Pelvic floor therapy can relieve pain and restore proper functionality to the muscles, tissues, and ligaments of the pelvic area through a combination of stretching exercises and manual manipulations. This form of therapy not only reduces pain but builds strength in the pelvic muscles.

There is no “one size fits all” physical therapy program with a predetermined time-frame for care. Every patient is different and we develop tailor-made therapeutic regimens to address the unique condition and symptoms of the individual. Some patients may require more treatment than others but it's difficult to know what exactly is needed until a diagnosis is made by one of our physiotherapists. You will discuss the issues and symptoms that you are experiencing and the physiotherapist will design a comprehensive treatment program to target the source of pain and restore functionality to the pelvic floor.
Each therapy plan is based on the specific challenges of the patient's condition. An initial assessment will be conducted by one of our physiotherapists in which you discuss your symptoms and any limitations in functionality that you may be experiencing. Be sure to include any other important information such as injuries or restrictions that could impact your therapy. Once a diagnosis is made then you will get a better idea as to the length of time physical therapy may take to target the source of your condition. As an example, a patient who has been experiencing pain in the pelvic floor for almost two years with a hip labral tear and a herniated disc, works a high stress job, and has a poor diet will likely require a longer and more diverse physical therapy plan than a patient with pain symptoms in the coccyx due to a recent fall.

The type of clothing you wear to your pelvic floor therapy sessions is important. You never want to feel constricted by your choice of apparel, think loose and comfortable. Wear the same clothing you might wear to the gym or a yoga class, offering the range of movement and flexibility you want when you exercise. The same holds true for your choice of footwear. Sneakers are the best choice instead of high heels or loafers because you need the support and balance. Socks are also a good idea as you may be required to remove some articles of clothing during the session and, while you will be given a sheet to cover up, your feet might get chilly.

We have two Beyond Basics offices in Manhattan.Our Midtown location at 110 E 42nd St. or the Downtown location at 156 William St. Both are easily accessible from New Jersey.

Your pelvic floor physiotherapist is trained to diagnose the source of pain and dysfunction in the pelvic floor and create an effective physical therapy regimen that targets the cause of these issues. A therapy plan may begin by placing an emphasis on correcting your posture and positioning first, then introducing relaxation exercises and techniques, some of which you will need to perform at home.
Our staff of physiotherapists have been trained in the complexities of the musculoskeletal system which incorporates the muscles, the joints, and the bones and how they all work together with the organs, nerves, and arteries throughout the body. During the session, your physiotherapist can also provide advice on ways to manage pain and how to improve your nutrition, as well as educational information and methods for correcting bowel and bladder issues, as well as sexual dysfunction.

While you will be required to perform certain exercises as part of your pelvic floor physical therapy plan, you do need to be careful to avoid any activities or actions that might place excessive strain on the pelvic floor. This can aggravate the region and intensify the condition and symptoms which you are experiencing. The goal here is to gradually increase strength and functionality of the muscles in the pelvic floor. Don't try to push yourself as a way to speed up your progress, that will only hinder instead of help. Never attempt any exercises that might cause overexertion and always stop doing anything that causes pain, discomfort, or bladder leaks.

Our physiotherapists conduct manual therapy manipulations instead of massage. Part of your pelvic floor physical therapy will include soft tissue mobilization, trigger point release, or myofascial release techniques as a means for manipulating the muscles along the pelvic floor. Muscles cannot function correctly without sufficient blood flow, manual manipulations help to promote circulation and reduce myofascial limitations and spasms. These muscles are located inside of the body, therefore manual therapies are typically conducted through internal vaginal or internal rectal manipulations. Since this muscle group is located around the urethra, bladder, anorectal and genital areas, restrictions in the pelvic floor can lead to abdomino-pelvic pain, bladder or bowel issues, and/or sexual dysfunction.

The cost of pelvic floor physical therapy will be dependent upon the particular requirements of the patient and the treatment options that best address the symptoms being experienced. Once a diagnosis is made as to the source of the pain and dysfunction in the pelvic floor, a therapy program is developed to target the cause. The physiotherapist can walk through the length of time you'll need therapy and the costs associated with it.

Yes, a majority of major health insurance providers understand the importance of pelvic floor physical therapy and will cover the costs for treatment. We accept out of network insurance providers. Our billing department will contact your insurer directly to arrange payment for services rendered. Be sure to review your health insurance policy to better understand which types of care are covered and what falls beyond the limits of your coverage. In the event you are unsure of what your policy offers or if you have any questions regarding coverage, our billing department will be happy to assist you.