So you’ve figured out that pelvic floor therapy might be the best place to address your concerns around something like incontinence, pelvic pain, pregnancy/postpartum symptoms, or any other pelvic related concerns. But, how do you find the right fit? What questions should you ask? As pelvic floor providers we know the information you need, so we put together this handy list to help you find the best provider for you! Here are the 7 must-ask questions to ask before selecting your pelvic floor therapist!

1. What are your qualifications and experience in pelvic floor therapy?

Not all physical or occupational therapists specialize in pelvic health, so it is important to find a provider who has advanced training in pelvic floor therapy. Look for providers who have taken advanced coursework from institutions like Herman & Wallace, American Physical Therapy Association, Brooks Institute of Higher Learning, Evidence in Motion, Pelvic Health Solutions, and Pelvic Floor University. If you have a specific condition—for example, pelvic organ prolapse, endometriosis, or postpartum concerns—inquire about their experience in treating it.

Ask this: “What kind of training and experience treating patients with pelvic floor issues does this therapist have?”

3. What conditions do you commonly treat?

Some providers specialize in pregnancy and postpartum care, while others focus on chronic pelvic pain, neurological conditions, bowel and bladder dysfunction, gender-affirming care, and so on. You will also find therapists who are experienced in working with all conditions and genders. If you have specific concerns or diagnoses, don’t be afraid to ask if the provider is familiar and experienced with that condition. 

Ask this: “What are the most common conditions this provider treats? Do they have any experience working with patients who have x?”

4. Do you offer internal and external pelvic floor assessments?

The answer to this may vary based on the setting a provider is treating, as well as their experience levels. If you are seeking pelvic floor therapy, it is important to choose a provider that is skilled in both internal and external pelvic floor assessment. A thorough assessment is key to understanding your pelvic floor function. Some therapists only perform external evaluations, as where others are trained in and skilled at performing both external and internal assessments as part of their practice. While a patient’s preference and consent for internal vs. external is always the main driving factor of if and when this exam is performed, it is important to note that a provider who does not offer internal assessment and treatment at all may not be the best provider to find the root cause of a pelvic floor concern. 

Ask this: “Is this therapist trained in internal and external assessment? Will an internal assessment be discussed during the initial evaluation?"

5. What treatment techniques do you use?

Pelvic floor therapy involves WAY more than just kegels! In fact, it commonly may not even include kegels at all. A skilled provider uses a combination of hands-on manual therapy, behavioral strategies, neuromuscular re-education, and movement-based treatments. Understanding their approach can help you determine if their treatment style aligns with your needs and preferences. Keep in mind that different treatment approaches may be used to treat the pelvic floor in different ways, i.e. directly treat the pelvic floor and surrounding structures, indirectly treat those structures, or to treat and influence the nervous system. 

Ask this: “What kind of treatment techniques does this therapist utilize in their treatment sessions?”

6. What should I expect during my first visit and throughout treatment?

Understanding the treatment process can help you feel more at ease. Ask about the setting itself and the layout of the clinic, structure of the first session, how long treatment typically lasts, and what kind of progress you can expect over time. A good provider will outline a clear plan and set realistic expectations. This may change as you go through the therapy process, but it can help you understand the length of an estimated plan of care. 

Ask this: “What can I expect to happen during my first visit? Will there be any treatment during that session or only assessment?”

7. What does payment for services look like at your clinic?

Pelvic floor therapy is an investment in your health, but it’s important to understand the financial aspect for continuity of care and to complete your treatment plan. Some providers accept insurance, while others are out-of-network clinics that are fee-for-service and offer superbills for reimbursement directly to you from your insurance. Reimbursement varies based on your insurance plan.

Reaching out to your insurance provider can help you better understand what this may look like for your plan. If you decide to work with a clinic that is in-network with your insurance plan be sure to ask about additional fees, like if they are associated with a hospital and charge a hospital fee (averaging $200-$350 on top of your copay or co-insurance), if you will have to pay cash for specialty treatments like dry needling, or what happens if your insurance denies coverage for visits that you have already been seen for. 

Ask this: “Are you an in-network or out-of-network provider?”

If In-network: “Are you associated with a hospital? If yes, do you charge a hospital fee? Are there extra fees associated with specialty care like dry needling? What do I owe if insurance denies a visit I have already attended?”

If Out-of-network: “What is the cost for care for the evaluation and follow up visits?”

Choosing the right pelvic floor therapist is about more than just convenience—it’s about finding someone who makes you feel comfortable, listens to your concerns, and provides expert care tailored to your needs. By asking these questions, you can ensure you’re making an informed decision and setting yourself up for success on your healing journey. If you have additional questions or want to see if Pelvic Pride is the right fit for you, we would love to hear from you! 

Looking for Pelvic Floor PT in Maryland?

At Pelvic Pride Physical Therapy & Wellness, we are THE clinical experts at working with patients struggling with pelvic floor issues, including constipation, so you are in the right place!

We are conveniently located in the Roland Park & Federal Hill neighborhoods in Baltimore MD. Fill out our contact form & our Patient Care Specialist will reach out to you ASAP!

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