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Interstitial Cystitis

Reclaim comfort and control with our compassionate care and personalized physical therapy.
Interstitial Cystitis
Interstitial cystitis (IC), also called painful bladder syndrome, is a chronic condition that causes bladder pain, pressure, and urinary discomfort. It can feel frustrating and isolating, while also impacting your daily activities and quality of life. At Beyond Basics, we specialize in physical therapy for interstitial cystitis to help you manage symptoms, reduce pain, and regain control over your life.

Symptoms of Interstitial Cystitis

The symptoms of IC can vary from person to person, but some common signs include:
  • Pain or discomfort while the bladder fills and relief after urinating
  • Persistent pressure, tenderness, or pain in the pelvic area
  • Frequent urination, often in small amounts
  • A constant urge to urinate, even when the bladder is empty
  • Discomfort or pain during sexual activity
Symptoms of Interstitial Cystitis
What Causes Interstitial Cystitis

What Causes Interstitial Cystitis?

The exact cause of interstitial cystitis isn’t fully understood, but several factors might contribute, including:
  • Hunner’s lesions: Distinctive inflammatory lesions of the bladder lining which can be diagnosed by cystoscopy
  • Pelvic floor dysfunction: Tight or weak pelvic floor muscles can contribute to bladder pain and urinary symptoms
  • Bladder lining damage: Irritation or damage to the bladder’s protective lining may make it more sensitive to substances in urine
  • Nerve sensitization: Overactive or damaged nerves around the bladder may increase sensations of pain or urgency
  • Chronic inflammation: Long-term inflammation in the bladder can worsen discomfort and symptoms
  • Other contributing factors: Stress, infections, or autoimmune conditions may play a role in triggering IC

How Physical Therapy Can Help

At Beyond Basics, our physical therapy treatments for interstitial cystitis are designed to address symptoms and provide long-term relief. Our approach includes:
  • Bladder retraining: Techniques to help manage urinary frequency and urgency through controlled timing and behavioral changes
  • Manual therapy: Hands-on methods to release tension and improve mobility in the pelvic region
  • Therapeutic exercises: Exercises to relax or strengthen the pelvic floor muscles, reducing bladder pain and urinary urgency
  • Lifestyle modifications: Guidance on diet, posture, and stress management to minimize flare-ups and promote lasting comfort
  • Supportive care: A personalized, compassionate plan tailored to your unique needs and challenges
How Physical Therapy Can Help

What to Expect During Your Sessions

During Your Initial Appointment

At your first visit, we’ll talk with you about your symptoms, triggers, and any challenges you’re facing. This discussion helps us understand your unique situation and create a care plan that’s right for you. We’ll also gently assess your pelvic floor muscles, posture, and any areas of pain or discomfort. Together, we’ll develop a personalized treatment plan to address your symptoms and provide relief.

During Your Additional Appointments

Follow-up sessions are designed to meet your comfort level and progress. You’ll work one-on-one with a physical therapist on pelvic floor exercises and bladder retraining techniques. We’ll also use gentle hands-on methods to release muscle tension, improve pelvic alignment, and reduce discomfort. Throughout your treatment, we’ll monitor your progress and adjust your plan to ensure you’re getting the best possible results.

