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Urinary Tract Infection Treatment in New York CityHas this ever happened to you? It hurts to pee and the frequent urge to do so is driving you mad. Your doctor tests your urine then rules out an infection. During a comprehensive examination, you feel some tender painful spots. Then your doctor suggests seeing a pelvic floor PT specialist. Wait…What?!

Or the opposite happens. The urine culture comes back positive for infection, you get prescribed antibiotics and you are relieved that soon you will have pain free urination.  But then it doesn’t change.  The pain is still there.  The doctor orders more tests and possible imaging, and they all yield negative results. Then your doctor suggests seeing a pelvic floor PT specialist. Huh?!

This situation has left many women confused, worried and most importantly, not feeling validated.  Am I imagining this? Is it just me?  This phenomenon happens more often than you think. I am happy to report that there is a method to your doctor’s seeming madness; there is a valid reason for their suggestion and they do have a plan.

Doctors send patients to a pelvic floor specialist such as myself when they see there is something amiss with your pelvic floor muscles. Over the last few decades, the pelvic floor muscles have been getting increasing medical attention from top urologists and gynecologists. Research has shown that dysfunction in these muscles, whether they are too weak, too tense, overworked, or uncoordinated, can cause various kinds of pelvic pains and possible abnormal urinary/bowel elimination.

A pelvic floor physical therapist can address these problems with a comprehensive rehabilitation program consisting of therapeutic exercise, pelvic floor muscle re-education, biofeedback, soft tissue mobilization, and core training.  I use my skills and a physical therapist specialist to assist you in feeling like your old self and maybe feeling even better.  It always gives me pleasure to tell my incoming patients, “You don’t have to live like this, there is an answer, and I will do my darnedest to make you feel well again.”


Written by Elain Borja-Jaffe, PT, DPT, CERT. MDT, WCS