General Info FAQ
Frequently Asked Questions
The pelvic floor is made of several muscles that support the internal organs and maintain continence. If these muscles have become dysfunctional in any way, the dysfunction can cause pain or incontinence. The causes of dysfunction can vary from trauma (including childbirth, falls, abuse, car accidents, surgery) to inherited dysfunction, and postural imbalances causing poor use of the pelvic floor. The best way to improve the function of these muscles is to determine exactly why the muscle is not working correctly, then address that cause and provide an optimal healing environment. For example, if the pelvic floor muscles were damaged in childbirth, scar tissue may need to be mobilized and diastasis recti ( a gap in the abdominal muscles that commonly occurs in pregnancy) may need to be addressed prior to working on strengthening the pelvic floor.
Not every medical provider is aware that this is an option for treatment. This is a great time to share this information with your provider and to tell your friends! You may be able to help others who are suffering in silence with these conditions.
Prior to your first visit forms will be sent to your email address to gather pertinent medical history. This information will be reviewed at the first visit and a physical exam will be completed to determine the cause of the issue. The physical exam will include an assessment of posture, scar tissue mobility and muscle function. An internal vaginal or intrarectal examination may be completed to accurately assess the pelvic floor muscles, as this is the only way to reach them. No speculum is ever used, and as the evaluation is only ever done to patient tolerance, it does not hurt. This exam is not necessary for every patient, so during each evaluation it is discussed with the patient what the best course of action will be.
Physical therapy is covered by most insurance providers. The Perfect Pelvis is a licensed physical therapy provider in Missouri. At this time, we are in-network with Blue Cross Blue Shield. For other insurances, we can mail in a “superbill” for you so that you can recieve reimbursement for your out-of-network benefits. Reimbursement varies depending on your insurance plan.
Children have the same muscles that adults do, but the treatment will often vary somewhat. Internal examinations are never done on children. Common treatments may include external biofeedback, habit retraining, and education as well as recommendations for diet and positioning. Exercises and relaxation of the pelvic floor is often included as well.
It is highly recommended. Many insurances require this for reimbursement. Legally, the state of Missouri allows you to come to physical therapy without a physician’s order for the first visit. If you have further questions about your particular situation, please call or email.