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Pelvic Congestion

Restore your pelvic health with our compassionate, specialized physical therapy.
Pelvic Congestion Hero
If you’re dealing with chronic or intermittent pelvic pain, it may be a sign of pelvic congestion. This condition affects the pelvic veins, leading to discomfort that can disrupt your daily life. At Beyond Basics, we provide targeted pelvic floor physical therapy designed to alleviate the symptoms of pelvic congestion and improve your overall health.

What is Pelvic Congestion?

Pelvic Congestion or Pelvic Congestion Syndrome (PCS) is a condition characterized by swollen veins in the pelvis. It can lead to sensations of heaviness, pressure, and pain.
What is Pelvic Congestion
Symptoms of Pelvic Congestion

Symptoms of Pelvic Congestion

Pelvic Congestion Syndrome (PCS) can manifest through a wide variety of symptoms, including:
  • Chronic, dull pain in the pelvic region
  • Pain that worsens when sitting or standing for extended periods
  • Heaviness or pressure in the pelvis due to pelvic varicose veins
  • Lower back pain or discomfort
  • Pain during or after sexual activity
  • Discomfort that intensifies before your menstrual cycle
  • Chronic pelvic pain that persists or worsens over time
  • Visible varicose veins or dilated pelvic veins around the buttocks, thighs, or vaginal area
  • Swelling in the legs or pelvic region
  • Increased pain after physical activity
  • Severe pelvic pain that may fluctuate in intensity
  • Pain relieved by lying down
  • Pelvic pain, pressure, or heaviness worsens throughout the day

Get relief today.

How Pelvic Congestion Occurs

Pelvic congestion syndrome develops when the veins in the pelvic area, such as the ovarian veins, become enlarged and fail to circulate blood. This leads to pooling of blood in the veins, which can cause significant discomfort and pain. Here’s how it works:
  • Varicose Veins: When the veins in your pelvis become swollen they can lead to pelvic varicose veins. This results in swelling, pain, and pressure in the affected area.
  • Pelvic Vein Dysfunction: When the veins in your pelvis don’t function properly, it causes pelvic venous insufficiency, leading to blood pooling and creating painful congestion.
  • Ovarian Vein Issues: The ovarian veins can also be affected, leading to symptoms of pelvic congestion.
  • Hormonal Factors: Hormonal changes, especially during pregnancy, can weaken vein walls, contributing to the development of pelvic congestion syndrome, including dilated pelvic veins.
How Pelvic Congestion Occurs
How Pelvic Floor Physical Therapy Can Help

How Pelvic Floor Physical Therapy Can Help

At Beyond Basics, we take a comprehensive approach to treating pelvic congestion syndrome. Our pelvic floor physical therapy can help alleviate your symptoms by:
  • Improving Circulation: Specialized exercises help improve blood flow in the pelvic veins, reducing congestion and pain.
  • Strengthening Pelvic Muscles: Strengthening the muscles that support your pelvic organs can reduce pressure on the veins, alleviating symptoms.
  • Relieving Pressure on the Pelvic Veins: Our hands-on therapy techniques can help ease the tension in the surrounding muscles and tissues, reducing pain and pressure.
  • Reducing Swelling and Pain: Through targeted therapies, we can decrease the swelling in the pelvic area, relieving pain and discomfort.
  • Prevention: Helping improve mobility, education on best movement practices, soft tissue work, and other preventative measures.

What to Expect During Your Sessions

During Your Initial Appointment

Your first appointment includes a detailed evaluation of your symptoms and a thorough assessment of your pelvic area. This will help us pinpoint the cause of your pain and develop a tailored treatment plan. Our hands-on evaluation includes external and internal pelvic floor muscle assessments to identify muscle imbalances or tension contributing to pelvic congestion.

During Your Additional Appointments

Each follow-up session is customized based on your progress and comfort level. We use a combination of manual therapy techniques and pelvic floor exercises designed to improve blood flow, reduce pain, and support healthy vein function. You have full control over your treatment, and we work with you to ensure your comfort at every stage.

Client Testimonials

Louise Decatrel
2 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
3 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
4 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
4 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
5 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Noelle De Martini
5 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery.
The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
7 months ago
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
7 months ago
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
7 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
8 months ago
Nice
Lily Zoraster
8 months ago
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
8 months ago
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
8 months ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
9 months ago
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
9 months ago
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery.

