FREQUENTLY ASKED QUESTIONS

WHAT ARE YOUR EDUCATION, SKILLS, CREDENTIALS?

WHAT CONDITIONS DO YOU TREAT?

I work with a wide variety of conditions affecting the pelvic floor and interdependent regions including but not limited to:

  • INCONTINENCE (BLADDER, BOWEL, STRESS, URGENCY, OVERFLOW, MIXED, NEUROGENIC)

  • PROLAPSE (URETHRA, BLADDER, VAGINAL, UTERINE, CERVIX, RECTUM)

  • CANCER (HEAD/NECK/JAW, BREAST, COLON, RECTAL, CERVICAL, UTERINE, OVARIAN, VULVAR, PROSTATE, TESTICULAR, BLADDER)

  • MENSTRUAL HEALTH (ENDOMETRIOSIS, PCOS, ADENOMYOSIS, FIBROIDS, CYSTS)

  • BOWEL (CONSTIPATION, IBS, REFLUX, GASTROPARESIS, MOTILITY ISSUES, GAS, BLOATING, SIBO)

  • BLADDER (OAB, IC, URGENCY/FREQUENCY, RETENTION)

  • AUTOIMMUNE DISORDERS (EDS, MCAS, SJROGEN’S, DIABETES, MYAESTHENIA GRAVIS, THYROID)

  • NEUROLOGICAL (STROKE, SPINAL CORD, CAUDA EQUINA, MULTIPLE SCLEROSIS, CEREBRAL PALSY, GUILLAME-BARRE, PUDENDAL NEURALGIA, SCIATICA, MERALGIA PARESTHETICA)

  • ORTHOPEDIC (SPINE, PELVIS, SACRUM, COCCYX, HIP, TMJ)

  • FERTILITY, PREGNANCY, POST-PARTUM, PREGNANCY LOSS, DIASTASIS RECTI

  • MENOPAUSE and GENITOURINARY SYMPTOMS

  • PELVIC CONGESTION SYNDROME

  • CHRONIC PELVIC PAIN, PROSTATITIS, RECURRENT YEAST/BV/UTI

  • TESTICULAR (PAIN, HYDROCELE, VARICOCELE)

  • SEXUAL DYSFUNCTION (ED, PE, VAGINISMUS, VULVODYNIA, PGAD, DYSPAREUNIA/PAINFUL INTERCOURSE, PAINFUL ERECTION/EJACULATION, TRAUMA-RELATED)

  • GENDER AFFIRMATION

  • PELVIC SURGERIES (C-SECTION, HERNIA REPAIR, HYSTERECTOMY, OOPHRECTOMY, COLON RESECTION, PROSTATECTOMY, NEO-BLADDER, TUBAL LIGATION, VASECTOMY)

DO YOU ALSO DO PHYSICAL THERAPY APART FROM PELVIC FLOOR?

YES!! I am experienced and more than skilled to treat various orthopedic/sports, surgical, neurological, cardiac/pulmonary conditions and issues. CONTACT me or book a free CONSULTATION to learn if I may be of assistance in your rehabilitation and goals.

DO YOU ACCEPT INSURANCE?

YES, I accept the following insurances:

  • BLUE CROSS BLUE SHIELD

    • Independence Personal Choice

    • Highmark

    • Capital

    • Horizon

    • Anthem

    • Federal/FEP

    • Out-of-State BCBS

  • Case-by-Case EXCEPTIONS (due to inconsistent claims processing/coverage, capitation, and substandard reimbursement rates despite highly specialized services rendered for Pelvic PT)

    • Optum/United Health Care

    • Optum/VA Community Care

    • Aetna/ Meritain

    • Independence Keystone Health Plan East

    • Medicare B with supplemental/secondary insurance

CONTACT me or book a free CONSULTATION to determine your physical therapy benefits, coverage, visit limits, and if any pre-authorization or pre-certification is required by your insurance carrier prior to scheduling your first appointment. Case-by-Case Insurance Exceptions as noted above may be charged a $75 processing fee for any pre-authorization/certification, peer-to-peer review, and claims appeals rendered.

WHAT ARE OUT-OF-NETWORK, SELF-PAY, AND SLIDING SCALE OPTIONS?

The ability/option for Self-Pay allows for individualized session activities, duration (> 60 minutes) and frequency to meet your specific needs, as my services are not dictated by the limitations of insurance. Should you have Out-of-Network insurance benefits, I am happy to offer a superbill/invoice/itemized bill with all necessary information for out-of network reimbursement. Should clients with accepted insurances require/request sessions greater than 60 minutes, a $30 self-pay charge for each additional 15 minutes of treatment time is implemented. My fees and structure are cost-transparent —I believe every body is entitled to high-quality, accessible and cost-effective care. I also strive to offer sliding scale services or discounted session bundles with “Good Faith Estimates” upon request prior to scheduling or during your course of care.

