Pamela Morrison Physical Therapy

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Mon - Fri:	9:00 am - 5:00 pm

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Morrison Pamela

Morrison Pamela Physical Therapy

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Physical Therapists, Physical Therapy Clinics, Physicians & Surgeons, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Sports Medicine, Sleep Disorders-Information & Treatment, Sports Medicine & Injuries Treatment

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Phone: (212) 362-3022

Address: 140 W End Ave, New York, NY 10023

Website: https://www.pamelamorrisonpt.com

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Pamela Morrison Physical Therapy

General Practitioners

Osteoporosis
Arthritis
Fibromyalgia
Myofascial pain syndrome is a chronic pain disorder involving pain and inflammation in the bodyâ€™s soft tissues and muscles. Many times there is pain referring from small tender nodules called trigger points within myofascial structures in or around areas of pain. It may involve one muscle or many muscle groups in the body as well as the fascia or connective tissue that covers the muscles. Patients usually complain of tenderness along points in firm bands of skeletal muscle consistent with prior reports. Sometimes the area of pain is not the original site of strain or injury. That is called referred pain. Trigger points within a muscle can cause the entire muscle to become reactive, shortened, painful, weak, and can hinder range of motion of the area. Myofascial trigger points can also respond to being stroked or plucked with a twitch response whereby one would see and feel the muscle twitch or suddenly move when provoked. Pain that refers away from the taut band being touched in a distinct pattern and having a twitch response present are clear indications that it is an â€˜activeâ€™ myofascial trigger point. â€˜Latentâ€™ trigger points are dormant or inactive but have the potential to become active. Causes of myofascial pain include an injury to the spinal intervertebral discs, general fatigue, lack of activity, trauma, or other medical issues. Myofascial pain syndrome can occur after a muscle has been repeatedly contracted from repetitive motions used at work, hobbies, stress-related muscle tension, and poor postures. Often there are stress related issues or emotional upset, behavioral contributing factors, and concomitant diagnoses. Stress related activity or postures could be clenching or grinding of teeth, holding patterns in stomach, shoulders or low back, and buttock or pelvic floor muscle clenching. Associated medical diagnoses include fibromyalgia, temporomandibular disorder (TMD/TMJ dysfunction), irritable bowel syndrome (IBS), interstitial cystitis, endometriosis, chronic fatigue syndrome, chronic pelvic pain, vulvodynia, insomnia, and depression. The discomfort from myofascial pain syndromes persists or worsens overtime unless treated. Misdiagnosis or inadequate medical management can result in a Complex Regional Pain Syndrome (formerly referred to as Reflex Sympathetic Dystrophy or RSD) which can become chronic so early identification via diagnostic testing and proper evaluation is crucial. We are excellent at identifying this syndrome. Medical management often occurs with a Physiatrist, a rehab doctor, and can include trigger point injections or antidepressants. Physical therapy with manual therapists is always a recommended effective treatment.
Cryotherapy
Your expert therapist at Pamela Morrison Physical Therapy, P.C. performs a complete evaluation including history and a full physical exam.Â Your therapist will examine spinal, pelvic, and lower extremity biomechanics and muscle function thoroughly to identify any malalignments and muscle impairments.Â The most important aspect of evaluating and treating this disorder is differentiating it from other disorders of the pubic symphysis such as a pubic symphysis separation, hernia, or groin strain.Â Treatment will consist of joint mobilization to realign the pubic symphysis and sacroiliac joints; modalities to decrease pain and inflammation such as therapeutic ultrasound, TENS, cryotherapy, iontophoresis, interferential electrical stimulation, cold laser; soft tissue mobilization or massage, cross-friction massage to the pubic ligaments, muscle rebalancing around the pubic symphysis joint, stability exercises, core and pelvic floor muscle re-education, correction of any faulty movement patterns or biomechanics, and pelvic support belts.Â Prescriptive therapeutic stretching and strengthening exercises will be instructed as part of a comprehensive program to prevent future injury.Â Pregnancy support garments may also be recommended.Â It may be recommended that you discontinue any exacerbating activity until symptoms improve.Â A home exercise program is given to all patients to facilitate a faster recovery.
