Pelvic Floor Condition
Uterine Fibroids
By Dr. Anthony J. Gordon, Doctor of Acupuncture | Last reviewed September 2026
There is a constant heaviness in your pelvis, your periods are heavy, your low back aches, and you seem to need the bathroom more often. Fibroids take up space, and the muscles around the uterus respond by tightening and guarding. That muscle response adds pain and pressure of its own, and it is something Dr. Gordon can treat.
Prefer to talk it through? Call (516) 597-5400. Most new patients are seen within one to two weeks.
Overview
Understanding Fibroids and Pelvic Pain
Uterine fibroids are non-cancerous growths of the uterine muscle. They are very common, especially in the thirties and forties, and many cause no symptoms. When they do, they can lead to heavy or long periods, pelvic pressure, low back pain, frequent urination, constipation and pain with intercourse, depending on their size and location.
As fibroids press on the bladder, bowel and pelvic walls, the surrounding muscles adapt. The pelvic floor, abdominal wall, low back and hips can tighten, creating trigger points and added pain. After procedures or surgery for fibroids, scar tissue and lingering guarding can keep discomfort going even when the fibroid is gone.
Your gynecologist manages fibroids with monitoring, medication or procedures. Dr. Gordon treats the pelvic floor and muscle contributors to pain and pressure, both before and after medical treatment.
Uterine Fibroids at a Glance
Also called
Leiomyomas, myomas
Who it affects
Very common in women in their thirties and forties
Common symptoms
Heavy periods, pelvic pressure, low back pain, urinary frequency, constipation
Typical medical care
Monitoring, medications, embolization, myomectomy or hysterectomy
What Dr. Gordon addresses
Pelvic floor guarding, low back and hip tension, post-procedure scar and muscle pain
The Gap in Care
What Else Adds to Fibroid Pain
Fibroid care focuses on size, location and bleeding, which is essential. Dr. Gordon assesses the muscle response to fibroid pressure and the tension left after procedures.
What routine testing is looking for
- Fibroid size and location on ultrasound or MRI
- Bleeding and anemia
- Effects on fertility
- Growth over time
What often keeps symptoms going
- Pelvic floor tension from ongoing pressure
- Low back and sacral muscle guarding
- Abdominal wall trigger points
- Scar tissue after myomectomy or hysterectomy
- Urgency from pelvic floor tension around the bladder
These are found with a hands-on assessment of the pelvic floor, abdomen and low back.
Signs & Symptoms
Does This Sound Like You?
Symptoms vary from person to person. These are the patterns Dr. Gordon sees most often.
Pelvic pressure or heaviness
A full, dragging feeling in the lower abdomen.
Heavy or prolonged periods
Periods that are heavier, longer or more painful than before.
Low back pain
An ache in the low back or sacrum, often worse around your period.
Frequent urination
Needing to urinate often or urgently.
Constipation or bowel pressure
Difficulty with bowel movements or rectal pressure.
Pain with intercourse
Deep pain during or after sex.
Root Causes
The Four Drivers Dr. Gordon Looks For
Most people have more than one of these in play. Finding which one leads makes treatment more efficient.
Fibroid size and position
Fibroids press on nearby organs and structures. Your gynecologist monitors and treats them.
Pelvic floor guarding
Constant pressure causes the pelvic floor to tighten, adding pain, urgency and pain with intercourse.
Low back and hip muscles
Pressure and heavy periods lead to low back and hip muscle tension and trigger points.
Post-procedure scar tissue
After myomectomy or hysterectomy, scar tissue and residual guarding can keep pain going.
Your First Visit
How Dr. Gordon Evaluates Uterine Fibroids
The initial evaluation runs 60 to 75 minutes. You leave with a clear picture of what is driving your symptoms, a written plan, a realistic timeline, and in most cases your first treatment.
Records and history review
Dr. Gordon reviews your gynecologist's findings, imaging, medications and past treatments so he knows what has been ruled out and what has already been tried.
Abdominal, low back and scar assessment
Assessment of the abdominal wall, surgical scars if present, low back and hips.
External pelvic floor assessment
The pelvic floor muscles are examined from the outside, with no internal exam. With you draped for comfort, gentle pressure around the perineum, sit bones, tailbone and inner thighs checks tone, tenderness and trigger points.
Bladder, bowel and cycle review
Dr. Gordon reviews urinary and bowel patterns and how symptoms change through your cycle.
Plan and coordination
A clear plan, plus communication with your gynecologist or pelvic floor PT when that helps your care.
When to see a physician first
- Fever or chills with pelvic pain
- Unusual discharge, sores or lesions
- Bleeding after menopause, or bleeding heavy enough to soak a pad or tampon every hour
- Sudden, severe pelvic or abdominal pain
- Possible pregnancy with new pelvic pain
- New numbness in the saddle area or loss of bladder or bowel control
If you have any of these, contact your doctor or go to the nearest emergency department.
Bring to your first visit
Records
Recent lab results, imaging reports and specialist notes. These can also be faxed ahead.
Treatment history
A short list of what you have tried and what did or did not help.
Clothing
Something comfortable and loose fitting.
Treatment
How Dr. Gordon Treats It
These are the tools Dr. Gordon uses most often for fibroid-related pain, chosen from your exam findings.
Primary approach
Intrapelvic & Extrapelvic Dry Needling
Dr. Gordon holds ASE certification in both intrapelvic and extrapelvic dry needling. Treatment releases pelvic floor, abdominal, low back and hip tension that develops around fibroid pressure or after procedures. The needles go in through the skin of the buttock, perineum or inner thigh, never through the vagina or rectum.
