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WHAT SERVICES DO YOU PROVIDE?


Breathe Life Physical Therapy and Wellness offers specialized one-on-one physical therapy aimed to treat pelvic dysfunction and promote optimal pelvic health for both women and men. Pelvic floor dysfunction refers to a wide range of diagnoses pertaining to the pelvic muscles and the pelvis, including urinary/bowel incontinence, pregnancy related care, pelvic pain, pelvic organ prolapse, and postpartum pelvic girdle dysfunction to name a few. Appointments are scheduled in the office or virtually.




WHY WOULD I NEED PELVIC FLOOR PT?


There are a multitude of reasons one may need pelvic floor physical therapy. Pelvic dysfunction occurs when pelvic muscles become weak, tight, or when there is an imbalance within the surrounding joints including, lower back, hips, and coccyx. The pelvic floor is integral to the core stabilization system, which works intimately with the organs, bones and joints in the region. The pelvic floor is continuously working throughout the day and is often overlooked as the cause of many issues related to low back pain, pelvic pain, urinary and bowel incontinence. At least 1 out of every 5 Americans will suffer from a pelvic floor dysfunction at some time during their lives.




WHAT IS THE COST? DOES INSURANCE COVER PELVIC PT?


In order to provide the highest level of care and quality, Breathe Life Physical Therapy & Wellness is an out of network (OON) insurance provider. Payment is expected at time of treatment. A detailed receipt will be provided to submit to the insurance company if desired. Each insurance company and health benefits differ based on the contracted rates. Breathe Life Physical Therapy does NOT accept Medicare/Medicaid clients at this time.




WHAT IS PROVIDED DURING INITIAL TREATMENT?


The first evaluation includes a 60 minute one-on-one visit discussing concerns and symptoms related to the pelvis and daily activities. This evaluation is essential as it provides the opportunity to understand medical history, including pregnancies, abdominal or back surgeries, and gynecological/urinary history. The examination will include general movement such as bending forward and backward, observing body mechanics and strength testing. A comprehensive review of the pelvic floor musculature, pelvic organ function and normal bladder/bowel habits will also be discussed.




WHAT IS THE FREQUENCY OF PT VISITS?


In a traditional physical therapy setting, clients schedule 1-2x/week for 6-8 weeks. At Breathe Life PT, the consistency of care is dependent on patient commitment, desired outcomes, and clinical recommendations of the therapist. Many times, follow up visits do not need to occur in a concrete timesetting, as the body, healing and goals are fluid over a period of time. Fluid follow up visits allow for open discussion, continued education and goal setting. An individualized home program will be given to supplement and promote progress.




HOW IS ADDITIONAL TREATMENT ADDRESSED?


Follow-up appointments are 45 minutes. During the follow-up visits, an external and internal assessment of the abdomen and pelvic muscles (through the vaginal or rectal canal) is valuable, however one may choose or refuse any part of the process. Exercises to correct muscle imbalances, breathing coordination and body mechanics will also be addressed regardless of pelvic floor muscle assessment. The goal is to promote awareness, healing and confidence for daily use of the pelvic floor with urination, bowel movements, sexual function and body mechanics.




IS A PRESCRIPTION REQUIRED?


Thankfully, in NJ, there is Direct Access; so appointments can be made with Dr. Amanda without a prescription. A prescription is not required for the initial evaluation; however, after 30 days or 10 visits (whichever is first), a primary care provider must issue a prescription to continue care. A primary care provider, gynecologist or urogynecologist may issue this type of prescription. Many pelvic conditions have multiple causes and may need a specialist to rule out more serious conditions. Therefore, it is necessary to have a medical provider onboard with treatment to help coordinate care.




HOW WILL TREATMENT HELP?


Treatments will include education, functional movements, manual techniques and exercise. Client dedication is more important than any exercise provided. Recommended treatment including breathing and core stability exercises improve coordination of the muscles in the pelvis, back and core. Relaxation techniques and behavior modifications are encouraged to reduce pain and regain control for daily toiletting habits.





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