Before you arrive
Complete any intake forms the clinic sends you. Wear comfortable clothes you can move in. Bring your insurance card, relevant paperwork, and questions you want to remember. If you are unsure whether you need a physician referral, call the clinic with your plan information.
The conversation: history and goals
Your therapist will ask about what brought you in, how symptoms affect daily activities, relevant medical and surgical history, and what you hope to work on. You choose how much detail to share; honest answers help shape a useful plan.
The movement assessment
Pelvic concerns often connect to how you breathe, stand, walk, squat, and use your hips and spine. Your therapist may observe posture and functional movements and perform external tests. This part of the visit is similar in spirit to other orthopedic physical therapy evaluations.
Pelvic floor assessment and consent
If a pelvic floor assessment is appropriate, your therapist should explain what they recommend and why, including external and internal options. You can ask questions, request modifications, decline an internal assessment, or stop at any time. Internal assessment is not required for every patient or every visit.
External options
Observation, palpation at the abdomen or pelvis externally, and discussion of muscle coordination may be part of care without an internal exam.
Your choice matters
Consent is ongoing. You can change your mind, ask for more explanation, or focus on external strategies and exercise if that feels right for you.
After the evaluation: plan, frequency, and home program
You and your therapist review findings in plain language and discuss a proposed plan— which may include education, hands-on techniques, exercise, and strategies for home. Visit frequency and duration depend on your evaluation and goals; there is no single schedule that fits everyone.
About pelvic health services at PT 1stHow to prepare questions for your therapist
- What are you assessing today, and why?
- What are my options if I prefer not to have an internal exam?
- How might this plan support my daily activities?
- What should I practice at home before the next visit?
- When should I follow up with my physician?
