Pain in the pelvic region can affect your comfort, relationships, exercise, and overall quality of life. Conditions such as vaginismus, vulvodynia, and vestibular pain may involve pelvic floor muscle tension, sensitivity of the surrounding tissues, nerve irritation, or difficulty with muscle relaxation and coordination.

At The Wellness Den on the Upper East Side, our pelvic health physical therapists provide compassionate, individualized care to help patients better understand their symptoms and develop strategies to reduce pain and improve function. Through a comprehensive evaluation, we assess pelvic floor muscle activity, movement patterns, and contributing factors to create a personalized treatment plan.

Conditions We Commonly Treat:

• Vaginismus

• Vulvodynia

• Vestibulodynia (vestibular pain)

• Pelvic floor muscle overactivity and tension

• Pain with intercourse (dyspareunia)

• Pelvic pain associated with muscle dysfunction

Pregnancy is an incredible journey filled with physical and emotional changes. As your body adapts to support your growing baby, it is common to experience new aches, discomfort, and changes in movement. Prenatal physical therapy can help you stay strong, comfortable, and confident throughout every stage of pregnancy.

At The Wellness Den on the Upper East Side, our pelvic health physical therapists provide personalized prenatal physical therapy programs designed to support your changing body. Through a comprehensive evaluation and individualized treatment plan, we help address pregnancy-related pain, improve mobility, support pelvic floor function, and prepare your body for labor, delivery, and postpartum recovery.

Conditions We Commonly Treat During Pregnancy:

• Pelvic girdle pain

• Symphysis pubis dysfunction (SPD) / pubic symphysis pain

• Low back pain

• Radiculopathy and pregnancy-related sciatica

• Thoracic spine pain

• Piriformis syndrome

• Cervical spine pain

• Pregnancy-related muscle and joint discomfort

At The Wellness Den on the Upper East Side, our pelvic health physical therapists provide personalized postpartum care designed around your unique recovery journey. Whether you are recovering from a vaginal delivery, C-section, or experiencing discomfort weeks, months, or even years after childbirth, our team can help you reconnect with your body and return to the activities you love.

Through comprehensive evaluation and individualized treatment, we address changes in the pelvic floor, core, spine, and musculoskeletal system to help improve strength, mobility, and confidence.

Postpartum physical therapy may help:

• Restore core strength and coordination

• Address diastasis recti and abdominal weakness

• Improve pelvic floor function

• Reduce back and spine pain

• Improve posture and movement mechanics

• Support a safe return to exercise and daily activities

Conditions We Commonly Treat:

• Episiotomy scar sensitivity

• C-section scar sensitivity and rehabilitation

• Traumatic separation of the pubic symphysis (symphysis pubis dysfunction)

• Diastasis recti

• Pelvic floor dysfunction

• Low back pain

• Thoracic spine pain

• Cervical spine pain

At The Wellness Den, our pelvic health physical therapists provide personalized treatment programs to help restore core function, improve abdominal strength, and support confident movement. Through a comprehensive evaluation, we assess your breathing patterns, core coordination, posture, and movement strategies to develop a customized plan based on your goals.

Physical therapy may help:

• Improve deep core muscle activation and coordination

• Restore abdominal strength and stability

• Improve posture and movement mechanics

• Support safe return to exercise and daily activities

• Reduce associated symptoms such as back discomfort, pelvic pressure, or feelings of weakness

At The Wellness Den on the Upper East Side, our pelvic health physical therapists provide personalized care focused on your individual symptoms and goals. Through comprehensive evaluation, therapeutic exercise, manual therapy techniques, and movement education, we help patients improve comfort, function, and confidence in their bodies.

Pelvic Floor Physical Therapy May Help With:

• Pelvic pain and discomfort

• Muscle tension and pelvic floor overactivity

• Abdominal and core dysfunction

• Pain with movement or exercise

• Bowel and bladder symptoms associated with pelvic floor dysfunction

• Difficulty relaxing or coordinating pelvic floor muscles

Our goal is to provide compassionate, evidence-based care that helps you better understand your body and develop strategies to manage symptoms and improve quality of life.

Pelvic floor physical therapy can be an effective treatment option for individuals experiencing bowel and bladder dysfunction. Our specialized pelvic health therapists evaluate how your pelvic floor muscles are functioning and create personalized treatment plans to improve coordination, muscle control, and overall function.

