1. What is pelvic floor therapy?
Therapy to the pelvic region of the body. This includes but is not limited to pelvic pain or discomfort, urinary incontinence, and pelvic organ prolapse.
2. What kind of treatment does it involve?
Treatment includes but not exclusive to external and internal manual therapy including myofascial release, and trigger point release as well as dry needling as needed. Treatment also may include biofeedback, electrical stimulation, transcutaneous electrical nerve stimulation (TENS).
3. What is biofeedback?
Biofeedback is a type of measuring tool for therapist. It allows a therapist to see your muscle contractions. This is done by attaching an external sensor to your pelvic floor muscles. This sensor will be attached to a computer by a wire. You and your therapist will be able to watch the computer to see every time you contract and relax your muscles.
4. Is Acupuncture the same as dry needling?
No. Dry needing and Acupuncture use the same needle types, but they are two very different treatments. Acupuncture is used for diagnosis and treatment of pathological conditions where Dry needling is used for myofascial pain and discomfort. Dry needling is used to loosen trigger points, tense areas, and muscle spams.
5. What can I expect on a Pelvic Floor Examination?
As with any physical therapy examination, the evaluation will begin with talking to the physical therapist about your current problem/concern. Information your physical therapist will want to know include where you have pain, what causes your pain, information about previous pregnancies and deliveries, surgical history, and medication history. If you have had any previous bladder testing or imaging, this will be discussed as well. If you are not having pelvic pain, but instead are concerned about bladder retention or leakage, you and your physical therapist will discuss how frequently you are voiding (urinating), diet, activity level, and information regarding pads you have been using along with any surgical history, testing/imaging, and history of previous pregnancies/deliveries.
The way your hips and back are aligned can often tell us a lot of information about your pelvic pain. We will begin by watching how you move and walk as well as checking alignment and typical muscle testing. We will also check for diastasis recti, or a separating of the abdominal wall that is common post-partum.
Pelvic Floor Muscle Exam
The pelvic floor muscle examination is very different from the typical pelvic exam you are used to having performed at a gynecologist’s office. The pelvic floor muscle examination will be completed in a private treatment room with your physical therapist. Another person may act as a chaperone to be present in the room if you request, otherwise it is a one-on-one treatment session. The pelvic floor muscle examination requires the patient to undress from the waist down but draping will performed for privacy. The physical therapist completes the exam using a gloved hand as the testing instrument. No speculums are utilized. For this examination, the physical therapist will examine the perineal area (vaginal area) externally to look for any asymmetries, scarring, or tissue abnormalities that help us identify areas of inflammation or irritation. Following this external examination, an internal examination will be performed with the patient’s permission. The internal examination utilizes a gloved hand as the physical therapists tool to assess the muscles of the pelvic floor. Through palpation of the vaginal wall, the physical therapist can assess muscle tightness, areas of tenderness or pain, and muscle strength. The pelvic floor muscles will be assessed for strength to better help understand areas of weakness and dysfunction.
Plan of Care
Through this examination, the physical therapist will find any muscle weakness, tightness, and areas of dysfunction. Combined with the history, this helps the physical therapist create a treatment plan for your pelvic pain or bladder dysfunction. Treatment often involves manual treatment both internally and externally, strengthening, relaxation training, and behavioral interventions that all work together to solve your problem!
6. How many visit does it take to see improvements?
Most people see improvements in only 2 to 3 visits.
7. Do I need a referral?
No, you do not need a referral to be scheduled and treated at HIS Therapy. If however your doctor is referring you and has written you a prescription or you have medical notes, please bring them. Anything you think is helpful to us to better understand your medical situation would be beneficial to bring to your first appointment.
8. Why should I choose a private clinic?
Our treatment includes one-on-one care, individualized programs which exam and treat you personally.
9. What insurance is accepted?
We do not file insurance at HIS Therapy. We accept payment by cash, check or credit cards at the time your service is rendered. We do provide receipts electronically or print out if you prefer so that you may file with your insurance company.
An insured patient was seen for outpatient surgery. The patient was referred for rehab therapy and three months later received a bill in the mail for over $600.00 for therapy services. No one warned the patient about insurance issues to cover the therapy.
This patient is now treated at His Therapy because we will never invoice you after your therapy. We do not send bills. Charges are paid at time of service and all surprise bills are eliminated.
“If you are willing to pay a massage therapist, why hesitate to pay cash for services provided by a master’s level skilled Physical Therapist?” ~DWhy pay cash for PT?At His Therapy, our patients have access to a highly trained and skilled Physical Therapist where they receive focused care. We treat patients individually and provide specialized, full hour Physical Therapy treatments to achieve faster results. We are focused on taking care of your health needs, not bargaining with health insurance companies over what is best for them. Patients can feel confident they will receive unique, personalized, quality care at His Therapy. Do not allow insurance coverages to set the value of your health. Invest in yourself!
Cash Based Physical Therapy vs Traditional Physical Therapy
Cost per Visit: $99.00
Avg. Number of visits: 5
Time Spent with PT: 300 minutes
Total Cost: $495.00
Cost Per Minute: $1.65
Cost Per Visit After Deductible/Co-Pay: $60.00
Number of visits: 12
Time Spent with PT: 15 per 30 minute visit - 180 minutes
Total Cost: $720
Cost Per Minute: $4.00