Male Infertility
Pelvic congestion syndrome is a chronic condition that affects women and men and can be a cause of chronic pelvic pain. Typical age effected is between 20 and 45 years old. Patients with pelvic congestion syndrome complain of a severe dull ache or pain in the abdomen, pelvis, groin, and/or genitalia. This can be a result of pelvic varicosities- varicose veins present similar to varicose veins of the legs. Because of vein wall weakness and inability of the vein to return the blood effectively, pressure in the vein increases as blood pools or remains in the pelvic vein. This causes pressure pain, ache, and throbbing which can contribute to nerve irritation in the pelvic region. Vein capacity in varicosities may increase by as much as 60%, especially during pregnancy. Risk factors may include obesity, pregnancy, sedentary lifestyle, constipation, prostatitis, surgeries, ovarian varicosities, and endogenous estrogen levels. Excess estrogen weakens vein walls. The pelvic pain caused by PCS is non-cyclical and lasts more than 6 months in duration. Pain is worsened by sitting, standing, at the end of the day, upon sexual arousal, during or after intercourse. Other symptoms include generalized fatigue, depression, abdominal or pelvic tenderness, lumbosacral neuropathy, rectal pain, and urge to urinate. Female pelvic congestion syndrome is sometimes referred to as ovarian vein reflux and swollen labia, pain prior to menstruation, visible varicosities of the labia, ovarian cysts, and dysmenorrhea (painful periods) are often common issues. Manual exam reveals tenderness upon cervix manipulation, tenderness upon ovary/ uterus/ scrotum palpation, and swelling noted in the surrounding pelvic/groin region. Thickened, tubular veins may be palpated intravaginally or intrarectally. Hemorrhoids, varicose veins of the perineum, buttocks, and lower extremities may also be noted. Pelvic floor muscle dysfunction such as pain, spasm, tender points, trigger points, shortening, and weakness is another common finding. Male pelvic congestion syndrome is underrepresented in medicine and may be mistakenly referred to as prostatitis syndrome. Male pelvic congestion syndrome can be caused by pelvic varicosities and surgery such as varicocelectomy and can be related to varicoceles of the scrotum, prostatitis syndrome, and pelvic floor muscle dysfunction. 50 % of male infertility cases involve pelvic congestion syndrome. Testicular atrophy may also occur. The medical testing includes pelvic ultrasonography (PUS), transvaginal sonography (TVS) with doppler, Magnetic resonance imaging (MRI), computed tomography (CT), and ovarian venography. Medical treatment for pelvic congestion syndrome may consist of hot baths, non-steroidal anti-inflammatory drugs, progestins, phlebotonics, danazol, medroxyprogesterone acetate or gonadotrophin releasing hormone agonist called goserelin, and emolotherapy. For women, surgical ligation of ovarian veins and hysterectomy with or without oophorectomy
Emergency Care
After having my baby, I had a birth injury that was not immediately diagnosed. My doctors kept sending me home when I complained of pain saying “you are a new mom and are going to be just fine”. I went to my Dr. once a week for 10 weeks until finally, I was in so much pain I went to an emergency room and was told that I had pubic symphisis and bone bruises from the birth. I was originally put into physical therapy at another practice with a therapist who did not understand my case and did not take into the account the physical demands of caring for a baby. Thankfully, a friend of mine told me she had seen Pamela Morrison, and that she was incredible. She was right! I met with her and was put on a plan to help me heal. At the first meeting, I was crying telling her my story as I realized that I had been suffering and not put on the right healing plan for 6 months. She reassured me through our visit that she could help and that we would come up with a plan.
Constipation
Erectile Dysfunction
Irritable Bowel Syndrome
