Frequently Asked Questions

First, we talk. A lot. What's going on, your history, and your why: the thing you've stopped doing, or the trip you're worried about. Then we do a full-body evaluation to see where your body is at and find the root of the problem, because your pelvic floor doesn't work alone. Then we put our heads together with you on a plan to fix it, and keep going past where you thought you could get. Nothing happens without your OK.More on your first visit

No. It's optional, and it only happens with your full, informed consent. We'll talk through all your options first, and we can learn a lot from an external exam too. If you do want one, it's gentle: one gloved, lubricated finger, no instruments. It tells us how strong your pelvic floor muscles are, how long they can hold, how fast they react, and how well you can control them, which is hard to know any other way. Every one of our doctors is trained to evaluate and treat the pelvic floor.

Totally okay. Most people don't. We talk about peeing, pooping, sex and "something feels different down there" all day long, so nothing you say will be the weirdest thing we've heard this week. You don't need the right words. We'll help you find them.

Common, yes. Something you just have to live with, no. Leaking, heaviness and pressure are really common, and they're also really treatable. "That's just part of getting older" isn't a treatment plan.

No. Your pelvic floor is a muscle group, and muscles respond to training at any age.

Not necessarily. Many people with prolapse symptoms get real relief with pelvic floor PT, and it's worth trying first. If surgery does end up being the right call, being strong going in helps you recover coming out.

Because nobody checked them. A lot of people squeeze the wrong muscles, or squeeze muscles that actually need to relax. We'll check, then give you what your body actually needs.

Yes, please. We'll check your form, fix what's off, and build you a plan for the gym and your pelvic floor, because they're connected. Same goes for your hips, your back, and your pickleball game.

This varies based on your symptoms and goals, but many people notice improvement within a few sessions. We create individualized plans designed to get you better efficiently.

Nope. In Texas, you can be evaluated and treated for up to 3 weeks without one. If you want to submit for insurance reimbursement, you'll need a referral, and we can help you get one after your evaluation.

Please contact us for pricing. Every session is a full hour, one-on-one with a Doctor of Physical Therapy. You pay at or before your visit. We're out-of-network, but we'll give you a superbill so you can submit to your insurance for reimbursement. No hidden costs, and no surprise bills after.

Because insurance usually decides how much time you get, and it usually isn't much. At a lot of clinics that means sharing your hour with other patients, or doing your exercises alone while someone checks in. Being out-of-network means you get the whole hour, one-on-one, and we decide your care together without an insurance company in the room. You can still submit a superbill to your insurance for reimbursement.

No, we don't take Medicare.

You get a full hour with a Doctor of Physical Therapy, one-on-one, every visit. You won't be handed off to a tech or aide halfway through. We'll tell you what's going on, check how you're doing your exercises and fix what's off, and give you the tools to keep going at home. The goal is to get you out the door and not needing us. And your pelvic floor is connected to your hips and your back, so we treat them together. Anyone with a body is an athlete. Whether it's a back squat PR, tennis with your buddies, or walking Disney World with the grandkids, you deserve to keep doing it.

Nope. We treat people of all genders, ages, shapes and sizes, for pelvic floor problems, orthopedic problems, and usually a bit of both.More on pelvic health for men

Yes! PilatesRx is a mat Pilates class led by a physical therapist, and it's open to everyone. Drop in, no membership needed.See PilatesRx