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 start with a thorough, individualized occupational therapy evaluation. This is essential to determining your needs, and creating a program that will work best for you.

During the evaluation, if you are found not to have any risk for urinary or bowel dysfunction, no pain or other significant pelvic health related symptoms, but are simply seeking to have a great birth or postpartum experience, Balanced Pelvic Health offer Perinatal Wellness services. 

These packages are designed to empower, educate, and minimize the risks of complications related to pregnancy and childbirth. These services differ from pelvic floor therapy as they involve general exercise and/or activity guidelines, holistic hands-on healing sessions, and education. They do not include internal vaginal or internal rectal evaluation and treatment. These services are not typically reimbursable by insurance, but sometimes can be paid with FSA and HSA (check your program's guidelines to determine what expenses are elidible).

If, at the evaluation, it's determined that these services are best for you, here's what we offer...

• Balanced Beginnings Wellness Package 

  • Looking for a holistic, mind-body-spirit approach to the pregnancy and childbirth experience? This package is perfect for you!

  • Five 60 minute sessions focusing on a education for a health pregnancy, mind-body birth prep, and tips for a successful transition into parenthood

• Postpartum Recovery Wellness Package

  • The early postpartum period should be a time of rest, gentle recovery, bonding, and welcoming into your new role as a parent. This package is deal within the first 4-6 weeks after delivery.

  • Sessions focus on manual and energetic healing techniques, guidelines for gentle movement and activity, and general education for a healthy early postpartum recovery.

  • Three 60 minute holistic postpartum recovery sessions.

• Pregnancy & Postpartum Success Discount

  • Discount available when Balanced Beginnings + Postpartum Recovery Packages are purchased together.

• Postpartum Return to Fitness Wellness Package

  • Want to return to running? Lifting? Yoga or pilates? Never been an exerciser, but want to start? Don't want to be an exerciser, but want to be able to lift your baby, the car seat, the groceries, and run after your toddler without fear of leaking or pain? This program is for you!

  • Five 60 minute sessions designed to get you into an exercise routine you love, or just be able to do your day to day activities safely, protecting your pelvic floor.

  • Ideal to begin at least 6-12 weeks postpartum.

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

• 15 minute phone consultation: Free

• Initial Evaluation (60 minutes, virtual or in person): $180

Individual Pelvic Health Occupational Therapy Services

Directly address problems with urinary, bowel, or sexual functions, and/or pain, including pregnancy and postpartum related dysfunctions (may be eligible for out of network insurance reimbursement): 

• 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 (5 treatment sessions, does not include evaluation): $600

• 3 Session Pelvic Health Occupational Therapy Prompt Pay Discount Package (3 treatment sessions, does not include evaluation): $375

Wellness/Consultation Services 

Once an evaluation has been completed, if it's found that you have an uncomplicated pregnancy/postpartum recovery, and no specific problems with urinary, bowel, or sexual dysfunction, and do not have pain, one of the following packages may be a great fit for you:

• 5 Session Balanced Beginnings Wellness Package (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 (three 60 minute holistic postpartum recovery sessions within the first 6 weeks after birth): $275

• 5 Session Postpartum Return to Fitness Wellness Package (five 60 minute sessions designed to get you into an exercise routine you love): $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 states of Virginia and West Virginia.

In-person mobile pelvic floor occupational therapy and wellness/consultation services within the comfort of your own home are offered primarily in Virginia in the City of Winchester, Frederick County, Clarke County, Loudoun County/Leesburg, and Fairfax Counties; and in West Virginia in Berkeley and Jefferson 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 or any of our wellness packages are right for you!