Abdomino-phrenic dyssynergia is a functional gastrointestinal disorder (FGID).Â The condition involves the abdominal muscles relaxing when they should be contracting and the respiratory diaphragm contracting when it should relax during digestion.Â Normally what should occur is the abdominal muscles increase in tone and the respiratory diaphragm relaxes with increased colonic load (as the colon or intestines begin filling).Â In patients with abdomino-phrenic dyssynergia the dysfunction leads to abdominal distention, bloating, constipation, and pain.Â Abdominal bloating is experienced in 10-25% of healthy people.Â However, abdominal bloating is a sign usually seen in patients with Irritable Bowel Syndrome (IBS) or constipation.Â More recent explanations for abdominal bloating include imbalance of intestinal flora, weight gain, weak or relaxed abdominal muscles, a contracted diaphragm, and fluid remaining in the small intestine.Â Outdated explanations of bloating included excessive intestinal gas, increased lumbar spine lordosis or low back curvature, and psychiatric issues. Common complaints in patients with abdomino-phrenic dyssynergia include increased gas and pressure in the abdomen and a feeling of fullness in the belly. There was speculation about there being weakness in the abdominal muscles yet other studies showed no changes in abdominal muscle surface electromyography(EMG) between patients with abdomino-phrenic dyssynergia and those without. One study noted relaxation of the internal oblique muscles (side belly muscles) with an increased colonic gas load.Â Patients may also present with pelvic floor muscle dyssynergia (referred to prior as anismus) contributing to constipation.Â Normal pelvic floor muscle activity is for the pelvic floor muscles to relax upon bowel movements.Â Paradoxical contraction of pelvic floor muscles occurring in dyssynergia refers to an abnormal increase in pelvic floor muscle activity which hinders normal defecation or emptying.Â In other words, the muscles around the anus abnormally contract and tighten instead of relaxing allowing for the anus to open to empty.Â Additionally, the motility and mobility of the digestive organs can become impaired or slowed.Â This means that there may be sluggish stomach churning of food and slowed peristaltic movement of the intestines.Â The bolus of food cannot move through the digestive tract Â in an efficient time frame resulting in slowed transit time.
Urinary Incontinence
Physical therapy can help all types of incontinence.Â After a comprehensive physical therapy evaluation with our pelvic expert, it may be determined that weak or incoordinated pelvic floor muscles or trunk (core) muscles are contributing to the problem.Â Other musculoskeletal issues such as pelvic floor muscle and abdominal trigger points, myofascial tightness, malalignment of pelvic, sacroiliac, spine, and/or hip joints may be a causative or perpetuating factor. Pelvic floor muscle hypertonicity (spasm, pain, shortened, high-tone) can be a causative factor in urge incontinence whereas pelvic floor muscle hypotonicity (weakness, low-tone) can be a causative factor in stress incontinence. Pelvic organ prolapse can also cause incontinence. Thus, your comprehensive evaluation includes close inspection of pelvic floor and core muscle function and tone. Studies have shown that pelvic floor muscle strengthening exercises help with urinary/fecal incontinence.Â Using our state-of-the art Rehabilitative Real-time ultrasound and surface EMG biofeedback enables the patient to understand the function of pelvic, core and low back muscles in bladder health. Anther modality that may be helpful is neuromuscular electrical stimulation (NMES) to help increase pelvic floor muscle recruitment and hypertrophy or strengthen the muscles. Transvaginal or transrectal NMES is useful in inhibiting the sensation of urge and helps strengthen the pelvic floor muscles rapidly. Trancutaneous electrical nerve stimulation (TENS) has been studied and its use for urinary incontinence proves effective when used over the bladder/suprapubic region and on sacral or tibial nerves. Diet and behavior can also affect incontinence.Â Food diaries and bladder/bowel voiding diaries are reviewed and changes are implemented to best improve your bladder or rectal function. Behavioral modification techniques are instructed. Core re-training exercises, lower quarter stretching, and pelvic floor muscle overflow exercises are also instructed. Your expert physical therapist at Pamela Morrison Physical Therapy would implement an individualized treatment program to address any issues found during the evaluation.
Diarrhea

