RESTORING CORE BALANCE WITH PELVIC FLOOR HEALTH
By: Lennard M. Goetze, Ed.D
“We don’t just treat dysfunction,” Dr. Angelle explains. “We strengthen the foundation that supports everything else—core stability, mobility, and confidence.”
The Power Beneath the Surface
Dr. Angelle sees this in patients of every age and background—from postpartum women to aging adults with neurological or surgical complications. Her treatments emphasize re-education of the core and gluteal structures while freeing tissue restrictions through manual therapy and myofascial release.
“It’s hard to know whether a patient’s dysfunction is caused by surgery, aging, or prior illness,” she says. “But we treat the whole system—strengthening the pelvic floor, core, hips, and surrounding musculature to restore natural control.”
Her work exemplifies the whole-body approach to restorative therapy, aligning perfectly with broader initiatives in fall prevention and longevity care.
Hands-On Healing in a Digital World
In an era when telehealth dominates much of rehabilitation, Dr. Angelle remains deeply committed to the hands-on craft of physical therapy. Her sessions are tactile, precise, and grounded in the understanding that true recovery requires more than instruction—it requires touch.
“Our entire assessment depends on palpation,” she explains. “Feeling how tissue moves tells us what the body can’t verbalize. Half of my treatment is hands-on—releasing restrictions, improving circulation, and retraining the body’s memory of movement.”
Her thirty-to-sixty-minute sessions often include soft-tissue and suprapubic work, cupping therapy, and abdominal mobilization, promoting circulation and tissue elasticity where stiffness impedes function. Patients are also guided in customized home programs—ranging from toileting retraining to stretching, strengthening, and, for some, the use of dilators or pelvic wands to restore elasticity and comfort.
“Pelvic health therapy,” she adds, “is as much about habit retraining as it is about muscle retraining. Healing happens between sessions—the body learns by doing.”
Technology Meets Therapeutic Precision
Before joining Northwell, Dr. Angelle practiced in Houston, where she refined her expertise in advanced modalities that are now shaping the future of pelvic rehabilitation. Among these are:
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Biofeedback and EMG systems that use internal or external sensors to display muscle activation on a monitor, helping patients visualize and control pelvic muscle engagement.
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Ultrasound imaging for biofeedback, allowing patients to watch in real-time how muscles and organs interact—strengthening the connection between mind and body.
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PTNS (Posterior Tibial Nerve Stimulation), a minimally invasive technique that uses a fine needle and low-frequency current near the ankle to modulate bladder control through the S3 nerve root.
Each of these technologies complements her manual and exercise-based care, allowing therapy to progress from awareness to mastery.
“When patients see their own progress—literally on a screen—it changes everything,” she says. “They realize they have control again.”
A Calling Born from Personal Experience
“Pelvic dysfunction affects every part of life,” she reflects. “If you can’t be intimate, or you’re afraid to leave home because of leakage, it changes how you see yourself. These are issues people often suffer in silence—and they deserve to be addressed with compassion and science.”
Her empathy translates into an environment where patients feel seen and supported, regardless of age, gender, or background. “I see both men and women for urinary, bowel, and pain-related issues,” she adds. “We address everything from post-surgical recovery to sexual health—because it’s all part of restoring quality of life.”
Education, Empowerment, and the Science of Change
For Dr. Angelle, every treatment plan is an education. She guides patients to understand the “why” behind their symptoms, empowering them to change lifelong habits.
“A lot of dysfunction starts with poor daily patterns—how we sit, how we breathe, even how we use the bathroom,” she explains. “We retrain those habits alongside the musculature. I’m a coach as much as a clinician.”
This approach makes her an integral part of multidisciplinary longevity programs, where pelvic health intersects with neuromuscular stability, gait retraining, and core rehabilitation. Her collaborative work supports individuals recovering from trauma, surgery, or degenerative conditions—restoring both function and confidence.
The Doctor Behind the Expertise
Dr. Leah Angelle earned her Doctor of Physical Therapy degree from Louisiana State University Health Shreveport. She is CAPP-OB Certified, a Credentialed Clinical Instructor, and a member of the American Physical Therapy Association’s Pelvic Health and Acute Care Sections and the Texas and Louisiana Chapters. Her certifications include dry needling, manual therapy, and advanced pelvic rehabilitation training. Through Northwell’s STARS program, she brings evidence-based care to patients across New York, combining the precision of modern physical therapy with the empathy of patient-centered medicine.
Changing the Conversation on Pelvic Health
Pelvic health is no longer a niche specialty—it’s becoming a vital pillar of preventive care, especially in the context of aging and longevity. By restoring muscular harmony and stability, Dr. Angelle’s work helps patients move confidently, reduce falls, and reclaim their sense of self.
“Pelvic floor therapy isn’t just about recovery,” she concludes. “It’s about reclaiming strength, dignity, and control. Once patients understand that, they stand taller—literally and figuratively.”
In the continuum of smarter aging, Dr. Leah Angelle reminds us that true vitality starts from the center. Her work embodies the quiet power of balance—the foundation of every step, every breath, and every confident life.
PART 2
The Power of Attitude in the Art of Rebooting
Integrative Endocrinologist | Longevity & Wellness Specialist
Longevity is not only a measure of time—it is a mindset. In medicine, we often focus on numbers: lab values, blood pressure, cholesterol, hormone levels. But behind every biological marker is a deeper truth—our attitude shapes our health trajectory. The way we think, react, and adapt directly influences the hormones that govern repair, metabolism, and vitality.
Rebooting your life begins with an attitude adjustment. It requires challenging the subtle beliefs that whisper, “I’m too old for this,” or “It’s too late to change.” These thoughts are biochemical signals that shut down momentum. They breed stagnation, inflammation, and decline. Conversely, curiosity, optimism, and self-belief are regenerative—they literally reset your internal chemistry. A hopeful mindset enhances neuroplasticity, supports balanced cortisol rhythms, and fuels the endocrine pathways of growth and renewal.
Smarter aging is about refusing the trap of “old-person thinking.” It is not about chasing youth, but embracing evolution. Each decade of life offers a new opportunity to upgrade how we eat, move, and recover. Science has now proven that even modest adjustments—fifteen minutes of daily walking, mindful breathing, or strength training—can restore mitochondrial activity and reverse metabolic rigidity. The body is eager to adapt when the mind gives permission.
A rebooted life is a conscious act of authorship. It means reclaiming control over the story we tell ourselves about aging. Attitude is the ignition switch—it transforms limitation into resilience, fear into fuel, and routine into renewal.
So the invitation is simple: start where you are, with what you have. Move with purpose, eat with awareness, rest with gratitude, and believe that regeneration is your birthright. Longevity begins the moment you decide to live fully—today.
