What is Pelvic Floor Physical Therapy?
At Physio Logic, we understand that pelvic health issues can be deeply personal, disruptive, and isolating. Your pelvic floor is a critical component of your body’s structural integrity, playing a foundational role in core stability, organ support, and daily comfort. Pelvic floor physical therapy is a highly specialized branch of physical rehabilitation designed to restore optimal strength, flexibility, coordination, and function to the muscles and connective tissues of the pelvis.
We offer compassionate, evidence-based, and highly discreet care tailored to individuals of all genders. Whether you are recovering from childbirth, managing chronic pelvic pain, navigating pelvic floor weakness, or recovering from surgery, our multi-disciplinary clinic in Downtown Brooklyn provides a safe, supportive environment to help you heal and regain confidence. You can learn more about our comprehensive physical therapy services here.
Understanding the Anatomy and Function of Your Pelvic Floor
Your pelvic floor is not just a single muscle; it is a complex, multi-layered hammock of 26 interconnected muscles, ligaments, and connective tissues situated at the base of your pelvis. This anatomical structure extends from your pubic bone in the front to your tailbone (coccyx) in the back, and between your sit bones.
The pelvic floor performs four vital, daily functions:
- Organ Support: It acts as a supportive floor for your pelvic organs, including the bladder, uterus (or prostate), and rectum, keeping them in their correct anatomical alignment.
- Core Stabilization: It works in tandem with your deep core muscles, diaphragm, and lower back muscles to stabilize your spine and pelvis during movement and lifting.
- Continence Control: It wraps around your urethra and anus, allowing you to voluntarily control the release of urine and bowel movements, preventing unwanted leakage.
- Sexual Health: It plays a central role in sexual function, circulation, and sensory pleasure for all genders.
What Is Pelvic Floor Therapy?
Pelvic floor therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, connective tissues, and nerves in and around the pelvis. These muscles are responsible for supporting your pelvic organs, maintaining continence, enabling sexual function, and contributing to postural stability.
Dysfunction in these muscles—whether they’re too tight, too weak, or poorly coordinated—can cause symptoms like pain, urinary or fecal leakage, constipation, or sexual difficulties. Our therapy is designed to restore healthy tone, control, and mobility in these critical structures.
Conditions We Treat
Our experienced pelvic floor specialists address a wide range of diagnoses and symptoms, including:
For All Genders
- Pelvic Floor Dysfunction: Includes hypertonic pelvic floor (chronically tight, contracted muscles causing pain, difficulty emptying, or constipation) and hypotonic pelvic floor (stretched, weak muscles leading to organ support issues).
- Urinary and Fecal Incontinence: Alleviating stress incontinence (leaking during coughing, running, laughing), urge incontinence (sudden intense bladder urgency), mixed leakage, and fecal urgency.
- Chronic Pelvic Pain or Pressure: Specialized myofascial release and manual therapies to resolve persistent, unexplained discomfort in the lower abdomen, groin, or tailbone.
- Post-Surgical Pelvic Pain or Scarring: Rehabilitation to release restrictive scar tissue and restore movement after abdominal or pelvic surgeries.
- Core Instability and Postural Issues: Postural retraining to coordinate your deep core, diaphragm, and lower back muscles.
For Women
- Postpartum Pelvic Floor Weakness: Rebuilding muscle support and pelvic floor tone following pregnancy, vaginal birth, or C-section.
- Diastasis Recti (Abdominal Separation): Guided rehabilitation to safely close the gap in the abdominal wall and restore deep core function.
- Painful Intercourse (Dyspareunia) and Vaginismus: Gentle manual techniques to release involuntary muscle guarding and vaginal tightness.
- Endometriosis-Related Pain: Managing protective pelvic floor muscle guarding and scar tissue restrictions from endometriosis.
- Pelvic Organ Prolapse (POP): Restoring muscle hammock strength to support slipping organs (bladder, uterus, rectum) and avoid surgery.
For Men
- Post-Prostatectomy Dysfunction: Targeted physical therapy to resolve urinary leakage and restore erectile function after prostate surgery.
- Chronic Prostatitis / Pelvic Pain Syndrome (CP/CPPS): Alleviating chronic, muscular-based pain in the perineum, penis, testicles, or tailbone.
- Coccydynia: Specialized manual therapy and exercise to relieve chronic tailbone pain associated with sitting, cycling, or local trauma.
- Athletic Strain or Nerve Entrapment: Relieving pudendal nerve compression or chronic pelvic strain caused by repetitive athletic movement or heavy lifting.