Gynecology
I was experiencing pain during intercourse. Based on my pain, my (then) ob-gyn had given me a working diagnosis of endometriosis. At my first visit with Pam, she suggested my pain might be caused by vestibulitis. I saw her once a week for many months â€” full of exercises, stretches, massage, and biofeedbackâ€”and today, I am virtually pain-free. I only wish Iâ€™d gone to her sooner. Since then, Pam has also treated me for a neck and shoulder injury and pregnancy sciatica. Each time, she nailed the problem and fixed it to perfection. I canâ€™t tell you how many people I know walk around with pregnancy sciatica and are told by their doctors that thereâ€™s nothing that can be done for it. Not true! Within just a few sessions, Pam got rid of the sciatica for good.
Female Infertility
Endometriosis
After years of bouncing from therapist to therapist for treatment of my chronic pelvic floor pain associated with endometriosis, I am so grateful to have found Pam. She is a specialist with a well-educated and comprehensive approach, capable of taking on even the most stubborn problems. I have noticed considerable improvement in the strength and tone of my pelvic floor muscles and marked progress towards being pain-free. I so appreciate her willingness to listen and work through any new challenges that may arise. She has a special gift for healing, and I recommend her to any woman suffering from pelvic pain.
Pelvic Pain
Skin rolling is a form of myofascial release. It is used to identify and treat areas of restriction or abnormal cross-linking of fascia or connective tissue in a painful area in the body. It is important to understand â€˜fasciaâ€™ in order to understand the technique. Fascia is a loose irregular clear tissue (think about saran wrap) that covers the muscles, bones, nerves, organs, and blood vessels. Fascia can be subcutaneous: the layer between the skin and deep fascia, or can be deep fascia: the layer between and around muscles and other structures, holding them in place. Other fascia found in the body includes subserous which lines the bodyâ€™s cavities and the deepest fascia covers the craniosacral system within the spine, cranium, and sacrum. When healthy, fascia looks like a spider web and is organized, pliable, and movable. It supports, protects, provides immune system function, fluid flow, separates body parts, and helps with respiration and elimination. Fascia helps the body to resist mechanical stresses. When trauma, infection, surgery, or inflammation occurs in an area of the body, fascia loses its pliability and can become â€œstickyâ€ causing abnormal links between areas that are normally not attached or linked. This results in pain, loss of motion, and pressure in the area of abnormal cross-linking. Overtime, poor posture, loss of flexibility, immune system impairments, decreased lymphatic flow, and impedance to everyday function can result. Skin rolling can break up the abnormal cross links or adherences and restore normal fascia mobility. The therapist pinches the skin between their fingers (picking it up) and pulls the skin away from the underlying structures. Their fingers move along the surface of the skin continuously picking the skin up to stretch the subcutaneous fascia, break cross links, and make the tissue more mobile. The areas that do have restrictions or cross-links can be painful or sore as the technique is performed. Areas that were tight or restricted and released through skin rolling may turn red or release heat. This is a good response. Decreased pain, improved lymphatic flow, decreased swelling, improved nerve function, improved range of motion, and improved mobility and posture usually result. Many patients find significant relief with this technique and it can be utilized for many different diagnoses including chronic pelvic pain, low back pain, neuralgias such as pudendal neuralgia, breast pain, lymphedema, scar pain such as cesarean-section (c-section), and post surgical issues. We utilize this technique in conjunction with our many other manual therapies and modalities.
Pregnancy
Labor and Delivery
Causes of hemorrhoids include: straining during bowel movements, chronic constipation, sitting for long periods of time, overactive pelvic floor muscles or spasms, trauma, surgery, pregnancy, or as a result of labor and delivery. Medical treatments include: dietary changes (such as increasing fiber), topical or insertional medications, injections, and rubber band ligation. Other recommended treatments may include: heat packs, ice applications, or warm baths known as sitz baths. A sitz bath is a warm, shallow bath that soaks the perineum (rectal region, vulva or scrotum). Supportive garments can be beneficial. Elevation of the pelvis for periods of time may also help reduce swelling.

