Top-down view of a woman in purple pajamas stretching her hips and knees in bed, seeking relief from pelvic floor tension at Signature PT in Manhattan.

Pelvic Floor Disorders

Pelvic floor dysfunction can be a deeply personal and life-altering challenge, but it is not something you have to manage alone. At Signature Physical Therapy, we provide a private, compassionate, and evidence-based approach to pelvic health. Our specialized clinicians focus on restoring the strength and coordination of the pelvic muscles, helping you regain control and live without discomfort or limitation.

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A woman in purple curled up on a sofa, clutching her stomach and midsection, illustrating symptoms of internal pelvic floor dysfunction and pain.

Symptoms and Causes

Common Symptoms

  • Pelvic Pain: Persistent discomfort in the pelvic region, lower abdomen, or tailbone.

  • Incontinence: Involuntary leaking during physical activity, sneezing, or coughing.

  • Urgency & Frequency: An overwhelming or frequent need to use the bathroom.

  • Core Instability: A feeling of weakness in the "deep core" often following pregnancy or surgery.

  • Functional Discomfort: Pain during daily movements, sitting for long periods, or intimate activities.

Leading Causes

  • Post-Partum Recovery: Changes to the pelvic muscles and connective tissue following pregnancy and childbirth.

  • Surgical Trauma: Weakness or scar tissue following abdominal or pelvic surgeries.

  • Chronic Muscle Tension: Overactive pelvic floor muscles that are unable to relax, leading to pain.

  • Age-Related Changes: Hormonal shifts or gradual weakening of the supporting pelvic structures.

  • Postural Imbalances: Long-term pressure on the pelvic floor due to poor spinal or hip mechanics.

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A physical therapist in blue scrubs providing specialized manual guidance and biofeedback therapy to a patient with a pelvic floor disorder in Manhattan.

How We Treat

Our Holistic Pelvic Health Approach

We combine clinical expertise with a focus on patient comfort. Every treatment plan is handled with the utmost privacy and professional care.

  • Comprehensive Internal & External Assessment: We evaluate the coordination of your pelvic, hip, and core muscles to identify the specific source of dysfunction.

  • Neuromuscular Re-education: Training the pelvic floor muscles to contract and relax effectively through specialized biofeedback and exercise techniques.

  • Manual Therapy: Gentle hands-on techniques to release muscle tension, address scar tissue, and improve blood flow to the pelvic region.

  • Core & Breath Integration: Teaching you how to coordinate your breathing with pelvic movement to reduce intra-abdominal pressure and improve stability.

  • Bladder & Bowel Retraining: Providing evidence-based behavioral strategies to help you regain control over urgency and frequency issues.

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Frequently Asked Questions

  • Your initial session is conducted in a completely private, comfortable treatment room with a compassionate Doctor of Physical Therapy. We discuss your clinical history, symptoms, and lifestyle goals. The physical evaluation focuses on assessing your core stability, hip mobility, and pelvic floor muscle coordination to create a highly personalized treatment plan.

  • Yes, absolutely. Pregnancy and childbirth place significant stress on the pelvic bowl. Our specialized NYC postpartum physical therapy programs help women safely rebuild deep core strength, treat diastasis recti, and eliminate common issues like urinary leakage, pelvic organ prolapse, or pain with intimacy.