New York has a “Direct Access” Physical Therapy law in place. It allows licensed physical therapists to provide direct physical therapy evaluation and treatment services for up to 30 consecutive days without obtaining a referral/prescription from a physician or other healthcare provider. If treatment is necessary beyond the initial 30 day period, the physical therapist will communicate with your physician to obtain authorization to continue treatment as needed.

If you have not seen a physical and are not sure you should see, I can help you find one. 

First part of an evaluation session is interview. I will ask about your condition, injury and your goals from therapy. Then I will do a physical exam. This is a hands-on evaluation based on your symptoms but often includes full spine and hip evaluation, functional tests, Range of motion, strength and pelvic floor exam.  We may evaluate external and internal muscles. The goal is to identify the root cause of problem and understand the “why” behind your symptoms.

During this session I may perform appropriate manual techniques internally to structures of the pelvis, including the pelvic floor muscles, nerves, and bones (coccyx). As the patient, you always dictate the care you are comfortable with and can refuse any treatment at any time without an explanation.  

I typically know how you are responding to treatment within the first 1-3 visits. I pride myself on empowering you to play an important role in your care. I will not tell you to keep coming back without a plan or goals that are individualized for you. You might only need a few visits or if it is helping you, we can continue with more.  Some people come in weekly while others are monthly. I will meet where you are and make sure you meet your goals.

Wear comfortable and loose clothing that enables you to move around. Bring all your medical records regarding your condition with you. If you have seen a doctor or any provider for this issue, bring their reports.