Specialty care · Midwood & Staten Island

Pelvic Floor Physical Therapy in Brooklyn & Staten Island

Leaking when you cough, sneeze or jump, a sudden urge to go, pelvic pain, or heaviness after having a baby. These problems are very common and very treatable. Pelvic floor physical therapy addresses them directly, for women and men.

Offered at our Avenue M (Midwood) and Staten Island clinics.

What we help with

  • Stress urinary incontinence: leaking with coughing, sneezing, laughing, lifting or exercise
  • Urge incontinence and frequent urination
  • Pelvic organ prolapse symptoms: heaviness, pressure or a bulge
  • Pelvic, tailbone or low back pain, and pain with intercourse
  • Constipation or difficulty emptying the bowels
  • Postpartum recovery, including abdominal separation (diastasis recti) and a safe return to exercise
  • Pre- and post-prostatectomy rehab for men

What to expect

Your therapist will take a detailed and private history covering bladder and bowel habits, pregnancy and birth history, pain and your goals. They’ll assess posture, breathing, the abdominal wall, hips and low back. With your consent, an internal assessment may be offered to evaluate pelvic floor muscle strength, coordination and tension. It’s always your choice, and external approaches are available.

Treatment may include

  • Pelvic floor muscle training: learning to contract and, just as importantly, fully relax these muscles
  • Coordination with breathing and core, so the pelvic floor works well during lifting and exercise
  • Bladder training for urgency and frequency
  • Bowel habits and positioning
  • Manual therapy for tight or painful tissues

Your therapist in Midwood

January Antonio, PT, DPT, Refuah physical therapist

January Antonio, PT, DPT

Physical Therapist · Avenue M office

Over 25 years of clinical experience across the Philippines, Saudi Arabia, Qatar and the United States. DPT from St. Scholastica College, Duluth, Minnesota. January is our certified pelvic floor therapist. Specialties: women’s health and pelvic floor therapy.

Pelvic floor therapy is also offered at our Staten Island clinic. Call (718) 816-6111 to book there.

At home

  • Don’t strain on the toilet. Raise your feet on a small stool and breathe out gently.
  • Stay hydrated. Cutting fluids often makes urine more concentrated and irritating to the bladder.
  • Exhale on effort: breathe out when lifting, standing or pushing.
  • Get evaluated before doing endless Kegels. If your muscles are already tight, more squeezing may make symptoms worse.

Pelvic floor home exercise sheet (PDF)

Use it only as your therapist instructs. Read our full pelvic floor guide

Questions

Do I need a referral?

In New York you can start physical therapy without a prescription for up to 10 visits or 30 days, whichever comes first. Some insurance plans still require a referral, so call to verify your plan.

Do you take my insurance?

We accept most major insurances, including Medicare. Call to verify your plan. Insurance details

When should I see a doctor first?

See a physician promptly for blood in the urine or stool, signs of a urinary tract infection, sudden loss of bladder or bowel control (especially with back pain or numbness in the groin), unexplained weight loss, or new severe pelvic pain.

Ready to feel like yourself again?

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Pelvic floor therapy at Midwood (Avenue M) · Staten Island

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