Pelvic Organ Prolapse

Find relief and restore your pelvic health with specialized physical therapy.
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Pelvic organ prolapse happens when the muscles and connective tissues that support your pelvic organs become weaker, allowing the bladder, uterus, rectum, or intestine to shift downward into or beyond the vaginal canal. It’s a condition that can feel uncomfortable, often linked to life events like childbirth, menopause, or ongoing strain on the pelvic floor such as during pregnancy, or with repeated heavy lifting. At Beyond Basics, we understand how deeply this can affect your daily life and confidence. Our compassionate approach to physical therapy is designed to support you every step of the way, helping you regain strength, restore function, and feel like yourself again.

Symptoms of Pelvic Organ Prolapse

The symptoms of pelvic organ prolapse can vary depending on its severity, and may get worse towards the end of the day with added exertion, but common signs include:

  • A feeling of heaviness, dragging, or pressure in the pelvic area
  • Difficulty with bowel movements or urinary retention
  • A visible bulge in the vaginal or rectal area
  • Lower back pain or discomfort
  • Urinary incontinence or frequent urinary urgency
  • Incomplete urine emptying
  • Pain or discomfort during intercourse
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BBPT Photo - Pelvic Organ Prolapse 2

How Pelvic Organ
Prolapse Occurs

Pelvic organ prolapse develops when the pelvic floor muscles and connective tissues are unable to support the pelvic organs. It can also be influenced by tightness of the pelvic floor muscles or pressure from abdominal contents above. This can be caused by:

  • Pregnancy and Childbirth: Vaginal delivery can stretch or weaken the pelvic floor, especially with prolonged labor or delivery of a baby more than 6-8 pounds.
  • Aging and Menopause: Hormonal changes during menopause can weaken connective tissues and pelvic floor muscles, increasing the risk of prolapse.
  • Chronic Pressure on the Pelvic Floor: Activities like heavy lifting, straining during bowel movements, or chronic coughing can contribute to pelvic floor disorders.
  • Other Contributing Factors: Obesity, genetics, or previous pelvic surgeries can also increase the likelihood of organ prolapse.

How Physical Therapy Can Help

At Beyond Basics, we provide tailored treatments to help you regain strength and function while addressing symptoms associated with pelvic organ prolapse. Our approach includes:
  • Pelvic Floor Exercises: Targeted exercises to strengthen pelvic floor muscles, improve support for pelvic organs, and prevent pelvic organ prolapse from worsening.
  • Manual Therapy Techniques: Hands-on techniques to release muscle tension, improve alignment, and restore mobility in the pelvic region.
  • Education and Empowerment: Guidance on lifestyle modifications and body mechanics to prevent further strain on the pelvic floor.
  • Symptom Management: Addressing urinary incontinence and other issues related to severe prolapse for improved quality of life.
  • Customized Care: Your treatment plan is designed to meet your unique needs and comfort level, ensuring you feel supported throughout your recovery.
  • Navigating Using Support: Guidance on using readily available supportive devices or speaking to a doctor on using supportive devices, such as a pessary if needed.
BBPT Photo - Pelvic Organ Prolapse 3

What to Expect During Your Sessions

During Your Initial Appointment

We’ll take the time to talk with you about the symptoms you’ve been experiencing to better understand your unique situation. We’ll also gently assess your abdominal and pelvic muscles, connective tissue, strength, coordination, and posture to evaluate the extent of your symptoms. This allows us to design a personalized treatment plan that’s tailored to your specific needs.

During Your Additional Appointments

Each visit is tailored to your progress and comfort level. Our physical therapists will guide you through pelvic floor and postural exercises, such as low pressure fitness training, designed to strengthen the muscles supporting your pelvic organs and alleviate the symptoms of pelvic organ prolapse. We’ll also use gentle, hands-on techniques to release tension, improve alignment, and address any muscle imbalances. Throughout your treatment, we’ll closely monitor your progress, making adjustments to your plan as needed to help you feel supported, find relief, and achieve lasting results.

Client Testimonials

Amber Wolfe
1 week ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
2 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
3 weeks ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 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
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
7 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
8 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
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 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
11 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.
11 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
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
11 months ago
Nice
Lily Zoraster
11 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
12 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
12 months ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year 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
1 year 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
1 year 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
1 year 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
1 year 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.
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..
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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.

Pelvic Organ Prolapse

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

What causes pelvic organ prolapse?

Pelvic organ prolapse is caused by weakened pelvic floor muscles and connective tissues, often due to life events like childbirth, menopause, or ongoing strain on the pelvic floor such as during pregnancy, or with repeated heavy lifting.

Can pelvic organ prolapse be treated without surgery?

Yes, many cases of pelvic organ prolapse can be managed with physical therapy, including pelvic floor and postural exercises, and manual hands on therapy.

How is pelvic organ prolapse diagnosed?

A healthcare provider, such as a physical therapist, typically diagnoses pelvic organ prolapse through a physical exam and symptoms assessment.

How do pelvic floor exercises help?

Pelvic floor and postural exercises strengthen the muscles supporting your pelvic organs, helping to alleviate symptoms and prevent further prolapse.

Can physical therapy help with severe prolapse?

Yes, even in cases of severe prolapse, physical therapy can improve symptoms and provide non-surgical relief.

What lifestyle changes can prevent pelvic organ prolapse?

Reducing extra weight or pressure on the pelvis, avoiding heavy lifting with a valsalva, and addressing chronic coughing or constipation can reduce your risk of prolapse.

What should I expect during pelvic organ prolapse treatment?

You’ll receive a personalized treatment plan that includes exercises, hands on manual therapy, and education on preventing further strain on your pelvic floor.