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Evaluation & Treatment

What can I expect from the Pelvic Floor PT evaluation?

During the first visit, we will take a thorough history including your primary concerns and any functional limitations you have. An assessment of movement and special tests of your muscles and joints will be performed focusing on the areas of concern and overall function.  

An internal assessment of the pelvic muscles (through the vaginal or rectal canal) may be valuable. You have the option to choose or refuse any part of the examination or treatment with which you don’t feel comfortable. 

After the assessment, we will discuss a plan of care to address your symptoms and provide some treatment as well as education.

This appointment will last approximately 1.5 hours. 

What can I expect from a pelvic floor PT treatment session?

Each session is 1-on-1 with Angie Nesrsta, a licensed PT specially trained in the area of pelvic health. 

Pelvic floor therapy may include: 

  • Exercises to identify and strengthen the pelvic floor  

  • Core strengthening exercises 

  • Soft tissue mobilization and myofascial release to address muscle imbalance 

  • Joint mobilization 

  • Relaxation techniques 

  • Self-care education including diet and lifestyle changes that can help improve symptoms.

  • Biofeedback techniques to improve muscle contraction and relaxation 

  • Electrical stimulation to improve awareness and strengthen muscles 

Your program will be individually designed to meet your needs. 

Each session lasts approximately 30 minutes - 1 hour.

Do I need a doctor’s referral?

Yes, you will need a referral from a doctor.  This often just requires a phone call from you.  If you have questions about this, please call our office to discuss. 830-428-3044

Do you accept insurance?

At Hill Country Pelvic Health, we believe hour long 1 on 1 sessions with a pelvic health specialist are the gold standard.  You'll always been seen by a pelvic PT for a full session, never handed off to an aide, double booked or just watched as you exercise or are hooked to a machine.  Because of this belief, we are out of network with all insurance companies except Medicare part B.  If desired, a superbill can be provided for submitting to insurance. Pelvic Floor physical therapy will be reimbursed as out of network physical therapy services

We accept all forms of cash payment:  cash, check, or credit card.

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