Frequently Asked Questions

Pelvic Floor Disorders and Treatment Frequently Asked Questions

The pelvic floor consists of three layers of muscles that form a sling from your tailbone to your pubic bone and also spans between your ischial tuberosities (the butt bones we sit on).  These muscles support the pelvic organs, maintain continence (urine, feces, and gas), assist in stabilizing the spine and pelvis, assist in getting and maintaining clitoral and penile erections, helps achieve orgasm, and helps pump lymphatic fluid and blood back toward the heart. 

PFPT is a specialized form of physical therapy that focuses on the muscles, nerves, fascia, ligaments, and organs of the pelvic region. When the muscles of your pelvic floor aren’t functioning optimally, you can experience issues with incontinence, constipation, sexual dysfunction, fertility, and digestive issues.  With pelvic dysfunction it is also common to experience pain in your low back, hips, legs, and abdomen.  The pelvic muscles respond well to tissue mobilization, stretching, strengthening, and rehabilitation to assist with coordination and pressure management.  PFPT restores normal muscle tone by addressing the length-tension relationship of your pelvic floor muscles, decreases pain, improves pelvic muscle function, and restores whole body function.  AT RYC PT, we are committed to evaluating and treating your pelvic floor issues.

Physical therapists who specialize in PFPT must go on to obtain additional education after graduating from PT school. Sadly, physical therapy curriculums only briefly mention the pelvic floor, but they do not cover pelvic floor anatomy, diagnoses impacting the pelvic floor, and how to properly evaluate and treat the pelvic floor disorders.

At RYC PT, all of our pelvic PTs regularly receive additional training and are required to attend continuing education courses specifically related to PFPT. The therapists also participate in monthly mentoring sessions and regularly discuss patient cases to continue to gain knowledge.

Yes, men have a pelvic floor.  At RYC PT we treat men on a daily basis.  Men are welcome here and will feel very comfortable in our offices.

No, you do not need a referral/order to attend physical therapy.

Indiana has “Direct Access” which allows you to be seen without a referral. Indiana law allows licensed physical therapists to perform a physical therapy evaluation and treatment for up to 42 calendar days without obtaining a referral from you physician or healthcare provider. To continue care past 42 days you must have a referral from one of these approved providers: physician, podiatrist, psychologist, chiropractor, dentist, physician assistant or nurse practitioner. We are happy to assist you with obtaining a PT referral/order.

Insurance Frequently Asked Questions

All sessions at Restore Your Core PT are one-on-one with a Doctor of Physical Therapy who specializes in treating women and men with urinary and bowel dysfunction, complex pelvic pain cases, sexual dysfunction, Orthopedic dysfunction, and prenatal and postpartum issues. The rates for evaluations and treatment sessions vary, so please call our office 1-317-559-2673 to inquire about pricing.

We are a fee-for-service practice and are not in-network with any insurance companies which allows us to provide a much higher quality of care delivered in less time.  We are considered an out-of-network provider. Receipts are provided to all clients who request them. The receipts include all necessary billing codes to allow our clients to send claims to their insurance companies for reimbursement.

***Please read below to gain a better understanding of why going out-of-network often makes it much cheaper to not use your in-network insurance benefits for some services, including PT, if you have a high deductible plan or high copays

“I wish I would have come to Restore Your Core PT first. My doctor told me I should see you, but I wanted to use my insurance. I got a bill for $3500 from the hospital pt after just 5 sessions of PT and I am no better. I could have seen you for the recommended 12 sessions and spent less money.”

Unfortunately, insurance companies strongly suggest or dictate the length of therapy sessions and the types of treatments that patients can receive at in-network physical therapy clinics.  Restore Your Core is an out-of-network provider because we are dedicated to providing the very best care possible without compromising the high level of care we deliver. We believe in order to provide the very best care possible; our patients deserve full-length sessions to address both external and internal causes of dysfunction and pain.

Due to shrinking reimbursement rates and increasing pressure from insurance companies, the physical therapists at in-network clinics are forced to see 2-3 patients every 30-45 minutes.  Therapists are also forced to utilize therapy aides to assist patients with exercise and application of modalities, which increases the billable rate. A vast majority of the time, these clinics also require patients to be seen 2-3x per week.

