Rehabilitation Medicine

Women's Health

At Mount Sinai, our Women’s Health program is designed to help care for the unique musculoskeletal needs of adult and elderly women. Whether you are training for your first marathon, experiencing pain during pregnancy, or suffering from a pelvic disorder, our team is here for you and ready to provide you with world class care.

Women's Sports Medicine

The sports medicine team at Mount Sinai is dedicated to offering a program that focuses on injury prevention and rehabilitation for physically active women of all ages and skill levels.

Women are often at a higher risk for specific injuries around the ankles, hips, knees, and pelvis in comparison to men due to physical and hormonal factors. We address structural differences between men and women and then construct a personalized injury prevention and rehabilitation program depending on your needs and goals.

Female Pelvic Health Rehabilitation

Mount Sinai’s pelvic health program focuses on treating patients with pelvic floor dysfunctions and pain syndromes. Women who are suffering from bladder and bowel incontinence will receive treatments such as manual therapy and computerized biofeedback to strengthen their pelvic floor muscles.

Our program specializes in pelvic floor rehabilitation which offers comprehensive care for women who are suffering from pelvic issues. Our goal is to help you manage your symptoms and conditions to decrease pain and improve pelvic functioning as well as quality of life.

Conditions

A wide range of pelvic health conditions may affect your everyday well-being. You may be suffering from bladder or bowel dysfunction as a result of the following:

  • Constipation: The inability to perform a bowel movement
  • Diarrhea: When stool (feces) is soft and watery indicating dehydration
  • Functional Incontinence: Mental and/or physical challenges that interfere with regular urination
  • Pain during, before, or after bowel movements
  • Stress Incontinence: Involuntary loss of urine with coughing, laughing, or any other normal bodily function
  • Urge Incontinence: A feeling of having to urinate often resulting in leakage of urine

Pelvic floor dysfunction is a highly common form of pelvic health disorders. These conditions include:

  • Dyspareunia: Persistent or recurrent vaginal pain that occurs just before, during, or after intercourse
  • Prolapse: A heavy uncomfortable feeling in the pelvic area with and increased urge to urinate
  • Vaginismus: Vaginal tightness causing discomfort, burning, difficulty with penetration or incomplete penetration
  • Vulvadynia: Chronic pain in the area around the opening of your vagina (vulva) for which there is no identifiable cause

Treatments

Our therapists specialize in the use of various techniques aimed at diminishing pain, and increasing the strength and functionality of the pelvic floor muscles. Some of these treatments include:

  • Computerized biofeedback: A machine used to educate the pelvic floor in contraction and relaxation techniques
  • Education: Body mechanics, postural education, pilates, and yoga techniques to re-educate the muscles postural and core muscles
  • External and internal soft tissue and joint mobilization: Myofascial and trigger point release, visceral manipulation, connective tissue manipulation, and deep tissue massage to allow for normal soft tissue and joint mobility
  • Home exercise program: Consisting of postural, therapeutic, and kegels exercises to maintain and build upon improvements made during treatment sessions
  • Modalities: including electrical stimulation, ultrasound, heat, and cold to decrease pain
  • Muscle specific exercise training: Manual and verbal techniques to facilitate weak muscles to contract properly
  • Pelvic floor examination: To assess skin condition, reflexes, muscle tone, strength and endurance, and function of the pelvic floor
  • Relaxation training: To diminish anxiety and possible muscle spasms during intercourse
  • Scar management: To decrease pain from scars after surgery

Prenatal and Postpartum Rehabilitation

Women's bodies go through major changes during and after pregnancy. Our expert physical therapists are highly skilled in treating pre- and post-pregnancy conditions. Pre-natal and post-natal patients will receive instruction on how to decrease back pain and improve mobility through a variety of therapy options, as well.

Conditions

There are many prenatal and postpartum-related conditions that women may face including:

  • Carpal tunnel syndrome and other nerve entrapments
  • Incontinence (both urinary and rectal)
  • Leg and foot pathologies
  • Neck and back pain
  • Pain during labor and delivery
  • Sacral joint and coccyx pain

Treatments

Our patients will receive an evaluation by our specialists who will also create an individualized treatment plan that may include a combination of any of the following:

  • Electrical stimulation and biofeedback
  • Home exercise program
  • Physical therapy
  • Postural training
  • Stretching, Pilates, and yoga

Lymphedema and Post-Mastectomy Care

Our program at Mount Sinai includes comprehensive evaluation, treatment, and support for individuals who have lymphedema and/or are post-mastectomy. The program is specially designed so patients can be educated through one-to-one training on how to effectively manage their condition independently. In addition, we offer a 10-week educational series for women with Breast Cancer, including 3 weeks of dedicated exercise classes instructed by Physical Therapists.

Patients are seen on an outpatient basis for 60-minute sessions, three times per week or as needed depending on the severity of their condition. Our lymphedema-certified physical therapists perform complete decongestive therapy (CDT), which includes bandaging, compression garments, manual lymphatic drainage, exercise and self-care. We also specialize in treatment for patients post-mastectomy and/or reconstruction, and address pain, posture, range of motion, and strengthening.