive surgical techniques to remove fibroids, endometrial tissue, or scar tissue from your pelvic organs.
They also offer minimally invasive hysterectomies when needed to reduce your pain.
Schedule An Appointment Today To Get Pain Relief
If you live with chronic pelvic pain, the pelvic pain specialists, physical therapists, and gynecology specialists at our pelvic pain clinic can help.
Call our office or schedule an appointment online today.
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