Client Testimonials

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.
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.
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
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!
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.
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!
I cannot recommend Sonali highly enough, she’s truly incredible!
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 😊
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.
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
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!
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.
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!
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.
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..
I went to go see Kiko for tailbone pain that I had ignored for 20 months since giving birth. She gave me a thorough assessment and explained the reasons behind the persisting pain. She looked at my body as a whole, not just the pelvic area and we are addressing other problem areas that have been causing the pain. I can’t believe how much I’ve improved even after just one session. Her bedside manners are great too and I feel very comfortable working with her. I highly recommend this place for all new mamas!
I have had an amazing experience working with Kiko. She takes a holistic approach to assess and address your individual needs. Working with Kiko has dramatically reduced the symptoms of a condition I have had for many years, when nothing else I have tried has helped. My quality of life has greatly improved and I am very grateful!
High quality, physical care
I found this place on Maps when my pelvic pain flared up best decision ever. I felt real progress after just a few visits.
Very knowledgeable skilled understanding and friendly. Highly recommend
Very helpful!
Sonali is one of the most caring and kind person I have come across. As a patient and most importantly as a female, to find these two qualities in a therapist are not only extremely important but also extremely rare to find.
I am working with Sonail. She is a skilled practioner both with hands and heart.
I want to thank Dr. Solani Patel. Throughout my treatment she has been gentle, polite, patient and very knowledgable. Each of the exercises she gave me were very relevant to my condition and very helpful.
Beyond basics is such an amazing space for rehabbing postpartum pains and aches.
The therapists are incredibly knowledgeable, kind, gentle, and wonderful at their job!
As a dancer, I received the expert care I needed to return to work with confidence.
Beyond Basics is one the best places to go for physical therapy.... I'm extremely happy I started going here, and it's very convenient, being that it's directly across the street from Grand Central. My physical therapist, Radhi Kadakia, is awesome and highly recommended!
Vivian is fantastic! I felt like in just a few minutes she identified the reason I’ve been having so much so joint and hip area oain for the past couple of years. I had seen multiple different docs/specialists and no one had been able to figure anything out. She gave me some exercises to help gain more connectivity and activation on my glutes (I over-rely on my core and quads and not enough in my posterior chain), and when I said I’d be more likely to do them if I had a video demo she kindly did demos and let me record them!

I’ll also add that I’m a childbirth educator and both doula and have been recommending this practice for years because colleagues and clients have raved about them but only recently did I get to actually experience this for myself. (In fact, I ran into one of my birth class students when I went to my appointment!) Now I can recommend even more highly!
Emily Moore is the most insightful, ingenious and effective PT I have ever worked with, and I've worked with over a dozen over the past 30 years. I wish they were a little more Medicare compliant, but even if it costs more, to me, it's worth it.
PT Danielle is phenomenal. She knows about the entire body. She gave me exercises for my upper right back which are paying off. BBPT sends you a follow-up email with videos about how to do the exercises. They are awesome.
I had a great experience at Beyond Basics! I was nervous about going to physical therapy, but Sonali was so professional and nice, which made me feel a lot more comfortable. Sonali fully solved my pelvic floor issues in only a few sessions. She gave me stretches to do on my own time to move my progress along and also to ensure I don't lose any progress I've made. The receptionist Jasmine is also great-she is really helpful when it comes to scheduling appointments. I can't recommend Beyond Basics enough!
Great care - wonderful therapists. Head and shoulders above most other Physical Therapy practices.
Sonali was wonderful! Extremely knowledgeable and understanding. Excellent facility.
The waiting room--always decorated--is a welcoming space. Makela is respectful, resourceful and wonderfully clear in spoken and physical instruction. It is truly a pleasure to work with her,
I highly recommend Beyond Basics Physical Therapy. Great staff!
Danielle Santora is exceptionally well-informed, a great listener and and a great educator. She is that rare person who knows her business and has the sensitivity to deal with a delicate subject.
Eliza is amazing! I am seeing her for pelvic floor PT due to pregnancy related discomfort and in just 2 sessions she has helped reduce my pain/discomfort a lot. She has a very kind and comforting bedside manner and makes you feel very at ease. I highly recommend her.
Sonali Patel is an excellent physical therapist. She is very knowledgable about pelvic health, and has great manual therapy and communication skills. I highly recommend her.
This place is amazing!!! I worked with Sonali. She was extremely knowledgable and our sessions were very thorough. Sonali was so compassionate and helped me feel so supported. I felt like she really understood what I was going through. I saw great improvements and am very satisfied with the whole experience. Highly recommend!
Wonderful place, I've worked with Makela previously, she's "as good as it gets". Natural healer, empathetic, pleasant, smart,,,,,,,what more can u ask for?
Vivian Zhang at Beyond Basic PT is awesome! She took my concerns seriously and, using exercises and physical releases, improved my breathing and quality of life.
My experience with Beyond Basics has been outstanding! Danielle is incredibly insightful, professional, and an excellent communicator. She is truly an expert and I am very grateful to have her in my journey!
Sonali Patel is a miracle worker! I came to Beyond Basics with really bad TMJ issues and Sonali was able to provide me almost instant relief from years of tension. I've never felt better and she taught me some really awesome tips I can use myself moving forward. Overall I had a really great experience at Beyond Basics!
I’ve now been to Beyond Basics at two different points in my life for two different reasons. They are truly the experts. I walk away from each session in awe of the deep knowledge base of my physical therapist Sonali, who I trust and respect deeply. I have dealt with other physical therapy offices in the past and nothing can compare to the level of care, comfort, professionalism, efficiency, and effectiveness of this office. I actually look forward to my appointments. Highly recommend for anyone with GI issues of any kind or has had a baby!
I highly recommend Beyond Basics for pelvic floor PT. My therapist, Vivian, was friendly, thoughtful, respectful, and knowledgeable. She knows what she’s doing and made great suggestions for exercises I could do on my own. I had great results in combination with treatment recommended by my doctor. The facility is clean and staff are welcoming. Highly recommend.
A terrific therapist who made an awkward procedure comfortable and normal. She is smart, sensitive , knowledgeable and a delight to be with during therapy
Beyond Basics is the Physical Therapy place to go for exceptional, friendly, knowledgeable, and personalized care for your physical rehabilitation, particularly following surgery and pelvic floor strengthening. Danielle, Physical Therapist, is awesome!
Incredibly caring, experienced and professional. Highly recommended.
Makela is an amazing PT. The office staff is wonderful and the space is great. Highly recommend.
Rachel at Beyond Basics downtown is an outstanding, highly skilled, patient, kind and dedicated physical therapist. I love going to see her, she helps me so much. *Highly* recommended!
I was afraid to go out because of my overactive bladder.  Vivian Zhang saved my life.  My life improved tremendously after spending two months with her.

