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Your Trusted Physical Therapy Partner in Coral Gables
At Partnership in Therapy, we are dedicated to providing compassionate, professional physical therapy for individuals suffering from pelvic floor muscle dysfunction, spine-related issues, and conditions associated with pregnancy and the postpartum period. Our approach centers on building strong partnerships with our patients, ensuring personalized care tailored to each individual's unique needs. With over two decades of combined experience, our team of highly credentialed practitioners conducts thorough evaluations and crafts customized treatment plans in a serene, private environment.

We specialize in addressing complex conditions such as pelvic pain, urinary incontinence, and post-mastectomy pain, while maintaining a commitment to patient education and holistic wellness. Our physical therapists coordinate closely with other healthcare providers and offer referrals when appropriate, ensuring comprehensive care. As an extension of our dedication to excellence, we maintain affiliations with leading institutions like the University of Miami Miller School of Medicine and actively contribute to professional research and education in women's health physical therapy.
Services
Pelvic Physical Therapy Pregnancy and Postpartum Issues Back and Neck Pain Pelvic Organ Prolapse Diastasis Recti Osteoporosis Management Post-Mastectomy Pain Relief Biofeedback Therapy Myofascial Release Pilates-Based Rehabilitation
Highlights and features
  • We offer board-certified expertise in women's health physical therapy
  • Our treatment plans are individually tailored through comprehensive evaluations
  • We maintain affiliations with leading medical institutions
  • Our therapists coordinate care with other healthcare providers
  • We provide continuing education to advance pelvic rehabilitation practices
Services
Pelvic Physical Therapy
Specialized treatment for pelvic floor dysfunction addresses conditions like pelvic pain and urinary incontinence through manual therapy and biofeedback. Our board-certified therapists use both external and internal techniques to release trigger points and improve muscle function. This therapy benefits patients experiencing painful sex, bowel dysfunction, and post-surgical recovery.
Pregnancy and Postpartum Issues
We treat pregnancy-related conditions including lower back pain, pelvic instability, and postpartum recovery from childbirth. Our approach addresses perineal pain, bladder issues, and pelvic organ prolapse through targeted exercises and manual therapy. Treatment continues post-delivery to restore core strength and address diastasis recti.
Back and Neck Pain
Our specialists address cervical and lumbar spine pain caused by herniated discs, poor posture, or muscle imbalances. Treatment combines manual therapy, myofascial release, and therapeutic exercise to improve mobility and reduce nerve compression. We also treat sacroiliac joint disorders contributing to chronic back pain.
Pelvic Organ Prolapse
We provide conservative management for pelvic organ prolapse through pelvic floor strengthening and lifestyle modifications. Our therapists address bladder, uterine, and rectal prolapse caused by pregnancy, chronic constipation, or obesity using non-surgical interventions to improve support structures and reduce symptoms.
Diastasis Recti
Specialized treatment for abdominal muscle separation focuses on core stabilization and progressive strengthening. We employ Pilates-based exercises and manual therapy to restore midline integrity and improve trunk stability, particularly for postpartum women experiencing weakened abdominal walls.
People
Pamela Downey
Owner, Physical Therapist
Dr. Downey is a board-certified women's health specialist with advanced biofeedback certification. She teaches at the University of Miami and contributes to professional research in pelvic rehabilitation.
Leni Rapp
Physical Therapist Assistant
With 22 years of orthopedic experience, Leni specializes in pelvic floor therapy using Pilates and manual lymphatic drainage techniques. She holds advanced certifications in pelvic dysfunction treatment.
Hilda Granai
Pilates Instructor
PMA-certified Pilates instructor with international training in dance and movement therapy. She develops post-rehabilitation exercise programs to prevent future injuries and improve functional strength.
Giglia Mayer
Pilates Instructor
Brazilian-trained physical therapist with 12 years of clinical experience. She integrates Pilates with acupuncture and personal training to optimize body mechanics and movement efficiency.
Questions
What is pelvic floor physical therapy?
Pelvic floor physical therapy addresses conditions affecting the muscles supporting the pelvis, treating issues like pelvic pain, incontinence, and sexual dysfunction through manual techniques and exercise.
Do you treat both men and women?
Yes, we treat pelvic floor dysfunction in both genders, including conditions like prostatitis in men and postpartum issues in women.
How do you personalize treatment plans?
We conduct thorough evaluations and collaborate with patients to create customized programs addressing their specific diagnoses and functional goals.
What qualifications do your therapists hold?
Our team includes board-certified specialists in women's health and biofeedback, with affiliations to major medical institutions.
Can you help with pregnancy-related pain?
Yes, we specialize in treating pregnancy-related conditions including lower back pain, pelvic pain, and postpartum recovery issues.