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  • Pelvic Floor Physical Therapy is physical therapy specifically for the pelvic floor. The pelvic floor is a group of muscles that make up the bottom of the pelvis and responsible for support of the pelvic organs, normal bladder and bowel mechanics and also plays a role in sexual function. A physical therapy assessment determines the function of the musculoskeletal and neuromuscular systems as it relates to physical therapy by means such as joint range of motion, motor power, posture, biomechanical function, gait mechanics or functional abilities.

  • Fourth Trimester Wellness is currently an "out of network" provider. HSA/FSA cards are accepted. You may be able to file for out of network reimbursement with your insurance company following treatment, in which Superbills can be provided per request. Filing is soley the responsibility of the patient to complete for any out of network reimbursement.

  • In the state of Florida, a referral is not required to receive physical therapy services for up to 30 days. After 30 days, a referral or prescription is required to continue treatment. In the state of Florida, a referral can be obtained from a Medical Doctor or physician assistant, Osteopathic Physician, Chiropractor, Dentist, or Podiatrist. For more information on Direct Access in Florida, please click here.

  • Your first appointment will be up to 60-75 minutes and always one-on-one. Assessments start with a thorough history taking where we will get to know you, your health and learn about your goals for therapy. Depending on your needs, preference and consent, a physical exam will be performed which can include postural assessment, strength and range of motion testing, gait analysis, functional movement screen and an external or internal pelvic floor exam. Following an exam, you will be provided with treatment, education on your diagnosis and plan of care, and most importantly a customized home program to work on between appointments.

    We prioritize patient comfort and consent during assessment and treatment. Patients are welcome to decline any part of assessment or treatment. Although sessions are one-on-one, we encourage and invite partners or little ones if desired.

  • Sessions can be performed online, in clinic, or the comfort of your own home. You just let us know where you feel most comfortable and what is most convenient.

  • No! You do not have to be pregnant or postpartum to benefit from pelvic floor therapy. Any woman, regardless of pregnancy history, can benefit from pelvic floor therapy.

  • You should wear comfortable clothing to move in to pelvic floor therapy sessions. Your plan could include strengthening and movement analysis.

  • Its difficult to say when you will get better when we haven’t yet heard your personalized story. However, individualized treatment plans are created at the initial evaluation. We create a plan together and you have some homework to help achieve your goals. Overall, most patients see improvement in symptoms in 6-8 weeks.

  • Physical therapy is not contraindicated during menstruation. As long as you feel comfortable with treatment, we can keep your appointment.

  • Typically we wait to perform internal examination until 6 weeks postpartum to allow for tissue healing. However, we can and do see patients prior to 6 weeks for external treatment when experiencing pain or weakness.

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