Interstitial Cystitis
Interstitial cystitis is a chronic pain problem involving the pelvis, bladder, and urethra that occurs in men and women. Chronic inflammation in the lining of the bladder wall occurs.Â There is a defect in the bladder epithelium lining called the GAG (glycosaminoglycan) layer which makes the lining more permeable, sensitive, and easily irritated by the urine or other substances in the urine.Â Most patients have non-ulcerative IC involving glomerulations or pinpoint hemorrhages in the bladder wall seen on cystoscopy yet some suffer from more intense pain from Hunner’s Ulcers in the bladder wall which are large red patches and are sometimes bleeding.Â Symptoms of IC may include urination frequency, urgency, pain, pressure, and burning. Other common symptoms include painful intercourse and diffuse pelvic pain. Symptoms can felt be in the suprapubic region of the pelvis and /or surrounding areas. Patients may also experience thigh, groin, low back, and hip pain. Some experience pain or pressure before, during and/or after urination. Upon urinating, symptoms are often alleviated.Â The cause of IC is unknown yet some theories or possible triggers include bladder trauma, sexual trauma, chronic infections or cystitis, pelvic floor muscle dysfunction, chronic holding or prolonging urination, autoimmune disorders, primary neurogenic inflammation, or spinal cord trauma.

Carpal Tunnel Syndrome
Therapeutic spinal traction uses manual or mechanically created forces to stretch and mobilize the spine. Both manual and mechanical traction â€˜stretchesâ€™ the neck and is effective yet more force can be applied with mechanical traction and is a prescribed treatment for some patients. With the patient lying on his or her back, a head halter or cushioned cradle is placed under the back of the head which is attached to a machine. The machine is set for a certain time period and a specific amount of traction force is applied for the pulling action to occur. The traction can remain on steadily for the specified time (referred to as continuous or static) or intermittently (on/off cycle) during the treatment session. Mechanical traction is a highly successful alternative to surgery for disc injuries such as a bulging disc or herniated disc. Mechanical traction reduces the pressure on discs and nerve roots through a gentle traction force, expanding the space between the vertebrae. It gently stretches the muscles and connective tissue of the neck and promotes improved circulation and exchange of fluids within the disc. This modality is also effective in treating neck pain and spasms, pinched nerves, shoulder and elbow pain, headaches, and associated carpal tunnel syndrome.
Multiple Sclerosis
There are different types of incontinence. Urinary incontinence is the inability to control the flow of urine and results in involuntary urination. Stress incontinence is when you leak urine during activities that increase pressure on the bladder such as sneezing, coughing, laughing, jumping, jogging, or lifting.Â There may be insufficient strength in the muscles supporting the bladder, urethra, and pelvis.Â The muscles that help support the bladder and resist urination include the pelvic floor muscles and the transversus abdominus, as an accessory. Urge incontinence is when you feel a terrible urge or pressure to urinate and leak on your way to the bathroom and you may leak urine before you reach the bathroom.Â Some also may experience urge and leak when they put their keys in the front door, when hearing water running, or when outside in the cold weather.Â Mixed incontinence is when someone has both stress and urge incontinence combined.Â Fecal incontinence is when you are unable to hold or control stool in the rectum and leak feces. Incontinence can also result from childbirth trauma, pelvic surgeries, consumption of bladder or intestinal irritants, food allergies or sensitivities, prostate issues, hormonal imbalances or deficiencies, a sedentary lifestyle, and neurological diagnoses such as multiple sclerosis, cerebral vascular accident, or spinal cord injury.