We feel that hands-on treatment is much more effective than utilizing several modalities; furthermore, we do not believe in having patients’ complete exercises in the clinic that they can do on their own at home.  We do not employ therapy aides as we feel every patient deserves to receive one-on-one care from a Doctor of Physical Therapy. We typically see all new patients for a full 90-minute evaluation with 50-minutes follow up sessions.  The 50-minute-long sessions, combined with one-on-one care, usually allows patients to be seen just once per week. This saves our patients time and money

The out-of-pocket expenses you incur at Restore Your Core PT are often less than what patients would pay at a clinic that bills and accepts their insurance. Due to increasing deductibles and copays, patients who pay out-of-network rates usually pay less than they would if they were in-network.

How is that possible?? 

If you have a deductible to meet, you will most likely pay the full bill for each PT session until you reach your deductible (these bills can be $400-$900 per session depending on location).  However, you won’t receive those bills until you have been getting care for 6-8 weeks and have amassed an enormous balance. Unfortunately, even if you are paying $350-$700 per session at an in-network clinic, that does not mean your insurance company is applying the full amount toward your deductible.  Your insurance company typically only applies the amount that they deem as reasonable, which generally is far less than the amount you pay.

Yes, physical therapy is an approved usage for your HSA and FSA accounts.

You can pay using your HSA, FSA, cash, check, Visa, Mastercard, or American Express.

No, RYC PT is not a participating Medicare provider.  Medicare requires you to obtain all physical therapy services from a participating Medicare provider.  We are able to see you for non-covered Medicare services and wellness services and we are happy to discuss this with you. 

Appointment Frequently Asked Questions

If you have a referral from your medical provider, please bring that to your first appointment.  We prefer that you complete your paperwork online prior to your appointment.  If you are not able to complete your paperwork online, you can complete it at the office.  If you are completing your paperwork at the office, you will need arrive 30 minutes ahead of your appointment to give yourself adequate time to fill out all forms.  We will not be able to initiate your evaluation until all forms are completed; therefore, it is very important to plan ahead.

We suggest that you wear comfortable clothing, but it is not required. If you are working on returning to running and/or exercise we ask that you bring tennis shoes.

Your health journey is very important to us so we allow adequate time to review your history and gain a clear understanding of the problem(s) you are experiencing. After a thorough history, your pelvic PT will perform an extensive evaluation. The evaluation may include assessment of your posture, breathing, movement patterns, tissue and joint integrity, and a neural assessment.

We will have a clearer picture of the answer to this question after your evaluation. The number of visits required to decrease your pain and improve your function is highly variable and is dependent upon the chronicity and severity of your problem. Most patients experience a decrease in pain and improvement of function within 4-6 sessions. Those with acute issues such as urinary incontinence can anticipate improving at a much quicker rate than those with chronic pain issues. You will be provided with a home exercise program which will consistently be updated throughout your therapy plan of care, giving you the tools you need for self-care. Regular completion of your home program will decrease the need for extended therapy.

Yes, there are many things that we can assess and treat externally. We often will do internal work as well unless you request to defer internal work for the session. We have so much work to complete and there is no reason to allow a menstrual cycle to slow your progress. So many times, our patients report that their menstrual cramps feel better after a Pt session!

Yes, you can still attend your therapy session, but you should always see your medical provider to rule in or rule out an infection. There are so many other things we can work on externally to help you continue to move forward. It is also very important to know that many pelvic pain conditions can mimic infections even when there is not an infection present and pelvic PT can help!

Yes, you can bring a loved one or a friend to your appointments if it helps you to feel more comfortable. We complete a lot of education during your evaluation and follow up sessions and it is often nice to have someone else listening.

Yes, you are welcome to bring your child/children to your therapy sessions.  If they are 8 years of age or under, they will be required to stay in the treatment room with you.  We do have a room divider which allows for children to be in the treatment room, but still allows for your privacy.

For initial evaluation (IE) visits there are no exceptions as we block out and fully devote 90 minutes to you. Upon scheduling you IE, a $100.00 deposit will be required. If you fail to keep your appointment, you will forgo the $100.00 deposit. Note: The $100.00 deposit will be credited towards your IE fee. If you do not show for your appointment you will be charged the full fee of the evaluation. If you need to cancel your PT IE, we require 48 hours notice or you will be charged the full fee of the evaluation.

For follow up visits, you will be billed the full amount of the scheduled session if you do not show for your appointment or if you do not cancel within 24 hours of your appointment time.

If your appointment is on a Monday, please notify the office by noon the preceding Friday via email, text, or voice mail to avoid being charged for your session.

***If there are severe weather conditions, please check your phone and email before attempting to drive to the office. Please do not put yourself in harm's way.