# Pelvis NYC > Pelvis NYC is a New York City physical therapy practice specializing in male pelvic floor therapy, orthopedics, and sports performance. Led by Dr. Adam Gvili, the practice provides gender-specific, judgment-free care for men's pelvic health, orthopedic recovery, and athletic performance. Location: 110 West 17th Street, New York, NY 10011. Phone: 929-590-3445. Email: hello@pelvis.nyc. Hours: Monday–Friday, 7:00am–5:00pm. A free 15-minute telehealth consultation is available. Online booking: https://calendly.com/drpelvis/appointment --- ## About / Our Team Source: https://pelvis.nyc/about/ ### Team Members **Dr. Adam Gvili, PT, DPT** Founder and primary clinician specializing in male pelvic floor dysfunction. Dr. Gvili personally experienced pelvic floor dysfunction, including symptoms like hard flaccid, erectile dysfunction, and abdominal pain. He pursued this specialization specifically to treat male patients as a male provider, creating a judgment-free space where men could discuss pelvic health openly. Background: Former paramedic; CPR/AED and First Aid certified; FMT Level II certified. He holds a Bachelor's in Kinesiology from Brooklyn College and a Doctorate in Physical Therapy from Mercy College. Dr. Gvili emphasizes viewing the body as a kinetic chain and identifying "the weakest link in your foundation" to build from there. He maintains competitive involvement through amateur soccer and cycling. **Dr. Joshua Weber, PT, DPT** Long Island native with a Doctorate from Touro College (2017), recognized with Academic Achievement and Research Awards. He trained extensively in orthopedic and sports medicine clinics before recognizing the gap in male pelvic floor care. As an out gay physical therapist, he brings personal perspective to treatment. Focus: Orthopedic rehabilitation, neuromuscular dysfunction, and pelvic floor therapy. Certifications include Kinesio Taping, Myofascial Decompression, and CPR/AED. Dr. Weber emphasizes that pelvic issues affect not just physical health but also confidence, relationships, and mental wellbeing. Outside clinical work, he enjoys skiing, Broadway, Central Park, and family time with ten nieces and nephews. **Dr. Samantha Vargas, PT, DPT** Columbia University graduate and Board-Certified Sports Clinical Specialist. Former collegiate swimmer and dancer who completed a prestigious sports residency at the University of Delaware, treating NCAA Division I athletes and professional baseball and rugby players. Approach: Combines sports medicine expertise with pelvic floor specialization, addressing issues across all populations—from postpartum recovery to athletic performance. She received the Columbia University Faculty Risa Granick Award and APTA Outstanding Poster Education Innovator Award. Dr. Vargas enjoys snowboarding, climbing, surfing, and outdoor running with her dog Oreo. ### Practice Philosophy Core values: - Patient-centered approach prioritizing comfort and understanding - Premium service delivery with highest quality care - Recognition that pelvic dysfunction requires comprehensive treatment beyond manual therapy alone Mission & Vision: "Pelvis NYC aims to provide a patient-centered approach and premium physical therapy service to provide the highest quality of service to our clients." Three-Step Process (Reveal > Recover > Renew): 1. **Reveal** – Comprehensive pelvic floor evaluation identifying underlying causes through extensive medical and physical examination. 2. **Recover** – Intensive one-on-one 45-minute sessions designed for rapid symptom improvement. 3. **Renew** – Patient education on diet, home exercises, stress management, and long-term pelvic health restoration. Key philosophy: Dr. Gvili advises patients to "find what makes YOU comfortable, find someone that seems caring, a medical professional that wants to get you better, that invests their time just as much as you are investing yours." The practice emphasizes provider expertise, compassion, and genuine investment in patient outcomes. --- ## Male Pelvic Floor Dysfunction: Symptoms, Causes, and Treatment Source: https://pelvis.nyc/understanding-male-pelvic-floor-dysfunction-symptoms-causes-and-treatment/ ### Overview An estimated 20% of Americans will experience