Revitalize Physical Therapy

Revitalize Physical Therapy Pelvic floor physical therapy is a safe, evidence-based, medically recognized specialty to treat bladder, bowel, and s*xual dysfunction.

03/31/2026

🚨 BREAKING NEWS 🚨
BREAK IT DOWN w/ Dr. Riva:

American College of Obstetricians and Gynecologists updated their guidelines on endometriosis diagnosis… and this is huge.

For YEARS, people have been told the only way to officially diagnose endometriosis was through surgery.

Now? That is changing (!!!)

These new guidelines support diagnosing endometriosis based on symptoms, imaging, and clinical judgment so you can get answers and start treatment sooner without needing surgery first.

This is a massive step forward for the endometriosis community.

If you have been told your pain is normal or brushed off, this is your reminder to keep advocating for yourself.

Watch the full breakdown to understand what this means for you and your care.

Link in bio!

Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?

She specializes in pelvic health and pelvic wellness for women and men, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.

Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies including Lymphatic Drainage, Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable —and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

S*x after abstinence can feel intimidating, but it does not have to stay that way.If you have ever wondered “is this nor...
03/30/2026

S*x after abstinence can feel intimidating, but it does not have to stay that way.

If you have ever wondered “is this normal?” or felt unsure getting back into intimacy, this is for you.

I break it all down in my latest blog so you can feel more prepared, more confident, and more in control.

Head to the blog to read more 🤍 (link in bio)


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?

She specializes in pelvic health and pelvic wellness for women and men, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.

Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies including Lymphatic Drainage, Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable —and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

The Truth About... Pain with TamponsIf you have ever thought “maybe this is just how it is”… or “I just have to get used...
03/25/2026

The Truth About... Pain with Tampons

If you have ever thought “maybe this is just how it is”… or “I just have to get used to it”... this is your sign that it is not.

Pain with tampon use is often brushed off as a sizing issue or something you just need to get used to. But that is not the full story.

In many cases, this comes down to pelvic floor tension, coordination, or sensitivity!
NOT something you are doing wrong!

You do not have to avoid tampons or push through discomfort. There is a reason this is happening and there is support to help you feel more comfortable in your body. Pelvic Floor PT can make tampon use comfortable & pain free.

If this resonates with you, you are not alone and you do not have to figure it out on your own. Free phone consults are linked in my bio if you want a more personalized approach.


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?

She specializes in pelvic health and pelvic wellness for women and men, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.

Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies including Lymphatic Drainage, Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable —and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/24/2026

Assumption Check ✔️
�Let’s Not Assume…�that every pediatric patient has a mom & a dad.

Families come in all shapes and sizes.
�Single parents. Two moms. Two dads. Grandparents. Foster parents. Guardians. Blended families. Co-parents. Caregivers.

When we assume, we risk excluding the very people who are showing up with love and support.

In pediatric pelvic floor PT, it’s not just about treating the child — it’s about honoring the family system around them.

Language matters. Inclusion matters. Every family deserves to feel seen. đź’›


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/19/2026

You thought discomfort during intimacy was just something you had to push through. You thought it was normal, or that it would eventually get better on its own.

Then you found this page and realized your body is not something to tolerate, it is something to understand!

Pain is not the price of being a woman. Discomfort is not something you have to accept. There are answers, and there is support.

If this sounds like you, you are in the right place. This page will help educate you on your body & your rights!

And if you are ready for more personalized guidance, I offer free phone consults through the link in my bio.


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

Pelvic exams are important! Even if you’re not s*xually active.They’re not “just routine”. They’re a key part of screeni...
03/17/2026

Pelvic exams are important!
Even if you’re not s*xually active.

They’re not “just routine”.
They’re a key part of screening for things like cervical cancer, HPV, and other pelvic health concerns.

Skipping them doesn’t protect you. Staying informed does.

Read the full blog for everything you need to know before your appointment.


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/15/2026

Fact or Fiction âť“

“The va**na cleans itself… like a Roomba.”

In this clip from Shrinking on Derek confidently compares the va**na to a robotic vacuum that just takes care of everything on its own.

So… is that actually fact or fiction?

Watch the video to hear the real answer… and what you should actually know about va**nal health!


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/11/2026

New moms are truly the ultimate multitaskers.

Baby in one arm.�Breast pump running.
�Mentally tracking the last feeding, the next nap, and whether you drank water today.

And if you listen closely… the pump even gives you a built-in beat.

Which, as a pelvic floor physical therapist, I can’t help but notice is perfect timing for some quick-flick Kegels.

The truth is… not enough people know the real truths about their own pelvic floor.Most people have only heard one piece ...
03/11/2026

The truth is… not enough people know the real truths about their own pelvic floor.

Most people have only heard one piece of advice:
“Just do your Kegels.”

But pelvic floor health is much more nuanced than that.
Not every pelvic floor problem needs more tightening.
Not everyone is doing Kegels correctly.
And for some people, doing more Kegels can actually make symptoms worse.

Pelvic floor health is about strength, coordination, and relaxation… not “just squeezing”!!!

That’s exactly why I’m starting this series: The Truth About…

Follow along for more real truths about your pelvic floor from a pelvic floor physical therapist.


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/08/2026

NEW BREAK IT DOWN 🚨

Welcome back to Break It Down w/ Dr. Riva: where I take the latest headlines (and real conversations happening in pelvic health) and tell you what they actually mean for YOU.

Today we’re talking about the recent interview where Univision Nueva York spoke with Jennifer Vargas, NYC leader of Tight Lipped ( ).

Tight Lipped is actively bridging the language gap in pelvic health care!

In this episode, I’m breaking down why this matters so much for our community, and what it means for the future of pelvic health access!

🎥 Full interview linked in bio.

Follow along for more Break It Down w/ Dr. Riva episodes: where we unpack the conversations shaping pelvic health in a way that actually makes sense!


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

03/04/2026

If you’ve ever thought discomfort during intimacy was just something you had to push through… I’m really glad you’re here.

Because pain is not something you’re supposed to tolerate.

I’m Dr. Riva, pelvic floor physical therapist, and we talk about all of it here! 💛
�You’re not “too sensitive.”�It’s not just in your head.

On this page, we talk about the things no one taught you:�✨ what’s actually normal (and what’s not)�✨ how your pelvic floor really works�✨ why pain happens�✨ how to advocate for yourself�✨ and what real, evidence-based solutions look like

Pelvic health isn’t just about Kegels. It’s about feeling safe, strong, and at home in your body.

And if you’re feeling like you need more personalized support, I offer free phone consults! The link is in my bio. Sometimes a real conversation is the first step toward real answers.


Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

Starting pelvic floor physical therapy can feel intimidating. You’re talking about deeply personal symptoms and allowing...
03/04/2026

Starting pelvic floor physical therapy can feel intimidating.
You’re talking about deeply personal symptoms and allowing someone to examine a private part of your body.

Here’s the truth: there’s nothing embarrassing about urinary urgency, leaking, pain, or intimacy concerns. These are TREATABLE.

Your first session is about understanding your story. You are always in control, and healing is a process.

Taking this step is brave and powerful. You are worth it.

We offer FREE phone consultations to answer all your questions before you book!

Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies like Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable—and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.

Address

630 Fort Washington Avenue
New York, NY
10040

Opening Hours

Monday 9am - 9pm
Tuesday 9am - 9pm
Wednesday 9am - 9pm
Thursday 9am - 9pm

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