When someone experiences painful sex or recurring UTI-like symptoms, should they see a…

Summary

In this post, physical therapist Kara Mortifoglio and Dr. Ahmed discuss how pelvic floor therapy and medical evaluation complement each other for painful sex and urinary symptoms. Physical therapists evaluate functional drivers such as pelvic floor muscle coordination, tailbone trauma, and bowel habits. Physicians assess medical causes by reviewing culture results, investigating infections, and testing for structural conditions such as endometriosis. Addressing both functional and medical factors allows clinicians to identify multiple contributing causes and build a coordinated plan for pelvic pain.

Conditions and treatments discussed

• Pelvic Pain and Painful Sex. Pelvic pain and UTI-like symptoms often involve multiple overlapping physical and medical factors.
• Pelvic Floor Physical Therapy. Physical therapists evaluate pelvic floor coordination, tailbone trauma, bowel and bladder habits, and sensitivity at the vaginal opening.
• Endometriosis and Infection Evaluation. Physicians investigate infections through culture testing and evaluate structural conditions such as endometriosis affecting the bladder.

What this shows about Manhattan Pain Medicine

In this video, Dr. Ahmed and physical therapist Kara Mortifoglio explain how medical evaluations and physical therapy work together to assess painful sex and urinary symptoms. Manhattan Pain Medicine emphasizes a diagnosis-first approach that identifies the physical and medical causes of symptoms before treating them. Physical therapists evaluate mechanical factors such as muscle coordination and past trauma, while physicians investigate lab cultures and conditions such as endometriosis. The practice also describes close coordination with outside specialists, including pelvic floor physical therapists, so that each contributing factor receives targeted care. Examining both functional and underlying medical causes helps clinicians build a unified treatment plan.