Pelvic Rehabilitation Care

The pelvis is a complex area of the body for both men and women. The pelvis encompasses the organs, bones, muscles, ligaments and nerves In the lower part of the abdomen, Including the  pelvic floor.

The pelvic region can develop muscle tension, weakness, irritation, uncomfortable sensitivity or pain that can negatively impact your physical activity, continence (ability to control bowel or bladder movements) and sexual enjoyment. Pelvic pain or other conditions may develop because of pregnancy, childbirth, injury, surgery or a musculoskeletal disorder.

As our patient, we will understand your lifestyle goals and personalize a treatment plan to help you achieve optimum health. We are here to help you lead a full, active life by providing rehabilitation medicine expertise.

Why Choose Weill Cornell Medicine for Pelvic Pain Care?

Individualized, non-surgical pelvic care: Our expert and compassionate team of rehabilitation medicine specialists are here to help you achieve the functional health you want to pursue a full and vibrant life. Our doctors prioritize listening to you, understanding your condition and helping you achieve your goals.

Focus on empowering our patients: We are passionate about educating our patients. We empower you with information, exercises and other tools so that you can manage and improve your functional health, as well as make confident decisions about your care.

Multidisciplinary care from leading experts: When you choose Weill Cornell Medicine, you have access to a network of doctors and specialists. Our team collaborates with other Weill Cornell Medicine specialists, including gynecologists, urogynecologists, gastroenterologists and others. This ensures that your pelvic pain is properly diagnosed and treated holistically.

Our compassionate team of experts help our women, men, intersex, transgender and non-binary patients by diagnosing and treating:

●      Acute or chronic pelvic pain

●      Nerve pain, including but not limited to pudendal, genitofemoral and ilioinguinal nerves

●      Pelvic floor muscle pain

●      Pain with intercourse and other forms of intimacy

●      Pelvic floor dysfunction, including constipation, urinary frequency and incontinence

●      Joint pain in the pelvis, sacroiliac, hip and pubic symphysis

●      Gynecologic surgery recovery

Our team also specializes in treating pregnancy and postpartum musculoskeletal conditions, including: 

●      Musculoskeletal problems related to pregnancy

●      Diastasis recti (a condition that is common after pregnancy in which the large abdominal muscles separate)

●      Groin, back, hip, pelvic girdle or abdomen pain during and after pregnancy

Our team evaluates each patient carefully to determine if the pelvic pain is caused by a musculoskeletal condition. Our rehabilitation medicine specialists are uniquely qualified to help improve mobility, alleviate pain and increase your quality of life.

If your pain has another cause or multiple causes, our team will collaborate with other specialists — such as our gynecologists or gastroenterologists specializing in pelvic pain — to properly diagnose and treat your condition.

Musculoskeletal and Interventional Pelvic Pain Treatments

At Weill Cornell Medicine, our rehabilitation medicine team offers the most advanced and comprehensive non-surgical treatments for pelvic pain including physical therapy to improve your functional pelvic health and medications for pain management. Other non-surgical treatment options include:

●      Nerve blocks: Chronic pelvic pain can be treated with this minimally invasive procedure. Medications are injected to specific nerves in the body to block pain signals and alleviate pain. This injection takes about 20 minutes and provides pain relief for several months. Learn more about nerve blocks for pain relief.

●      Pelvic floor trigger point injections: If muscle fibers in the pelvic floor become tight due to stress or injury, this can cause a “muscle knot” or a raised bump or nodule. These trigger points can cause tenderness and pain. Trigger point injections are effective for inactivating the trigger points and providing pain relief. During this procedure, the doctor will insert a needle into the trigger point and deliver anesthetic medication to relax the muscle and alleviate pain. This procedure takes about 20 minutes.

●      Botulinum toxin injections: Botulinum toxin (Botox) contains a neurotoxin that temporarily paralyzes specific muscles. This is an effective treatment for pelvic muscles that are contracting or spasming painfully. The Botox is administered directly to the muscles that are causing pain. This procedure takes about 20 minutes and typically provides pain relief for about three months.

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