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Pelvic health physical therapy is a specialty that focuses on the dysfunctions in the pelvic region of the body. This includes conditions of the abdomen, back, pelvis, hips and thighs. However, our body is a tight knit network, interconnected with bones, muscles and various soft tissues. Thus a full body assessment of alignment, movement, strength and flexibility will always be considered.
New York State is a direct access state, which means you are able to have physical therapy treatment without a prescription or referral from a physician.
Direct access in NY allows 10 treatment sessions of PT within 30 days. Please note however, if you are seeking reimbursement from your health insurance provider, they may require a prescription.
The evaluation begins with a conversation to obtain a patient's detailed medical history, reason for coming to therapy and specific goals the patient may have. Typical objective measurements assessed include the patient's body alignment, various joint mobility and range of motion, flexibility, movement patterns, strength and other dysfunctions related to the patient's condition. For pelvic floor related conditions, a gentle internal examination (vaginal or rectal) will be performed to assess pelvic floor tension, strength and function. The session will end with a short treatment and a simple home program to begin.
For pelvic floor dysfunction, an internal vaginal and/or rectal examination is the gold standard; however, not every patient is required to participate in this part of the assessment. I will make sure you are comfortable throughout your session and it is always the patient's choice as to participate in any part of the assessment/treatment. With this in mind, there are many other structures of the pelvic region that are assessed externally and these are also a large focus of the treatments.
Yes. If your flow is light and you feel comfortable, internal pelvic floor work is still appropriate. If your flow is heavy and/or you feel uncomfortable, internal work is not necessary. There is always external work that can be focused on for that session.
The amount of treatments needed is very individualized. I can better answer this question after the evaluation. Typically a patient will benefit from having treatments on a weekly or biweekly basis.
Yes. Every patient will be given a customized home program to include exercises, proper posture for your body and education on how to properly care for yourself. The goal is self empowerment and self efficacy.
Cancellations within 48 hr of your session are subject to a $50 fee. Patients that miss a session without notice, are subject to a full session fee.
No. I am out of network, meaning patients pay at time of service and I can provide you with a superbill to submit for reimbursement if you have out of network benefits. This is not a guarantee of reimbursement. You may use your Flexible Spending Account (FSA) or Health Spending Account (HSA).
Payments are due at time of service. Cash, check, and credit cards cards are accepted. FSA and HSA cards are commonly accepted as well. Upon request, you'll receive an invoice to submit for reimbursement from your insurance provider.
The 90 minute evaluation is $295. The 60 minute follow up sessions are $195. I offer special packages of follow up sessions that provide savings.