5 Questions to Ask a Pelvic Floor Physical Therapist Before Your First Visit

So, you’re considering seeing a pelvic floor physical therapist? Great decision! Pelvic floor physical therapy can help strengthen your pelvic floor and provide relief from bladder and bowel dysfunction, pelvic pain, constipation, pelvic organ prolapse, incontinence, painful intercourse, diastasis recti, and more.

However, not all pelvic floor physical therapists and clinics are equal. So, before you dive into that first appointment, it’s important to do your homework and find the best therapist to treat your concerns properly. All too often, we hear from our clients about the frustrating and disappointing care they’ve received from other pelvic floor PTs (and no…telling you to do kegals at home is NOT a proper home exercise program).

So, when you call to schedule your first appointment, be sure to ask the provider these questions to confirm they will provide you with the treatment, care, and time you need.

1. What is your approach to treating the pelvic floor?

A varied approach is best! This could include:

• Manual therapies used internally and externally on the pelvic floor and surrounding areas (hips, legs, back, glutes)

• Neuromuscular techniques to reduce pain

• Strengthening, flexibility, and breathing exercises

• Visceral manipulation

• Myofascial release

• Soft tissue massage

• Scar tissue mobilization

• Craniosacral therapy

• Dry needling

• Biofeedback or visual ultrasound

• Taping

• Functional movement and postural coaching

• An at-home exercise program between sessions

2. How long are your treatment sessions?

Ideally, each therapy session is one hour and is one-on-one with your pelvic floor physical therapist. While some clinics may offer shorter sessions, it’s important that you still feel heard and that there’s enough time to work with your pelvic PT.

3. What percentage of your clients have the same condition I do?

This question is important because not all pelvic floor physical therapists specialize in everything. There are many different pelvic floor disorders, and treatments vary for each one. Be sure to choose a therapist who is trained in and has experience with treating your specific pelvic floor dysfunction.

4. How do you assess for pelvic floor dysfunction?

Pelvic floor assessments should be external, internal, and individualized (but only AFTER discussion and your consent). Because the pelvic floor sits within the body, doing an internal exam is often crucial to receiving a proper diagnosis. That said, you should never feel pressured or forced to have an internal exam.

5. What does a treatment timeline look like?

It depends! Your treatment plan should be customized to your unique goals, concerns, and symptoms. Generally speaking, treatment often starts with one session per week for 4-8 weeks. After that, sessions will become less frequent as you transition into a wellness phase.

In addition to these 5 main questions, here are a few more you may want to consider asking:

• What should I wear to physical therapy? You’ll likely want to wear something comfortable you can freely move around in. Many therapists will ask you to wear or bring a pair of shorts.

• Can I bring my child with me? If physical therapy isn’t accessible due to childcare, you may want to consider asking if you can bring your child with you.

• Are there additional providers I should see to help with our treatment plan? Physical therapists often have a wonderful referral network. Perhaps a chiropractor, acupuncturist, postpartum doula, urologist, or massage therapist would complement your PT program.

• Do you accept insurance, or can you provide me with a master bill for reimbursement? These days, many of the best pelvic floor physical therapists are cash pay (which is great because it allows them more one-on-one time with you). That said, if you have health insurance or HSA/FSA account, you can get reimbursed. It’s a win-win!

While it can be hard to advocate for yourself, being proactive and prepared for your first visit can mean the world of difference in your treatment. Asking these questions beforehand or bringing them to your pelvic floor evaluation can set the stage for a more confident and productive experience.

Remember, your pelvic floor physical therapist is there to help you get the results you need, and being informed will only enhance your care and treatment plan.

About Pelvic Health & Wellness

Pelvic Health & Wellness was built with you in mind. We practice whole-person, individualized pelvic floor physical therapy in a caring and safe environment. Our therapists specialize in treating pelvic health concerns such as fertility, pain, incontinence, prolapse, constipation, and various pregnancy and postpartum-related conditions.

We understand that being ready to talk about and address your pelvic floor wellness concerns comes from a place of strength. We are here to support and encourage you on your journey back to pelvic health so you can return to doing what you love! If you are ready to take the first step in reclaiming your pelvic health and wellness, contact us today.