Pelvic Physical Therapy for Women

Pelvic Floor Dysfunction is pain and disruption of bladder, bowel &/or sexual function due to a combination of restricted muscles (pelvic floor, diaphragm, lower back), nerves (sciatic, pudendal) and organs (bladder, uterus) of the pelvis.

Women experiencing persistent back, hip, groin pain and core weakness may have an underlying pelvic floor condition. Our Doctors of Physical Therapy (DPT’s) are specially trained in both orthopedic and pelvic health to expertly assess and treat this. You’ll learn about your specific condition, receive manual therapies, biofeedback and individualized home exercise program.

Your sessions are held in our spacious, beautiful treatment rooms with one DPT. Movement work is done in our greenhouse light-filled gym with soaring views of the Upper East Side.

Pelvic Floor Conditions we treat include:

  • Pelvic Pain
  • Urinary Dysfunction
  • Sexual Dysfunction
  • GI and Bowel Dysfunction
  • Back/Coccyx Pain

Click here to learn more about Pelvic Floor Treatment Options.

Pelvic Pain

Women of all ages and backgrounds may experience pelvic pain at some point in their lifetime. Menstrual cramps, Falls on the tailbone, Trauma to the Pelvis, Inflammation of the visceral organs, Multiple UTI’s, Sexual abuse, Scar tissue post abdominal surgery, C-section scars, Perineal tears from vaginal delivery, Hip injury from running and more.

Research shows that a significant number of women with pelvic floor symptoms may feel too embarrassed to discuss their sexual, urinary, and bowel issues with their health care practitioners, thinking that they have to "live with it” or their symptoms are a "normal part of aging”. This cannot be further from the truth! At EMH Physical Therapy we’ve successfully treated thousands of women who have pelvic pain and look forward to helping you.

Pelvic Pain Diagnoses we treat include:

  • Chronic Pelvic Pain
  • Endometriosis
  • Abdominal Adhesions
  • Pelvic Inflammatory Disease
  • Pudendal Neuralgia
  • Lichens Sclerosis
  • Post-Surgical: Hysterectomy, Oophorectomy, Hernia Repair, Laparoscopy, Appendectomy, C-section, Sex Reassignment Surgery.

Urinary Dysfunction

Having to use the restroom frequently, leaking, or experiencing bladder/urethra discomfort can be frustrating. Urinary urgency/frequency can be a result of overly tense and weak pelvic floor muscles. These muscles act like a sling to hold up all the organs in the pelvis and abdomen. Vaginal deliveries, years of straining on the toilet during bowel movements, loss of awareness & coordination of pelvic girdle muscles and being de-conditioned can cause this sling to slacken. Strengthening and relaxation exercises effectively improve prolapse, incontinence, urgency, and more.

Urinary Dysfunction Diagnoses we treat include:

  • Urinary incontinence
  • Urinary urgency/frequency
  • Bladder and Urethral pain
  • Chronic Interstitial Cystitis
  • Incomplete Bladder Emptying
  • Prolapse
  • Nocturia

Sexual Dysfunction

Ongoing pain, pressure, or sensory changes of the clitoris, vulva, intravaginal tissues requires specialized assessment and treatment. We work as a team with your sexual medicine doctor or gyn to help heal. Pain with masturbation, during/after intercourse or orgasm can be treated effectively with pelvic floor physical therapy. Women with these issues typically present with increased tension of their pelvic floor muscles.

With increased stress comes pain and with increased pain comes stress. The “fight or flight” response of the central nervous system may be on high alert, causing the pelvic floor muscles to constantly be in a guarded state. Even while you sleep!

The DPT’s at EMH are specifically trained to help lower an overactive nervous system, reduce muscular tension and allow sexual function to be pleasurable.

We offer a variety of techniques including breathing exercises to calm the nervous system, education on pelvic floor during sexual function, dilator work, gentle manual therapy, stretches and strengthening exercises and more to help you recover.

Sexual Dysfunction Diagnoses that we treat include:

  • Dyspareunia
  • Vaginismus
  • Vestibulitis
  • Painful orgasm
  • Vulvodynia
  • Levator Ani Syndrome

GI and Bowel Dysfunction

Weakness of the pelvic floor caused by years of over straining. Abdominal Bloating caused by Constipation. Fecal Incontinence due to underactive pelvic floor muscles.

Our DPT’s at EMH know ALOT about pooping! Toileting posture, muscle coordination, exercise, hydration and good nutrition are all involved in optimal stool passage and elimination. Conditions such as constipation and incomplete bowel emptying can be effectively treated as we help to improve awareness of your urge sensation, coordinate your breath, how to brace your abdominals as you bulge your pelvic floor during a BM.

Pelvic floor physical therapy includes biofeedback, visceral mobilization, manual therapy, exercises and education for proper bowel function to reduce abdominal bloating, lower resting pelvic floor tension and allow stool to pass more easily.

GI and Bowel Dysfunction Diagnoses we treat include:

  • Constipation
  • Fecal Incontinence/Urgency
  • Incomplete Bowel Emptying
  • Rectal Prolapse
  • Anal Fissures
  • Rectal Pain
  • Irritable Bowel Syndrome (IBS)
  • Functional Diarrhea
  • Abdominal Pain/Cramping/Bloating
  • Hemorrhoid Pain

Lower Back and Coccyx Pain

Pain anywhere along the spine, from the neck to the tailbone (coccyx) can be debilitating and interfere with activities of daily living. Acute back pain can arise from poor postural habits and weakness in the core stabilizing muscles and a sudden movement or repetitive strain can create pain. Chronic back pain can be related to an overactive nervous system which keeps your back muscles on guard 24/7.

The deepest muscles that makes up our core – those located at the top/bottom and sides of our abdomen are considered a “biological corset”. The Diaphragm muscle is at the top of the abdomen, the key muscle for breathing. The Transverse Abdominus is located at the lower front and sides of our abdomen. The Multifidi are located along our spine and the Pelvic Floor muscles are located at the base. These four groups work in sync to provide stability and protection for the spine.

Our DPT’s teaches pain neuroscience education, provides manual therapies and guides you in specialized exercises with focus on breath-work, core activation, and pelvic floor engagement to build stability and heal back pain.

Lower Back and Coccyx Diagnoses we treat include:

  • Low back pain
  • Sacroiliac Joint Dysfunction
  • Muscle spasm
  • Sciatica
  • Lumbar Disc Herniation
  • Spondylolisthesis
  • Spondylolysis
  • Spinal Stenosis
  • Coccydynia
  • Rheumatoid Arthritis
  • Ankylosing Spondylitis


(212)288-2242 or email to schedule a PT appointment or ask a question to our director, EVELYN HECHT, PT, ATC