Fiana Tulchinskaya, PT, DPT, PCES

How Fiana Found Pelvic Health

After earning her doctoral degree in Physical Therapy from Stony Brook University in 2014, Fiana Tulchinskaya's journey in healthcare began with pediatric patients, for whom she provided rehabilitative care in schools, outpatient clinics, and at-home visits.

While working with young patients was incredibly rewarding, there was a persistent idea in the back of her mind — thanks to a particularly inspiring professor who had introduced her to the specialty years before — that she should be working in pelvic health. The birth of her own child sealed the deal, as Fiana's eyes were opened to the limited postpartum support available for women. The idea to pursue a specialty in pelvic floor physical therapy officially took root once she began to see the lack in pelvic health support for people of all genders and ages.

Specialized Training

With specialized training from Herman & Wallace Pelvic Health Institute, coursework in Myofascial Release, a Postpartum Corrective Exercise Specialization (PCES), and pediatric bowel and bladder training, Fiana's commitment to continuous learning ensures she employs the latest evidence-based approaches in her practice and can effectively treat a wide range of patients.

Degrees, Certifications and Trainings

• BS, Biology (minor in Adapted Aquatics) — Stony Brook University
• Doctor of Physical Therapy (DPT) — Stony Brook University
• Pregnancy and Postpartum Corrective Exercise Specialist 2.0 (PCES) — Corrective Exercise Solutions

Additional trainings: Fascial Pelvis (John F. Barnes Myofascial Release Approach); Treatment of Bowel and Bladder Disorders, Peds Level 1 (Kids Bowel and Bladder); Pelvic Floor 1, 2A, and 2B (Herman & Wallace); Birth Healing Summit (Lynn Schulte Institute for Birth Healing); Bowel Bootcamp (Pelvic Global); Treating and Training the Female Runner (Julie Wiebe); Birth Preparation (Chantal Traub); Pelvicon 2025.

Her Approach

The first thing Fiana wants a new patient to feel is heard. Pelvic health means talking about things most of us are taught to keep private — bowel function, bladder function, sexual function — and she works hard to take the awkwardness out of it. Her standing rule: "There's no such thing as TMI in here. Tell me everything you think is relevant, because it's going to help your treatment."

She's also on a personal mission against fear-based advice. Patients arrive terrified of their diastasis recti (which is often smaller than they think — and sometimes not there at all), afraid to rotate their spine during pregnancy (rotation is not just allowed, it's important), and convinced sit-ups are forbidden (they aren't). Fear of movement creates its own pain cycle — guarding, stiffness, more pain. A huge part of her work is showing people, hands-on, that their body is more capable than the internet told them.

Birth Prep, From Someone Who's Been in the Room

Beyond her own experiences of pregnancy, birth, and postpartum recovery, Fiana has attended multiple births supporting close friends — an unofficial doula with real delivery-room experience. When she prepares a patient for labor, she's preparing them physically and mentally for what the room actually feels like, especially patients hoping to deliver without pain medication. One of her proudest recent outcomes: a patient's third delivery — and first without an episiotomy — after weeks of perineal preparation, scar release, and pushing practice. That story is on our Patient Stories page.

Pediatric Pelvic Health Expertise

Fiana came to pelvic health from pediatric physical therapy, and she brings that comfort with young patients and their families into the clinic. Childhood constipation, bedwetting, and daytime accidents are more treatable than most parents realize — and often start with things as simple as bowel mechanics, diet, and behavior. (One sign most families dismiss: skid marks in a child's underwear are usually a sign of constipation, not carelessness.) Pediatric work is always external and always family-centered — when you treat a child, you're working with the whole family.

Graduation Day

Fiana is explicit with every patient: "I am not here to keep you here forever. The goal is to make you independent — to give you the tools to treat yourself." When a patient can get through a whole day without thinking about their pain or their leaking, that's the finish line, and she celebrates it like one.

Conditions Fiana Treats

• Postpartum recovery with corrective exercise focus
• Diastasis recti
• Pediatric bowel and bladder issues
• Chronic pelvic pain
• Myofascial pain syndromes
• Urinary incontinence

What Patients Say

"Fiana is a miracle worker! She addressed both a pelvic floor issue and a pinched nerve down my leg with total diligence and professionalism, and to excellent results. On top of that, she's just a warm and friendly person. I can't recommend her highly enough."
— Verified Google review

Outside the Clinic

Fiana lives in Orange County, New York, with her partner and two children, whom she homeschools. Her childhood in Queens didn't prepare her for life in the "country," and she marvels daily at the amount of stars she can see in the night sky. Fiana is an aspiring gardener and likes to crochet, hike, and swim, and nurtures a sourdough bread baking habit that began in 2018.

She'll also tell you, unprompted, why she's here at all: "I can stay home, but I don't want to — because I enjoy helping these people. I see the difference we make so quickly. When someone literally cannot get through the day without feeling awful, and then they can — it's really, really huge."