Frequently Asked Questions

Getting Started

  • We help women at every stage of life, including postpartum, perimenopause and menopause, athletes, and anyone dealing with bladder, bowel, pelvic pain or core concerns. Many patients also come to us for gut health, hormone balance, fatigue and nutrition. If you're not sure we're the right fit, book a free call to ask.

  • No. In Ohio you can see a physical therapist directly without a referral. If you'd like us to coordinate with your doctor, we're happy to.

  • Book a free 15-minute introductory call. We'll talk through what's going on, answer your questions and make sure we're a good fit before you commit to a visit.

  • Our office is at 3807 Brecksville Rd, Unit 3, Richfield, OH 44286. We serve the Greater Cleveland and Akron areas.

Pelvic Health Physical Therapy

  • Pelvic health PT treats the muscles, joints and nerves of the pelvis, hips, low back and core. These muscles support your bladder, bowel and sexual function, and they work closely with your breathing and posture. When they're too weak, too tight or not coordinating well, symptoms can follow.

  • Common reasons people come to us include:

    • Leaking with coughing, sneezing, running or lifting

    • Urgency, frequency or getting up at night to pee

    • Pelvic, hip, tailbone or low back pain

    • Pain with sex, tampons or exams

    • Constipation or difficulty emptying

    • Prolapse symptoms, like heaviness or pressure

    • Pregnancy and postpartum recovery, including diastasis recti (ab separation) and C-section scars

    • Pelvic changes during perimenopause and menopause

  • It's common, but it isn't something you have to live with. Most bladder and pelvic floor symptoms respond well to targeted treatment.

  • We start with a conversation about your history, symptoms and goals. Then we assess your posture, breathing, hips, back and core. With your consent, we may also do a pelvic floor exam. You'll leave with a clear picture of what's going on and a plan you can start right away.

  • No. An internal exam gives us the most detailed information about your pelvic floor, but it's always your choice. We explain everything first, you can stop at any time, and we can learn a lot with an external assessment alone.

  • Comfortable clothes you can move in, like leggings or athletic wear.

  • It depends on your goals and how long symptoms have been going on. Many people notice changes within a few visits. Three months is our minimum recommendation. We'll give you a better estimate at your first appointment and adjust as you progress.

  • Most people can begin around 6 weeks postpartum, once cleared by their provider. Ideally, every postpartum mom gets a pelvic floor check, even without symptoms. We also see patients before and during their pregnancy.

Functional Medicine & Nutrition

  • Functional medicine looks for the root cause of symptoms instead of only managing them. We look at your whole picture: health history, genetics, environment, stress, sleep, nutrition and lifestyle. Then we build a plan that fits you.

  • Functional nutrition uses food as a foundation for healing. Rather than a one-size-fits-all diet, we look at how your body digests, absorbs and uses nutrients, and adjust from there.

  • Patients often come to us for digestive issues like bloating, constipation or reflux, hormone imbalance, fatigue, stubborn weight changes, and inflammation.

  • The pelvic floor doesn't work in isolation. Constipation, hormone shifts during perimenopause, inflammation and stress all affect pelvic symptoms. Addressing both the muscles and what's happening inside the body often leads to better, longer-lasting results.

  • Everyone is different. Some people feel better within weeks. A helpful rule of thumb: allow about one month of healing for every year you've had the problem. Most plans start with 3 months of focused work on digestion, hormones and detoxification.

Appointments & Scheduling

  • You can book your first introductory call anytime through our membership page. All other appointments can be made directly through the office. Appointments can fill up quickly, so we recommend booking 2–3 weeks ahead.

  • Yes. You'll get intake forms through the patient portal after you book. Please complete them at as soon as possible so we can review them and make the most of our time together.

  • We ask for at least 24 hours' notice to cancel or reschedule. That lets us offer the time to someone on our waitlist.

    Appointments canceled or rescheduled with less than 24 hours' notice, as well as missed appointments without notice, may be subject to a $150 late-cancellation/no-show fee.

  • Initial visits are 60 minutes. Follow-up visits are 30 or 60 minutes, depending on your plan.

Fees, Payment, & Insurance

  • We recommend our membership model for optimal care. You can also choose our per-visit model if that suites you better after your introductory call.

  • Payment is due at the time of your visit. We accept all major credit cards as well as HSA and FSA cards.

  • We're an out-of-network, private-pay practice, so we don't bill insurance directly. That lets us spend more one-on-one time with you, without limits set by an insurance plan.

Labs & Supplements

  • No, labs are optional. When they make sense, testing can show what's happening with your hormones, digestion or nutrient levels, and help us personalize your plan. We'll always explain why we're recommending a test.

  • Most results come back in 2–4 weeks. We'll review them with you at your next visit.

  • We use Fullscript, a trusted online dispensary. You'll get a personalized recommendation list, order from home and have everything shipped to your door. Fullscript carries professional-grade brands, so you know you're getting quality products.

  • No. We recommend specific products because quality varies a lot between brands, but the choice is always yours.