How long are sessions?
- Evaluations are an hour long, and will include treatment time. We ask that you arrive 10-15 minutes early to complete intake information.
- Follow-up sessions are 45-60 minutes long, and usually will include some manual physical therapy, therapeutic exercise instruction, and self-care / education retraining. We have modalities, but typically >90% of the session is hands-on or functional re-training.
- Typically for an orthopedic condition you can expect treatment 2 times per week for 6-8 weeks.
- If your condition is a ‘tweak’ of an old injury, you can expect 1 time per week up to 8 weeks.
- For pelvic floor conditions, you may have multiple treatment areas and methods needed, and this can extend the plan of care. It may be 2-3 treatments per week for up to 12 weeks.
What will my treatment plan look like?
Your exact Plan of Care will be established with your physical therapist over the first 1-2 visits, and this will be re-assessed with you throughout your care. The therapists at Focal Point Physical Therapy believe in individualized treatment plans within a team treatment concept. What does this mean? It means that every person is different, and even though two people may have the same diagnosis, that doesn’t necessarily mean they will have the same plan. The Physical Therapist will consider you and all aspects of your life, before collaborating with you to create a treatment plan that fits your lifestyle and schedule.
What is a team approach?
We use a team approach at Focal Point Physical Therapy. This means we will utilize the expertise of our team to best match your physical therapy needs, goals, and scheduling needs. We are very used to working with other practitioners within our office to best compliment your needs. Many patients report enjoying perspectives of more than one practitioner during their care. Likewise we are experienced working with practitioners outside our office involved in your care.
What can I expect from my pelvic floor evaluation?
- We begin with a medical review of information from your primary care doctor, urologist, or surgeon. Together we will look at your medical and surgical history, your medication list, and discuss what your diagnosis means.
- A physical evaluation will occur. It will primarily be an external evaluation, but often an internal examination will offer a lot more information for you and your provider, so they can determine how to create the most effective plan of care for your condition. This will be done with you fully draped to protect your modesty, and will be done within your comfort levels. Please remember that each of our pelvic floor physical therapists have undergone extensive training beyond their licensure, and in addition have decades of treatment experience. This may be your first physical therapy pelvic floor examination, but clearly it is not hers.
What can I expect during my pelvic floor treatments?
You will be treated externally primarily. If internal pelvic work or biofeedback will be most effective, you will be educated more in what to expect and what will be involved. Pelvic floor treatment will be made within your comfort; because you have private treatment rooms and an hour long treatment, you will have ample time and privacy to understand any treatment modalities to be used.
Should I cancel my pelvic floor treatment if I am menstruating?
NO. Most of the treatment you will receive will be external, and will include educating you, exercise and movement re-training. There is a lot to cover, and we want you to return to a healthy lifestyle as soon as possible. Our therapists are trained to work with you, and menstruation is normal; they know how to handle this one.
How is exercise incorporated into the treatment plan?
- Our first priority is to evaluate your condition(s) thoroughly. We then move to treatment.
- The first treatment goal is to open and re-balance your muscle and body. We feel your body must be open so you have access to movement; you need less pain and an ability to move well before we ask you to load or challenge the body. We will use manual PT techniques to achieve this. This will likely mean using body rolling and stretches as part of your homework.
- Then we instruct you on how to be stable in your body. This might mean core movements, balance and posture re-training. These smaller motions will help you to stay safe as you return to exercise and your usual activities. It might mean we look at how you move in your daily routines, and re-train to correct any bad habits you have that could lead you back to pain or injury.
- Now we can move on to challenging the system by adding faster movements, larger ROM, and weight training. We most frequently rely on methods from yoga, Pilates, dance, free weights, Thera Band, therapeutic ball, and traditional calisthenics movements. We can add in more modern theories of exercise as you progress.
Will my Insurance cover physical therapy?
Every insurance is different, but generally insurance does cover both orthopedic and pelvic floor physical therapy. How much your insurance will pay depends on your individual policy. Focal Point is in-network with most insurance, including Medicare. Things to consider for insurance include: your deductible, your co-pay, and the negotiated rate your insurance pays. The staff at Focal Point will do their best to help you understand how your insurance works, but it is always best for you call your insurance company before you begin therapy. (The phone number is generally on the back of your card. Be ready with your ID # and date of birth.)