Physical Therapy Services

Pelvic Conditions

Pelvic conditions can reference any area of the body involving the abdomen, pelvis, low back, tailbone, hips, and genitals. This also includes some organs like the bladder and bowels.

Common Pelvic Conditions:

  • Involuntary loss of urine (also called incontinence). The volume can be small or large and can include daytime or sleeping hours. Sometimes these leaking events are spontaneous, but for most sufferers there is a provoking event. Stress incontinence is when a pressure within or external to your body exceeds the resistance your body is equipped with to keep urine in. Urge incontinence is when the bladder gives you a signal like it’s full and you cannot hold it.

  • When the bladder gives you signals to go pee too often or too urgently. Many reasons can provoke this. Some are lifestyle and some are related to internal controls not functioning properly.

  • Urinary hesitancy can occur as one tries to initiate urination and finds it challenging or it can occur after someone has started their urinary flow. The flow may be weak, stop and start, or feel unfinished once it stops.

  • Diagnosis can be confirmed with urology testing.

    Most common symptoms can include painful bladder spasms, pain while peeing or after, overactive bladder, and urinary hesitancy. Many with this condition feel like they have a urinary tract infection but the test usually comes back negative.

  • Defined as having one or more of the following occur with bowel movements.

    1. Not going often enough (textbook says we should go anywhere from 3 times per day to once every 3 days. Whichever is your usual frequency within this range).

    2. Straining to get the bowel movement out.

    3. The bowel material is hard when it comes out.

    Many do not realize constipation can be a silent or not-so-silent trigger for urinary symptoms.

  • Fecal incontinence is when bowel material exits the body without your permission. The volume of material can vary.

    Encopresis is a type of fecal incontinence due to constipation. It’s often associated with lack of sensation of the leaking as it’s occurring. The individual learns about it later because of the smell or seeing it on their underwear.

  • Mostly specific to females. When one or more of the pelvic organs drops from it’s normal position. It will usually drop down through the vaginal canal. These organs include the bladder (cystocele), rectum (rectocele), uterus (uterocele), urethra (urethrocele), and intestines (enterocele). The rectum can drop down through the anal opening as well (the only version that can happen in men as well).

    There are various severities of how far down the prolapse drops.

    The sooner you identify you have one and get treated the better chances you have to reverse it.

    Many women develop one from having children or entering into menopause. Which is why it’s important to be evaluated around these life events.

  • Locations include: genitals, buttocks, tailbone, and low back.

    Pain can be acute or chronic. Acute means it just started within the past 3 months. Chronic means it’s been ongoing longer than 3 months.

    The pain can be constant or come and go. It can also vary with the intensity and type of feeling it creates.

    Different things can make the pain worse. Touch, friction, or pressure (including activities related to intercourse) can cause it. Sometimes there is no identifiable trigger.

  • Dr. Cadie is very passionate about treating people with these conditions. That’s why these conditions made the list and were not simply lumped under the pain category.

    Endometriosis is when tissue similar to the uterine lining is found outside the uterus. Think of it like little clusters of webs or growths that respond to the hormones cycling in you’re body and can bleed and sense pain like you’re uterus does. The most common places for these clusters to occur are around the ovaries and other organs in your pelvis - like your bladder and intestines. It can affect any age and the severity of symptoms vary. Sometimes the only sign of it is infertility. More common symptoms are pain, heavy bleeding, irregular periods, urinary and bowel issues.

    PCOS (Polycystic Ovarian Syndrome) references an often painful condition where small cysts form around the ovaries in large quantities and the ovary can become enlarged. There is a known hormonal imbalance associated with this condition. In addition to pain, other symptoms include irregular periods, weight gain, infertility, acne and hair growth.

    While neither condition can be cured with physical therapy, Dr Cadie can provide many tools to help lessen the severity of your symptoms.

  • Dr. Cadie has much to offer whether your are experiencing pain, weakness, or just general curiosity about how to keep your body healthy during pregnancy.

    She will usually begin working with clients once they have entered into their second trimester.

    She has many resources and tools to provide whether you can only attend one visit or the full course.

    We also understand many women will not be able to participate due to financial priorities - so we will also be offering group classes at much lower rates. See OTHER SERVICES for details.

  • Now that you’ve delivered your baby you may find your body needs some help recovering. Some people have pain, some have a lot of weakness, and others just want to know to help it heal optimally.

    Dr. Cadie will offer traditional physical therapy avenues of treatment for these concerns but will also be offering group and online classes. See OTHER SERVICES for details.

  • Prostate cancer treatments usually result in some symptoms Dr. Cadie can help with. Most of these symptoms occur with the surgery to remove the prostate but some experience issues during radiation as well.

    Most common symptoms are urinary leaking, muscle weakness, and constipation.

    Men report feeling best equipped for their treatment and recovery when they’ve included meeting with a pelvic trained physical therapist before the treatment begins. Men also have more optimal outcomes when the continue seeing their pelvic physical therapist after treatment (especially if surgery was the treatment chosen).

    Dr. Cadie will be offering traditional physical therapy services as well as online and group classes. See OTHER SERVICES for details.