Our Clinical Approach
We believe in whole-body, root-cause treatment. Your therapy will begin with a comprehensive orthopedic and pelvic floor evaluation, which may include:
- External and internal assessment of muscle tone, trigger points, and function
- Postural and movement analysisÂ
- Breathing pattern and core activation reviewÂ
- Evaluation of scar tissue, joint alignment, or nerve sensitivityÂ
Your personalized treatment plan may include:
- Manual therapy to release restrictions and improve mobilityÂ
- Neuromuscular re-education to restore healthy coordinationÂ
- Pelvic floor exercises (sometimes not Kegels!)Â
- Postural retraining and core strengthening
- Education and home exercise programs to support long-term progress
Meet Your Brooklyn Pelvic Floor PT Specialists
At Physio Logic, you are in the hands of doctoral-level healthcare professionals. Our physical therapy department consists of NYS-licensed Doctors of Physical Therapy (DPT) who are Pilates-trained and have completed advanced, postgraduate certifications through the prestigious Herman & Wallace Pelvic Rehabilitation Institute. Our physical therapists collaborate closely with a multi-disciplinary team of medical doctors, chiropractors, clinical nutritionists, and massage therapists to construct a holistic, coordinated path to your recovery. You can meet our clinical team here.
Advanced Credentials and Herman & Wallace Training
Key clinical leaders include:
- Dr. Eva Shi, DPT: Specialized physical therapist with advanced Herman & Wallace pelvic health credentials, clinical training at the Institute of Physical Art, and certification in the Barbell Rehab Method.
- Dr. Sasha Jarrett, DPT: Dedicated specialist in women’s health and advanced pelvic floor rehabilitation, passionate about postpartum recovery and pelvic pain resolution.
By combining orthopedic expertise, specialized pelvic floor training, and Pilates-based rehabilitative movement under one roof, our team addresses your pelvic health within the context of your entire musculoskeletal system.
Downtown Brooklyn Location & Local Service Areas
Our state-of-the-art center is centrally located in Downtown Brooklyn, occupying 6,000 square feet designed for comprehensive medical, rehabilitation, and wellness care.
- Address: 409 Fulton St, 2nd Floor, Brooklyn, NY 11201 (our entrance is located on the Willoughby Street side of the property, above Shake Shack).
- Phone: 718.260.1000
- Primary Neighborhoods Served: Downtown Brooklyn, Brooklyn Heights, Carroll Gardens, Cobble Hill, Park Slope, Fort Greene, Boerum Hill, Williamsburg, and DUMBO.
MEET YOUR TEAM
DR. EVA SHI, DPT
DOCTOR OF PHYSICAL THERAPY
DR. SASHA JARRETT
DOCTOR OF PHYSICAL THERAPY
Read More on Pelvic Floor Therapy
Leaking During Pregnancy Pelvic Floor Therapy: What to Know
Schedule a consultation for leaking during pregnancy pelvic floor therapy in Brooklyn. Learn how pelvic floor PT helps manage incontinence safely during…
Menopause Pelvic Floor Physical Therapy NYC: After 50
Schedule a consultation to learn how menopause pelvic floor physical therapy nyc can help manage incontinence, pelvic pain, and prolapse after 50 at Physio…
Endometriosis Pelvic Floor Physical Therapy: What PT Can Do
Schedule a consultation for endometriosis pelvic floor physical therapy. Learn how PT addresses pelvic pain and what it can and cannot do for endometriosis…
FREQUENTLY ASKED QUESTIONS
Is pelvic floor therapy only for women?
Not at all. While postpartum recovery is a common reason women seek pelvic floor therapy, we regularly treat men with pelvic floor dysfunction due to surgery (e.g., prostatectomy), chronic pelvic pain, erectile dysfunction, or athletic overuse. Every treatment plan is tailored to the individual, regardless of gender.
What happens during an internal assessment?
If clinically indicated and with your full consent, an internal pelvic floor muscle evaluation may be performed. This involves a gloved, manual assessment through the vaginal or rectal canal to examine muscle tone, trigger points, scar tissue, and functional strength. Internal exams are never mandatory and are only conducted when they contribute to your recovery goals.
Can pelvic floor therapy help with incontinence?
Yes. Whether you experience stress incontinence (leaking during activities like coughing or running), urge incontinence (sudden strong need to urinate), or bowel leakage, pelvic floor therapy can help. We assess and retrain muscle strength, coordination, and reflexes to restore continence.
How long does pelvic floor therapy take to show results?
Improvement timelines vary based on the condition and severity. Many patients begin noticing changes within 4–6 sessions, though chronic or complex cases may require ongoing care. Your therapist will discuss expected timelines after your initial evaluation.
Is pelvic floor therapy painful?
Most techniques used are gentle and well-tolerated. If internal work is recommended, it is performed slowly, respectfully, and only with your consent. Our goal is to help you feel safe and supported throughout your care.
Is it covered by insurance?
We work with most major insurance providers and can check your eligibility for pelvic floor physical therapy. Please contact our front desk or use our online form to verify your coverage.
Restore Balance, Comfort, and Confidence Today
Do not let pelvic discomfort, weakness, or leakage control your life. Take the first step toward lasting relief and whole-body logic. Click Book Now or call 718.260.1000 to schedule your comprehensive evaluation and request your free insurance benefit verification.
