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Our Pelvic Pain and Dysfunction Services in Downtown, NY

— conditions we treat

Our Pelvic Pain and Dysfunction Services

Care For All Bodies

For almost two decades, Beyond Basics has been providing thorough care for pelvic pain and pelvic floor dysfunction to patients of all ages in Downtown. When we first began, very few therapists around the globe were trained in pelvic floor physical therapy, and their approach was quite limited. Today, our practice is recognized as one of the few worldwide that integrates care for the pelvic region with the rest of the body, allowing us to approach treatment in a way that promotes whole-body healing for each individual.

Thanks to the vast expertise of our physical therapists and the broad range of specialized certifications they hold, we can guide you toward relief and improved function, regardless of where discomfort or dysfunction appears in your body. Each treatment plan is tailored to your specific condition and personal goals, ensuring the most effective care for your Downtown journey to recovery.

Beyond Basics Physical Therapy is unwavering in our dedication to fostering and maintaining a culture of diversity, equality, and inclusion. Every person seeking care in Downtown is welcomed and respected. Actions that compromise the safety and inclusiveness of our environment are not tolerated, ensuring a supportive space for all patients.

Care for all bodies
Understand Pelvic Floor Health

We Understand Pelvic Floor Health

With extensive expertise in contemporary pelvic health and rehabilitative science, we are dedicated to highlighting the significance of strong pelvic floor function while promoting awareness and education. Composed of a sophisticated network of musculature, tendinous structures, and intricate nerves, the pelvic floor upholds the organs in the pelvic cavity and orchestrates essential processes like urinary and fecal control. By sharing knowledge and evidence-based practices, we aim to empower people to recognize the importance of this foundational system for overall physical health.

Anatomy of the Pelvic Floor

The pelvic floor consists of layered muscles, ligaments, and the pudendal nerve, forming an essential foundation for your pelvic organs. The connective tissues help sustain the overall structure and can affect other parts of the body beyond the pelvis. With our detailed knowledge of pelvic floor anatomy, we can design treatment strategies that address specific areas of dysfunction.

Function of the Pelvic Floor

Caring for the pelvic floor is crucial due to the variety of key functions it serves. This system supports your:

  • Bladder
  • Uterus
  • Rectum
  • Bowel and bladder movements
  • Functionality during sexual intercourse
  • Blood circulation in the pelvic area

By comprehensively understanding the wide range of pelvic floor functions, we are able to design effective therapeutic strategies tailored to correct and restore proper function.

Causes Of Pelvic Floor Dysfunction

Our experience extends to treating numerous individuals who face various forms of pelvic floor challenges. Some of the most common causes of pelvic floor dysfunction we have helped manage are:
  • Childbirth:

    Trauma sustained during delivery, such as prolonged labor or instrumental assistance, can influence the strength and coordination of the pelvic floor muscles.

  • Chronic Constipation:

    Long-term straining during bowel movements can place excessive tension on the pelvic floor, eventually reducing its effectiveness.

  • Pelvic Surgery:

    Prior surgical procedures in the pelvic region may result in scar tissue formation or nerve disruptions that impact pelvic floor functionality.

  • Age-related Changes:

    With advancing age, pelvic floor muscles can naturally lose tone and resilience, contributing to decreased support and stability.

  • Obesity:

    Persistent additional weight can put continuous pressure on the pelvic floor, potentially weakening the muscles over time.

Causes of Pelvic Floor Dysfunction

— CONDITIONS WE TREAT

Bladder and Bowel Disorders

Urgency and Frequency Of Urination

Urinary Incontinence or Retention Of Urine

Prolapse

Benign Prostate Hypertrophy (BPH)

Interstitial Cystitis / Painful Bladder Syndrome

Abdominal Pain and / or Bloating

Constipation, Straining, Incomplete Emptying

Irritable Bowel Syndrome (IBS)

Fecal Incontinence


Go to the Bladder & Urinary Incontinence Service Page


Book An Appointment

Endometriosis

Pelvic Pain

Painful Periods

Pain During Intercourse

Pain During Urination or Bowel Movements

Heavy Menstrual Bleeding

Bladder Issues

Digestive Issues

Go To Endometriosis Service Page

Book An Appointment

endometriosis

Lymphatic Drainage

Swelling In Upper and Lower Extremities and / or Genitals

Pelvic Congestion

Swelling In Abdomen Related To Constipation

Chronic Venous Insufficiency

Painful Varicose Veins


Go To Lymphatic Drainage Service Page


Book An Appointment

Menopause

Vaginal or Vulvar Dryness

Vaginal or Vulvar Burning

Vulvar Itching

Sexual Difficulty

Pain During Sex

Increased Urinary Tract Infections

Pelvic Floor Muscle Weakness

Pelvic Floor Muscle Overactivity

Urinary Incontinence and Fecal Incontinence

Pelvic Organ Prolapse

 