Depression
Insomnia
Anxiety

Ultrasound
We offer high quality individualized pre and post surgical rehabilitation. Pre-surgical care entails preparing the patient for optimal strength and range of motion prior to surgery. Studies show that pre-surgical rehabilitation facilitates a better surgical outcome and it also shortens the duration of post-operative rehabilitation. Therefore, your surgeon may refer you to us 6 weeks prior to your scheduled surgery to prepare your body for surgery. Pre-surgical rehabilitation is very comprehensive. Precautions and/or movement restrictions for after surgery may be instructed. Supportive garments, belts, and cushions may be discussed and issued. Icing protocols may also be instructed as most patients are prescribed to ice the area that is operated on frequently during the immediate post-operative phase. You may be instructed on how to use a cane, crutches, or walker as an assistive device for walking. We instruct you in a prescriptive home exercise program specifically designed to strengthen and improve flexibility to the area. This would maximize your range of motion post-operatively. Pre-operative rehab may be one visit or you may be seen for multiple visits. Commonly treated orthopedic procedures include rotator cuff repair, total joint replacements, arthroscopic knee surgeries (i.e. meniscal repairs), arthroscopic hip surgeries (i.e. labral repairs), Achilles tendon repairs, nerve releases (i.e. pudendal nerve, median nerve) and neck and back surgery. In the post-operative rehabilitation phase our goals are to decrease pain and inflammation, restore normal range of motion, resume normal activities of daily living, improve weight bearing and gait pattern, and increase strength and flexibility. Scar tissue will be addressed via manual therapies such as skin rolling and myofascial release. We also utilize state-of-the-art pain modalities such as electrical stimulation, therapeutic ultrasound, cold (low-level) laser, ice, hot packs, and TENS (transcutaneous electrical nerve stimulation). Our gym has an advanced cable column system, free weights, balance rehab devices, Therabands, Total Gym, rebounder, and much more.
MRI
Your physical therapy evaluation is very comprehensive and would include special orthopedic testing of the spine, pelvis, and hips. If an MRI is needed, our expert physical therapists will refer you to the appropriate hip orthopedic specialist. Your physical therapist can determine if the symptoms are purely a hip dysfunction or related to sacroiliac joint or spinal issues, pelvic floor muscle dysfunction or pudendal neuralgia. Trying to avoid surgery may be possible with the correct application of manual therapies and an individualized prescriptive therapeutic exercise program which we design. Preparation for labral repair surgery may include a stretching and strengthening program. Lower quarter specific stretches, core stabilization exercises, and spine and hip strengthening exercises would be instructed.
X-Rays
Computed Tomography
Osteitis pubis is a disorder of the pubic symphysis joint characterized by pain and inflammation of the joint and surrounding muscles such as the adductor group. Symptoms can include pain in the groin, lower abdomen, hip, perineum, bladder, clitoris, vagina, scrotum or testicles, and painful intercourse. It is most often caused by repetitive trauma or abnormal shearing forces to the pubic symphysis joint. Abnormal shearing forces can be caused by muscle imbalances, impaired flexibility, sacroiliac joint dysfunction, or a malalignment at the joint. When aggravating motions occur at the joint, microtrauma causes inflammation and muscle spasms can result. Other causes of osteitis pubis can be trauma from urogynecologic surgery, a motor vehicle accident or fall, sudden increase in exercise intensity, a leg length discrepancy, poor foot biomechanics, or poorly fitting shoes. This disorder is commonly seen in athletes. The pain increases upon kicking, changing directions or pivoting on one leg, jumping, and running. Sneezing or coughing, transferring from sitting to standing positions, and lying on one side can also exacerbate the pain. Clicking or popping may also occur at the joint upon walking or strenuous movements. Osteitis pubis can occur during pregnancy due to excessive pressure on the joint and release of the hormone called relaxin. Relaxin softens the ligaments at the pubic symphysis in preparation for childbirth perhaps leaving the joint susceptible to injury. Trauma from childbirth can worsen or bring on symptoms of osteitis pubis. Osteitis pubis can be a cause of pelvic floor muscle dysfunction if left untreated. An X-ray or CT scan can help with a proper diagnosis.
Iontophoresis
Iontophoresis is the process whereby chemical ions are transported through the skin by an electrical current. Using a direct current low-voltage uninterrupted generator with positive and negative electrodes, the medication is placed onto a pad that has direct contact over the painful site and the medication is transported into the body. The polarity of the electrode used in iontophoresis depends on the polarity of the ion introduced. This is a terrific alternative to undergoing needle injections for trigger points or bursitis. Medications of choice for treating musculoskeletal conditions have commonly been pain relievers such as lidocaine or xylocaine and anti-inflammatory agents such as hydrocortisone or dexamethasone. Since it is a medication, your physician or nurse practitioner would need to prescribe it for you specifically. Working as a team, your therapist discusses using this modality with your referring health care provider. Commonly, this treatment approach is for tendonitis, bursitis, and arthritis. We have found it to be effective in treating sports injuries, carpal tunnel syndrome, tennis elbow, facial pain, TMJ dysfunction, coccyx (tailbone) pain, vulvar pain, osteitis pubis, and pelvic pain.

