First we will spend plenty of time talking with you about your experience and symptoms. This will include a detailed medical and social history as it relates to the issue you are seeking help for. We want you to be unhurried and heard! Then we will assess your posture, walking patterns, breathing patterns, and overall strength in the upper body, lower body and core. Based on these initial findings we may recommend an internal pelvic floor muscle assessment. This assessment is designed to get a full picture of the strength, coordination and alignment of your pelvic muscles, bones, ligaments and fascia. This assessment is conducted vaginally. No speculum or stirrups are used. You are comfortably lying on a treatment table with your legs supported by pillows. After the assessment your therapist will discuss the findings with you in detail along with a recommended treatment plan. Sometimes treatment may take as few as 1-2 visits, while other times your therapist may outline a longer treatment plan usually starting with more frequent visits, then tapering down in frequency as your symptoms improve. ​ You will leave the appointment with an understanding of WHY you are experiencing your symptoms and a PLAN to move toward resolution.

While internal assessment enables us to gather the most detailed information in order to develop a targeted treatment plan, we understand that the idea of an internal assessment may be uncomfortable to some clients. We want to eliminate this potential barrier to seeking help and make sure everyone feels comfortable coming for treatment. If a client declines internal assessment we use external biofeedback or ultrasound as a screening tool to assess pelvic floor function and assist with developing your treatment plan. Internal pelvic floor muscle assessment is never performed on children.

Prior to the initial evaluation you will be asked to complete a thorough medical history and history of the current issue for which you are seeking treatment. We meet with each child and their parent/s or guardian to review this information and get a thorough understanding of your child. We then do a physical examination looking at the muscles of the abdomen, legs, back and any others we feel may be relevant to your child's issue. The exam is with an adult present and over clothing. Based on the initial findings of the physical exam, your therapist may conduct further assessments including large motor, coordination, reflex and/or sensory processing assessments. Part of the initial evaluation is conducted in the sensory gym so we can assess large motor patterns and so your child can have FUN! Finally, we consult with your child's pediatrician to develop an individualized treatment plan.

Treatment directly addressing pelvic floor muscle strength and coordination (with or without the use of ultrasound or biofeedback) is performed in a private treatment room, over clothing and a parent or guardian is required to be present. Treatment addressing sensory integration, core muscle strengthening and/or gross motor coordination is performed in our sensory gym and parental/guardian presence is not required.

Yes we offer Telehealth for out of area clients or clients who may just want a quick session to get a few questions answered without having to get in the car and make the drive to our office.

Comfortable, loose clothing and a sports bra are recommended to allow you freedom of movement during exercise, and comfort for any hands-on treatment. We have a bathroom available if you need to bring clothing to change into before your appointment.

Contact us to receive an estimated cost for services at Core Functional Wellness. We have either in network or out of network relationships with most medical plans. If we are out of network with your insurance we offer courtesy billing for all eligible patients. With courtesy billing, you can be assured of receiving your maximum allowed reimbursement in as timely a manner as possible with zero effort on your part. Additionally, you may also use your HSA/FSA cards for qualifying therapy services.

Your insurance determines if you need a referral, although most of our client's insurances do not require a referral for pelvic floor occupational therapy. We will check for you to see if this is needed.