She is very patient, knowledgeable, and professional.  She spends a full hour with me which I could not find in any other physical therapy.  She gave me so much attention and continued to look for the root cause of my problems.  She explains the purpose of the exercises.  She teaches me the exercises and makes sure I do it correctly.  She will check my understanding in the next session to make sure I do it correctly.  If I don’t do it correctly, she will find another way to explain to me and check my understanding.   All other physical therapy just spends 30 minutes on me and leaves me alone to do the exercises myself.  They don’t check to see if I am doing it correctly.  Before coming to Beyond Basic, I was in another physical therapy for a year and was not able correct my overactive bladder problem.  I am so lucky to have found Vivian and Beyond Basic.
You don't take my insurance.
Superb and attentive care. Highly recommended!
I've really appreciated my experience so far at Beyond Basics, working with Makela. I was nervous going into pelvic floor physical therapy and she was respectful and considerate of my hesitation. She also makes a great effort to connect with other members of my treatment team, which makes me feel like I'm being supported holistically. I have already noticed improvement in my daily life, and I'm very grateful!
At Beyond Basics I found the help I needed for my Postpartum recovery after a traumatic delivery. Little did I know all the benefits I could get from pelvic floor PT. Here I learned a lot of tools to have a better pelvic health and improve my wellbeing. I really recommend pelvic floor PT to all women! This will help you for life.
Vivian has been my PT and she is great! She has helped me in a lot of ways, physically and emotionally, she’s caring and very knowledgeable.
Also, the girls from front desk are very kind.
Beyond basics is a great place!
My experience with Beyond Basics has truly been life changing!

After having a variety of symptoms without a true diagnosis for months, I found Beyond Basics, and, while I was completely unfamiliar with pelvic floor physical therapy before going there, I quickly realized the benefits even after my first session.

I've now been working with Vivian Zhang for almost a year, and I am continuously amazed by her work. Out of all of the medical professionals that I've worked with in the past, Vivian has shown the most care and interest in my well being. Healing is definitely a journey, and Vivian has shown the utmost respect and patience for me as I work through ups and downs of my personal path. With Vivian, I feel like I have a trusted resource and someone who genuinely listens to me, and that has made such a difference in my recovery.

