Do you have leaking, OAB, pain, prolapse, diastasis, or belly pooch

that keeps you from fully enjoying your life?

PELVIC FLOOR THERAPY CAN HELP

WHAT IS PELVIC FLOOR THERAPY?

Pelvic floor physical therapy and occupational therapy address dysfunction of the pelvic floor, which is a group of muscles, ligaments and connective tissue that span the bottom of the pelvis.  These muscles actually form the base of what we commonly call the "core" muscles, and are arguably the most important part of our core.

 These unsung heroes maintain our urinary and bowel continence, support our pelvic organs and provide sexual appreciation. Due to a variety of factors, including pregnancy, childbirth, surgery, heavy lifting, high impact sports, obesity, aging, menopause and chronic medical conditions, the pelvic floor may become weak or painful. Conditions such as urinary and/or bowel incontinence, constipation, pelvic and/or lower back pain, painful sex, and pelvic organ prolapse can result from pelvic floor dysfunction.  

TREATMENT SERVICES

Treatment may include the following:

  • Education in bowel, bladder and pelvic floor muscle anatomy and function

  • Surface EMG biofeedback 

  • Biofeedback and/or Neurofeedback for pain, anxiety, trauma

  • Electrical stimulation

  • Transcutaneous Posterior Tibial Nerve Stimulation

  • PEMF (Pulsed Electromagnetic Field Therapy)

  • Myofascial release, scar tissue management and visceral mobilization techniques

  • Pelvic floor exercises including Kegel exercises and Hypopressive exercises
  • Muscle strengthening and relaxation training

  • Behavioral and dietary modifications

  • Bladder retraining

  • Autonomic quieting techniques

  • Skin care management

  • Individualized Home Exercise Program (HEP)

TREATMENT FOR

  • Constipation

  • Urgency and frequency

  • Urinary incontinence 

  • Fecal incontinence 

  • Recurrent UTIs

  • Overactive bladder

  • Interstitial Cystitis

  • Pelvic organ prolapse

  • Pregnancy preparation

  • Postpartum and c-section recovery

  • Wrist, hand pain due to baby carrying etc.

  • Birth trauma recovery

  • Peri & post menopausal symptoms

  • Abdominal scars and adhesions 

  • Low back pain/ SI pain/ Abdominal pain

  • Diastasis recti (abdominal muscle separation resulting in bulging)

  • Endometriosis

PREGNANCY, BIRTH PREP &  POSTPARTUM PROGRAMS

Core Functional Wellness offers customized programs to optimize your body for pregnancy, birth and the fourth trimester, or postpartum period.  Research shows that pelvic floor therapy can reduce your risk of perineal tearing, prolapse and c-section and hasten any diastasis or scar recovery.

 

Your program may include:

  • Biofeedback assisted pelvic floor muscle assessment with exercise instruction to optimize your muscles for pregnancy and childbirth.

  • Biofeedback assisted identification of your optimal birthing positions.

  • Assessment of core strength and coordination, with development of personalized exercise program for diastasis and incontinence prevention/recovery.

  • Postural assessment and corrective techniques to reduce lower back pain, reduce prolapse risk and speed diastasis recovery.

  • Assessment of breathing mechanics with training to reduce shortness of breath and/or feelings of anxiety.

  • Massage and manual therapeutic techniques for pregnancy and postpartum aches and pains.

  • Instruction in perineal massage for birth preparation.

  • Postpartum home visit with nursing/feeding/lifting/carrying biomechanics assessment and wellness screening.

  • C-section and perineal massage instruction.

  • Development of home exercise program for safe return to exercise.

  • Education and techniques for safe return to intimacy.

  • Biofeedback and neurofeedback treatment for any issues around birth trauma.

FAQS

Pelvic Floor Therapy

DO YOU TAKE MY INSURANCE?

Core Functional Wellness is contracted in network with several medical insurance providers.  The companies we do not contract directly with may have out of network benefits that are similar and sometimes even better than the benefits you would receive in network.  Contact us to receive an estimated cost for services at Core Functional Wellness.  Additionally, some of our clients use their HSA/FSA cards for qualifying therapy services. You will be provided with a Superbill for your occupational therapy which you can then submit to your medical insurance company for reimbursement for out of network benefits. 

HOW DO I USE MY OUT OF NETWORK BENEFITS? AND HOW DO I KNOW HOW MUCH MY INSURANCE COMPANY WILL REIMBURSE?


Recommended Questions to Ask Your Insurance Provider:

  • What is my out-of-network deductible? How much has been met this year?

  • What portion of my services will be reimbursed?

  • Does my plan allow reimbursement for each of the following therapy codes?

    • Evaluations: 97165, 97166, 97167

    • Treatment: 97530, 97112, 97110, 97535, 97140

  • Do I need a referral from a physician to obtain reimbursement?

  • Do I need pre-authorization to obtain reimbursement?

Many of our clients are now using an app called Better which takes care of your out-of-network health insurance claims for you for a zero to 10% fee.  You can find out more at getbetter.co

I'M UNCOMFORTABLE WITH THE IDEA OF AN INTERNAL PELVIC FLOOR MUSCLE ASSESSMENT.  CAN I GET HELP WITHOUT IT?

We understand that the idea of an internal assessment may be uncomfortable to some clients and we want to eliminate this potential barrier to seeking help. Clients may not want internal assessment for a variety of cultural, religious or personal reasons.  In addition internal assessment is never performed on children. If an internal assessment is not performed we use external biofeedback as a screening tool to assess pelvic floor function and assist with developing your treatment plan. However, a digital internal muscle assessment is the gold standard for pelvic floor muscular dysfunction and prolapse assessment and is recommended for adult clients.

LOCATION

Core Functional Wellness is located at 543 Encinitas Blvd #114

Encinitas, CA. 

In-home appointments available to Medicare clients in some areas of San Diego.

 

Consultations and appointments are available to out of area clients through our online Telehealth services.

ASK OUR BOARD CERTIFIED SPECIALIST A QUESTION ABOUT YOUR PAIN, LEAKING, OR OTHER SYMPTOMS:

Tel: 858 231 2800

Fax: 858 210 6363

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