some form of pelvic floor dysfunction during their lifetime. This condition affects people across all ages, races, and sexes, though it often goes undiagnosed due to embarrassment or lack of medical awareness. ### Pelvic Floor Anatomy The pelvic floor comprises muscles supporting the pelvis base that maintain pelvic organs including the bladder, prostate, and rectum. These muscles form a sling structure extending from the coccyx to the pubic bone. They enable bowel/bladder control and sexual function. When these muscles contract involuntarily, they can trigger pelvic pain, sexual dysfunction, urinary incontinence, and fecal incontinence. ### What Is Male Pelvic Floor Dysfunction? Pelvic floor dysfunction represents the inability to control these muscles properly. It encompasses a group of disorders affecting bowel movements and often causing chronic pain. The condition can be difficult to diagnose and frequently impacts quality of life significantly. ### Causes - Motor vehicle accidents involving the pelvic region - Obesity or excess weight - Prior pelvic surgery - Overexertion from excessive pushing - Advanced age - Nerve damage ### Conditions Successfully Treated - **Urinary issues:** Incontinence, frequency, urgency, painful urination, difficulty starting/stopping flow, incomplete bladder emptying - **Bowel problems:** Fecal incontinence, straining, constipation, painful bowel movements - **Pain conditions:** Pelvic pain, genital area pain, rectal pain, perineal pain - **Sexual dysfunction:** Erectile dysfunction, premature ejaculation, pain during intercourse, penile pain - **Other conditions:** Chronic prostatitis, pudendal nerve entrapment, post-vasectomy pain, post-prostatectomy complications, hard flaccid, testalgia, interstitial cystitis, Peyronie's disease ### Pelvic Organ Prolapse While often associated with women, men can also develop pelvic organ prolapse when weakened pelvic floor muscles cause organs to sag or bulge. Symptoms include rectal bulging, bowel movement difficulty, pelvic pain, and sexual dysfunction. Treatment options include physical therapy, lifestyle modifications, medications, or surgery for severe cases. ### Treatment Approach The clinic employs individualized treatment strategies. The primary goal involves relaxing overly tight pelvic floor muscles through minimally invasive approaches. - **Biofeedback:** "Biofeedback is not painful, and helps over 75% of people with pelvic floor dysfunction." Improves muscle function and coordination through patient feedback. - **Manual therapy and exercise:** Therapists identify tight muscles and prescribe stretching exercises to improve relaxation and coordination. - **Home exercises:** Kegel and other pelvic floor exercises complement in-clinic treatment. Treatment considers biological and psychosocial factors while avoiding unnecessary surgery. ### Prevention Tips - Incorporate regular pelvic floor exercises - Maintain healthy weight to reduce pelvic strain - Avoid straining during bowel movements - Seek prompt medical attention for symptoms --- ## Orthopedic Physical Therapy Source: https://pelvis.nyc/expert-orthopedic-physical-therapy/ ### Overview Pelvis NYC specializes in treating joint pain and muscular discomfort affecting both men and women, addressing osteoarthritis and sports-related injuries through to chronic back pain, musculoskeletal conditions, and post-surgical recovery — aiming to enhance overall well-being and restore functional movement. ### Conditions Treated - Osteoarthritis and degenerative joint disease - Sports injuries including sprains and strains - Shoulder problems (rotator cuff injuries, frozen shoulder) - Foot and ankle issues (plantar fasciitis, ankle sprains) - Spinal pain (low back and neck conditions) - Chronic pain management - Elbow and wrist disorders (tennis elbow, carpal tunnel) - Hip and knee dysfunction - Post-surgical rehabilitation - Rheumatoid arthritis ### Treatment Approach - **Manual Therapy:** Joint mobilization and manipulation, soft tissue mobilization, manual stretching, and cupping therapy to reduce pain and improve mobility. - **Therapeutic Exercises:** Strength training, flexibility routines, balance and proprioception exercises, functional training, and core