We are out of network with insurance. This means that you will pay for your visit at the time of service. Depending on your insurance and your plan, you may be able to submit a superbill for reimbursement for out of network services. We happily provide a superbill after each of your physical therapy sessions.

Unfortunately, insurance regulations and restrictions often dictate the amount of time and types of treatment that are covered. By opting to be an out-of-network provider, we are able to provide individualized treatment that will lead to quicker recovery with less visits.

We accept cash, check, credit card, and HSA/FSA.

The pelvic floor is a group of muscles forming a supportive sling at the base of your pelvis. These muscles serve important functions for bowel, bladder and sexual health as well as provide support to your pelvic organs. While it can be important for these muscles to have an adequate amount of strength, it is just as important for them to be able to lengthen and relax, and to have the coordination to respond to different stimuli. The pelvic floor is always operating in conjunction with other muscles of the core, hips, and thighs to function properly. This is why it’s so important to get a thorough full body assessment.

In order to properly and fully assess what is going on with your pelvic floor musculature, an internal examination is often necessary. This involves a gloved finger being inserted vaginally or rectally, depending on your case. This will be explained to you in detail by your provider during your appointment and consent will be asked for prior to all portions of the assessment. You always have a right to decline portions of the exam. While it can be more difficult to treat the pelvic floor without an internal assessment, it is in no way a requirement for you to get care. There are many ways to impact the pelvic floor with external treatment only.

Wear comfortable clothing that allows you the freedom to move, or bring a pair of shorts to change into. If we perform an internal assessment of your pelvic floor muscles, you will be asked to undress from the waist down and will be underneath a sheet.

If you are having pain or symptoms, you can come in at any time. We do not typically perform an internal assessment during the 1st trimester of pregnancy, but we can still address common symptoms like pelvic girdle pain, incontinence, and pressure/heaviness.

If you are feeling well and more interested in preventative care, make an appointment some time during your second trimester. Depending on your presentation and goals, a plan for future visits will be outlined at this visit.

It is never too late to start pelvic floor PT in pregnancy. Even if your baby is due next week, we can still help you to feel more prepared for labor and birth, and set you up for optimal healing post-partum.

We usually wait to perform any internal assessment until you are ~ 6 weeks post-partum and have been cleared by your provider. That being said, there are plenty of things you can and should be doing in those early weeks. Consider coming in for a visit around 3-4 weeks postpartum to get more guidance. If getting out of the house feels challenging, please reach out to schedule either a telehealth appointment or a home visit. You are welcome to bring your baby to your appointments.

Yes, you can still come to your appointment. Your comfort is our first priority, so you can always choose to not have any internal pelvic work at any time. There are always things that we can work on externally so that you continue to make progress.

During dry needling, a skilled practitioner uses sterile, thin needles to penetrate the skin and target tight bands in muscles, called trigger points (think stubborn muscle “knot”). This can cause a local twitch response, helping to release muscle tension, promote blood flow and the removal of metabolic waste, thereby reducing local and referred pain. Solid needles are used that don’t contain any kind of medication, which is why it’s called “dry” needling. 

Electrical current may also be applied to the needle. This stimulates sensory receptors which can enhance the effect of dry needling by:

• calming over-sensitized nerves,

• releasing the body’s natural pain-relieving substances, like endogenous opioids,

• restoring normal neural signaling, improving communication from the nervous system to the musculoskeletal system

Dry needling can be a very helpful part of your treatment, especially for chronic conditions, but it is always your choice what treatments are performed.