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Your Trusted Partner for Physical Therapy Solutions in Coral Gables
At Partnership in Therapy, we believe in fostering collaborative relationships with our patients to achieve optimal health outcomes. Our approach centers on active listening, thorough evaluation, and personalized treatment plans tailored to each individual's unique needs. With over two decades of combined experience, our team specializes in addressing complex pelvic floor dysfunction, spinal issues, and pregnancy-related conditions. We integrate advanced techniques such as biofeedback, myofascial release, and Pilates-based therapeutic exercise to restore function and alleviate pain.

Our practitioners maintain active roles in academic instruction and professional development, ensuring our methods remain at the forefront of physical therapy innovation. We prioritize patient comfort through one-on-one sessions in a serene, private environment, fostering trust and open communication throughout the recovery process. By coordinating care with other healthcare providers, we offer comprehensive solutions that address both immediate symptoms and long-term wellness goals.
Services
Pelvic Floor Therapy Back & Neck Pain Postpartum Care Biofeedback Pilates
Highlights and features
  • We offer individualized treatment plans based on comprehensive patient evaluations
  • Our team includes board-certified specialists in women's health physical therapy
  • We integrate Pilates-based therapeutic exercise with traditional physical therapy methods
  • Our practitioners maintain active roles in academic instruction and research
  • We provide coordinated care with other healthcare professionals for comprehensive treatment
Associations and certifications
  • American Physical Therapy Association (Women's Health Section)
  • Biofeedback Certification International Alliance (BCIA)
Services
Pelvic Floor Therapy
Specialized treatment for pelvic floor muscle dysfunction using manual therapy, biofeedback, and myofascial release. Addresses urinary incontinence, pelvic pain, and sexual dysfunction through individualized care plans. Combines internal and external techniques for comprehensive symptom relief.
Back & Neck Pain
Targeted interventions for cervical and lumbar spine issues including herniated discs, muscle strain, and sacroiliac joint disorders. Utilizes posture correction, therapeutic exercise, and soft tissue mobilization to restore mobility and reduce chronic discomfort.
Postpartum Care
Comprehensive rehabilitation for pregnancy-related conditions including diastasis recti, pelvic organ prolapse, and postpartum incontinence. Focuses on core stabilization, pelvic floor retraining, and pain management during postnatal recovery.
Biofeedback
Advanced technique using sensor technology to train pelvic floor muscle control. Addresses voiding dysfunction, chronic constipation, and pelvic pain through real-time feedback and neuromuscular reeducation.
Pilates
Customized Pilates programs for musculoskeletal rehabilitation and injury prevention. Focuses on core strength, postural alignment, and functional movement patterns to support long-term physical wellness.
People
Pamela Downey
Doctor of Physical Therapy
Board-certified specialist in women's health physical therapy with 20+ years experience. Adjunct professor at University of Miami, author of research on chronic pelvic pain, and international conference presenter.
Leni Rapp
Physical Therapist Assistant
Orthopedic physical therapist assistant with 22 years experience. Specializes in soft tissue mobilization and Pilates-based rehabilitation. Holds certifications in lymphatic drainage and pelvic floor therapy.
Hilda Granai
Pilates Instructor
Certified Pilates instructor with international dance background. Develops post-rehabilitation exercise programs to enhance strength and prevent future injuries through movement-based therapy.
Giglia Mayer
Pilates Instructor
Brazilian-trained physical therapist with 12 years clinical experience. Creates personalized Pilates programs focusing on functional movement optimization and body mechanics improvement.
Questions
What is pelvic physical therapy?
Pelvic physical therapy treats pelvic floor muscle dysfunction through manual techniques, biofeedback, and therapeutic exercise. It addresses conditions like urinary incontinence, pelvic pain, and postpartum recovery.
What conditions do you treat?
We treat pelvic pain, urinary/bowel incontinence, sexual dysfunction, back/neck pain, postpartum issues, and conditions like interstitial cystitis and irritable bowel syndrome.
Do you accept insurance?
We are out-of-network providers. Patients receive detailed super bills for potential insurance reimbursement. Check with your provider about out-of-network physical therapy benefits.
What happens during a first visit?
Initial appointments include comprehensive evaluation, medical history review, and physical assessment. Treatment may begin with manual therapy, biofeedback, or exercise instruction based on individual needs.
Are sessions private?
Yes, all treatments occur in private rooms with appropriate draping for patient comfort and confidentiality during pelvic floor therapy sessions.
How long are appointments?
Initial evaluations last 60-75 minutes. Follow-up sessions typically range from 45-60 minutes depending on treatment complexity and patient needs.