Pelvic Health & Pain

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Who can benefit from Pelvic Health Physical Therapy?

Pelvic Health Physical Therapy is for individuals of all ages and genders who suffer from pain or dysfunction stemming from the pelvic floor.

Did you Know?

  • Hovering over the toilet does not allow for adequate relaxation of the pelvic floor muscles 
  • Incontinence is not a normal part of having a baby and/or aging 
  • Up to 11% of the male population suffer from urinary incontinence 
  • People are 40% more likely to fall during a trip to the bathroom in the middle of the night 
  • Smokers have an increased prevalence of pelvic pain 
  • 78% of women with lower back pain between the ages of 17-45 also reported symptoms of urinary incontinence 
  • In the US alone, over 1 billion dollars were spent on over 225,000 inpatient procedures to correct pelvic organ prolapse (descent of one or more of the following: the anterior vaginal wall and/or posterior vaginal wall, uterus, and/or apex of the vagina) 
  • Caffeine and acidic foods are associated with an increased risk of stress urinary incontinence and urge urinary incontinence 

Diagnoses we treat include:

  • Coccydynia (Tailbone Pain)
  • Sacroiliac dysfunction (SI Joint Pain)
  • Sciatica
  • Pudendal Neuralgia
  • Urinary Incontinence, Overactive Bladder, Urinary Hesitancy, Urinary Retention
  • Constipation or Incomplete emptying, Fecal Incontinence
  • Irritable Bowel Syndrome (IBS), Irritable Bowel Disease (IBD)
  • Pain with Defecation
  • Abdominal Pain and/or Surgical Adhesions
  • Interstitial Cystitis (Bladder Pain)
  • Pelvic Organ Prolapse: Cystocele, Uterocele, Rectocele, Enterocele, Hydrocele
  • Dyspareunia, Vaginismus
  • Pain associated with Endometriosis
  • Vulvodynia, Vestibulitis
  • Mechanical Infertility
  • Diastasis Recti
  • Erectile Dysfunction of Musculoskeletal Origin, Pain with Erection or Ejaculation, Priapism
  • Non-bacterial Prostatitis
  • Post-prostatectomy issues

What is pelvic health treatment?

Each patient and diagnosis are different. Pelvic therapy treatments will vary and can include:

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

Modalities such as biofeedback and electrical stimulation to the pelvic muscles are also available if deemed appropriate.


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. This promotes the following therapeutic effects in pelvic floor pathologies:

Thermal effects:

  • 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 techniques, both passive and active, and can be used in the treatment of all pelvic pathologies, acute and chronic:

  • Recent or old scars and adhesions from childbirth, C-section, or pelvic and abdominal surgeries
  • Pelvic floor muscle hypertonia causing dyspareunia, constipation, overactive bladder, etc.
  • Loosening of connective tissue: Diastasis Recti, prolapse, perineal descent
  • Pelvic pain conditions both in females and males: vulvodynia, urethral or bladder pain, scrotal pain, etc
  • Vulvar edema and varicosities
  • Hemorrhoids and fissures 

Who treats pelvic health conditions at H&D Physical Therapy?

Assessment and treatment are performed by Physical Therapists specially trained in internal and external management of the pelvic floor and viscera. If you are experiencing any of the above symptoms, or have received any of the above diagnoses, schedule an appointment today.

If you have questions regarding treatments available, or whether PT is appropriate for you, please contact us. We would be happy to discuss your situation in advance of an evaluation session.