The pelvic floor is a group of muscles and connective tissues that span the bottom of the pelvic cavity. These muscles and tissues form a hammock-like structure that provides essential support for various organs within the pelvis, including the bladder, uterus (in women), and rectum.

The main functions of the pelvic floor include:


The pelvic floor plays a crucial role in supporting the pelvic organs, including the bladder, intestines, and uterus in women. This support is essential for the normal functioning of these organs. The strength of the pelvic floor muscles can directly affect a person’s ability to control their bowel and bladder functions. When these muscles are weakened—through age, injury, or other factors—it can lead to conditions like incontinence or pelvic organ prolapse. Therefore, maintaining a healthy and strong pelvic floor is important for overall health and wellness.


Continence is another fundamental role of the pelvic floor. The muscles and tissues of the pelvic floor aid in controlling the release of urine, feces, and gas, thus maintaining continence. These muscles contract to maintain continence and relax when it’s time to void. Dysfunction or weakening of these muscles can impact an individual’s ability to maintain control over these bodily functions, leading to conditions such as urinary or fecal incontinence. Therefore, regular pelvic floor exercises can help in strengthening these muscles and promoting better continence control.

Sexual Function

The pelvic floor also plays a significant role in sexual function. In men, contraction of the pelvic floor muscles contributes to erectile function and ejaculation. In women, these muscles are responsible for the tension felt during sexual intercourse and also assist in achieving orgasm. A healthy, well-toned pelvic floor can enhance sexual sensation and orgasmic potential in both men and women. Dysfunction or weakening of the pelvic floor muscles can lead to conditions such as erectile dysfunction in men and sexual discomfort in women. Regular pelvic floor exercises can enhance sexual function and overall sexual health.


In addition to the mentioned functions, the pelvic floor contributes significantly to overall body stability. These muscles work in coordination with the deep abdominal and back muscles and the diaphragm to constitute the body’s core stability system, also known as the deep stabilizing system. When functional, this system ensures optimal body stability and posture, supporting the spine during various physical activities. It also helps to distribute intra-abdominal pressure during heavy lifting or straining. Pelvic floor dysfunction can, therefore, affect a person’s stability and posture, potentially leading to back pain and other musculoskeletal issues. Hence, maintaining a strong and functional pelvic floor is critical not only for pelvic health but also for overall body stability and movement efficiency.

To maintain a healthy pelvic floor, it’s important to engage in pelvic floor exercises, often referred to as Kegel exercises. These exercises strengthen the pelvic floor muscles and help in preventing issues such as urinary incontinence and pelvic organ prolapse.

Roles of a Pelvic Floor Physical Therapist at Downtown Manhattan Pelvic Floor Physical Therapy

Pelvic floor physical therapy at Downtown Manhattan Pelvic Floor Physical Therapy refers to a branch of physiotherapy that focuses on the muscles, ligaments, and connective tissues that make up the pelvic floor. This intricate network supports the pelvic organs, contributes to sexual function, and plays a vital role in the regulation of bowel and bladder control. Pelvic floor physical therapy aims to alleviate disorders related to these areas by strengthening the pelvic muscles and correcting imbalances. It may involve a range of therapeutic exercises, hands-on techniques, and biofeedback methods. It is commonly used to treat conditions like incontinence, pelvic pain, prolapse, and sexual dysfunction in both men and women.

A Pelvic Floor Physical Therapist at Downtown Manhattan Pelvic Floor Physical Therapy plays a critical role in the diagnosis, treatment, and prevention of pelvic floor disorders. They leverage their vast knowledge and skills to create personalized treatment plans that cater to the unique needs of each patient.

  1. Assessment: Pelvic Floor Physical Therapists perform comprehensive evaluations to identify the root cause of symptoms. This may involve a physical examination, posture evaluation, and assessment of muscle strength and coordination.
  2. Personalized Treatment Planning: After the initial assessment, the therapist designs a customized treatment plan. This includes exercises to strengthen the pelvic muscles, hands-on techniques for muscle relaxation, and lifestyle modifications to alleviate symptoms.
  3. Pelvic Floor Muscle Training: Pelvic floor muscle training involves specific exercises to target the pelvic muscles, designed to increase strength, endurance, and control. The therapist guides the patient on proper technique and progression of these exercises.
  4. Biofeedback: Biofeedback is a technique that helps patients become more aware of their pelvic floor muscles’ activity. It involves using sensors attached to the body that provide real-time feedback on muscle activity, helping patients learn how to better control their muscles.
  5. Manual Therapy: Pelvic floor physical therapists at Downtown Manhattan Pelvic Floor Physical Therapy may also use hands-on techniques such as massage and myofascial release to address tension and tightness in the pelvic muscles.
  6. Education: They educate patients about their condition and the importance of adhering to the treatment regimen. They offer insights on how different activities and habits can affect the pelvic floor and provide guidance on how to maintain pelvic health in everyday life.
  7. Treatment of Pelvic Pain: Pelvic floor physical therapists also specialize in treating conditions that cause pelvic pain, such as endometriosis, interstitial cystitis, and vulvodynia. They use a combination of manual therapy techniques, relaxation exercises, and biofeedback to alleviate pain and improve quality of life.
  8. Pre- and Postnatal Care: Pelvic floor physical therapists also provide care for pregnant and postpartum women. They help in preparing the pelvic floor muscles for childbirth, managing discomfort during pregnancy, and addressing any issues that may arise after delivery.
  9. Support and Counseling: Dealing with pelvic floor disorders can be emotionally challenging. A Pelvic Floor Physical Therapist provides emotional support, helping patients cope with their condition and progress towards recovery.

Pelvic Floor Physical Therapists are, indeed, invaluable allies in the journey towards improving pelvic health. Their holistic approach to therapy not only aims at alleviating current symptoms but also at preventing further complications, fostering overall well-being, and enhancing the quality of life of their patients.