The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
9 months ago
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Ava Anderson
10 months ago
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
10 months ago
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Joshua S Rubin DDS
10 months ago
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
Annie Jung
11 months ago
I went to go see Kiko for tailbone pain that I had ignored for 20 months since giving birth. She gave me a thorough assessment and explained the reasons behind the persisting pain. She looked at my body as a whole, not just the pelvic area and we are addressing other problem areas that have been causing the pain. I can’t believe how much I’ve improved even after just one session. Her bedside manners are great too and I feel very comfortable working with her. I highly recommend this place for all new mamas!
Elizabeth Mills
12 months ago
I have had an amazing experience working with Kiko. She takes a holistic approach to assess and address your individual needs. Working with Kiko has dramatically reduced the symptoms of a condition I have had for many years, when nothing else I have tried has helped. My quality of life has greatly improved and I am very grateful!
carol espel
1 year ago
High quality, physical care
Gemma Newcombe
1 year ago
I found this place on Maps when my pelvic pain flared up best decision ever. I felt real progress after just a few visits.
P F
1 year ago
Very knowledgeable skilled understanding and friendly. Highly recommend
Alec-Lewis Wang
1 year ago
Very helpful!
Mayelin Batista
1 year ago
Sonali is one of the most caring and kind person I have come across. As a patient and most importantly as a female, to find these two qualities in a therapist are not only extremely important but also extremely rare to find.
nina Shapiro
1 year ago
I am working with Sonail. She is a skilled practioner both with hands and heart.
nelly tournaki
1 year ago
I want to thank Dr. Solani Patel. Throughout my treatment she has been gentle, polite, patient and very knowledgable. Each of the exercises she gave me were very relevant to my condition and very helpful.
Jenny Laroche
2 years ago
Beyond basics is such an amazing space for rehabbing postpartum pains and aches.
The therapists are incredibly knowledgeable, kind, gentle, and wonderful at their job!
As a dancer, I received the expert care I needed to return to work with confidence.
Beyond Basics is one the best places to go for physical therapy.... I'm extremely happy I started going here, and it's very convenient, being that it's directly across the street from Grand Central. My physical therapist, Radhi Kadakia, is awesome and highly recommended!
Lisa Taylor
2 years ago
Vivian is fantastic! I felt like in just a few minutes she identified the reason I’ve been having so much so joint and hip area oain for the past couple of years. I had seen multiple different docs/specialists and no one had been able to figure anything out. She gave me some exercises to help gain more connectivity and activation on my glutes (I over-rely on my core and quads and not enough in my posterior chain), and when I said I’d be more likely to do them if I had a video demo she kindly did demos and let me record them!

I’ll also add that I’m a childbirth educator and both doula and have been recommending this practice for years because colleagues and clients have raved about them but only recently did I get to actually experience this for myself. (In fact, I ran into one of my birth class students when I went to my appointment!) Now I can recommend even more highly!
Jeremy Pikser
2 years ago
Emily Moore is the most insightful, ingenious and effective PT I have ever worked with, and I've worked with over a dozen over the past 30 years. I wish they were a little more Medicare compliant, but even if it costs more, to me, it's worth it.
Virginia Meagher
2 years ago
PT Danielle is phenomenal. She knows about the entire body. She gave me exercises for my upper right back which are paying off. BBPT sends you a follow-up email with videos about how to do the exercises. They are awesome.
serena
2 years ago
I had a great experience at Beyond Basics! I was nervous about going to physical therapy, but Sonali was so professional and nice, which made me feel a lot more comfortable. Sonali fully solved my pelvic floor issues in only a few sessions. She gave me stretches to do on my own time to move my progress along and also to ensure I don't lose any progress I've made. The receptionist Jasmine is also great-she is really helpful when it comes to scheduling appointments. I can't recommend Beyond Basics enough!
Frances Engoron
2 years ago
Great care - wonderful therapists. Head and shoulders above most other Physical Therapy practices.
Michele Bontemps
2 years ago
Sonali was wonderful! Extremely knowledgeable and understanding. Excellent facility.
Gail Brousal
2 years ago
The waiting room--always decorated--is a welcoming space. Makela is respectful, resourceful and wonderfully clear in spoken and physical instruction. It is truly a pleasure to work with her,
Bárbara Ipac
2 years ago
I highly recommend Beyond Basics Physical Therapy. Great staff!
Colta Ives
2 years ago
Danielle Santora is exceptionally well-informed, a great listener and and a great educator. She is that rare person who knows her business and has the sensitivity to deal with a delicate subject.
Eliza is amazing! I am seeing her for pelvic floor PT due to pregnancy related discomfort and in just 2 sessions she has helped reduce my pain/discomfort a lot. She has a very kind and comforting bedside manner and makes you feel very at ease. I highly recommend her.
Wendy Katzman
2 years ago
Sonali Patel is an excellent physical therapist. She is very knowledgable about pelvic health, and has great manual therapy and communication skills. I highly recommend her.
Rebecca Blane
2 years ago
This place is amazing!!! I worked with Sonali. She was extremely knowledgable and our sessions were very thorough. Sonali was so compassionate and helped me feel so supported. I felt like she really understood what I was going through. I saw great improvements and am very satisfied with the whole experience. Highly recommend!
Ray Tekosky
2 years ago
Wonderful place, I've worked with Makela previously, she's "as good as it gets". Natural healer, empathetic, pleasant, smart,,,,,,,what more can u ask for?
Lizzie Benzik
2 years ago
Vivian Zhang at Beyond Basic PT is awesome! She took my concerns seriously and, using exercises and physical releases, improved my breathing and quality of life.
Nick B
2 years ago
My experience with Beyond Basics has been outstanding! Danielle is incredibly insightful, professional, and an excellent communicator. She is truly an expert and I am very grateful to have her in my journey!
Jazmaine Vitta
2 years ago
Sonali Patel is a miracle worker! I came to Beyond Basics with really bad TMJ issues and Sonali was able to provide me almost instant relief from years of tension. I've never felt better and she taught me some really awesome tips I can use myself moving forward. Overall I had a really great experience at Beyond Basics!
I highly recommend Beyond Basics for pelvic floor PT. My therapist, Vivian, was friendly, thoughtful, respectful, and knowledgeable. She knows what she’s doing and made great suggestions for exercises I could do on my own. I had great results in combination with treatment recommended by my doctor. The facility is clean and staff are welcoming. Highly recommend.
Leese Hamilton
2 years ago
Incredibly caring, experienced and professional. Highly recommended.
Joanne Sandler
2 years ago
Makela is an amazing PT. The office staff is wonderful and the space is great. Highly recommend.
Lisa Duggan
2 years ago
Rachel at Beyond Basics downtown is an outstanding, highly skilled, patient, kind and dedicated physical therapist. I love going to see her, she helps me so much. *Highly* recommended!
Cindy C
3 years ago
I was afraid to go out because of my overactive bladder.  Vivian Zhang saved my life.  My life improved tremendously after spending two months with her.

