Pelvic Health NYC Doctors

We believe that in order to reach your goals, you need one-on-one time with your own personal therapist.  Our approach of combining highly skilled therapy with closely monitored personalized care has been widely recognized.  H&D has been chosen as the sole provider of therapy services for 10 fortune 500 companies.

In the mid-90’s, insurance carriers started becoming more profit-driven than they had ever been before. This aggressive bottom-line focus was reflected in greatly reduced reimbursements that affected how physical therapy was delivered. 

Many providers responded by looking for ways to double, triple or even quadruple the number of patients they could see in an hour.  As a result, the quality of care suffered. If you had neck pain, there was only enough time to look at your neck and then treat your neck.  

Greg and Rob refused to treat patients as if they were part of an assembly line. They said, ‘Enough is enough’ and in 1997 H&D Physical and Occupational therapy was established with a mission to provide one-on-one integrated science-based holistic therapy.

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Injuries to the body can happen anytime and anywhere. Whether it’s during a sports game, car accident, or surgery, recovery is important to getting back to daily life. H&D Physical Therapy provides high-quality rehabilitation to anyone in need. Balance is something that can be negatively affected after an injury. Vestibular therapy in New York City can help improve balance for better wellness. 

Pelvic dysfunction is related to difficulty using your pelvic floor muscles, which results in problems in urination and bowel movements. The pelvic floor muscles are located in the lower region of our bodies, and they support various organs such as the uterus, bladder, and colon in women and the bladder and colon in men. 

These muscles are essential because they help control our bowel movements and support the organs that control such movements. The pelvic floor muscles are also referred to as the pubococcygeus muscles. Although pelvic dysfunction can be painful and difficult to deal with, it can be treated in various ways, including physical therapy. 

At H&D Physical Therapy, pelvic health NYC doctors, our patients can manage their pelvic dysfunction symptoms. For more information on pelvic dysfunction and how to spot the early signs, continue reading below.

But first, what are the causes of pelvic dysfunction?

Pelvic dysfunction can be caused due to multiple factors. First off, it can be genetic. If someone related to you has pelvic dysfunction, there is a possibility that you can develop it as well. Some people develop pelvic dysfunction because they naturally have weaker pelvic muscles and connective tissue. Some additional causes of pelvic dysfunction include the following:

• A pelvic injury
• Surgery in the pelvic region
• Aging
• Obesity and overweightness
• Pregnancy 
• Childbirth
• Going to the bathroom too frequently
• Straining too much when going to the bathroom

Although these are common causes of pelvic dysfunction, they can still develop in other ways. Also, pelvic dysfunction can develop in women who give birth via c-section. This can happen because when you give birth, whether surgically or naturally, your pelvic region adjusts, which can lead to pelvic dysfunction. Also, those who suffer from neurological conditions like Parkinson’s disease can experience pelvic dysfunction because they have difficulty controlling their muscle movements. If you are experiencing pelvic dysfunction, contact H&D Physical Therapy for pelvic health NYC doctors. Our physical therapists can help you today! Continue reading below to learn about the early signs of pelvic dysfunction. 

Early signs of pelvic dysfunction:

Men and women can both experience pelvic dysfunction. Therefore, it is crucial to understand pelvic dysfunction’s early signs and symptoms so you can get treatment as quickly as possible. Some of the most common signs of pelvic dysfunction include:

• Difficulty with bowel movements and urination
  • Feeling like your bowel movements are not entirely done
  • Painful urination
• Urine and feces leakage often
• Going to the bathroom very frequently/feeling the need to use the bathroom
• Forcing out bowels
• Long-term constipation
• Lower back pain
• Pain in the pelvic region or abdominals

Some signs of pelvic dysfunction also differ for men and women. Men with pelvic dysfunction may experience erectile dysfunction or swollen prostate glands. Women may experience pain during intercourse. If you experience the signs above, you may have pelvic dysfunction. It is important to seek medical attention to find the best treatment. Contact our specialists at H&D Physical Therapy, pelvic health NYC doctors, to see if physical therapy is the right treatment for you!

Treatment for pelvic dysfunction: Pelvic Health NYC Doctors

The treatment for pelvic dysfunction varies depending on the severity of the patient’s case and their symptoms. For example, some patients with pelvic dysfunction may have an overactive bladder. For an overactive bladder, treatment may include estrogen cream, kegel exercises, or prescription medications. 

Kegel exercises include tightening the pelvic muscles for a few seconds and releasing to help strengthen the training of your pelvic muscles. Physical therapy is also an excellent treatment option for those suffering from pelvic dysfunction. Physical therapy for pelvic dysfunction is beneficial in retraining and strengthening the muscles through light weights, stretching, etc. Some additional treatment options include:

• Prescription medications
• Muscle relaxers
• Behavioral changes
• Lifestyle changes
• Yoga to relax the pelvic muscles

Pelvic Health NYC Doctors

Pelvic dysfunction is a condition that affects how our body functions and puts a strain on our daily lifestyle. The pain and discomfort can significantly affect our lifestyles. Therefore it is important to recognize early signs of pelvic dysfunction and seek treatment. Common signs are difficulty with bowel movements, lower back pain, and frequent use of the bathroom. 
The most common causes are pregnancy (for women), obesity, and aging. Pelvic floor physical therapy can be beneficial in reducing the pain associated with pelvic dysfunction and getting back to your everyday lifestyle. The doctors at H&D Physical Therapy can treat your pain with pelvic health NYC doctors today. Contact us today to schedule an appointment!

