There can be, but the patient may choose or refuse any portion of the assessment. The goal is to promote awareness, healing, and confidence for daily use of the pelvic floor with urination, bowel movements, sexual function, body mechanics, & post-surgical and postpardum healing.
For most insurances a presciption is not required for the initial evaluation, but after 30 days or 10 treatment sessions, a primary care provider, gynecologist or urogynecologist must issue a prescrption to continue with care. Many pelvic conditions have multiple causes and may need a specialist to rule out more serious conditions.
Medicare does require a presciption.
Insurance coverage for pelvic floor physical therapy is the same as regular physical therapy.
During thge follow up visits, an external and/or an internal assessmentr of the abdomen and pelvic muscles is valuable, however one may choose or refuse any part of the process. Exercises to correct muscle imbalances, breathing coordination, and body mechanics will be addressed regardless of pelvic floor muscle assessment.
The frequency is dependent of the physical therapists' recommendations and the patient's commitment and desired outcomes. The average frequency is 1-2 times per week for 6-8 weeks.
The first evaluation is a 60-minute one-on-one session discussing concerns and symptoms related to the pelvis and daily activities. This evaluation is essential as it provides the opprotunity to understand medical history, including pregnancies, abdominal or back surgeries, and gynecological/urinary history. The examination will include general movement such as bending forward and backward, observing body mechanics, and strength testing. A comprehensive review of the pelvic floor musculature, pelvic organ functions, and normal bladder/bowel habits will also be discussed.
Pelvic dysfunction occurs when pelvic muscles become weak, tight, or when there is an imbalance within the surrounding joints including the low back, saccrum, coccyx, and hips. The pelvic floor is integral tro the core stabilization system, which works intimately with the organs, muscles, and joints in the region. The pelvic floor is continuously working throughout the day and often overlooked as the cause of manyt issues related to low back pain, pelvic pain, urinary and bowel incontinence.
Our physical therapists offer specialized physical therapy aimed to treat pelvic dysfunction and promote optimal pelvic health for both women and men. Pelvic floor dysfunction refers to a wide range of diagnoses pertaining to the pelvic muscles and the pelvis, including urinary/bowel incontinence, preganancy related care, pelvic pain, pelvic organ prolapse, and post partum pelvic girdle dysfunction to name a few.
Optimal Health also offers chiropractic services, complimentary to physical therapy and pelvic floor physical therapy.
Yes, you are more than welcome to come to pelvic therapy during your menstral cycle nased on your comfort level. Remember there are many types of therapeutic modalities to use during therapy sessions and not always include internal pelvic floor muscle/organ work. Most times, seeing your pelvic therapist during your menstral cycle assists in relieving period cramps, pressure, and/or low back pain.
Treatments will include education, functional movements, manual techniques, and exercise. Client dedication is more important than any exercise provided. Recommend treatment including breathing and core stability exercises improve coordination of the muscles in the pelvis, back, and core. Relaxation techniques and behavior modifications are encouraged to reduce pain and regain control for daily tolieting habits.