50%
of women who've given birth have some degree of prolapse
Non-Surgical
PT is the recommended first-line treatment
RUSI Guided
real-time imaging ensures effective training
Understanding Pelvic Organ Prolapse
Pelvic organ prolapse is when one or more of your pelvic organs — the bladder, uterus, or rectum — drops from its normal position and presses against the vaginal wall. It happens when the pelvic floor muscles and connective tissue that hold everything in place become weak or stretched, most often after pregnancy and childbirth, chronic constipation, heavy lifting, or menopause. Up to half of women who have given birth have some degree of prolapse.
If you've been searching for "pelvic organ prolapse doctors near me," you may have seen suggestions that surgery is your only option. It isn't. Pelvic floor physical therapy is a proven first-line prolapse treatment — strengthening and re-coordinating the muscles that support your organs, teaching you how to manage intra-abdominal pressure so you don't worsen the prolapse, and helping you return to exercise, lifting, and the activities you love. Many women see meaningful improvement with therapy alone.
We see women from Montclair, Essex County, and across North Jersey who want non-surgical prolapse treatment. Whether you have a cystocele (bladder prolapse), rectocele, uterine prolapse, or vaginal vault prolapse after hysterectomy, the right therapy can reduce symptoms and restore confidence.
Signs & Symptoms
If you experience any of these, pelvic floor physical therapy can help:
- • A feeling of heaviness, pressure, or "something falling out" in the pelvis
- • A visible bulge or lump at or near the vaginal opening
- • Leaking urine, especially with coughing, sneezing, or activity
- • Difficulty emptying your bladder or bowel completely
- • Urinary urgency or frequency
- • Lower back pain or aching that worsens by end of day
- • Discomfort or pressure that improves when lying down
- • Pain or discomfort with intercourse
How I Treat Prolapse
Your first visit starts with education — understanding the type and grade of your prolapse, what's causing the pressure, and which daily habits may be making it worse. I assess your pelvic floor strength and coordination using real-time ultrasound imaging (RUSI), so you can see whether your muscles are actually doing their job. Many women are surprised to learn their pelvic floor is tight, not weak — and that changes the entire treatment plan.
See real ultrasound biofeedback in action on Instagram @pelvicptplusTreatment focuses on building the strength and coordination to support your organs, learning pressure management strategies — how to lift, cough, sneeze, and move without bearing down — and guiding you back to exercise safely. If a pessary is right for you, we coordinate with your physician on fitting. The goal is simple: help you feel supported, confident, and active — with or without surgery.
Types of Prolapse We Treat
Prolapse can range from mild (no symptoms) to more advanced. Regardless of stage, physical therapy can significantly improve symptoms and quality of life.
Cystocele (Bladder Prolapse)
The bladder drops into the front wall of the vagina. Symptoms include pressure, difficulty emptying the bladder, and stress incontinence.
Rectocele (Rectal Prolapse)
The rectum pushes into the back wall of the vagina. May cause difficulty with bowel movements and a sensation of incomplete emptying.
Uterine Prolapse
The uterus descends into the vaginal canal. Causes heaviness, pressure, and sometimes visible tissue at the vaginal opening.
Vaginal Vault Prolapse
After hysterectomy, the top of the vagina can drop. Physical therapy helps support the tissues and improve symptoms.
Our Treatment Approach
Pelvic Floor Strengthening
Targeted exercises with RUSI biofeedback to strengthen the muscles that support your pelvic organs. We ensure you're engaging the right muscles effectively.
Lifestyle & Movement Training
Learn how to manage pressure during daily activities, exercise, and lifting. We teach breathing strategies, posture optimization, and safe movement patterns.
Pessary Support
Education and guidance on pessary use as a non-surgical support option. We work with your physician to find the right approach for you.
Pre & Post-Surgical Rehab
If surgery is needed, we optimize your pelvic floor before and after the procedure to improve outcomes and speed recovery.
Frequently Asked Questions About Pelvic Organ Prolapse
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Why Pelvic Physical Therapy Matters — A Guide for North Jersey Residents
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Free Guides You Can Start Using Today
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Vagercise
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