She is very patient, knowledgeable, and professional.  She spends a full hour with me which I could not find in any other physical therapy.  She gave me so much attention and continued to look for the root cause of my problems.  She explains the purpose of the exercises.  She teaches me the exercises and makes sure I do it correctly.  She will check my understanding in the next session to make sure I do it correctly.  If I don’t do it correctly, she will find another way to explain to me and check my understanding.   All other physical therapy just spends 30 minutes on me and leaves me alone to do the exercises myself.  They don’t check to see if I am doing it correctly.  Before coming to Beyond Basic, I was in another physical therapy for a year and was not able correct my overactive bladder problem.  I am so lucky to have found Vivian and Beyond Basic.
France Choa
3 years ago
You don't take my insurance.
Maddy Hoffman
3 years ago
Superb and attentive care. Highly recommended!
Mary Callahan
3 years ago
I've really appreciated my experience so far at Beyond Basics, working with Makela. I was nervous going into pelvic floor physical therapy and she was respectful and considerate of my hesitation. She also makes a great effort to connect with other members of my treatment team, which makes me feel like I'm being supported holistically. I have already noticed improvement in my daily life, and I'm very grateful!
Karla Lopez
3 years ago
At Beyond Basics I found the help I needed for my Postpartum recovery after a traumatic delivery. Little did I know all the benefits I could get from pelvic floor PT. Here I learned a lot of tools to have a better pelvic health and improve my wellbeing. I really recommend pelvic floor PT to all women! This will help you for life.
Vivian has been my PT and she is great! She has helped me in a lot of ways, physically and emotionally, she’s caring and very knowledgeable.
Also, the girls from front desk are very kind.
Beyond basics is a great place!
Katie Kuntzman
3 years ago
My experience with Beyond Basics has truly been life changing!

After having a variety of symptoms without a true diagnosis for months, I found Beyond Basics, and, while I was completely unfamiliar with pelvic floor physical therapy before going there, I quickly realized the benefits even after my first session.

I've now been working with Vivian Zhang for almost a year, and I am continuously amazed by her work. Out of all of the medical professionals that I've worked with in the past, Vivian has shown the most care and interest in my well being. Healing is definitely a journey, and Vivian has shown the utmost respect and patience for me as I work through ups and downs of my personal path. With Vivian, I feel like I have a trusted resource and someone who genuinely listens to me, and that has made such a difference in my recovery.