WHY CHOOSE PELVIC GUIDE?

My stance is this: Deliver life changing care that utilizes both an external and internal treatment systems approach with advanced manual techniques including visceral mobilization, myofascial release, advanced coccyx, hip, and spinal mobilizations, prescriptive exercise program and extra treatment modalities including a class IV laser to immediately reduce inflammation and pain. We work closely with other health care providers for a team approach and offer acupuncture, guided imagery and osteopathic treatment in addition to PT under one roof.

At PELVIC GUIDE, patients will experience concierge-like services that are not found anywhere else beginning with my ability to take the time to listen to my patients and deliver a unique individualized treatment plan to get you back to doing what you love, at your pace/comfort.

ARE YOU LGBTQIA+, KINK, RELIGIOUS, CULTURALLY/ETHNICALLY, NEURODIVERSE, DISABILITY FAMILIAR AND FRIENDLY?

YES! As an AASECT Certified Sex Counselor (CSC) and experienced Doctor of Physical Therapy, I have recieved extensive education, training, and experience in working with patients/clientele from various backgrounds and abilities. Additionally, I have been the site representative at Penn Therapy & Fitness Radnor for their Sexual Orientation & Gender Identity (SOGI) and LGBTQIA+ clinician/staff program initiatives—this entails sitewide employee training, competencies, and pathway to becoming affirmed providers. I am also a clinician treating individuals who are preparing and have undergone gender affirmation treatments/procedures. I also do yearly cultural competency training and continuing education. Notably, I have a background and extensive lived experience within various neurodiverse, ADA, ethnic/cultural, religious, kink and LGBTIAQ+ communities.

ARE THERE ANY MEDICAL AND/OR SAFETY PRECAUTIONS I SHOULD TAKE PRIOR TO STARTING PELVIC FLOOR PHYSICAL THERAPY?

I, PELVIC GUIDE, recommend that you contact your relevant medical provider(s) before participating in any physical therapy, exercise or fitness related programs. If you are presently under the care of a mental health practitioner, consult them regarding the integration of sex counseling and/or trauma-sensitive care (should it be relevant) into your current plan of care. I adhere to a multidisciplinary and bio-psycho-social practice approach, wherein I welcome and encourage dialogue and collaboration with your provider team and support systems to ensure and maximize your outcomes/goals.

DO YOU OFFER PROFESSIONAL CASE CONSULTATION AND EDUCATIONAL SERVICES?

Yes! I am able to offer case consultation and/or educational services to other professionals for a fee—whether they be medical, wellness, fitness, mental health, community groups or caregiver-based. This service EXCLUDES the 15-minute FREE consultation. Please complete my Contact form or Email me for further information and rates.

HOW DOES PELVIC PHYSICAL THERAPY DIFFER FROM WOMEN’S COACHING?

The scope of practice between a Physical Therapist versus a Coach/Trainer are based upon educational breadth/depth/level, professional licensure, certification type, utilization of health insurance, and resullting scope of practice. A physical therapist (PT) is a licensed healthcare professional focused on diagnosing and treating movement dysfunction, pain, and injuries using medical knowledge, requiring extensive education (Doctorate-levell) + clinical experience hours + passing the national physicall therapy exam (NPTE), in addition to state approval w/ licensure and mandated continuing education requirements. A PT is able to further specialize in an area of expertise + proficency by passing a speciallty examination and satisfying requisite clinical hours with that specialty population to obtain advanced professional board certification. Since PT is considered a medical service, it can be billed to your insurance via specific billing codes, with costs being appllied toward a deductible (IN or OUT OF NETWORK, as per your policy and coverage). Conversely, a coach (fitness or sports) guides healthy individuals toward performance goals, skill development, and broader wellness using exercise programming and motivation, requiring only a certification involving less stringent medical training but valuable performance expertise, often complementing PT work for a seamless transition from rehab to peak fitness.  Coaching typically is a private, out-of-pocket expense and is not covered by insurance. The best approach often involves both in sequence or tandem: PT to heal from an injury/issue, and a coach to train, build strength and prevent future issues, ensuring a safe and effective path to full performance. 

WHY PELVIC FLOOR PHYSICAL THERAPY AND SEX COUNSELING?

Pelvic floor physical therapy (PFPT) and sex counseling are a powerful combination for addressing sexual dysfunction, as they treat the physical and psychological components simultaneously. While PFPT treats the muscles and nerves, sex counseling addresses the emotional, relational, and trauma-based barriers to intimacy. Refer to this video for additional details.