Bloating

Find Bloating Relief with Pelvic Floor Physical Therapy
Bloating

Bloating can be more than just an uncomfortable feeling in your abdomen. It can interfere with daily life, making it harder to enjoy meals, stay active, or focus on everyday tasks. While bloating is often associated with digestion, it can also be influenced by how the muscles of the abdomen, diaphragm, and pelvic floor work together. 

The pelvic floor plays an important role in bowel function and coordination, particularly in the movement and release of gas and stool through the lower digestive tract. When these muscles are tight, weak, or not coordinating properly, they may contribute to symptoms such as bloating, gas, constipation, and a sensation of pressure or fullness in the abdomen.

It’s important to understand the difference between bloating and abdominal distention. Bloating refers to the sensation of fullness or tightness, while distention is the visible increase in abdominal size. These can occur together or separately and may be influenced by gas accumulation, air swallowing, slowed gut motility, or impaired coordination between the abdominal wall, diaphragm, and pelvic floor.

At Beyond Basics, we offer pelvic floor physical therapy focusing on addressing contributing factors related to muscle coordination, tension, and bowel mechanics. Treatment may include hands-on techniques, targeted exercises, breathing strategies, and education to support more efficient bowel function and reduce discomfort.

What Causes Bloating?

Bloating can be caused by a variety of factors, including pelvic floor dysfunction, diet, core function, posture, stress, trauma, and many other contributing factors. Common culprits include overeating, consuming carbonated drinks, or eating foods that are difficult to digest. Conditions such as irritable bowel syndrome (IBS), food intolerances, and constipation can also lead to bloating.

When the pelvic floor muscles are too tight, weak, or not working together as they should, they can contribute to digestive issues, including bloating. This dysfunction can lead to improper support of the digestive system, making it difficult for the body to process food efficiently, resulting in gas and discomfort.

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Symptoms of Pelvic Floor Dysfunction Related to Bloating

Bloating related to pelvic floor dysfunction can affect both your physical and mental well-being. Common symptoms include:
  • Persistent bloating, especially after eating
  • A feeling of fullness or pressure in the abdomen
  • Difficulty with bowel movements, including constipation
  • Abdominal pain or discomfort related to gas or impaired digestion
  • Straining during bowel movements
  • Diarrhea or irregular bowel movements

How Pelvic Floor Physical Therapy Helps with Bloating

At Beyond Basics, our pelvic floor physical therapy is tailored to address the specific needs that contribute to bloating. This specialized therapy can help you by:

  • Reducing Abdominal Pain and Discomfort: By relaxing tight pelvic floor muscles, we can alleviate the pressure and discomfort that often accompany bloating.
  • Improving Bowel Movements: Strengthening and coordinating your pelvic floor muscles can make bowel movements easier and more regular, reducing constipation and bloating.
  • Enhancing Digestive Function: Proper pelvic floor function supports better digestion and reduces the build-up of gas and bloating.
  • Promoting Relaxation and Comfort: Through relaxation techniques and pelvic floor muscle training, you can learn to manage the muscle tension that contributes to bloating.
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What to Expect During Your Pelvic Floor Physical Therapy Sessions

During Your Initial Appointment

Your first visit will start with a detailed conversation about your symptoms and how they affect your daily life. We’ll perform a comprehensive assessment of your pelvic floor muscles to determine how they might be contributing to your bloating. This might involve a gentle physical examination to check for muscle tension, weakness, or other dysfunctions. Our goal during this session is to gather enough information to create a treatment plan that is customized to your specific needs.

We’ll walk you through each step of the evaluation, explaining what we’re doing and why it matters. Our approach is gentle and respectful, ensuring that you feel comfortable throughout the process.

During Your Additional Appointments

In the following sessions, we’ll guide you through a series of exercises and techniques designed to improve the function of your pelvic floor muscles. These sessions might include a mix of hands-on manual therapy, targeted exercises, and relaxation techniques to help you manage your bloating. We’ll adjust your treatment as needed, focusing on gradually reducing your symptoms and improving your digestive health.

Each session is a building block towards better control over your pelvic floor muscles and relief from bloating. We’re here to help you feel more comfortable and confident in managing your symptoms, with a focus on long-term wellness.

Client Testimonials

Amber Wolfe
3 weeks ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
3 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
1 month ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
8 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
8 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery. The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
11 months ago
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
11 months ago
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
12 months ago
Nice
Lily Zoraster
12 months ago
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
12 months ago
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
1 year ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year ago
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
1 year ago
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery. The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
1 year ago
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Ava Anderson
1 year ago
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
1 year ago
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
treating pelvic floor issues

Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor therapist.