Orthopedics
Luba Starostiak earned her Bachelor of Science in physical Therapy from Hunter College the City University of New York in 1991 and was awarded her Certification of Orthopedic Specialty from The American Physical Therapy Association in 2000. Joining Pamela Morrison Therapy in 2009, she brings 17 years of experience in a variety of settings including specialty hospitals, health care centers and private practices where she specialized in orthopedics. Staying current on new trends and techniques, Luba attends several continuing education courses every year in a variety of specialized areas including womenâ€™s issues, orthopedics and joint issues. With her exceptional experience and desire to continue learning, Luba is a great addition to the team.
Sciatica
Some people have a gift. Fortunately Pam Morrison has a gift for physical therapy that in my book earn her the label ‘magic hands’. I have had many sports injuries over the years and have seen many PTs, physical trainers, chiropractors, and massage therapists, with moderate success. I came to Pam via my doula in my 5th month of pregnancy, barely sleeping at night and painfully maneuvering the days with an old injury flare-up. I could barely bend over and lift my legs with out pain, and I was out of alignment. Not only did she rapidly treat my painful sciatica but she got my body where it needed to be to have my ideal birth- natural, with no medications or interventions. Without Pam’s weekly work and emotional support, I feel I would not have accomplished my goal and be where I am today. I would highly recommend her to anyone who requires precise and accurate diagnosis and treatment. It’s the only medical office I have been in in NY where if you have an appointment at 10:00, Pam walks in your room at 9:59. Talk about respect for her client’s time. She is sharp as a whip and has a memory like you wouldn’t believe, always referring back to your history with out even looking at notes. She does all this with compassion and professionalism that you wont find anywhere in NY. Pam is fantastic, if you choose her you won’t be disappointed.
Hysterectomy
Adenomyosis is when there is endometrial tissue that grows into the uterus. The uterus is a muscle and the mucous membrane which thickens during the menstrual cycle is referred to as the endometrium. Endometrial tissue grows local in one small site of the uterus called focal adenomyosis or it can be more extensive resulting in a mass in the uterus called an adenomyoma. Another type of adenomyosis is called diffuse adenomyosis which spreads throughout the uterus and is more extensive. Adenomyosis can form because of endometriosis infiltrating up into the cervix and uterus or vaginal injury causing inflammation, macrophages and cytokines into the myometrium. This results in tissue growth in the area. There may also be a thickening of the wall of the uterus. Adendomyosis is therefore painful. It causes excessive bleeding during menstruation, clotting, pelvic pain, leg pain, low back pain, and can be debilitating. Other symptoms may include prolonged menstrual cramps, longer than normal menses, painful intercourse, and abdominal pain. Digestion can be affected such as causing constipation or diarrhea. The bladder and its function can also be impacted such as painful urination, bleeding with urination, urine retention, or overactive bladder. Myofascial trigger points in the abdomino-pelvic wall, pelvic floor muscles, and hip muscles may need to be assessed and addressed via physical therapy. Overactive (or hypertonic) pelvic floor muscle dysfunction may be found on evaluation. Treatment may include surgery, pain management, and physical therapy. Not all classifications of adenomyosis require a hysterectomy yet a surgical option would be discussed by your gynecologist. Medication for pain relief is another more conservative treatment option. Physical therapy is an alternative option for pain relief and symptom relief.
Hip Replacement
I have a torn ligament in my left knee and herniated discs. I also had a right hip replacement and a badly broken left femur. Pamela Morrison PTÃs techniques are wide in range and understand the complexities of the body. Hands on stretches give comfort, strength and ease pain. They teach you exercises best suited for you and they make sure you are doing them properly. This is the best physical therapy I have experienced in over 30 years.
Laparoscopy
Endometriosis is a condition in which the endometrial tissue (the cells lining the uterus) grows in other areas of the body. The tissue growth typically occurs outside of the uterus, such as on the ovaries, fallopian tubes, bowel, rectum, bladder, and on the delicate lining or fascia of the pelvis. However, the implants can occur in other areas of the body, too. Every month to prepare for egg implantation, the uterine wall lining thickens and swells. The endometrial tissues that have grown in, on, or around other pelvic structures also thicken and swell and may even bleed but these cells stay in place and do not shed as does the normal endometrium. This tissue growth can cause adhesions, fibrous bands, and scarring in and around the pelvic organs and structures. Common symptoms of endometriosis include abdominal, hip, and pelvic pain, cramping, irregular bleeding, painful menstruation, low back pain, sacroiliac joint pain, bladder pain or painful urination, digestive problems, abdominal bloating, painful bowel movements, painful intercourse (dyspareunia), and can lead to infertility. Endometriosis can also be a cause of or related to pelvic floor muscle dysfunction. Endometriosis can lead to trigger points in the abdominal muscles and pelvic floor muscles causing even more pelvic pain. There are several theories as to why endometriosis occurs yet there is no known cause. One theory is called retrograde menstruation whereby endometrial cells loosen during menstruation and move upwards traveling through the fallopian tubes and then throughout the pelvis. Endometriosis is usually diagnosed between the ages of 25-35 years old. Testing that occurs by the gynecologist to diagnose endometriosis includes transvaginal pelvic ultrasound, pelvic exam, and pelvic laparoscopy.

