New York’s Women’s Pelvic Floor Physical Therapy Center
At Pivotal Physical Therapy, we understand that each woman’s needs are unique. We provide personalized attention coupled with expert knowledge of women’s pelvic health and female related issues. Our pelvic floor physical therapy clinicians are board-certified in women’s health. Our patient population consists of a wide spectrum of ages and diagnoses. Whether attending college, about to have a child, or entering your golden years, we will help you address your specific issues. Our goal is to improve your quality of life as we help you address pelvic pain, incontinence, or sexual discomfort.
Pelvic Pain and Dysfunction
Pelvic floor muscle pain and dysfunction occur when the muscles at the bottom pelvis (pelvic floor muscles) have inefficient muscle coordination or control. The loss of coordination or control may occur for many reasons including Childbirth, Endometriosis, Vulvodynia, hormonal changes (I.e., Menopause), surgery, trauma, etc. Each pelvic pain experience is unique. It may be described as sharp, burning, deep pulling, aching, zinging, throbbing, numbing, electric, etc. Common pain locations are usually the pubic symphysis (the bone under your bladder), tailbone (coccyx), genital area, or anal region. Certain positions such as prolonged sitting and activities may produce these symptoms. Patients may also experience pain with urination and/or bowel movements, or sexual activity.
Pelvic floor issues are not just limited to pain syndromes. Many suffer from pelvic floor dysfunction which results in problems with urinary and bowel control. We see many patients with urinary or fecal leakage, incontinence, constipation, nocturia, or difficulties urinating.
Pelvic Organ Prolapse (POP)
The pelvic organs (Uterus, Bladder, Rectum, Intestines) are held in place by a complex three-dimensional scaffolding made up of ligament and fascia. POP’s occur when this support system and vaginal or rectal walls start to weaken or stretch. As the “scaffolding” continues to weaken, the pelvic organs can gradually “drop” into the vaginal or rectal walls pushing towards the opening. A variety of factors lead to pelvic organ prolapse including pregnancy, childbirth, constipation, exercise, aging, hypermobility, and genetics. Symptoms of prolapse can include a sensation of pressure in the pelvis or vagina, often described as a “ball” at the genital area. Functionally a prolapse may cause problems with emptying your bowels or bladder.
When to Seek Treatment
If you are experiencing pain with a function such as urination, bowel movements, sexual activity or have any of the pain described above, we recommend you seek an evaluation from our Women’s Health specialist. At Pivotal we collaborate closely with other healthcare professionals to facilitate coordination of care.
Today’s increased understanding of pelvic floor muscle dysfunction/pain, bowel and bladder dysfunction, and POP have made it much easier to treat these conditions. The most common method of treatment involves using biofeedback. During biofeedback, your therapists use specialized sensors, which measures how your pelvic floor muscles move as well as how well they’re working. During a session, we’ll guide you by giving you specific feedback on how to change and improve your muscle coordination.
Pivotal Physical Therapy combines biofeedback with other treatment methods to form a holistic approach to alleviate your symptoms and improve function. We provide a comfortable environment and pride ourselves on clear lines of communication. We may utilize other methods including:
Manual soft tissue mobilization: The pelvic floor muscles and genital areas may be tender, tense, and/or have trigger points. Manual therapy may alleviate or decrease muscle symptoms.
Core training and Postural Re-education: Pelvic floor muscles are an important part of the abdominal core system. Therefore, it is important that the patient has an understanding of a synergistic relationship and how intricately they are linked. An experienced therapist will be able to seamlessly link all the physical deficits together and provide you with an individualized treatment plan.