Your Pelvic Floor Physical Therapy Questions Answered
Whether you're dealing with leakage, pelvic pain, or recovering from prostate surgery, it's normal to have questions before your first visit. Below you'll find straightforward answers about what to expect, how sessions work, and what treatment costs — so you can feel confident taking the next step.
Getting Started & Appointments
How do I know if pelvic floor therapy is right for me?
We offer a FREE 15-minute consultation to help determine if pelvic floor physical therapy is appropriate for your specific needs. This is a great opportunity to understand how you will benefit and how we will work together to achieve your goals.
How is pelvic floor therapy different from regular therapy?
Pelvic Floor Therapy is a specialized branch of physical therapy that focuses on the pelvic region while considering the implications of the hips and low back. Therapists receive additional training to address the unique needs and sensitivities of the pelvic floor muscles and associated functions of the bowel and bladder.
What happens during a pelvic floor therapy session?
A typical session involves an initial assessment to understand the individual's symptoms and medical history. Tests and measurements include hip and back range of motion and strength testing as well as assessment of the pelvic floor muscles. The therapist then develops a personalized treatment plan, which may include exercises, manual therapy, and education on lifestyle modifications.
How often will I need to come in, and how soon will I see results?
Frequency varies based on your symptoms, goals, and how your body responds; appointments are typically scheduled 1-2 times per week or every other week. While everyone’s journey is unique, some people begin to notice improvements within the first few sessions.
The ultimate goal is to provide you with the knowledge and skills to be independent in your progress long after your sessions are complete.
How do I schedule an appointment?
All scheduling is handled directly with Nora. You can reach out via text, phone, or email to find a time that works for you.
Insurance & Payment
Do I need a referral?
No, NYS is a direct access state, meaning physical therapy services are available to everyone without a referral from a prescribing provider.
However, if you want to use your insurance, you will need to call your insurance company and ask if your plan provides out-of-network coverage for physical therapy services. Specialized pelvic floor physical therapy is physical therapy and does not need to be specified.
Using out-of-network insurance coverage: Generally you will need a referral from a prescribing provider with the same diagnosis codes that physical therapy will treat. You will also need a superbill from the physical therapist. Syracuse Pelvic PT will provide a superbill upon request.
What does treatment cost — cash pay vs. using insurance?
At Syracuse Pelvic PT, we are a cash-based practice, meaning we do not bill insurance directly. Many patients find that cash-based care is not only more affordable than it appears, but offers significantly more flexibility and personalized attention than insurance-based treatment. Here's how the two compare:
| Category | Cash Based | Insurance Based |
|---|---|---|
| Cost Per Visit | One flat rate for 45–60 minutes of hands-on treatment. No deductibles, surprise bills, or hidden fees. | If your deductible hasn't been met, expect $120–$180 per visit for a 30–45 minute session. Once your deductible is met, co-pays typically run $20–$50 — though insurance-based sessions are usually limited to 30 minutes. |
| What We Can Treat | Whatever you need that day. Come in for pelvic floor PT but your neck or foot is bothering you — we treat it. Your care is not limited to a diagnosis code. | Treatment is limited to what's listed on your referral. Pelvic floor PT means we can only address pelvic floor, back, and hip conditions — nothing outside that scope. |
| Scheduling & Questions | Text or email anytime to reschedule or ask questions about your care. Syracuse Pelvic PT responds within 24 hours. | Schedule changes require a call to the front desk to leave a message or be placed on hold. Questions about your program are answered at your next visit. |
FAQs for Men
Why is it so hard to find a pelvic floor PT who treats men?
Pelvic floor physical therapy has historically been associated with women's health, and many practices don't train for or accept male patients. Nora specifically pursued advanced training in men's pelvic health and is one of the only private practices in Central New York actively treating men. If you've been turned away or couldn't find anyone who takes your concerns seriously, you've found the right place.
Will treatment or assessment be internal?
Sometimes, but it is always your choice. An internal assessment is one tool that gives us the most accurate information about your muscle strength—but it is not mandatory. We can still make significant progress using external techniques focusing on your hips, core, and breathing. We only proceed with what you are comfortable with, and you are always in control of the session.
Prostate Surgery
Why should I see a pelvic floor specialist before my surgery?
The best outcomes for prostate surgery begin before the procedure. Meeting with a pelvic floor specialist for 1-2 visits prior to surgery can make a meaningful difference in recovery.
Just as you might do pre-op physical therapy for a knee or hip replacement, preparing your pelvic floor muscles is equally vital. Surgery involves removing an organ that sits right next to the nerves and muscles controlling your bladder and sexual function. These sessions focus on strengthening your hip and pelvic floor muscles to give you a head start on recovery.
When does physical therapy resume after the procedure?
Most patients return to pelvic floor rehabilitation 4-6 weeks after surgery. This gives your internal tissues enough time to heal properly before you begin active exercises.
What should I expect regarding urinary leakage?
- Initial Stage: It is normal to experience significant urinary leakage for the first few days to two weeks after your catheter is removed.
- Recovery Period: With consistent pelvic floor rehabilitation, most men see a steady decrease in leakage over 3-6 months.
- Management: Supportive devices (like pads or guards) are excellent for short-term use, especially for travel or social events, while you regain control.
How long does it take for erectile function to return?
Recovery varies based on the specific procedure and your surgeon's technique. Generally, function returns gradually over a window of 6 months to 2 years.
Private, Professional Treatment Environment
Your sessions take place in a comfortable, private setting designed for confidential care. No crowded gyms, no shared spaces—just focused, one-on-one attention.
