I want you to get the holistic care you deserve.
Your first visit for orthopedic concerns: What to Expect
An initial evaluation is about more than just checking your range of motion—it’s about understanding your story and building a roadmap for your recovery. Here is how we spend our first 60 minutes together:
1. The Deep Dive (Consultation)
We start by talking. I want to hear about your history, your daily challenges, and—most importantly—your goals. Whether you want to pick up your kids without pain or return to marathon training, our plan starts with what matters to you.
2. Comprehensive Assessment
I will perform a detailed physical screen to look at how you move. This may include:
Postural Analysis: Seeing how your body aligns at rest and in motion.
Mobility & Strength: Checking joint range of motion and muscle function.
Neuromuscular Screen: Assessing how your brain and muscles communicate.
Functional Movement: Watching you perform the specific tasks that cause you discomfort.
3. Diagnosis & Education
I believe you should be an expert in your own body. I will explain the "why" behind your symptoms using the latest research, ensuring you leave with a clear understanding of what is happening and how we are going to fix it.
4. Hands-On Treatment & Movement
We don't just talk; we get to work. Most initial visits include an introductory treatment—such as manual therapy or neuromuscular re-education—and a few foundational movements for you to begin at home.
5. Your Roadmap
By the end of the hour, we will have a clear plan of action. You’ll know exactly how often we should meet and what the path to your "new normal" looks like.
What to Wear
Comfortable, loose-fitting clothing that allows you to easily access the area being treated (e.g., shorts for a knee or hip evaluation).
Experience commitment to quality health care
What is pelvic floor physical therapy?
I am a physical therapist. Just like any other part of the body, I am still very focused on the ligaments, nerves, muscles, joints and making sure everything in your pelvic floor is doing what it’s supposed to do. Your comfort during our sessions is paramount. The evaluation starts with a lot of talking so I can build a good picture of what is going on with you. I give you options for next steps and then we get right into treatment on the first session. It is my priority that you walk away from every session with an individualized plan of care that works for you.
Here is a step-by-step breakdown of what typically happens during that first 60-minute session.
1. The "Deep Dive" Conversation
The most important part of the evaluation isn't physical—it's the story you tell. Your therapist will ask detailed questions to understand the "why" behind your visit. You’ll discuss:
Bowel and bladder habits: Frequency, urgency, or any leakage.
Pain patterns: When it happens, what it feels like, and what triggers it.
Lifestyle & Goals: What activities have you stopped doing that you want to get back to? (e.g., running, lifting your kids, or pain-free intimacy).
2. The Total-Body Movement Screen
Because the pelvic floor doesn't work in a vacuum, your therapist will look at how your whole body moves. This usually includes:
Posture and Breathing: How your ribs and diaphragm move (which directly impacts pelvic pressure).
Hips and Spine: Checking for tightness or weakness in the "neighbors" of the pelvis.
Core Strength: Assessing how your abdominal muscles coordinate with your breath.
3. The Pelvic Floor Assessment (External & Internal)
This is the part that often makes people nervous, but it is handled with the utmost respect and privacy.
Always Optional: You are in the driver's seat. If you aren't ready for an internal exam on day one, that is 100% okay.
No Speculums or Stirrups: Unlike a GYN exam, this is a manual assessment using a single gloved finger.
What they are looking for: Assessing for muscle "tone" (are the muscles too tight?), strength (can you perform a proper contraction?), and coordination (can you relax them fully?).
4. Findings & "The Plan"
Before you leave, your therapist will sit down with you to connect the dots. You’ll walk away with:
Education: A clear explanation of what is causing your symptoms.
The Roadmap: A recommendation for how many visits you’ll need (often just once a week or every other week in this model).
Home "Homework": Usually 1–2 simple movements or habit changes you can start immediately.
How to Prepare
Wear comfortable clothes: Think leggings, joggers, or gym shorts.
Hydrate & Eat: No need to fast or do anything special.
Write down questions: It’s easy to forget them once the session starts
What conditions can pelvic floor therapy treat?
Painful urination
Incontinence of bladder and bowel
Constipation
Urinary frequency
Urinary urgency
Pain in low back, genitals, rectum, tailbone
Pain with intercourse
Feeling of pressure in pelvic region or rectum
Muscle spasms in your pelvis
Abdominal wall rehabilitation
Prehab and post operative care following cancer, colorectal, urogynecology and reconstructive pelvic surgeries
Ante/postpartum
Peri/postmenopause
Peripheral nerve impairments (ex: Pudendal Neuralgia common with cyclists)
Gender Affirming Care
Bedwetting
Rates
Pelvic Floor Initial Evaluation
Online or in-person, this initial evaluation is designated to form a personalized treatment plan based on your health history, diagnosis, and goals. Includes pelvic exam and treatment. 60 mins | $150 | Get started
Online or in-person. (Must be scheduled following initial evaluation treatment.)
Expand upon the initial evaluation/assessment. 60 mins | $150 | Get started
Pelvic Floor Follow-up session
Online or in-person, this initial evaluation is designated to form a personalized treatment plan based on your health history, diagnosis, and goals includes treatment. 60 mins | $135 | Get started
Orthopedic Initial Evaluation
Online or in-person. (Must be scheduled following initial evaluation treatment.)
Expand upon the initial evaluation/assessment. 60 mins | $135 | Get started
Orthopedic Follow Up Session
(Only available for scheduling after initial evaluation performed.) Pelvic floor assessment performed during session as well.
60 mins | $150 | Get started
Dry needling session for pelvic floor
Dry needling session (not including pelvic musculature)
(Only available for scheduling after initial evaluation performed.)
30 mins | $85 | Get started
1 Visit: $150
4 Sessions: $580
6 Sessions: $858
90 minute session: $225
30 minute tune-up: $90
Treatment Packages
Packages can be shared amongst family and friends and do not expire.
How does payment work?
What does “cash-based” mean?
In short, it means no surprises. You will never be hit with an unexpected balance weeks after your appointment. At Pelvic Hope MKE, I am upfront with pricing and accept:
Flex Spending Accounts (FSA)
Health Savings Accounts (HSA)
Cash, Check, Venmo, or Zelle
All major Debit/Credit cards
You Are in Charge
Being cash-based means you are in control of the care that’s right for you. Instead of an insurance company dictating your progress, we use a diverse selection of treatments and competitive pricing to ensure your health takes shape in a way that works for your life.
The "Out of Network" Advantage
As an "Out-of-Network Provider," I can provide you with a "superbill" if you have out-of-network benefits. You can submit this to your insurance company for potential reimbursement, depending on your plan.
Better Results, Less Time
Traditional insurance-based models often require visits 2–3 times a week for shorter sessions, often lead by therapy aides, over many months (the old "twice a week for six weeks" routine). These models often prioritize high billing volume over individual patient needs.
The Financially Smart Part: In a patient-driven, cash-based model, you actually save time and money. By receiving expert, specialized care once a week—rather than three times—most patients pay roughly the same total amount for physical therapy but heal in significantly less time.