Pelvic Floor Dysfunction — Taking Control of Pelvic Health
Pelvic floor disorders can affect anyone, impacting bladder and bowel control, causing chronic pain, and disrupting daily activities. These conditions are often misunderstood or undiagnosed, leaving many to suffer in silence. At Hands On Physical Therapy in Massapequa, NY, we focus on physical therapy to restore function, relieve pain, and enhance your quality of life.
When the Pelvic Floor Doesn’t Work as It Should
The pelvic floor muscles play a vital role in supporting the bladder, bowel, and reproductive organs. When these muscles become weak, overly tight, or lose coordination, they can’t function properly. This leads to a wide range of symptoms, from leakage and urgency to pain and pressure. Hands On Physical Therapy focuses on retraining movement patterns, restoring strength and flexibility, and promoting better muscle control to help patients regain confidence in their bodies.
Leaks, Urges, & Unexpected Accidents
Understanding Urinary & Bowel Incontinence
Urinary and fecal incontinence can occur when the pelvic floor muscles lack strength, coordination, or proper nerve function.
- Stress incontinence: Leaks occur with coughing, sneezing, laughing, or exercise.
- Urge incontinence: A sudden, uncontrollable urge to urinate that often results in leakage.
- Mixed incontinence: A combination of stress and urge incontinence.
- Fecal incontinence: The inability to fully control bowel movements, leading to unexpected leakage.
At Hands On Physical Therapy, physical therapy focuses on strengthening and retraining pelvic muscles to improve control and reduce leakage.
A Feeling of Pressure
When Pelvic Organs Descend or Shift Out of Place
Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs become weak, causing the bladder, uterus, or rectum to drop lower and push against the vaginal or rectal walls.
This can lead to:
- A feeling of pressure, heaviness, or fullness in the pelvis
- Trouble fully emptying the bladder or bowels
- A noticeable bulge or discomfort
At Hands On Physical Therapy, treatment focuses on strengthening the core and pelvic floor, hands-on techniques, movement training, and prolapse management to improve support and relieve symptoms.
Overactive Bladder
Why Your Urge to Go Won’t Wait
An overactive bladder (OAB) can make it feel like you need to constantly rush to the restroom, even when your bladder isn’t full. OAB can stem from muscle spasms, nerve dysfunction, or poor bladder habits.
At Hands On Physical Therapy, we use advanced physical therapy techniques to help you regain control. Our approach includes:
- Bladder training programs to improve control and reduce urgency
- Pelvic floor relaxation techniques to ease muscle tension
- Manual therapy to release tight or overactive muscles
- Biofeedback therapy to enhance muscle coordination
- Electrical stimulation to retrain bladder function
- Ultrasound imaging to assess pelvic floor activation
More Than Just Strength
When Pelvic Floor Muscles Don’t Coordinate Properly
Pelvic floor dysfunction isn’t just about weakness. Sometimes, muscles are too tight, while others don’t activate when they should. This can lead to:
- Difficulty starting or stopping urination
- Trouble with bowel movements
- Pelvic pain or discomfort
At Hands On Physical Therapy, physical therapy is designed to restore proper pelvic muscle function through hands-on care, movement retraining, and strengthening exercises.
When Every Movement Feels Like a Battle
Persistent pelvic pain can disrupt sleep, mobility, and intimate relationships. This pain may stem from muscle tension, nerve sensitivity, or scar tissue from past injuries or surgeries.
At Hands On Physical Therapy, we offer physical therapy treatments including:
- Manual therapy & myofascial release to ease tension and improve mobility
- Nerve desensitization techniques to calm pain sensitivity
- Functional movement retraining to restore comfort in daily activities
- Exercise therapy to enhance strength, flexibility, and posture
- Biofeedback therapy to improve pelvic floor coordination
- SoftWave Shockwave Therapy to reduce nerve pain, break up scar tissue, and promote healing
- Ultrasound imaging to assess and optimize muscle function
With the right treatment and guidance, you can take control of your pelvic health, regain comfort, and restore your quality of life.

Compassionate, Personalized Care for Every Patient
Pelvic floor disorders are common but highly treatable. At Hands On Physical Therapy, our physical therapy team creates personalized treatment plans that align with your goals and lifestyle. If you’re experiencing symptoms, don’t wait — contact Hands On Physical Therapy today to schedule an evaluation and take the first step toward relief!
Your Next Steps…
- Request An Appointment
- Receive A Custom Treatment Plan
- Work Hard and Progress In Your Recovery
- Recover & Enjoy Life Pain-Free!


