FAQ | Pivotal PT & Wellness

Question 1

Do I need a referral to be seen at Pivotal PT?

Accepted Answer

Louisiana is a direct-access state, which means you can see a physical therapist without a physician referral. Some insurance plans may require a referral for reimbursement purposes.

Question 2

What should I expect at my first appointment?

Accepted Answer

Your initial evaluation is a comprehensive 60–90 minute one-on-one session. Your therapist will review your health history, listen to your concerns, discuss your goals, and perform a thorough assessment. You'll leave with a clear understanding of your diagnosis and a personalized treatment plan.

Question 3

Is an internal pelvic floor exam required?

Accepted Answer

No. An internal exam is never required and is always performed only with your full informed consent. External assessment and treatment alone can be highly effective.

Question 4

Is pelvic floor PT only for women?

Accepted Answer

Not at all. Men have a pelvic floor too, and pelvic floor dysfunction is common in men — especially after prostate surgery, with aging, or in athletes. We offer specialized men's pelvic health care.

Question 5

When can I start pelvic PT during pregnancy?

Accepted Answer

You can start at any point during pregnancy. Many patients begin in the second trimester, but early intervention is always beneficial. There is no "too early" when it comes to preparing your body.

Question 6

How soon after delivery can I start postpartum PT?

Accepted Answer

We recommend a postpartum evaluation as early as 2–3 weeks after delivery for education and gentle assessment. Hands-on treatment typically begins around 6 weeks, or earlier with provider clearance.

Question 7

Do you accept insurance?

Accepted Answer

We are a cash-based practice and do not bill insurance directly. We provide detailed superbills that you can submit to your insurance for potential out-of-network reimbursement. HSA and FSA cards are accepted.

Question 8

Do you offer virtual appointments?

Accepted Answer

Yes. We offer virtual consultations for patients who live outside our service area, prefer home-based care, or are in the early postpartum period. Virtual visits are conducted via a secure, HIPAA-compliant video platform.

Question 9

Is pelvic floor PT safe for children?

Accepted Answer

Yes. Pediatric pelvic floor PT is gentle, age-appropriate, and completely non-invasive. We never perform internal exams on children. Treatment focuses on education, breathing, posture, movement, and external techniques.

Question 10

Can PT help with bedwetting in children?

Accepted Answer

Yes. Bedwetting (nocturnal enuresis) is one of the most common reasons families seek pediatric pelvic PT. We address the underlying pelvic floor and bladder coordination issues that contribute to nighttime accidents.

Frequently Asked Questions

Getting Started

Pelvic Floor PT

Pregnancy & Postpartum

Pediatric PT

Insurance & Fees

Logistics

Still have questions?