I cannot thank Vivian, and Beyond Basics as a whole, enough for the improvement that they've made to my quality of life and I highly recommend this practice to anyone who is even remotely considering pelvic floor PT!
S H
3 years ago
Eliza was so great to work with. She was very helpful. She is caring and compassionate. She helped me feel better. Grateful for all of her support. Can’t say enough good things. Would be better if they accepted insurance though.
Barry Schiller
3 years ago
Beyond Basics PT identified my needs and listened to my concerns as well as planned a treatment regimen that addressed the fundamental causes of my issues. Makayla knowledge regarding body mechanics is extraordinary.
donal farley
3 years ago
I needed a specialized pt called pelvic floor therapy following rectal surgery. I found Vivian Zhang a very able and knowledgeable therapist at Beyond Basics Physical Therapy on William Street in lower Manhattan. After six weekly one hour sessions, I had a significant improvement in returning to a normal life. Vivian was very clear in her instructions, provided illustrated email instructions for at-home exercises and was available via email as needed. She was also very patient and kind with this 87 year old client.
Caitlyn West
3 years ago
Dr. Spielman and the Beyond Basic staff are amazing. The front desk is kind, friendly and very helpful when booking appointments.

Dr. Spielman is a life saver. She helped me at a time when I had experienced months of debilitating pain. I had seen multiple specialists and tried various medications to no avail.

Dr. Spielman was the first doctor to diagnose me with an overly tight pelvic floor. She has helped me with workouts, stretches and provided me with important anatomical information on my road to recovery.

I am so grateful for her and I can't recommend both Dr. Spielman and Beyond Basics enough!
Dina
3 years ago
I received excellent care at Beyond Basics
I L
3 years ago
I have been a patient at the Beyondbasics PT for almost 3 years and they successfully helped me with both the pelvic floor and orthopedic issues.
I have health issues and I have used several physical therapists in the past.
Beyond Basics is the best!!
They were recommended to me by my doctors
And I am grateful for the recommendations.
Beyondbasics PTs are knowledgeable, attentive, patient and kind.
Front desk representatives are very friendly and kind.
Thank you
Mark Scheflen
3 years ago
I am extremely grateful for Ekta's work. She figured out a complex problem within 2 visits. Importantly, I now understand the problem and know what to do to fix it. I went to so many medical specialists and Pelvic PT's and they couldn't figure out problem. I highly recommend Beyond Basics a perfect name.
Excellent treatment, knowledgeable therapist. Very informative and comfortable experience.
Image of Pelvic region

Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor therapist for pelvic congestion.

Pelvic Congestion

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

How can physical therapy help with pelvic congestion syndrome?
Physical therapy plays a key role in relieving the symptoms of pelvic congestion syndrome by improving circulation, strengthening the pelvic floor muscles, and reducing pressure on the pelvic veins. Targeted exercises and manual therapy techniques can help ease pain and discomfort by addressing the underlying muscle and vein dysfunction. Physical therapy can also help with prevention by improving mobility, providing education on best movement practices, administering soft tissue work, and other preventative measures.
How is pelvic congestion syndrome diagnosed?
Pelvic congestion syndrome is typically diagnosed through a combination of your medical history, physical exam, and imaging tests. However, physical therapists at Beyond Basics may help identify any pelvic floor dysfunction that is contributing to your symptoms.

While diagnostic imaging like pelvic ultrasound, MRI, or venography confirms the presence of pelvic varicose veins, physical therapy evaluations focus on muscle tension, weakness, or nerve issues that may also cause pelvic discomfort. Our team of physical therapists can offer insights into how muscle dysfunction contributes to your condition and guide your treatment plan accordingly.

Can pelvic congestion syndrome be managed without surgery?
Yes, many people find significant relief through non-surgical treatments like pelvic floor physical therapy. By focusing on improving muscle function and blood flow in the pelvic region, physical therapy can help manage symptoms without the need for invasive procedures.
How does pelvic floor physical therapy improve blood flow?
Pelvic floor physical therapy improves blood flow by targeting the muscles that support the pelvic organs. When these muscles function properly, they reduce pressure on the pelvic veins, helping blood circulate more efficiently and relieving the symptoms of congestion.
Is physical therapy a long-term solution for pelvic congestion?
For many patients with chronic pelvic pain complaints, physical therapy provides long-term symptom relief. With consistent therapy and at-home exercises, pelvic floor strength and vein function can be improved, helping to manage symptoms and prevent future discomfort.
What specific techniques are used in physical therapy for pelvic congestion?
Our pelvic floor physical therapists use a combination of manual therapy, targeted exercises, and relaxation techniques. These methods focus on reducing tension, improving muscle function, and supporting healthy blood flow in the pelvic region.