  • Examples of these surgeries include but are not limited to: hernia repair, gallbladder removal, C-section, abdominoplasty, vaginoplasty, prolapse repair, removal of cancer, and hysterectomy.

    The goal is to work with your care team to optimize surgical outcomes and healing.

Orthopedic Conditions

Orthopedic conditions can reference anywhere on the body there is a muscle, ligament, joint, or neurological condition affecting day to day activities.

Orthopedic Conditions we work with:

  • The hip can include the outer upper leg, the buttock, and or groin area.

  • If there’s an injury you need to recover from or it’s just been awhile.

Not seeing what you’re looking for?

Call us and ask!

**Call, text, or email to schedule**

**Call, text, or email to schedule**

207-949-0290
Mainelypelvicpt@gmail.com

What to expect at you’re appointments

Evaluation

Interview

Dr. Cadie wants to spend the first chunk of time getting to know you and why you’re seeking these services. She will ask questions to help her narrow down what assessments she’ll want to perform and to learn what your goals are.

Assessment

An assessment usually includes asking you to complete simple movements and tests. The results of these assessments help Dr. Cadie piece together what issues may be contributing to your symptoms.

An internal pelvic exam may be one of these assessments. (Only on individuals over the age of 16 or if they’ve had a pelvic exam by another medical provider already). A pelvic exam could include vaginal or rectal internal assessment. No equipment is used during this assessment and Dr Cadie is known for her gentle approach. If you have any hesitation with having a pelvic exam completed, inform Dr. Cadie and she will discuss alternative options.

Plan

After completing the interview and assessment, Dr. Cadie will have a good idea about what she can help with and what treatments will help you accomplish your goals. She will discuss the plan with you at the conclusion of this visit. The plan will include the treatment options and how often she will want to see you to get the best outcomes.

Follow up appointments

Each session is tailored to you!

The first 5-10 minutes Dr. Cadie will want to know about any updates to your symptoms and progress. The rest of the time is spent utilizing tools, training, exercise, and manual applications to move you along the road to recovery.

Service Costs

  • Anyone with Medicare part B as their primary insurance coverage is not expected to pay for services at the time of service. Mainely Pelvic Physical Therapy is partnered with Medicare and submits claims for reimbursement on our own behalf.

    You are responsible to pay whatever your Medicare and/or secondary insurance does not cover. You are responsible for knowing what they may or may not cover but we try very hard to help you learn this information as well. Most have coverage. We will notify you and request payment once we learn of any uncovered amounts.

    Usually Medicare covers 80% of the total amount approved. A secondary insurance usually picks up the remaining 20%. This remaining 20% is usually the amount you would pay us in the case of incomplete coverage.

  • We are not partnered with any private insurance companies, just Medicare. Medicare Advantage plans are considered a hybrid. What this means for you is you will be expected to pay Mainely Pelvic Physical Therapy at the time of your appointment and we will provide an itemized receipt that you can try to submit to your insurance for reimbursement opportunities. The amount we charge per visit depends on services performed and associated Medicare allowed amounts. Call or message us for estimates.

    The self submission process is usually as simple as mailing in the receipt and a claim request form. You will need to contact your insurance to learn the specifics. Many are receiving reimbursement for the full cost minus a copay (if you have one for out of network providers). This reimbursement usually comes in the mail within 2 weeks after you self submit.

  • We are not partnered with any private insurance companies, just Medicare. Tricare plans are considered a hybrid. What this means for you is you will be expected to pay Mainely Pelvic Physical Therapy at the time of your appointment and we will provide an itemized receipt that you can try to submit to your insurance for reimbursement opportunities. The amount we charge per visit depends on services performed and associated Tricare allowed amounts. Call or message us for estimates.

    The self submission process is usually as simple as mailing in the receipt and a claim request form. You will need to contact your insurance to learn the specifics. Many are receiving reimbursement for the full cost minus a copay (if you have one for out of network providers). This reimbursement usually comes in the mail within 2 weeks after you self submit.

  • Mainely Pelvic Physical Therapy is out of network with private insurers. We charge a flat rate fee for evaluations and a slightly lower flat rate fee for follow ups. The fee is due at the time of service. Call or message us for details on these rates.

    We will provide an itemized receipt (superbill) once you have paid. You can decide on your own if you’re gong to submit it to your insurance for re-imbursement options. If you do, the process is relatively simple and we are happy to offer some guidance.

  • We are not in network with VA coverage and are not allowed to receive payment for services from a patient that carries VA unless they have the opportunity to use an alternative insurance (like Medicare).

As a patient you are responsible for knowing what your insurance is and what it covers. We do our best to guide you but insurance plans vary greatly, so it’s always best for you to talk to them directly about any questions or details.

PAYMENT METHODS

  • In person only

  • Checks can be made out to Mainely Pelvic PT.

    In person or mail to PO Box 15, Holden ME 04429.

  • Credit, Debit, HSA

    In person or over the phone (call 207-949-0290)

  • In person or online.

    Put service or item details in subject/description line.