Frequently Asked Questions

Pelvic floor therapy is beneficial for the following common conditions:

• Urinary leakage (leaking when you cough, sneeze, lift something, walk or run, or leaking on your way to the bathroom)

• Urinary frequency and/or urgency

• Nocturia (getting up in the middle of the night to pee)

• Constipation

• Bowel leakage/fecal incontinence

• Pelvic pain (including diagnoses such as interstitial cystitis/bladder pain syndrome, endometriosis, sacroiliac joint or pubic symphysis pain, pelvic girdle pain, vaginismum, vulvodynia, vestibulodynia, and more)

• Pain with intercourse and/or gynecological exams or tests

• Postpartum cesarean section recovery, recovery from perineal tears

• Pain related to pregnancy, or postpartum pain

Wellness services are more appropriate for:

• Birth preparation and general postpartum recovery

• Safe continuation of, or return to activities during the pregnant and postpartum period

• Diastasis recti (separation of the abdominal muscles)

Are you unsure what kind of services are right for you? Contact us and find out!

Pelvic health is a broad term that refers to the state of well-being and optimal functioning of the structures and systems within the pelvis, including the bladder, reproductive organs, and rectum. Pelvic health involves the proper functioning and coordination of these organs, as well as the surrounding muscles, ligaments, and connective tissues.

Maintaining good pelvic health is crucial for a range of bodily functions, such as urinary and bowel control, sexual function, and support for the core and lower body. Pelvic health can influence, and be influenced by various factors, including pregnancy and childbirth, aging, trauma, hormonal changes, and certain medical conditions.

Pelvic floor therapy, also known as pelvic floor rehabilitation, more specifically refers to a specialized form of therapy conducted by occupational and physical therapists that focus on assessing and treating dysfunctions in the pelvic floor muscles. The pelvic floor muscles are a group of muscles located at the bottom of the pelvis, supporting the bladder, rectum, and reproductive organs. 

While the terms are often used interchangeably, we tend to refer to "pelvic health" to indicate a more all-encompassing approach in treating dysfunctions related to the bladder, bowels, and pain. Balanced Pelvic Health takes a whole-body, whole-person approach to healing and wellness.

Occupational therapy is a healthcare profession that helps individuals of all ages enhance their ability to engage in meaningful activities (or occupations) that are important to them. Occupational therapists work with people who have physical, cognitive, developmental, or emotional challenges that impact their everyday functioning. Through a client-centered and holistic approach, occupational therapists assess individuals' abilities, develop personalized intervention plans, and provide therapeutic techniques and strategies. This treatment approach promotes independence, improves physical and mental well-being, and facilitates participation in activities at home, school, work, and the community. The goal of occupational therapy is to enable individuals to lead fulfilling lives and achieve their maximum potential.

At Balanced Pelvic Health, we offer a comprehensive, collaborative, holistic, and integrative approach to your pelvic health and overall well-being. This may include education, mind-body techniques, exercise, manual therapies, and coaching on changing habits and routines to accomplish your goals. The journey is yours, we simply act as your guide.

Fun facts about occupational therapy: 

• The occupational therapy profession is over 100 years old!

• April is occupational therapy month.

• Occupational Therapy on Shark Tank! In 2020, an occupational therapist named Barbara Heilman pitched her adapted device for making it easier to get children out of their car seats, the Unbuckle Me, and recieved offers from all 5 sharks!

All services are offered via telehealth statewide throughout Virginia, or within the comfort of your home in Northern Virginia.

The cost for services provided by Balanced Pelvic Health LLC are as follows:

• 15 minute phone consultation: Free

Individual Pelvic Health Occupational Therapy Services (eligible for out of network insurance reimbursement, depending on insurance): 

• Individual Pelvic Health Evaluation and Treatment (60 minutes, virtual or in person): $180 

• Individual Pelvic Health Treatment Session (60 minutes, virtual or in person): $130

• Individual Pelvic Health Re-Evaluation and Treatment (after a break in care greater than 90 days; 60 minutes virtual or in person): $155

• 5 Session Pelvic Health Occupational Therapy Prompt Pay Discount Package (includes 1 pelvic health evaluation, with 4 treatment sessions: $600)

• 3 Session Pelvic Health Occupational Therapy Prompt Pay Discount Package (includes 1 pelvic health evaluation, with 2 treatment sessions: $400)

Wellness/Consultation Services (not eligible for insurance reimbursement):

• 5 Session Balanced Beginnings Wellness Package (total of five 60 minute individual sessions focusing on a health pregnancy, mind-body birth prep, and a successful transition into parenthood): $450

• 3 session Postpartum Recovery Wellness Package (recommended within the first 12 weeks postpartum; includes three 60 minute holistic postpartum recovery sessions): $275

• 8 session Pregnancy & Postpartum Success Wellness Package (Balanced Beginnings + Postpartum Recovery Packages): $700

• 5 Session Postpartum Return to Fitness Wellness Package (recommended for those who are 12+ weeks postpartum; includes a 60 minute postpartum evaluation and four 60 minute follow-up treatment sessions focused on meeting your fitness goals): $425

Balanced Pelvic Health LLC accepts cash, check, major credit cards, FSA and HSA.

Balanced Pelvic Health LLC is an out of network provider with all insurances at this time. Please check with your insurance provider to determine your out of network benefits for pelvic floor therapy, and the process of submitting a claim.

Wellness services are not eligible for insurance reimbursement.

Payment is due at the time of service. We are happy to provide you with a receipt, itemized super bill, and supportive documentation to submit to your insurance for reimbursement based on your out of network benefits. We accept cash, check, major credit cards, FSA, and HSA as forms of payment.

At Balanced Pelvic Health, we take a collaborative and interdisciplinary approach to your health and well-being. While an order from a physician is not required for pelvic health occupational therapy services, it is highly advisable that you obtain one prior to an evaluation for the following reasons:

• An order from a physician allows for open communication between you pelvic floor occupational therapist and the provider, and increases the resources available for follow-up on your condition.

• Many insurance companies require an order for reimbursement; having one will increase  the likelihood of reimbursement if you plan to submit a bill for out-of-network benefits.

We are happy to help facilitate getting an order from your doctor. Contact us today to find out more!

A referral is not required for wellness services.

Balanced Pelvic Health provides telehealth (virtual) pelvic floor occupational therapy services to anyone within the state of Virginia.

In-person mobile pelvic floor occupational therapy and wellness/consultation services within the comfort of your own home are offered primarily in the City of Winchester, Frederick County, Loudoun County/Leesburg, and Fairfax Counties. If you are outside of this service area, contact us! Decisions to serve populations outside of these counties are made on a case-by-case basis. Even if we cannot serve you, we have a great network of local pelvic health professionals who may be able to help!

To schedule and appointment...

• Call 703-261-4152

• Click here to schedule online!

Click here to contact Balanced Pelvic Health, and schedule a free 15 minute consultation and determine if pelvic health occupational therapy is right for you!