FREQUENTLY ASKED QUESTIONS

WHAT IS PELVIC FLOOR PHYSICAL THERAPY?

Pelvic floor physical therapy is the treatment of the musculoskeletal system between your shoulders and your knees and beyond. This often focuses on dysfunction of the pelvic floor muscles that span the bottom of our pelvis from the pubic bone, tailbone, and sit bones. The pelvic floor muscles have a number of important functions: not letting us lose urine or bowels, supporting our organs, supporting our core, and enhancing sexual pleasure.

The pelvic floor muscles can become overactive or "tight" and have trouble letting go or be weak and unable to support the core. Pelvic floor muscle weakness can manifest as leaking urine when we exercise, laugh, cough or sneeze, leaking stool, pelvic organ prolapse, and back pain. 

When the pelvic floor muscles are overactive people can have issues including pelvic pain with intercourse, sitting, or in the tailbone, trouble starting the stream of urine, and back and abdominal pain.  

Life events such as being pregnant, giving birth, stress, trauma, and surgery can affect the strength and coordination of these muscles. Many people with pelvic floor dysfunction have not had children.

WHAT TO EXPECT DURING YOUR FIRST VISIT

Physical therapy starts with an evaluation including a discussion of the problem you are seeking help with, what you want to improve, and your medical history. Depending on what was discussed, the physical therapist may want to perform physical tests and measures such as watching how you move, testing your strength, and testing your flexibility.  We often recommend an internal and external pelvic floor examination. However, any examination is optional and based upon your comfort.  After these tests, the physical therapist will start treatment to resolve any impairments such as weakness, tightness, postural alignment, breathing, and habits. Treatment may include exercises, manual therapy, and a home program.

PAYMENT

In order to provide quality care and one on one time with our clients, we currently do not accept insurance. 
We can provide an itemized super bill with the codes required for you to submit to your insurance provider for possible reimbursement using your out of network benefits. If this interests you, please contact your insurance provider to determine your out of network benefits. 
Wellness consultations are considered a wellness service and therefore do not qualify for insurance reimbursement.

 

617-440-5657

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