About ActiveCare PT:

  • Our therapists are licensed in New York State and active members in the American Physical Therapy Association. We have advanced training in joint mobilization and myofascial release techniques.
  • We are dedicated practitioners with a passion for the profession and a comprehensive, holistic approach to treatment and healing. We treat each patient as an individual and treat the whole person, with a plan of care designed to meet the patient’s set goals for health, functionality and a return to work, tasks and activities. We network with a team of physicians, chiropractors, acupuncturists and massage therapists in order to provide guidance to other modalities that may be effective in the patients’ care.
  • Physical Therapist and owner Karena Wu is a graduate of the Program in Physical Therapy at Columbia University and is affiliated with several healthcare organizations in New York City. She is certified as a Strength and Conditioning Specialist, Kinesio Taping Practitioner and Pilates Instructor, and uses SpiderTech Taping.
  • ActiveCare is primarily an out-of-network facility. We accept all insurance with out-of-network benefits and file for most major insurance plans. We work with all prospective patients to create workable payment plans regardless of insurance coverage.
  • ActiveCare accepts Medicare, No-Fault and Workers’ Compensation patients depending on schedule availability.
  • ActiveCare’s administrators provide seamless and efficient concierge-style client service to all of our patients. And the whole ActiveCare team makes sure your time with us is a beneficial, productive and enjoyable experience.

Sex: An Activity of Daily Living

By Karena Wu, PT and Clinical Director, ActiveCare Physical Therapy
Sex: An Activity of Daily Living
Image courtesy of medicinenet.com

As a physical therapist of 15 years, I have been involved in a lot of educational talks about things to return to in life. These are called activities of daily living (ADL) and they are things that are done on a daily basis by almost everyone. They include activities like dressing, grooming, and self-care. We take into consideration other things like commuting, work-related duties, school-related duties, care-giving and recreational activities. Everyone should be able to participate in all of these activities, ideally pain-free and with no to minimal limitations.

Sex is an activity of daily living. It is a necessary component of life for procreation as well as recreation and stress management. It’s discussed in the news, in media, in the open and in secret conversations. It’s a hot topic and has been around since Adam and Eve. It’s also necessary to discuss it with our patients when they are injured and their partners are asking “when can we…?”

As quoted by Talli Rosenbaum, PT, MSc, AASECT (certified sex therapist) in PT in Motion magazine (April 2015): “Sexual health is an integral component to overall wellness. Sex can be limited by the very domains that physical therapists treat: Engaging in comfortable and enjoyable sexual activity requires the ability to feel, touch, and move.”

It can be uncomfortable to discuss, but we are healers and givers of information, so we need to address the topic. Sometimes we need to discuss the right position to be in for a specific condition, e.g. low back disc herniations. Women should maintain their lumbar lordosis (or extension) in their low back, which means avoiding positions that flex the spine (being on the bottom). The best position for her is rear-entry position (aka “doggie-style”). I know all male partners are now enjoying this piece…

With this same condition, the opposite would hold true for a male. It would be more beneficial for the male to be on the bottom because when the male is on top, the movement during sexual activity increases the flexion moment in the spine.

It’s simple; it’s informative. Address the condition, avoid the aggravating position, suggest an alternative and impart the information. Your patient and their partner will thank you for it as they get back to their enjoyable ADL’s!

To learn more, call ActiveCare Physical Therapy at (212) 777-4374 or visit www.activecarephysicaltherapy.com.

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