Pelvic floor PT, by clinical reasoning.
For patients with specific clinical indications, postpartum recovery, pelvic pain, endometriosis, urinary symptoms, hypermobility, persistent pain that hasn't responded to exercise-based care. Hands-on treatment is never applied by routine; it is selected based on how your body responds on that day.
What pelvic floor PT actually is.
The pelvic floor is not isolated. It is the floor of the abdomen, the partner of the diaphragm, the link between the spine and the hips. Treating it well requires treating the whole system that loads it and is loaded by it.
Hands-on assessment is selected based on how your body responds on the day, never applied by routine. Internal evaluation is the most accurate way to assess certain conditions, but it is never required. We work with what you consent to, in the way you consent to, every visit. Most patients leave the first hour with a clear sense of what is driving their symptoms and a plan for what comes next.
Assess before you treat
Pelvic floor symptoms have many drivers, tightness, weakness, loss of coordination, prolapse, scar, nerve, hormone. We map which drivers are yours before we choose tools.
Coordinate with your team
Many pelvic conditions are co-managed. We share notes with your OB, gynecologist, or surgeon when it helps the plan. You decide who is on the team.
Treat the whole loading system
The diaphragm above, the deep abdominals around, the hips below. Pelvic floor work that ignores the rest of the system plateaus quickly.
Where this work actually fits.
Pelvic floor PT serves a wider range of patients than most people expect. We see all of the presentations below, often paired with manual therapy or hypermobility care elsewhere in the clinic.
Postpartum recovery
Diastasis, abdominal weakness, leakage, pelvic pain, prolapse. Most patients begin between 6 and 12 weeks postpartum, but it is never too late.
What is postpartum recovery? →Endometriosis
Pelvic floor work to reduce the muscle tension, scar-pattern, and pain amplification that often accompany endometriosis. Coordinated with your gynecologist or excision surgeon, before and after laparoscopy.
What is endometriosis? →Pelvic pain syndromes
Vulvodynia, vaginismus, painful sex, pudendal neuralgia, and persistent bladder pain. Assessment-driven, paced carefully.
What are pelvic pain syndromes? →Urinary symptoms
Stress incontinence, urge incontinence, frequency, urgency, and post-void dribbling. Both as a stand-alone focus or alongside other pelvic concerns.
What are urinary symptoms? →Pregnancy support
Pelvic girdle pain, SI joint discomfort, low back pain, and preparation for delivery. All trimesters, coordinated with your OB.
What is pelvic floor PT in pregnancy? →Hypermobility-related pelvic instability
SI dysfunction and pelvic instability in patients with HSD or hEDS. Coordinated with our hypermobility program when needed.
What is hEDS and hypermobility? →Men's pelvic health
Chronic pelvic pain, post-prostatectomy continence, pain with cycling or sitting, and pudendal-pattern pain.
What is men's pelvic health? →Why we are different.
Selected by reasoning, not by routine.
Hands-on treatment is selected by clinical reasoning, not by routine. If exercise-based care has overloaded the system, the approach here begins with reducing that load before adding any new work.
Most patients leave the first hour with a clear sense of what is driving their symptoms and a written plan for what comes next.
One clinician, every visit.
The same therapist sees you across the entire course of care. No rotation, no shared tables.
Sixty-minute follow-ups.
Hands-on the whole time, in a private room. Consent is re-confirmed at every visit.
Internal exam, never required.
It is the most accurate way to evaluate certain conditions. It is also always optional, at any visit.
The whole loading system.
Diaphragm above, deep abdominals around, hips below. Pelvic floor work that ignores them plateaus quickly.
Pelvic floor work that ignores the rest of the system plateaus quickly. We treat the whole loading system.
Dr. Jang · Pelvic floor leadWhat patients ask, before they come in.
Do I need a referral?
No. New York is a direct-access state, you can see a physical therapist without a doctor's referral. We will coordinate with your OB-GYN, urologist, or primary care if you'd like.
Is an internal exam required?
No. Internal assessment is the most accurate way to evaluate certain conditions, but it is never required. You can decline at any visit and the rest of the plan still works.
I've done PT before and it didn't help. What's different here?
Hands-on treatment is selected by clinical reasoning, not by routine. If exercise-based care has overloaded your system, the approach here begins with reducing that load before adding any new work.
I'm postpartum, when should I come?
Most patients start between 6 and 12 weeks postpartum, after your medical clearance. If you're further out, it is not too late. Tissue is responsive at any timeline.
Is pelvic PT safe during pregnancy?
Yes, across all three trimesters for pelvic girdle pain, SI joint discomfort, and prep for delivery. We work alongside your OB.
Do you see men?
Yes, chronic pelvic pain, post-prostatectomy continence, and pain with cycling or sitting are common reasons men come to pelvic PT.
What does it cost?
See the pricing page for current rates and package options.
Begin with a closer look.
Book a 60-minute evaluation, or call to talk through your situation first.