Learn about pelvic floor treatmentNerve focus
Neuro-Functional Acupuncture
Electro-acupuncture along sacral and lumbar nerve pathways to calm pelvic pain and cramping.
See servicesBetween visits
Symptom Plan & Team Coordination
Guidance on managing pressure, bladder habits and flares, coordinated with your gynecologist's plan.
Referring provider? Contact the clinicWhat to Expect
A Typical Recovery Arc
Visits 1 to 3
Find the main driver
Dr. Gordon confirms which muscles and nerves are behind your symptoms and starts calming the most reactive areas. Many people notice early changes between visits.
Visits 4 to 8
Lower the baseline
Day-to-day symptoms ease, flares become shorter and less frequent, and normal routines start to feel more manageable.
Visits 9 to 12 and beyond
Build resilience
Visits are spaced out as improvement holds. You leave with a maintenance and early-flare plan.
Most patients are seen weekly or every other week during active care. Individual results vary with how long symptoms have been present and how reactive they are. Progress is reassessed at every visit.
Not sure how to describe it? Put your pain or discomfort into words before your visit
"Dr. Gordon is thoughtful, thorough and incredibly knowledgeable. He has significantly helped me with pain management and pelvic floor issues. I am grateful to have his expertise in my corner."
Dina Isola, Google Review
Uterine Fibroids Questions
Answers About Uterine Fibroids
Still unsure whether this is the right fit? Reach out before you book and Dr. Gordon will talk through your history with you.
No. Fibroids are managed by your gynecologist. Dr. Gordon treats the muscle and nerve contributors to your pain and pressure.
Yes. After healing, scar tissue and residual pelvic floor guarding are common and treatable. Please share your surgical dates and reports.
Fibroids can press on nerves and structures, and the low back muscles often tighten in response. Those muscles add their own pain.
Sometimes. If pelvic floor tension is adding to urgency, treating it can help, though large fibroids pressing on the bladder need medical management.
Most women start with eight to twelve sessions with reassessment.
Yes. Treatment focuses on muscles and nerves, not the uterus. Let Dr. Gordon know about any planned procedures.
Before You Book
General Questions
The clinic is an out-of-network practice. The initial evaluation is $300 and follow-up visits are $250. After each visit you receive a detailed superbill to submit to your PPO plan for possible reimbursement. FSA and HSA cards are accepted, and the clinic can run a complimentary benefits check before your first appointment. The check is a courtesy, so please confirm your coverage with your plan. See Insurance & Fees for details.
The first evaluation is 60 to 75 minutes and usually includes treatment. Follow-up visits run 45 to 60 minutes.
Yes. Call (516) 597-5400 or send a message through the contact page. This is especially helpful if your case is complex and you want to understand the approach before committing to a full evaluation.
1508 Union Turnpike, Suite 133, North New Hyde Park, NY 11040, with free parking on site. The clinic is an easy drive from Manhasset, Great Neck, Garden City, Lake Success, Floral Park and Mineola. Early morning, evening and weekend hours are available.
Most people feel a quick muscle twitch or a deep ache that lasts a few seconds. That twitch is a normal sign the trigger point is releasing. Mild soreness for 24 to 48 hours afterward, similar to a hard workout, is common. Depth, angle and stimulation are adjusted to your comfort.
Both use the same fine, sterile, single-use needles. Dry needling targets specific trigger points and tight bands in muscle based on your exam. Neuro-functional acupuncture targets nerve pathways, often with gentle electrical stimulation, to calm nerve sensitivity. For fibroid-related pain, Dr. Gordon commonly uses both.
When performed by a trained, licensed provider with detailed knowledge of anatomy, it has a strong safety record. Tell Dr. Gordon if you take blood thinners, have a bleeding disorder, are pregnant or have a weakened immune system so he can plan accordingly.
It is a technique that reaches the deep pelvic floor muscles, including the levator ani, obturator internus and coccygeus, to release trigger points and restore normal muscle function. The needles go in through the skin of the buttock, perineum or inner thigh, never through the vagina or rectum. Dr. Gordon holds ASE certification in this technique, which few practitioners in New York have.
Yes. Your privacy and comfort come first. When undressing is needed for the area being treated, you are fully draped. Needles are placed through the skin only, and nothing is ever inserted into the vagina or rectum. You can pause or stop at any time.
Yes. Many of Dr. Gordon's pelvic floor patients come to him after difficult experiences elsewhere. Every step is explained before it happens, you set the pace, and Dr. Gordon treats adults of all genders and identities in a respectful, welcoming setting.
It helps to have had a medical workup so serious causes have been checked. If you have not seen a gynecologist for these symptoms yet, call the clinic to talk through the best order of steps.
About Dr. Anthony J. Gordon
Dr. Anthony J. Gordon is a Doctor of Acupuncture licensed in New York and board certified. He holds ASE certification in intrapelvic and extrapelvic dry needling, along with advanced certifications in Functional Dry Needling and Neuro-Functional Acupuncture. With more than 18 years of clinical experience and over 3,000 complex cases treated, he focuses on pelvic, spinal and orthopedic conditions that have not responded to standard care, and works closely with each patient's physicians and physical therapists.
Read Dr. Gordon's full bioBook an Evaluation for Uterine Fibroids
Book an evaluation with Dr. Gordon and find out how much of your discomfort is coming from the muscles around the uterus.
Early morning, evening and weekend appointments available. Free on-site parking.
Symptoms
Common Symptoms of Uterine Fibroids
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