Frequently Asked Questions
Insurance and Billing
Why are we out of network?
For all of these reasons, we choose to remain out of network. Our internal billing staff will work with you to submit claims on your behalf and walk you through your options. Call us to learn more: 212.354.2622 or email
What insurance providers do you work with?
You can also make convenient monthly payments with various finance options with Care Credit. We offer our patients special interest-free financing of 6, 12, or 18 months. We also offer discounted package rates through Care Credit.
Planning Your Visit
What should I expect at my first appointment?
We always start by asking questions. This gives us the background and context we need to understand your body, your pain, and your issue. Then we do a physical exam. This is a hands-on evaluation based on your symptoms. We may evaluate external and internal muscles. The goal is to trace your issue to its source (or sources) so we can get you real relief.
As part of the holistic care of the patient with a pelvic pain/dysfunction condition we are trained and can provide appropriate manual techniques internally to structures of the pelvis, including the pelvic floor muscles, nerves, and bones (coccyx). As the patient, you always dictate the care you are comfortable with and can refuse any treatment at any time without an explanation.
In your hour-long sessions, you’ll get hands-on treatment from your PT and exercises to start at home between appointments.
What kinds of treatment should I expect?
Our physical therapists are trained in many kinds of treatment. We use internal and external manual therapy, including: myofascial release, trigger point release, connective tissue release, and craniosacral therapy. If necessary, we can even gently mobilize the organs themselves to improve function.
We also use techniques such as biofeedback to retrain your muscles. We’ll teach you techniques you can take home with you and use between sessions to improve results.
We also occasionally use cold laser, heat and cold therapy, electrical stimulation, and transcutaneous electrical nerve stimulation.
Neuromuscular re-education is a type of exercise aimed at retraining your muscles to perform in the way they were designed to perform in order to achieve coordination and optimal movement. This is essential to be able to carry out pain-free activities like standing, walking, and getting out of a chair, and also in maintaining healthy function going forward to prevent reinjury.
Ultimately, we consult with our patients’ referring doctor or healthcare provider and work with our patients to create individualized exercise programs that are tailored to their needs. And we devote time every week to continuing education, so we’re always on the forefront of treatment options.
What should I bring/wear?
Please arrive 20 minutes early to your first appointment and bring the following with you:
Your insurance card
Completed patient registration forms
Physician referral forms, as applicable
Recent x-rays or relevant records
Wear loose clothing and shoes you’re comfortable walking in. Think about what you would wear to go to the gym.
Why are sessions one hour long?
At Beyond Basics we find that for the clarity, consistency, and results we’re looking for, an hour is the right amount of time. It takes at least 45 minutes of hands-on work to make a real difference – and we want to spend time talking to you at the beginning and end of every appointment.
How many sessions does it take?
This is different for every single patient. Your physical therapist will talk through your treatment plan with you and adjust it as needed as you go.
How do I know if PT is helping?
Your symptoms should start to improve within 4-8 weeks if not sooner. Just keep in mind that, like any muscle, pelvic floor muscles can feel sore at the onset of a new exercise routine, or after a soft tissue mobilization. If you feel new or different discomfort after the first few sessions, that’s normal – and actually a good sign for future recovery. Your therapist is always ready to communicate and explain, and can talk you through what to expect.
What if I need to cancel or reschedule?
If you need to cancel, please let us know at least 24 business hours ahead of time. If you cancel with less than 24 business hours’ notice, we charge 60% of the appointment fee, which your insurance will not reimburse.
If you arrive late or don’t show, we charge the full fee for the session.
What if I live out of town?
It can be hard to find highly-skilled, pelvic floor PT specialists. As a result, we often see patients who live out of town. We work with you in advance to make the most of your travel. We start with a two-hour initial evaluation and schedule daily follow up sessions that last at least 90 minutes during the remainder of your stay.
We encourage you to continue treatment with a local pelvic floor PT when you go home. If you can’t find someone near you, we recommend returning to us every month or couple of months for in-person visits.
We also offer telehealth – one-on-one video sessions completed over an online platform during which a PT guides you through treatments, progresses your exercise, and gives you support. This is another option to ensure that you progress at home when traveling isn’t an option. Click here to find out more about telehealth and to schedule an appointment.
Either way, we’ll give you as many tools as possible to continue your journey of healing at home.
Pelvic Floor Disorders and Treatment
What is pelvic floor dysfunction and why does it happen?
Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.
Who should I see to get a proper diagnosis?
Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.
Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?
Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture.
As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.
How does pelvic floor dysfunction affect sex?
Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function.
Is it true there’s internal massage?
There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.
What makes someone a pelvic floor PT vs a regular PT?
All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic.
We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process. We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.