Go To Menopause Service Page

Book An Appointment

Orthopedic Issues

Chronic Muscle or Joint Pain

Acute Injuries

Temporal Mandibular Pain / Dysfunction (TMJ)

Pediatric Orthopedic Conditions

Groin / Adductor or Other Muscle Strains In The Pelvic Region

Low Back Pain

Neck Pain

Labral Tears or Other Injuries Of The Hip Joint


Go To Orthopedic Services Page


Book An Appointment

Pediatric Health Services

Daytime Urinary Incontinence

Bowel Incontinence

Bed-wetting

Constipation and Painful Bowel Movements

Abdominal Pain and Bloating

Orthopedic and Sports Injuries

Go To Pediatric & Adolescent Health Services Page

Book An Appointment

Pelvic Pain and Dysfunction

Pelvic Muscle Dysfunction

Pelvic Pain

Non-bacterial Prostatitis / Chronic Pelvic Pain

Pelvic Congestion

Vulvodynia / Vestibulodynia / Clitorodynia

Prostatodynia

Testicular and Penile Pain

Premature Ejaculation

Decreased Arousal

Pain In Perineum

Pudendal Neuralgia and Other Neuralgia / Neuritis Of Abdomino-pelvic Nerves

Groin Pain, Coccyx Pain, Back Pain, Hip Pain

Pediatric Pain and Dysfunction


Go to Pelvic Pain and Dysfunction Service Page


Book An Appointment

Pelvic Pain in People with Male Anatomy

Pain with sitting

Pain at scrotum or testicles

Abdominal sensitivity or pain

Sensitivity at tip of penis

Penile changes – such as “shrink” or doesn’t enlarge like it used to

Erectile dysfunction

Go To Pelvic Pain in People with Male Anatomy Service Page

Book An Appointment

Postsurgical Needs

Post-abdominal Surgery Care (Such As Hernia Surgery or Endometriosis Excision Surgery)

Pelvic Surgery Care

Post-prostatectomy Care

After Labral Tear Repair Of The Hip

Go to Postsurgical Needs Service Page


Book An Appointment

Pregnancy and Postpartum

Prenatal Health

Post-pregnancy Recovery

Pregnancy-related Back Pain

Incontinence

Diastasis Recti

Painful C-section, Tearing, Episiotomy Scars

Back To Exercise or Running

Go to Pregnancy and Postpartum Service Page


Book An Appointment

Sexual Pain and Dysfunction and Reproductive Health

Pain or Difficulty With Orgasm

Erectile Dysfunction

Premature Ejaculation

Decreased Arousal

Persistent Genital Arousal Disorder (PGAD)

Pain With Intercourse (dyspareunia)

Endometriosis

Symptoms Related To Perimenopause or Menopause

Dysmenorrhea (Painful Menstruation)

Go to Sexual Pain and Dysfunction Service Page


Book An Appointment

— CONDITIONS WE TREAT

Bladder and Bowel Disorders

Urgency and Fequency Of Urination

Urinary Incontinence or Retention Of Urine

Prolapse

Benign Prostate Hypertrophy (BPH)

Interstitial Cystitis / Painful Bladder Syndrome

Abdominal Pain and / or Bloating

Constipation, Straining, Incomplete Emptying

Irritable Bowel Syndrome (IBS)

Fecal Incontinence

Endometriosis

Pelvic Pain

Painful Periods

Pain During Intercourse

Pain During Urination or Bowel Movements

Heavy Menstrual Bleeding

Bladder Issues

Digestive Issues

Lymphatic Drainage.

