FAQs

What is the pelvic floor?

Shaped like a hammock, your pelvic floor is composed of a group of muscles in the pelvis. Pelvic floor muscles play a critical role in controlling the bladder and as supportive muscles that connect to your lower back and abdominal muscles. Weakened or uncoordinated pelvic floor muscles fail to provide enough support for the bladder causing leaks to occur when you cough, sneeze, laugh, or exercise. 

What conditions do you treat?

We provide physical therapy for a variety of conditions including:

PRENATAL PREVENTION

  • pelvic floor strengthening

  • prenatal physical therapy for prevention

POSTPARTUM COMPLICATIONS

  • abdominal separation (diastasis recti abdominis - DRA)

  • problems related to perineal tearing or episiotomy or cesarean section scars

  • Pelvic organ prolapse (POP)

  • incontinence (stress and urge) following delivery or at ANY point postpartum 

PELVIC FLOOR DISORDERS / PELVIC PAIN

  • vaginismus

  • dyspareunia (pain with sex)

  • menopausal related changes

  • painful bladder syndrome (PBS)/interstitial cystitis (IC)

  • persistent pelvic floor tension myalgia (pain)

  • pelvic girdle pain (sacroiliac joint dysfunction, pubic pain) and coccydynia (coccyx or tailbone pain)

  • nerve pain (neuralgia) affecting the pelvic nerves

  • female pelvic pain (vulvodynia)

GENERAL INCONTINENCE

  • urinary incontinence:  stress, urge, and mixed 

  • urgency and frequency

  • bowel dysfunction (chronic constipation, changes with bowel movements, irritable bowel syndrome)

  • anal fissures

How much does it cost?

Initial evaluations (45 minutes) are $100 and subsequent follow-up visits (30 minutes) are $75. We do not take insurance but we are happy to put together a superbill for you upon request ([email protected]).

Does it work?

Yes, clinical evidence for pelvic floor physical therapy is very well documented. In fact, a study from Stanford Urogynecology recommended as a “first-line, low-risk, minimally invasive therapy” for preventing and treating pelvic floor conditions and concluded that “PFPT should be commonly recommended during pregnancy and after birth to prevent and treat urinary incontinence, POP and postpartum sexual dysfunction.”

Do I need a referral?

No, most states, including Virginia, are direct access states and you are able to see a physical therapist without a referral from your doctor for up to 30 days. If you would like us to reach out to your provider on your behalf for a referral at any point, please send us an email at [email protected]!

Do I need to drive anywhere?

No, our services are remote video-based consultations you take from the comfort and privacy of your own home.