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Physical therapy with pelvic health NYC doctors is available to people of all ages and genders who experience pelvic floor pain or dysfunction. Did you know that male urinary incontinence affects up to 11% of the population? Each patient is unique, as is each diagnosis. Treatments at H&D Physical Therapy for pelvic floor physical therapy can range and include:

• mobilization of soft tissues
• pelvic floor muscles and supporting tissues myofascial released
• mobilization of the viscera
• stomach massage
• retraining your posture
• core and pelvic floor muscle coordination exercises

Additional modalities include biofeedback and electrical stimulation of the pelvic muscles if considered necessary.

Why might pelvic floor physical therapy be necessary?  

Physical therapy with pelvic health NYC doctors alleviates discomfort, weakness, and muscle dysfunction. When these muscles are in good working order, blood can flow to the connective and muscle tissue, which helps to increase mobility. Physical therapy for the pelvic floor aims to improve function, mobility, and range of motion. We will try to locate any tight connective tissues or muscle trigger points that may be the source of any pain or discomfort. Your symptoms will determine the precise therapy strategy we suggest for your requirements. While other symptoms call for strengthening those muscles, other symptoms can be alleviated by relaxing and lengthening the pelvic floor muscles.

The symptoms listed below are potential indicators of pelvic floor dysfunction. Be sure to share any of these symptoms you may be experiencing with your doctor.

• Needing to use the restroom frequently
• Constipation (also known as a painful bowel movement)
• Urine or stool leaks (incontinence)
• Uncomfortable or frequent urination
• Lower back discomfort with no apparent cause
• Experiencing persistent pain in your rectum, genitalia, or pelvis. With or without a bowel movement, pain can happen.

Pelvic health physical therapy for both men and women consists of specialized training in internal and external management of the pelvic floor to carry out a successful evaluation and treatment plan. 

Contact Us: Pelvic Health NYC Doctors

If you feel you can benefit from pelvic health NYC doctors, contact our team at H&D Physical Therapy to make an appointment with us. You can also check out our website or give us a call to learn more about us! 

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What is a Prostatectomy?

As said before, a Prostatectomy is a surgery that removes a part or all of the prostate gland. To treat conditions of the Prostate, and most commonly, prostate cancer. There are two different types of Prostatectomy surgeries, Radical and Simple Prostatectomies. Radical prostatectomy surgery is when doctors remove the prostate gland and the surrounding lymph nodes. 

They then separate the prostate gland from the nerves and blood vessels, removing the Prostate and tissue. A Simple Prostatectomy is usually performed on men with severe urinary symptoms and an enlarged prostate gland. During this procedure, your doctor will insert a long viewing scope through the tip of your penis to see inside the urethra, bladder, and prostate area. 

They then will insert a tube into the tip of your penis that will go into your bladder to drain urine. If you recently had a Prostatectomy and are searching for pelvic health NYC doctors, contact H&D Physical Therapy today and schedule your appointment! 

Signs You May Need a Prostatectomy

Prostate cancer is the most common reason to get a Prostatectomy; however, you may not notice any signs or symptoms. Symptoms you may need a Prostatectomy to include:

• Trouble urinating
• Erectile Dysfunction
• Less force in the stream of urine
• Blood in the urine
• Blood in the semen
• Pain in bones
• Losing weight unwillingly

Pelvic Issues After a Prostatectomy

After your surgery, your doctor will most likely put you on some IV pain medications along with going home and walking the day after surgery. Most of the time, men will need a urinary catheter for up to 7 to 10 days after surgery, while a complete recovery of urinary control can take up to a year after surgery. Some issues you may notice after a Prostatectomy include:

Urinary Incontinence: This is when you find it hard to control your urine, resulting in leaking and dribbling. 

Erectile Dysfunction: Most men can have sex after prostatectomies while using medicines for Erectile Dysfunction, an external pump, or injectable medication. However, full recovery of erectile function could take up to 18 months for some men. This is because of a condition called Neuropraxia, an injury to the nerves that expels electrical signals from your brain and spinal cord throughout your body.

Other Issues Include:

• Urinary leaking
• Bleeding after operation
• Blood clots
• A Groin hernia
• Infection
• Poor wound healing
• Blocked urine flow

Treatments and Male Pelvic Therapy 

Pelvic floor muscle training– Kegel exercises help strengthen your pelvic floor muscles. These muscles are important for sexual health, your bladder, and your bowels. To do this Kegel exercise, pull in your pelvic floor muscles for 5 seconds, then release them for 5 seconds, repeating this exercise ten times, three times a day. 