Treatment may help:

• Improve bladder and bowel habits

• Reduce urgency, frequency, hesitancy, and leakage

• Relieve pelvic pressure and muscle tension

• Improve pelvic floor coordination and relaxation

• Enhance confidence and quality of life

If you are experiencing persistent bowel or bladder symptoms, a pelvic floor assessment can help identify the underlying cause and provide a personalized path toward relief.

Conditions We Commonly Treat:

• Chronic constipation

• Abdomino-phrenic dyssynergia (APD)

• Interstitial cystitis / bladder pain syndrome

Frequent urination and urinary urgency can be frustrating, disruptive, and impact your confidence in daily activities. These symptoms may be related to pelvic floor muscle dysfunction, changes in muscle coordination, bladder habits, or tension within the pelvic region.

At The Wellness Den on the Upper East Side, our pelvic health physical therapists provide personalized treatment to help improve bladder control, reduce urgency, and restore healthy pelvic floor function. Through a comprehensive evaluation, we assess how your pelvic floor muscles are working and develop an individualized plan to address the underlying contributors to your symptoms.

Pelvic floor therapy may include:

• Internal and external manual therapy when appropriate

• Trigger point release and myofascial techniques

• Pelvic floor muscle coordination and relaxation training

• Biofeedback to improve muscle awareness and control

• Therapeutic exercises and movement strategies

• Additional modalities such as electrical stimulation or TENS when clinically appropriate

Our private treatment rooms provide a safe, comfortable, and supportive environment. Our therapists are experienced in working with patients with a wide range of pelvic health concerns and are committed to providing compassionate care that respects each individual's needs and comfort level.

Conditions We Commonly Treat:

• Urinary frequency

• Urinary urgency

• Bladder control concerns

• Pelvic floor muscle dysfunction

• Pelvic pain related to muscle tension

At The Wellness Den on the Upper East Side, our pelvic health physical therapists work with individuals experiencing bowel dysfunction, pelvic floor coordination concerns, and continence issues. Symptoms such as constipation, difficulty with bowel movements, incomplete evacuation, urgency, or leakage may be related to how the pelvic floor muscles are functioning.

Our therapists take a comprehensive approach to evaluate muscle strength, coordination, relaxation, and movement patterns that may be contributing to your symptoms. Through personalized one-on-one treatment, we help improve pelvic floor function, support healthy bowel habits, and restore confidence in daily activities.

Pelvic floor physical therapy may help:

• Improve pelvic floor muscle coordination and relaxation

• Address constipation and difficulty with bowel movements

• Reduce straining and feelings of incomplete evacuation

• Improve bowel and bladder control

• Support management of urinary and fecal incontinence

• Enhance comfort and quality of life

Conditions We Commonly Treat:

• Urinary incontinence

• Fecal incontinence

• Chronic constipation

• Bowel urgency

• Pelvic floor muscle dysfunction

• Difficulty coordinating pelvic floor muscles during bowel movements

Pain in the coccyx (tailbone), can make everyday activities such as sitting, driving, exercising, and transitioning between positions uncomfortable. Tailbone pain may develop after a fall or injury, childbirth, prolonged sitting, or due to muscle and pelvic floor dysfunction affecting the surrounding structures.

At The Wellness Den, our pelvic health physical therapists provide individualized treatment to help reduce coccyx pain, improve mobility, and restore comfort with daily activities. Through a comprehensive evaluation, we assess the muscles, joints, and movement patterns contributing to your symptoms and develop a personalized treatment plan using evidence-based techniques.

Physical therapy may help:

• Reduce tailbone pain and sensitivity

• Improve pelvic floor muscle coordination and relaxation

• Address muscle tension and imbalances around the pelvis and hips

• Improve sitting tolerance and movement patterns

• Restore confidence with exercise and daily activities

SI joint pain, also known as sacroiliac joint dysfunction or sacroiliitis, is a common source of discomfort during pregnancy, postpartum recovery, and periods of increased physical stress. The sacroiliac joints connect your spine and pelvis and play an important role in pelvic stability, movement, and weight transfer.

At The Wellness Den Upper East Side, our pelvic health physical therapists provide individualized treatment to help address SI joint pain by improving pelvic stability, strengthening the core and hips, restoring mobility, and reducing strain on the surrounding muscles and joints.

Whether you are experiencing SI joint pain during pregnancy, after childbirth, or with everyday activities, our team can help you move more comfortably and confidently.

Common symptoms we treat include:

• Pain in the lower back, pelvis, hips, or buttocks

• Discomfort with walking, stairs, standing, or changing positions

• Pain during pregnancy or postpartum recovery

• Pelvic instability or difficulty with certain movements