Pelvic Physical Therapy Specialists
Pelvic Floor Physical Therapy Specialists
Pelvic Floor Physical Therapists located in New York, NY
Whether you’re experiencing incontinence, bowel problems, sexual dysfunction, pelvic pain, post partum issues, or other pelvic disorders, the pelvic floor physical therapy team 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.
Maiden Lane Medical offers pelvic physical therapy for men and women. The team includes physicians and physical therapists who collaborate to diagnose and treat pelvic pain and pain associated with the muscles of the pelvic floor.
What is pelvic physical therapy?
Physical therapy is a noninvasive branch of health care that restores, improves, and maintains your body function and movement. For example, 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 are the signs that I need pelvic physical therapy?
Pelvic pain and incontinence are two of the most common reasons patients might be referred for pelvic physical therapy. The team at Maiden Lane Medical helps both men and women rebuild pelvic floor strength to restore their bladder control. For instance, men may need pelvic PT following treatment for prostate cancer, while women may need therapy after pregnancy and childbirth.
You might also benefit from pelvic physio if you experience pain during sex. The team can help your pelvic floor muscles loosen and relax, reducing or eliminating pain during penetrative vaginal sex. These issues are often classified as types of pelvic floor dysfunction.
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.
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.
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.
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
- 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
- Lower back pain
- Muscle spasm in the lower back or pelvis
Many conditions can cause these symptoms. Therefore, 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.
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 aspect of your evaluation could include:
- 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
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
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:
- 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
Our providers specialize in various types of pelvic floor treatments and can customize patient programs, combining elements of different approaches to address the specific needs of each individual.
Depending on your needs, they may also recommend pelvic floor Botox® injections. Pelvic floor Botox® relieves abnormal nerve signals that cause painful spasms in your muscles, bladder, and other pelvic organs. The injections often provide relief within a couple of days, which can make your in-office pelvic therapy sessions and at-home exercises and stretches more effective.
Your pelvic physical therapist and physician may also provide educational information and support to help you change behaviors and habits that could contribute to or exacerbate your condition.
Your therapist gives you a series of exercises and stretches 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 therapist and doctor evaluate your condition and symptoms at every appointment, and they adjust your treatment 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.
Can I have pelvic physical therapy to prevent future problems?
Yes, pelvic physical therapy can also be used preventively. For example, when you’re pregnant, your body changes significantly to accommodate the new life growing inside it. So the team of physical therapists 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
Will I need pelvic physical therapy forever?
While every patient has unique needs, it is highly unlikely that you will need pelvic physical therapy forever. Like other types of physio, the goal of treatment is to restore normal function to the muscles, organs, and connective tissue in your pelvic area so you can regain your wellness and quality of life.
Your physician and physical therapist work together to create a customized treatment plan to address your specific needs and provide personalized advice on how many sessions they think are necessary to restore your pelvic health and function.
How do I know if pelvic physical therapy is right for me?
Your first step is to call Maiden Lane Medical or schedule a consultation online. The team at Maiden Lane Medical provides comprehensive physical exams and testing before recommending any course of treatment.
We correctly identify the root cause of your symptoms before creating a treatment plan. For example, many conditions can cause pelvic pain, incontinence, and other pelvic floor dysfunction symptoms. Only by determining the underlying condition can we determine if pelvic floor physio is right for you.
What are my options if pelvic physical therapy isn’t the best treatment?
Our team recommends other treatment options if your pelvic pain or other symptoms are due to a health issue that won’t benefit from pelvic physical therapy.
For example, if your symptoms are due to endometriosis, our experts offer treatments ranging from medication and lifestyle modifications to minimally invasive surgery. Alternatively, if you have chronic cystitis that causes pain and frequent urination, we can prescribe medication and lifestyle adjustments to reduce the irritation in your bladder and ease your symptoms.
If you’re looking for expert, compassionate, and effective pelvic physical therapy, call Maiden Lane Medical or schedule a consultation online today.
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