Intraurethral pellet– You insert a tiny drug-treated pellet into the opening of your penis twice a week. The medication is absorbed through the tube that runs into the tissue. The erection could last up to an hour.

Experimental treatments– Researchers are currently trying to find other treatments for Erectile Dysfunction. This includes low-intensity shock waves, stem-cell therapy, acoustic wave therapy, platelet-rich plasma, and gene therapy.

Treatment at H&D Physical Therapy

Researchers have found that up to 30%-80% of men experience Erectile Dysfunction after prostate cancer surgery. The physical therapists at H&D Physical Therapy have years of experience treating patients who require pelvic therapy. Our treatments include:

• Soft tissue mobilization
• Abdominal Massage
• Visceral mobilization
• Myofascial release of the pelvic floor muscles and surrounding structures
• Postural reeducation
• Exercises for core and pelvic floor muscle coordination. 

Pelvic Health NYC Doctors

Our treatments are performed by Physical Therapists specially trained in internal and external management of the pelvic floor and viscera. They also utilize Winback TECAR therapy to enhance healing processes, increase tissue oxygenation, and improve collagen fiber strength. This promotes therapeutic thermal and non-thermal effects on the pelvic floor. If you are searching for pelvic health NYC doctors, contact H&D Physical Therapy today and schedule your appointment!

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you know what Pelvic Physical Therapy is? It’s a specialized physical therapy that provides exercises that relieve symptoms like pain, discomfort, and disruptions to your everyday life. Our pelvic floor is made up of the muscles that support our urinary and reproductive tracts, also controlling our bladder and bowels. If you notice that the pelvic floor of your body feels weak and is not working as it should, you may have Pelvic Floor Dysfunction. If you are looking for pelvic health NYC doctors, contact H&D Physical Therapy today and schedule your appointment!   

What is Pelvic Physical Therapy?

Pelvic floor physical therapy is a specialized kind of physical therapy to relieve symptoms of pelvic floor dysfunction. The goal is to help the muscles work the way that they should, including several exercises that help your pelvic muscles get stronger. Your Physical Therapist will evaluate your core muscles to see how strong they are and how much core endurance you ultimately have. Your therapist will also have you try to endure certain activities and positions to check the coordination of your pelvic floor muscles. Doctors aim to have you be able to control your bladder better and live your life to the fullest. If you feel you may need pelvic health NYC doctors, H&D Physical Therapy can help!

What Exercises Do Patients Do At Pelvic Physical Therapy?

During physical therapy, your doctor may have you do some exercises, including:

• Trigger Point Therapy– This type of therapy puts pressure on a certain spot on your body, internally or externally, and your doctor may also inject anesthesia into the area.
• Kegels– This is an exercise for the pelvic floor muscles to contract and relax them. This can also help relieve pain during sex and control incontinence.
• Electrical Stimulation– This technique will help to reduce pelvic pain and muscle spasms.
• Biofeedback– This is a type of device that checks the contraction of your pelvic floor muscles. It is also used to see if your exercises are helping you improve.

Exclusively At H&D Upper East Side: Winback TECAR Therapy

Winback TECAR therapy enhances molecular processes involved in healing, increases tissue oxygenation, and improves collagen fiber strength. 

Thermal Effects include:

• Vascularization and oxygenation of the perineal muscles and pelvic tissue.
• Heat reduces pelvic muscle spasms
• Heat improves adhesion and fibrosis removal.

Non-Thermal Effects:

• Decrease pain and inflammation.
• Retightening of connective tissue: endopelvic fascia, ligaments, and muscle.
• Elastification of recent and chronic scars.

Winback is applied simultaneously with pelvic physical therapy to increase the effectiveness of the exercises and techniques. This treatment is available only at H&D Upper East Side. To learn more about Winback TECAR therapy, visit hdphysicaltherapy.com. If you are looking for apelvic health NYC doctors, contact H&D Physical Therapy today!

Pelvic Health Treatment: Pelvic Health NYC Doctors

Many pregnant women suffer from pain, weakness, and dysfunction in their pelvic floor muscles. Utilizing pelvic floor muscle training will help your body adjust to the weight of the growing baby in your stomach. In addition, it’s important to have healthy, strong muscles before the baby is born because they will mend better after birth and reduce stress incontinence after pregnancy. 

Physical therapists can also provide women with pushing options, different delivery positions, and stretches to reduce the chances of perineal tearing.At H&D Physical Therapy, our doctors will provide hands-on treatment to aid you back to health, including: 

• Soft tissue mobilization
• Myofascial release of the pelvic floor muscles and surrounding structures 
• Visceral mobilization 
• Abdominal massage
• Postural reeducation
• Exercises for core and pelvic floor muscle coordination. 

Contact Us For Pelvic Health NYC Doctors

Having a baby is a huge life event that shouldn’t have to come along with pelvic floor dysfunction. Take control of this condition and find out ways to ease it. If you are looking for a pelvic health NYC doctors, contact H&D Physical Therapy today and schedule your appointment!