What happens at your first visit.

Before your visit

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Intake paperwork arrives by email so you can fill it out at home, privately, in your own time. There is no clipboard in a waiting room and no front-desk conversation about why you are here.


The Room

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A private treatment room with a door that closes. Your initial evaluation is a 75-minute appointment, one-on-one with Dr. Crush — not a shared gym floor, not a curtained bay, not a technician taking over halfway through. You are welcome to bring a partner, a friend, or a family member.


We Talk First

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We begin with conversation: your history, what you have already tried, what you have been told, and what you actually want your life to look like. Bring imaging, test results, and surgical reports if you have them — and bring the things other providers waved off.


The Physical Evaluation

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The evaluation begins externally: how you move and breathe, your posture, abdominal wall, hips, spine and the way these systems work together. Many patterns contributing to pelvic and whole-body symptoms can be identified before an internal examination is ever considered.

When clinically relevant, an internal pelvic floor examination can provide information that cannot be gathered externally. It is always optional, explained in advance and guided by your consent.

Because every visit is individualized, the balance may change depending on what your body needs. As care progresses, many treatment visits are predominantly hands-on—often around 80%—with the remaining time devoted to guided movement, education and developing a clear plan for home.

You Leave with a Plan

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You leave with a clear, individualized plan: what Dr. Crush found, the patterns that may be contributing to your symptoms, what progress may look like and what you can do between visits. If another provider or form of care would better support you, Dr. Crush will explain why and help guide the next step.

What consent means here. The exam is explained in full before anything happens. You stay dressed until you have agreed. You can stop at any moment, for any reason, without explaining yourself. You can decline it and still receive a complete evaluation and a treatment plan. Declining does not make you a difficult patient and it does not end your care.

You may choose an internal assessment at your initial visit or request one later, at any point during your course of care. It may be revisited when clinically relevant and when you choose to proceed. Declining initially does not prevent you from choosing it later, and agreeing once does not commit you to future internal assessment or treatment.

Consent is ongoing. You can decline, pause, or stop at any time. Dr. Crush honors your bodily autonomy and your decisions throughout care.