Bloating Services

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

Can pelvic floor dysfunction cause bloating?
Yes, pelvic floor dysfunction can contribute to bloating. When the muscles of the pelvic floor are tight or uncoordinated, they can affect digestion and bowel movements, leading to bloating and discomfort.
How can pelvic floor therapy provide IBS bloating relief?
Pelvic floor therapy can improve muscle coordination and relaxation to support more efficient bowel movements and gas release. This may help reduce bloating and discomfort in people with Irritable Bowel Syndrome (IBS), particularly when pelvic floor dysfunction or constipation contributes to symptoms. IBS is a condition that can cause digestive symptoms such as cramping, abdominal discomfort, and bloating.
How does pelvic floor therapy help with SIBO bloating relief?
Pelvic floor therapy can help address contributing factors to Small Intestinal Bacterial Overgrowth (SIBO), such as pelvic floor muscle tension, impaired coordination, or difficulty passing gas and stool. By improving these aspects of bowel mechanics, pelvic floor therapy may help reduce bloating and discomfort in people with SIBO as part of a broader treatment plan.
Can pelvic floor therapy offer constipation bloating relief?
Yes, pelvic floor therapy can offer constipation-related bloating relief by retraining the pelvic floor muscles to relax and coordinate properly during bowel movements. This can support more complete evacuation, reduce pressure and gas buildup associated with constipation, and help alleviate related bloating.
How can pelvic floor therapy support hormone imbalance bloating relief?
Pelvic floor therapy can help reduce muscle tension and improve pelvic and abdominal muscle coordination that can contribute to discomfort during hormonal changes such as menstruation or menopause. While hormonal bloating is influenced by fluid shifts and digestive changes, improved muscle relaxation and breathing strategies may support comfort and symptom management.
How can pelvic floor therapy provide functional bloating relief?

Pelvic floor therapy addresses muscle tension and coordination issues that can interfere with bowel function and gas evacuation. In people with functional digestive disorders where pelvic floor dysfunction is a contributing factor, this can help improve bowel mechanics and reduce bloating and abdominal pressure.

How to relieve chronic bloating?
Pelvic floor therapy can help relieve chronic bloating when pelvic floor dysfunction, muscle tension, or impaired bowel mechanics are contributing factors. By improving muscle coordination, supporting effective bowel movements, and reducing tension, therapy may help decrease bloating and discomfort over time as part of a comprehensive care approach.
What foods can cause abdominal bloating and gas?
Certain foods are more likely to cause abdominal bloating and gas. High fiber foods, dairy products, carbonated beverages, gluten, and processed foods are common culprits. These foods can lead to excess gas in the digestive tract, causing you to feel bloated. Keeping a food diary can help you identify which foods trigger your bloating symptoms and guide you in making dietary changes to relieve bloating.
Can stress or anxiety make bloating worse?
Yes, stress and anxiety can exacerbate bloating symptoms. When you’re stressed, you might swallow air or experience tension in your stomach muscles, leading to more gas and bloating. Pelvic floor physical therapy can include relaxation techniques that help reduce stress and improve the function of your digestive system, which could help relieve bloating.
Is bloating a sign of a more serious condition?
While bloating is often related to diet or minor digestive issues, persistent bloating can sometimes signal a more serious condition like celiac disease, irritable bowel syndrome, or gastrointestinal disease. If you experience bloating along with other symptoms like bloody stools, weight loss, or severe abdominal pain, it’s important to seek medical advice to rule out any serious conditions.
Is pelvic floor physical therapy safe?
Yes, pelvic floor physical therapy is a safe and effective treatment for managing bloating and other related symptoms. Your therapist will guide you through each step, ensuring you’re comfortable throughout the process.
How many sessions will I need to see results?
The number of sessions needed varies depending on your specific condition. Many people begin to notice improvements after a few sessions, with continued progress over time.
What natural remedies can help reduce bloating symptoms and prevent bloating?
Natural remedies for bloating may include limiting carbonated beverages, sugar-free foods containing sugar alcohols, and dairy products for those who are sensitive, as these can increase gas and abdominal discomfort. Keeping a food diary can help identify bloating triggers such as certain high-fiber foods, carbohydrates, or fruits. Simple lifestyle strategies like using a warm compress on the abdomen, drinking herbal teas, staying hydrated, and reading food labels may support digestion and help reduce occasional bloating.
How does the digestive system contribute to bloating?
When the digestive system is disrupted by contributing factors such as pelvic floor dysfunction, diet, core function, posture, stress, and trauma, it can impact how food is processed and absorbed into the body, which can lead to bloating.