Maiden Lane Medical

Pelvic Physical Therapy Specialists

Maiden Lane Medical

Pelvic Physical Therapists located in New York, NY

Whether you’re experiencing incontinence, sexual dysfunction, pelvic pain, or other pelvic disorders, the team at Duffy & Bracken Physical Therapy at Maiden Lane Medical can help. You can book an appointment at either of the offices in Soho, Midtown or the Financial District in New York City. Duffy & Bracken Physical Therapy at Maiden Lane Medical treats men and women. The team includes physicians and physical therapists who collaborate to diagnose and treat pelvic and urogynecological pain. 

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I have had excellent care. The physical therapist listened to me and did hands on work to a greater extent then I have had at other PT offices in the past.
Suzanne

What is pelvic physical therapy?

Physical therapy is a noninvasive branch of health care that restores, improves, and maintains your body function and movement. Pelvic physical therapy focuses on the functionality of your pelvic floor and surrounding muscles, bones, and connective tissue. 

Your pelvic floor is a group of muscles that form a sling in your pelvis to support your uterus, bladder, bowel, and other pelvic organs. These muscles are critical to your bladder and bowel function, as well as your sexual activity. Additionally, your pelvic floor supports core strength and stability. 

What is pelvic floor dysfunction?

Weakness or tightness in your pelvic floor causes several different types of dysfunction, including sexual dysfunction, constipation, incontinence and pain.

Sexual dysfunction

Around 75% of women experience painful intercourse at some point during their lives. While for most, it is a temporary issue, others have long-term problems with painful sex. Abnormalities, tightness, scaring, weakness, or damage to your pelvic floor can cause painful penetration or orgasm. 

Incontinence

While both men and women can experience incontinence, more than twice as many women live with the issue than men. Stress incontinence is typically due to weakness in the pelvic floor caused by pregnancy, childbirth, and menopause. 

Constipation

If you have fewer than three to five bowel movements a week or have difficulty passing hard stools, you have constipation. While many factors can contribute to constipation, if your issue is due to a problem in your pelvic floor, the team can implement a program to help relax and regulate your bowel.

What conditions do you treat with physical therapy?

Our team of physical therapists treats several pelvic floor issues, including:

  • Pelvic pain
  • Sexual dysfunction
  • Incontinence and voiding problems
  • Prenatal pain and dysfunction
  • Postnatal pain and dysfunction
  • Diastasis
  • Prolapse
  • Endometriosis
  • Fibromyalgia
  • Visceral manipulation
  • Vestibular dysfunction and balance disorders
  • Sacroiliac pain
  • Neck, mid-back and low back pain,
  • Foot, ankle and heel pain
  • Hip pain

Your pelvic floor stabilizes your hips and lower body while also supporting your trunk. As a result, pelvic floor dysfunction can cause problems throughout your body.

What are the signs of pelvic floor dysfunction?

Pelvic floor dysfunction causes various symptoms, depending on the severity of your condition and if any organs are affected. For example, some of the common signs of pelvic floor dysfunction include:

  • Pelvic pain
  • Painful intercourse
  • Leaking urine when you cough, sneeze or laugh
  • Not emptying your bladder completely when you urinate
  • Frequent urination (more than 8x a day)
  • Painful urination
  • Constipation 
  • Lower back pain
  • Muscle spasm in the lower back or pelvis

Many conditions can cause these symptoms. It’s essential to make an appointment with the team at Maiden Lane Medical for an accurate diagnosis and treatment plan. 

What happens during pelvic physical therapy?

There are usually three parts of pelvic physical therapy.

Evaluation

Our team begins with a thorough evaluation of your health and wellness. We review your medical history and symptoms. To gather more information about your needs, we might ask questions about: 

  • Pregnancy and childbirth history 
  • Menstrual cycle-related symptoms 
  • Diet-related symptoms 
  • Medical history 
  • Medications and supplements
  • Urinary and bowel habits
  • Sleep habits and hygiene
  • Exercise and sports 
  • Past injuries or pain
  • Other treatments and surgeries

We also provide a physical assessment as part of your evaluation. Depending on your symptoms and other factors, the physical part of your evaluation could include:

  • Posture assessment 
  • Movement assessment 
  • Special tests, such as, assessing if stress on the pelvic girdle, back or hip increase the pain?
  • Strength testing
  • Palpation of the affected and related areas

We might also ask you to collect some information before your next appointment. Depending on your symptoms, our physical therapists could request: 

  • Diary of voiding habits including urination and bowel movements
  • Food diary
  • Gathering of tests such as MRIs or procedures if not available at Maiden Lane Medical 

Treatment

Following your evaluation, your therapist creates your customized treatment plan. We aim to help you change behaviors that could be contributing to your condition, correct your posture, and heal your body. Your pelvic physical therapy program could include:

  • Massage
  • Myofascial release
  • Scar massage
  • 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

You will also be provided with educational information and support to help you change behaviors and habits that could contribute to or exacerbate your condition. 

Homework

A series of exercises and stretches will be given to you to practice at home to maintain your progress between appointments. Retraining your body takes time and practice. Doing a little work every day helps you reach your goals and develop habits that will keep your pelvic floor “normal”.

Your condition  will be evaluated at every appointment and treatment is adjusted as needed to ensure you’re moving toward relief, home management, and eventual discharge. 

We can also share your evaluation and treatment notes with your other physicians to enhance coordination with your healthcare team. In many cases, severe or chronic conditions require multimodal treatment from several different providers. 

Pregnancy program

Pelvic physical therapy can also be used preventively. When you’re pregnant, your body changes significantly to accommodate the new life growing inside of it. The team of physical therapists at Duffy & Bracken Physical Therapy at Maiden Lane Medical offers a personalized pregnancy program to address issues like posture, balance, and daily function to help you have a safe, healthy, and comfortable pregnancy. 

Each pregnancy program is tailored to the needs of each patient. Your program could include:

  • Manual therapy
  • Pelvic floor muscle re-education
  • Postural re-education and movement techniques
  • Strength building
  • Baby training
  • Postpartum education and recovery

If you’re looking for expert, compassionate, and effective pelvic physical therapy, call Duffy & Bracken Physical Therapy at Maiden Lane Medical or schedule a consultation online today. 

Our doctors who provide this service

Profile Photo of Physical Therapist Hsing-i Hsieh

Hsing-I Hsieh, PT, MA, DPT

Pelvic Physical Therapist

Profile Picture

Kate Zhang, DPT

Pelvic Physical Therapist

Perfect Medical Services

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