After Lymph Node Removal

Swelling In Upper and Lower Extremities and / or Genitals

Pelvic Congestion

Swelling In Abdomen Related To Constipation

Chronic Venous Insufficiency

Painful Varicose Veins

Menopause

Vaginal or Vulvar Dryness

Vaginal or Vulvar Burning

Vulvar Itching

Sexual Difficulty

Pain During Sex

Increased Urinary Tract Infections

Pelvic Floor Muscle Weakness

Pelvic Floor Muscle Overactivity

Urinary Incontinence and Fecal Incontinence

Pelvic Organ Prolapse

 

Orthopedic Issues

Chronic Muscle or Joint Pain

Acute Injuries

Temporal Mandibular Pain / Dysfunction (TMJ)

Pediatric Orthopedic Conditions

Groin / Adductor or Other Muscle Strains In The Pelvic Region

Low Back Pain

Neck Pain

Labral Tears or Other Injuries Of The Hip Joint

Pediatric Health Services

Daytime Urinary Incontinence

Bowel Incontinence

Bed-wetting

Constipation and Painful Bowel Movements

Abdominal Pain and Bloating

Orthopedic and Sports Injuries

Pelvic Pain and Dysfunction

Pelvic Muscle Dysfunction

Pelvic Pain

Non-bacterial Prostatitis / Chronic Pelvic Pain

Pelvic Congestion

Vulvodynia / Vestibulodynia / Clitorodynia

Prostatodynia

Testicular and Penile Pain

Premature Ejaculation

Decreased Arousal

Pain In Perineum

Pudendal Neuralgia and Other Neuralgia / Neuritis Of Abdomino-pelvic Nerves

Groin Pain, Coccyx Pain, Back Pain, Hip Pain

Pediatric Pain and Dysfunction

Pelvic Pain in People with Male Anatomy

Pain with sitting

Pain at scrotum or testicles

Abdominal sensitivity or pain

Sensitivity at tip of penis

Penile changes – such as “shrink” or doesn’t enlarge like it used to

Erectile dysfunction

Postsurgical Needs

Post-abdominal Surgery Care (Such As Hernia Surgery or Endometriosis Excision Surgery)

Pelvic Surgery Care

Post-prostatectomy Care

After Labral Tear Repair Of The Hip

Pregnancy and Postpartum

Prenatal Health

Post-pregnancy Recovery

Pregnancy-related Back Pain

Incontinence

Diastasis Recti

Painful C-section, Tearing, Episiotomy Scars

Back To Exercise or Running

Sexual Pain and Dysfunction and Reproductive Health

Pain or Difficulty With Orgasm

Erectile Dysfunction

Premature Ejaculation

Decreased Arousal

Persistent Genital Arousal Disorder (PGAD)

Pain With Intercourse (dyspareunia)

Endometriosis

Symptoms Related To Perimenopause or Menopause

Dysmenorrhea (Painful Menstruation)

Services and Treatment Options

Services And Treatment Options

Evaluation and Diagnosis

If you are managing chronic pain or facing challenges with bladder control, the first critical step in effective pelvic floor physical therapy involves assessing your present functional status. Our highly trained therapists carry out thorough evaluations, combining a full medical history review with a careful hands-on examination. This ensures that every treatment plan is specifically designed to address your individual requirements and therapeutic goals.

Individualized Treatment Plans

Our skilled therapists employ a broad spectrum of treatment options, combining internal and external manual therapies including myofascial release, trigger point release, connective tissue techniques, and craniosacral therapy. When indicated, gentle mobilization of the pelvic organs themselves may be performed to support optimal function.

We frequently utilize biofeedback as a tool to guide patients in muscle retraining and provide techniques for at-home practice, ensuring continued improvement between therapy sessions.

Where appropriate, we enhance therapy with modalities such as cold laser treatment, temperature-based therapies, electrical stimulation, and transcutaneous electrical nerve stimulation to further support healing.

Neuromuscular re-education is a central focus, with exercises carefully designed to restore strength, coordination, and functional movement for tasks like standing, walking, and sitting, fostering pain-free mobility and reducing the chance of future injury.

Finally, we work alongside referring doctors and healthcare professionals to create individualized exercise regimens. We also commit to ongoing education and professional development weekly, keeping our knowledge and skills at the forefront of pelvic floor treatment advancements.

Why Choose Beyond Basics Physical Therapy In Downtown?

Unmatched Expertise

Our physical therapy specialists concentrate on pelvic floor wellness and bring significant experience in treating a broad spectrum of conditions. Their expertise enables precise diagnosis and management of pelvic dysfunction while equipping you with actionable knowledge to support long-term pelvic floor health.

Comprehensive Approach

Understanding that the pelvic floor functions as part of a larger system, we aim to meet all of your physical and emotional requirements. Treatment strategies for pelvic floor dysfunction are carefully tailored to incorporate every concern we identify during assessment.

Individualized Care

Because pelvic floor issues manifest differently for each individual, we develop customized therapy plans and exercises that are specific to your personal needs, goals, and functional objectives.