stabilization. - **Advanced Modalities:** Electrical stimulation, shockwave therapy, cryotherapy, and thermotherapy, based on individual assessment. Led by Dr. Adam Gvili, DPT, the team emphasizes evidence-based medicine and patient-centered care with personalized treatment plans. --- ## Sports Performance Physical Therapy Source: https://pelvis.nyc/maximizing-your-potential-the-ultimate-guide-to-improving-sports-performance/ ### Understanding Sports Performance Sports performance enhancement applies to all fitness levels, not just elite athletes. It focuses on improving physical abilities through integrated services (physicians, trainers, physical therapists), targeting strength, endurance, flexibility, and core stability. ### Training Programs - **Strength and Conditioning:** Resistance exercises reduce injury risk while improving power and stamina. - **Flexibility and Mobility:** Dynamic stretching, yoga, and mobility drills enhance range of motion. - **Cardiovascular Fitness:** Running, cycling, swimming, and interval training boost endurance. - **Mental Focus and Motivation:** "Setting clear, realistic goals keeps you motivated and focused on long-term progress." Visualization and goal-setting enhance performance. - **Recovery and Injury Prevention:** Stretching, foam rolling, and quality sleep are essential; targeted exercises address weaknesses before they become injuries. ### Physical & Mental Preparation Comprehensive conditioning incorporates strength training, plyometrics for explosive power, agility drills, and endurance activities. Mental preparation develops mindset through goal-setting, positive self-talk, visualization, mindfulness, and emotional regulation. ### Common Training-Related Conditions Improper training can cause pelvic floor dysfunction, lower back pain, hip/groin pain, knee injuries, shoulder problems, plantar fasciitis, IT band syndrome, muscle imbalances, tendinitis, core weakness, joint strain, and postural issues — all treatable through corrected movement patterns and targeted strengthening. --- ## Telehealth Source: https://pelvis.nyc/telehealth/ Virtual pelvic floor therapy for men addressing erectile dysfunction, hard flaccid syndrome, pelvic pain, urinary issues, and constipation. Sessions are 1-on-1 with licensed physical therapists specializing in male pelvic health, delivered through secure, HIPAA-compliant video. **Free consultation:** Complimentary 15-minute telephone consultation with Dr. Adam. Call 929-590-3445 to schedule. **Treatment focus areas:** Bladder control and urinary urgency/leakage; bowel function and constipation; sexual health and erectile function; core strength and mobility. **Session structure:** Initial virtual evaluation with detailed symptom and movement assessment; personalized care plan (never generic routines); a dedicated therapist throughout treatment; live coaching with guided exercises; weekly progress tracking and program adjustments. **Timeline:** "Most patients notice improvements within 3–6 weeks." Outcomes tracked include symptom reduction, strength gains, and functional improvements in daily activities and intimacy. **Requirements:** A phone, tablet, or laptop with reliable internet; comfortable clothing; a private space at home. --- ## Contact Source: https://pelvis.nyc/contact/ - **Address:** 110 West 17th Street, New York, NY 10011, US - **Phone:** 929-590-3445 - **Email:** hello@pelvis.nyc - **Hours:** Monday–Friday, 7:00am–5:00pm - **Special offer:** Free 15-minute telehealth consultation - **Book online:** https://calendly.com/drpelvis/appointment --- ## More - Testimonials: https://pelvis.nyc/testimonials/ - Blog: https://pelvis.nyc/blog/ - Terms of Use: https://pelvis.nyc/terms-of-use/ - Privacy Policy: https://pelvis.nyc/privacy-policy/ - Zocdoc — Dr. Adam Gvili: https://www.zocdoc.com/professional/adam-gvili-dpt-pt-350921 - Google Reviews: https://g.co/kgs/F93Nins ### Press - Bloomberg: https://www.bloomberg.com/news/features/2025-06-13/wall-street-stress-sends-nyc-men-to-pelvic-floor-therapy - Business Insider: https://www.businessinsider.com/men-pelvic-floor-advice-lift-weights-stress-2025-7 - Experience Life: https://experiencelife.lifetime.life/article/what-you-need-to-know-about-the-male-pelvic-floor/