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.
-
Also called urinary hesitancy. This trouble emptying can occur at the beginning or end of a urinary event.
-
Also called Interstitial Cystitis. Often diagnosed with a urology test where the doctor looks inside your bladder.
Most common symptoms can include painful bladder spasms, pain while peeing or after, overactive bladder, and urinary hesitancy.
-
Defined as having one or more of these 3 issues around bowel movements :
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).
Straining to get the bowel movement out.
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.
-
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: pelvis, abdomen, genitals, low back, tailbone, and hips.
Pain can be acute or chronic. and can be random or provoked by specific things.
This includes pain with intimate touch, intercourse or penetration.
It will be helpful for Dr. Cadie to know if there is any pattern to it and how it feels to you when it’s happening.
-
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**
-
Includes questions about your medical history, information about our payment process and consent forms.
You will have the option to have this paperwork emailed to you or you can fill it out when you arrive.
-
Mainely Pelvic Physical Therapy offers insurance assistance forms to help you navigate the insurance world and determine if you will be eligible for service reimbursement. You will need to call to get on the emailing list to receive these forms. This support is not usually provided by other clinics so please take advantage.
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 will not be expected to pay for services up front. Mainely Pelvic Physical Therapy is partnered with Medicare and submits claims for reimbursement on our own behalf.
If your Medicare insurance does not cover the full amount approved you may be subject to paying this small fee at our request. It depends on whether or not you have a secondary insurance that pays us.
-
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 a superbill receipt that you can try to submit to your insurance for reimbursement opportunities.
Because Advantage plans include a Medicare connection, Mainely Pelvic Physical Therapy is required to collect no more than the Medicare allowed amount. Call or message us for estimates.
Many are receiving reimbursement for the full cost minus a copay if you have one. This reimbursement usually comes in the mail within 2 weeks after you self submit.
You hold the full responsibility of self submission and reimbursement. Best to call your insurance company to learn what the process requires.
-
Mainely Pelvic Physical Therapy is not partnered with any private insurers classifying us as on “out of network” provider.
Payment for services are due at the completion of each appointment. We charge a flat rate for evaluations and re-evaluations and separate flat rate for follow ups. Call or message us for details on these rates.
We will provide an itemized bill at the completion of your appointment. You can decide on your own if you’re gong to submit it to your insurance for re-imbursement options. The responsibility is solely on you.