I cannot thank Vivian, and Beyond Basics as a whole, enough for the improvement that they've made to my quality of life and I highly recommend this practice to anyone who is even remotely considering pelvic floor PT!
Eliza was so great to work with. She was very helpful. She is caring and compassionate. She helped me feel better. Grateful for all of her support. Can’t say enough good things. Would be better if they accepted insurance though.
Beyond Basics PT identified my needs and listened to my concerns as well as planned a treatment regimen that addressed the fundamental causes of my issues. Makayla knowledge regarding body mechanics is extraordinary.
I needed a specialized pt called pelvic floor therapy following rectal surgery. I found Vivian Zhang a very able and knowledgeable therapist at Beyond Basics Physical Therapy on William Street in lower Manhattan. After six weekly one hour sessions, I had a significant improvement in returning to a normal life. Vivian was very clear in her instructions, provided illustrated email instructions for at-home exercises and was available via email as needed. She was also very patient and kind with this 87 year old client.
Dr. Spielman and the Beyond Basic staff are amazing. The front desk is kind, friendly and very helpful when booking appointments.

Dr. Spielman is a life saver. She helped me at a time when I had experienced months of debilitating pain. I had seen multiple specialists and tried various medications to no avail.

Dr. Spielman was the first doctor to diagnose me with an overly tight pelvic floor. She has helped me with workouts, stretches and provided me with important anatomical information on my road to recovery.

I am so grateful for her and I can't recommend both Dr. Spielman and Beyond Basics enough!
I received excellent care at Beyond Basics
I have been a patient at the Beyondbasics PT for almost 3 years and they successfully helped me with both the pelvic floor and orthopedic issues.
I have health issues and I have used several physical therapists in the past.
Beyond Basics is the best!!
They were recommended to me by my doctors
And I am grateful for the recommendations.
Beyondbasics PTs are knowledgeable, attentive, patient and kind.
Front desk representatives are very friendly and kind.
Thank you
I am extremely grateful for Ekta's work. She figured out a complex problem within 2 visits. Importantly, I now understand the problem and know what to do to fix it. I went to so many medical specialists and Pelvic PT's and they couldn't figure out problem. I highly recommend Beyond Basics a perfect name.
Excellent treatment, knowledgeable therapist. Very informative and comfortable experience.
Joanna was super helpful, knowledgeable, and caring. Would absolutely recommend!
we-can-help

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.

Interstitial Cystitis

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

What is interstitial cystitis aka bladder pain syndrome?

Interstitial cystitis aka bladder pain syndrome is a chronic condition characterized by persistent bladder pain, pressure, and urinary symptoms that are not caused by an infection.

Can physical therapy really help with bladder pain syndrome?
Yes, physical therapy can be highly effective in reducing bladder pain syndrome by addressing pelvic floor dysfunction, improving bladder muscle relaxation, and relieving tension in the pelvic area.
What does pelvic floor physical therapy involve?
Pelvic floor physical therapy includes targeted exercises, manual techniques, and relaxation methods to strengthen or release the muscles supporting the bladder and pelvic organs.
How is interstitial cystitis diagnosed?
Interstitial cystitis is diagnosed based on symptoms, medical history, and by ruling out other conditions like urinary tract infections. In some cases, an assessment or cystoscopy of the bladder wall might be needed.
Can diet changes help if my symptoms get worse?
Yes, certain foods and drinks, like caffeine or acidic items, can irritate the bladder wall and make symptoms worse. Adjusting your diet, along with physical therapy, may help reduce flare-ups.
How long does treatment take to see results?
The timeline varies, but many people notice improvements in bladder pain and other symptoms after several weeks of consistent physical therapy focused on the bladder and pelvic floor.
Is chronic pelvic pain syndrome the same as interstitial cystitis?
Chronic pelvic pain syndrome and interstitial cystitis share similarities, such as pelvic discomfort and bladder-related symptoms, but they are not exactly the same. While the causes may differ, both conditions can benefit significantly from physical therapy. By addressing pelvic floor dysfunction, improving muscle balance, and relieving tension in the pelvic region, physical therapy can help reduce pain and improve your overall quality of life.