Plastic Surgeons

Botox
Anismus, also known as pelvic floor hypertonicity, anal sphincter dysserynergia, dyssynergic defecation, and paradoxal puborectalis dysfunction, is a disorder of the external anal sphincter and puborectalis muscles (one of the pelvic floor muscles) upon attempted bowel movement. It is a form of pelvic floor muscle dysfunction. Upon defecation, the pelvic floor muscles should normally relax to allow for evacuation of stool. With anismus, the puborectalis muscle and anal sphincter contract causing the stool to not be able to pass through the anal opening to properly evacuate. This can be painful and can lead to obstructive constipation. Other complications can be fecal impaction and an enlargement of the diameter of the rectum called megarectum. Those with anismus chronically bear down or strain in attempt to have a bowel movement and further irritate the pelvic floor muscles. Medical evaluation may include a rectal digital exam, evacuation proctography, balloon expulsion test, and dynamic imaging studies. Medical treatment may include Botox injections into the puborectalis muscles and surgical resection.
Breast Augmentation
Women may experience breast pain and swelling due to injury or trauma, infections, breastfeeding complications, cancer, or surgery. Overuse or injury of the pectoralis muscle can result in a strain and cause breast pain and swelling. Many times there is pain along the sternum (breastbone) and anterior chest wall. Another source of breast pain may be costochondritis which is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the sternum. Trauma can include vigorous coughing or vomiting. The resulting strong, sustained contractions of the intercostal (rib) muscles can lead to chest wall tenderness that may be perceived as breast pain. Some women experience mastitis, infection of the breast glands/ducts, which can lead to obstruction, pain, and result in inability to breastfeed your newborn. Blocked ducts, stress, fatigue, cracked nipples, and previous mastitis are risk factors. Women faced with breast cancer may develop musculoskeletal impairments following mastectomy and breast reconstruction. Lymphedema and weakness are complications that can affect the entire arm. Women who have undergone breast augmentation may experience swelling, scar tissue tightness and myofascial pain.
Breast Reconstruction

Cyst

Physical Therapists

Sports Medicine
Addressing pelvic floor muscle dysfunction and/or pudendal neuralgia would also occur if needed. Post-operative rehabilitation for labral repair surgery is an area we excel in because we all have extensive experience in rehab for sports injuries and orthopedic surgeries. Getting you pain free and back to resuming all activities is our primary goal. We work closely with your surgeons to create an appropriate optimal rehab program.
Physical Therapy
The acetabular labrum is the fibrocartilagenous ring lining of the â€œsocketâ€ part of the hip joint. The hip is a ball and socket joint. The labrum functions to absorb shock, lubricate the joint, distribute pressure, and aide in stability. Causes of labral tears include trauma, impingement (also known as femoroacetabular impingement or FAI), hypermobility, dysplasia, and degeneration. Hormonal influences such as during pregnancy or underlying collagen disorders can predispose patients to labral tears. Repetitive rotational sports such as golf or extreme yoga poses can place stress on the hip capsule and iliofemoral ligament and result in a labral tear. Symptoms of labral tears include hip or groin pain, buttock pain, clicking, locking, loss of range of motion, and giving way. Others may have pain in the vulvovaginal area or testicles/scrotum and have pain with intercourse. Hip labral tear symptoms can mimic or be related to vulvodynia, pelvic floor muscle dysfunction, or pudendal neuralgia. Although tears can occur in all regions of the hip labrum it is more common to have an anterior acetabular labral tear because the anterior hip joint area has less blood supply, increased vulnerability to wear and degeneration, mechanical weakness, and is subjected to greater stresses. Hip labral tears have low potential to heal on their own due to the lower vascularization. Studies show that some patients can successfully undergo physical therapy and return to their sport without reoccurrence of pain. Many, however, require surgical repair of the labral tear and are prescribed physical therapy to prepare for surgery and also undergo rehab post-operatively.
Tennis Elbow
Back Pain
Manual Therapy
Integrative Manual Therapy (IMTâ„¢) is a unique set of techniques, approaches, and methodologies that address pain, dysfunction, disease and disability. It is a comprehensive approach to healing from both a structural perspective and a functional methodology. Developed by Dr. Sharon (Weiselfish) Giammatteo, IMT is best described as a health care process. IMT offers clients the opportunity for healing, recovery, and rehabilitation as an alternative and/or complement to other medical interventions. IMT achieves health and healing by taking into account the diverse systems of the human body and addressing dysfunction at the anatomical level, physiological level, and psychological level. Incorporation of nutrition to improve oneâ€™s health is also included in IMT. IMT practitioners use predominantly their hands to diagnose or identify problems and treat clients. The techniques include light touch or gentle movements of a particular area of the clientâ€™s body by the practitionerâ€™s hands. IMT techniques facilitate and encourage tissue repair.
TMJ Dysfunction
Our therapists are trained in this gentle, hands-on method of evaluating and enhancing the function of a physiological body system called the craniosacral system which is comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. Using gentle touch, the therapist can release restrictions in the craniosacral system to improve the functioning of the central nervous system. These techniques are very often helpful in the treatment of headaches, visual problems, head and sinus congestion, TMJ dysfunction, neck/back pain, fibromyalgia, and chronic fatigue.

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