Frequently Asked Questions
Q. Can just anyone be a pelvic floor physical therapist?
A. No. Your therapist has received a Doctorate of Physical Therapy and has also received extensive training through additional courses and education from other pelvic floor specialists.
Q. I have urinary incontinence, what if I have to go to the bathroom during the exam or treatment?
A. There is a restroom in the clinic, and we can always stop at any time for a bathroom break.
Q. Can I come to my evaluation or treatments if I am on my period?
A. Yes. Menstruation does not affect evaluation or treatment in any way. Understandably, some patients prefer to avoid coming on days of heavier flow, however disposable menstrual cups are available to wear during the session.
Q. What should I wear? Will I have to take my clothes off?
A. For the internal examination and most manual pelvic floor treatments you will need to remove clothing from the waist down, otherwise you will be fully clothed. You may be doing various stretching or strengthening exercises of other parts of your body, so comfortable clothing that you can comfortably move in is recommended.
Q. Where will all of this take place?
A. All evaluations and treatments take place in a private room, behind a solid door.
Q. How long will sessions be?
A. The first session (initial evaluation) takes 60 minutes and follow-up visits will be between 30-60 minutes, depending on your specific condition. This will be established on the first visit and you will be given a better idea of what to expect after the evaluation.
Q. What is biofeedback?
A. A non-invasive procedure that measures the activity of your muscles. A sensor will be placed over your pelvic floor muscles externally (outside of the body) and attached via a wire to a computer screen. This allows you and the therapist to visually see your muscle activity every time you squeeze or relax your muscles. This is not only a measurement tool for the therapist but a learning tool for you.
Q. I am pregnant, is this safe?
A. Yes. Internal exams are not typically completed later in the pregnancy, but it is best to ask obstetrician/gynecologist prior to seeking pelvic floor therapy if pregnant. Biofeedback is 100% safe during pregnancy and treatments will be modified to accommodate your pregnancy.
Q. Will I need to exercise at home?
A. Yes, you will be given an individualized exercise program. Many exercises can be done anywhere, and can be fit into even the busiest schedule.
Q. I already know how to do Kegels, but I still have symptoms. How will this help me?
A. Pelvic floor training can involve strengthening exercises (Kegels), however many people have not been trained in how to do them correctly and can actually be training bad habits that cause more harm than good. Your therapist will be able to determine the optimal duration, rest time, and repetitions for you to have the most effective results. Your therapist is trained to teach correct form for both strengthening exercises as well as relaxation techniques which are just as important. This education and training will help you recover much faster then only doing Kegels at home.
Q. What if my issue is embarrassing and hard to talk about?
A. Your therapist is a professional and has only your best interests in mind. While it is sometimes challenging to talk about your symptoms, it is very important to tell them everything that you are experiencing so they can help you as best as they can. Your therapist is also your teammate and will do their best to create an environment that you are comfortable in. Keep in mind that they have seen, heard or experienced most of the issues that come through their office.
Q. What if I want someone else present during the examination?
A. You are welcome to bring a family or friend with you, or you have the opportunity to request a chaperone (typically another therapist or staff member) to be present with you during the examination.
Q. What if I am not comfortable with having an internal examination? Can I still receive treatment without it?
A. It is understandable that, for many reasons, patients may not want to have an internal examination performed, and you will not be examined without consent. If you choose to not have the internal examination performed, there are other methods of treatment and education that will help improve your condition. If you are unsure on your initial visit, the internal exam can always be deferred to subsequent visits as you develop a comfortable rapport with your therapist.