FAQs

Quick questions you might be wondering about.

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General Questions

Who do you work with — and is this only for postpartum women?

Not at all. The common thread isn’t a life stage — it’s women who want to understand what’s happening in their body and find a path forward. If you’re not sure whether your symptoms fit, take a look at the conditions I treat — you might be surprised how much pelvic floor PT reaches.
What if I’ve already tried pelvic floor physical therapy and didn’t get where I wanted?

That’s one of the most common reasons women find me — and you’re absolutely welcome here. Getting better with one provider and then plateauing doesn’t mean you did anything wrong, and it doesn’t mean your first provider failed you. It may just mean you’re ready for what’s next. Sometimes there’s a gap in care that got missed. Sometimes the approach needs to shift as your symptoms evolve. We’ll use your whole story — what worked, what didn’t, and what hasn’t been tried yet — to find the opportunities that are still ahead of you.
Do I have to stop running, lifting, or training?

Usually, no — and honestly, that’s rarely the right answer anyway. Activity isn’t the enemy. The goal is to understand how your symptoms respond to movement and build from there. That might mean temporarily adjusting volume, intensity, or load — but the plan is always built around getting you back to what you love, not keeping you away from it. Avoidance isn’t a long-term strategy. Progression is.
What does pelvic floor physical therapy involve — and is internal work required?

Pelvic floor PT is a whole-body evaluation — not just one muscle, one symptom, or one exercise. Sessions may include movement assessment, strength and coordination work, education, load and impact progression, and hands-on treatment when it’s useful. The focus is always on building a plan that translates to real life and real activity — not a generic exercise list you’ll abandon in two weeks.

Internal pelvic floor assessment can be helpful in some cases, but it is never required and is always discussed in advance. If internal work isn’t something you’re ready for, I use real-time ultrasound imaging — applied externally on the abdomen or perineum — to gather additional information about how your pelvic floor is functioning. So we always have a way forward, whatever your comfort level. Your goals and boundaries guide everything.
How long will I need pelvic floor physical therapy?

There’s no preset timeline — and that’s intentional. Most plans of care are 4–6 visits, with frequency ranging from weekly to once a month depending on what works for your life and what your symptoms need. It’s not 3x/week for eternity. After your initial evaluation you’ll have a much clearer sense of what to expect based on your specific goals and what we find.
How do I know whether I need in-person care, telehealth, a virtual consult, or the online program?

If you’re not sure, that’s part of what we figure out together. But here’s a general guide that aligns with the options on this page:

In-person PT is best if you’re local to Arlington and want hands-on evaluation and care — especially for complex or layered presentations.

Telehealth PT is full 1:1 physical therapy delivered virtually — ideal if you want individualized care but can’t get to Arlington. Available in US PT Compact states.

Virtual consultations are for women who want expert guidance, clarity, or a second opinion without ongoing treatment — available worldwide.

Run Strong Again is the right fit if you want a structured, expert-built framework you can work through independently, on your own schedule, without the commitment of ongoing 1:1 care.

Still not sure? Reach out — we’ll point you in the right direction.
Do you offer pessary fitting and/or real-time ultrasound imaging?
What if I’m not sure this is the right fit?

That’s completely okay — and honestly, it’s a question worth asking. If you have questions before scheduling, reach out. The goal is to help you find the right support, not just fill a calendar slot. If you want a sense of how I think and work before committing to anything, you can find me on Instagram or listen to the Active Mom Podcast. I talk about this stuff constantly — it’s a pretty good preview of what working together actually looks like.

Logistics & Policies

Do you accept insurance?

Payment is due at the time of service. I don’t participate directly with insurance plans.

After your session you’ll receive a superbill you can submit to your insurance company for potential out-of-network reimbursement, depending on your plan. I also provide a worksheet to help you understand your benefits and what to expect. → Download the Insurance Verification Worksheet
Do you accept Medicare?

I am not a participating Medicare provider. Because physical therapists cannot opt out of Medicare, I’m unable to treat Medicare beneficiaries for services Medicare would otherwise cover — including private cash payment for those services. If you’re unsure whether this applies to you, reach out directly and we’ll figure it out together.
Do I need a referral?

No referral is required to start pelvic floor physical therapy in Virginia. Virginia has full Direct Access, which means a licensed physical therapist can evaluate and treat without a physician’s order. In most states, a referral is also not required for telehealth PT.

If you plan to submit a superbill for reimbursement, it’s worth confirming your insurance plan’s specific requirements in advance — some plans require a referral for out-of-network reimbursement even when one isn’t required for treatment.
What is your cancellation policy?
Where are you located?
Do you treat men?
How do I prepare for my first session?

You don’t need to have everything figured out before you arrive. A little thought ahead of time can help us use our time well — but we’ll guide the process from there.

Before your session: » Wear comfortable clothing you can move in » Think about your primary symptoms and when they tend to show up » Jot down any questions or goals you want to make sure we cover » If relevant, have a general sense of your recent training or activity routine

Helpful but not required: » Prior imaging or medical reports » A list of exercises or treatments you’ve already tried

That’s it. We’ll take it from there — with a thorough, whole-body evaluation and a plan that reflects your symptoms, goals, and life stage.