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So you read through the Cozean Pelvic Dysfunction Screening and answered yes to 3 or more questions and realized "yikes! I need a pelvic therapist!" We are here to help make that process as smooth as possible.
We recognize how challenging it is to find a quality provider so we did some of the hard work for you. Below you will find a few directories to help you locate a Pelvic Health provider. We gave you a quick description of each directory so you know where the info is coming from. Keep scrolling to the bottom to check out a list of questions to ask each clinic to ensure you are getting the best care.
Pelvic Rehab Directory by Herman & Wallace
Questions to ask each clinic as you decide which one is the best fit for you!
You want to look for clinics that offer 60 minutes or more for the evaluation appointment and around 60 minutes for follow up appointments. 45 minutes may be okay BUT anything less than that and you will not have enough time to receive the care you deserve!
This is totally dependent on each patient, however be aware of clinics that only see you once a month or less, especially when you are first getting started. In the beginning you should be seen weekly to every other week (but weekly truly is best!). If a clinic is so busy that they can only see you every 6 weeks or so, I would question your ability to actually get better due to their infrequent care.
While you should always have the option to either consent or defer an internal assessment, being able to perform an internal pelvic floor assessment is a vital skill set for your provider to have when advertising that they treat pelvic floor issues.
We don't live our lives on our backs! Most of the activities that our patients report their symptoms are worse tend to be in standing, squatting, jumping, or some other form of on their feet. So if you are struggling with pelvic pressure, heaviness, prolapse, or pain that is exacerbated in standing, it is important that your therapist perform an assessment in standing.
Be cautious of clinics, especially ones that are associated with your GYN office, that will only give you kegels as an exercise and send you on your way. Pelvic floor therapy is WAY more than just kegels, and honestly for many patients kegels can make their symptoms worse.
Doctors love to write "with biofeedback" on their referrals for pelvic floor therapy. But what does that mean? Biofeedback is typically a device that you get hooked up to and left to watch the lights on a screen grow taller or smaller to "tell" you that your pelvic floor is overactive or underactive. From there it is your job to get your pelvic floor to do the opposite, often without any guidance. It isn't a red flag if your provider uses biofeedback occasionally, and with constant supervision and cuing, however it should not be the whole session, ever session!
You should know ahead of time if the clinic you are considering working with will keep you with your same provider each session or if you will be bounced around from therapist to therapist. You should always be given a heads up if your therapist is unavailable and be able to consent to being treated by a different provider before your appointment is scheduled.
Especially in bigger practices and hospital-based settings, it is not uncommon for a therapist to be working with multiple patients at one time. This means you may spend part of your treatment session working with a rehab aide or tech, who have little to no training in physical therapy care. This is not skilled care!
Check out this list of Pelvic Pride's trusted providers around the country.
Good luck with your provider search!
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