

Difficulty in maintaining different postures due to constant discomfort.
Persistent pain (genital, anal, perineum, groin) affecting your ability to perform daily tasks.
Limited mobility hindering active participation in physical activities.

Struggles with getting or maintaining erections (ED).
Frustration with inability to last as long as desired due to early ejaculation (EE).
Difficulty with ED and EE despite medications.


Pelvic floor muscle weakness before and after surgery affecting your personal life.
Lack of effective rehabilitation programs to address specific needs.
Continued discomfort even after normal tissue healing times.

Feeling the need to go often, yet very little comes out.
Feeling leakage when lifting, coughing, sneezing.
Difficulty making it to the bathroom in time.

Integrative/Holistic Physical Therapist with 25 years experience
1 on 1, Personalized Care - No handoff to other PTs
Trauma-Informed (Polyvagal Theory)
Psychologically-Informed (Pain Neuroscience Education, Acceptance & Committment Therapy)
Have tried traditional Physical Therapy without lasting relief
Value privacy and one-on-one care
Want a thoughtful, thorough approach to male pelvic care
Prefer more focused visits that go beyond symptom control
Are willing to invest in getting clear answers and a personalized plan


Collaborative Approach
Personalized Rehabilitation Plans
Hands-on Therapy and Breathwork to Mobilize Restricted Tissue
Targeted Exercises
Whole-person Care
Real-time Ultrasound for Biofeedback











75 minute one-on-one session
Understand your specific needs and challenges
Expert guidance and advice

Education
First Treatment
Next Steps
Peace of Mind

No long-term obligation
Follow-up as needed
or
Choose a care plan
Detailed history and assessment
Education about what's contributing to your symptoms
Hands-on treatment, exercises, and biofeedback as appropriate
Clear plan moving forward
Hands-on treatment and guided exercise based on what your body needs that day
Ongoing feedback and plan adjustments to help you progress confidently between visits
Flexible scheduling without a long-term commitment — book visits as needed based on your progress and level of support.
Begin addressing symptoms consistently
Build skills and strategies you can use between visits
See how your body responds to treatment
75 minute 1st visit, 2- 60 minute follow-ups scheduled at a pace that makes sense for you.
Long-standing pain
Multiple or recurring symptoms
Extra support for building confidence and maintaining progress
75 minute 1st visit, 5- 60 minute follow-ups scheduled at a pace that makes sense for you.
Education about pelvic floor function
Pre-operative strategies and exercises
Reducing post-procedure complications and recovery time
Stand-alone session that does not require ongoing care


If you are looking for a male physical therapist specializing in men's pelvic health, Below The Belt Health provides dedicated care right in the Mid-Hudson Valley. Located at 8 Barrister's Row in Wappingers Falls, NY, our clinic is led by Dr. Ali Ece, DPT. We offer private, specialized pelvic floor rehabilitation for men throughout Dutchess County, Poughkeepsie, Fishkill, Beacon, and the surrounding regions, saving you from having to commute into New York City.
A specialized male pelvic floor physical therapist treats a wide range of neuromuscular and chronic pain conditions affecting the pelvis, abdomen, and groin. At Below The Belt Health, we commonly help men experiencing:
Pelvic & Groin Pain: Persistent discomfort in the genitals, perineum, anus, or lower abdomen, including Chronic Pelvic Pain Syndrome (CPPS) and chronic prostatitis symptoms.
Urinary & Bowel Dysfunction: Symptoms like frequent urination, sudden urgency, slow urinary flow, or leaking/incontinence when exercising, coughing, or laughing.
Sexual Dysfunction: Pelvic floor weakness or tension contributing to erectile dysfunction (ED) or early ejaculation (EE) - also known as Premature Ejaculation (PE).
Post-Surgical Recovery: Pre- and post-operative rehabilitation for prostate surgery (prostatectomy) or abdominal procedures.
Yes. Dr. Ali Ece specializes in treating complex chronic pain conditions like Chronic Pelvic Pain Syndrome (CPPS), pelvic floor hypertonicity (overactive muscles), and non-bacterial prostatitis. Unlike general physical therapy practices, our treatment protocols target the nervous system, pelvic floor tension, and myofascial restrictions to address the root drivers of chronic pelvic discomfort.
Every session at our Wappingers Falls clinic is held in a completely private, one-on-one setting designed to maximize your comfort and privacy. Dr. Ali Ece utilizes a modern, trauma-informed approach that combines hands-on manual therapy, nervous system down-regulation, customized breathwork, and real-time ultrasound imaging. Real-time ultrasound acts as a visual biofeedback tool, allowing you to see your pelvic floor muscles working on a screen so you can learn how to coordinate, relax, or strengthen them accurately.
Below The Belt Health operates as an out-of-network provider. This cash-based model allows us to provide longer, highly individualized, one-on-one sessions that are completely unconstrained by insurance company restrictions or caps on care. While we do not bill insurance companies directly, we can provide you with a detailed superbill (comprehensive documentation) that you can submit to your insurance provider to seek reimbursement using your out-of-network benefits.
We want to ensure that our specialized approach is the perfect fit for your specific health goals before you commit to an appointment. We offer a free 15-minute virtual discovery visit where you can chat with Dr. Ece, discuss your symptoms, and learn more about our treatment options. You can easily schedule your complimentary discovery call directly through the Below The Belt Health official website.
We recognize that cost can be a barrier for some people. A small number of reduced-fee spots are available on a limited basis. Please reach out to discuss whether this may be an option for you.
It depends on your specific condition and how long your symptoms have been present. Longer-standing issues usually require more time. You’ll receive a personalized plan at the end of your initial visit. Some people choose just one session to gain clarity and a roadmap to follow on their own, while others prefer multiple visits for guidance, feedback, and accountability.
In most cases, yes. Physical therapy is typically considered an eligible medical expense, so HSA or FSA funds can often be used to pay for your visits. We recommend checking with your plan administrator to confirm your specific coverage. A detailed receipt or superbill can be provided upon request.
We start with a thorough discussion of your issues. Then a physical assessment will look for things like breathing patterns, joint mobility, muscle strength, and coordinated movements. Treatment of tender points and dysfunctional patterns are often initiated during the assessment. You'll leave with an exercise and behavior change plan to start implementing right away.
I work with your comfort level. While seeing and feeling areas of concern gives me more insight, a lot can be accomplished even with minimal exposure and palpation. Nudity and internal examination are not mandatory.
In New York State, you can see a physical therapist without a referral for up to 10 visits or 30 days. If additional care is needed beyond that, a referral may be required.

