FREQUENTLY ASKED QUESTIONS

Your Questions Answered

 

DO I NEED A DOCTOR’S REFERRAL?

The state of Illinois does NOT require a referral for an initial evaluation for physical therapy services. The law does require your medical provider to be informed that you are a physical therapy client though. Therefore you will be required to provide your primary care provider's name. Obtaining a referral from you medical provider oftentimes prevents any delay in care. However, sometimes insurance does want a referral to cover any benefits. You can always contact your physician or primary care doctor, OBGYN, urologist, nurse practitioner, chiropractor, or physician assistant for a referral prior to starting services. If you do have a referral or physical therapy script, you can just bring it with you to your first appointment or have it faxed to 217-805-9099.

DO YOU TAKE MY INSURANCE?

Our services should be covered by your out-of-network benefits with your insurance provider.  You will be provided a detailed superbill/receipt that you can submit to insurance for direct reimbursement upon request.  You are encouraged to contact your insurance company regarding your individual plan's physical therapy coverage. We recommend that you ask if a physician referral is needed for coverage as well.  Payment (cash, check, FSA/HSA or debit/credit card) is due at time of service. Often, our prices are much cheaper than an in-network insurance provider especially if you have not met your deductible or out-of-pocket max. Cash based options are beneficial and can save you money especially if you have high co-pays or high deductibles. A "Good Faith Estimate" with detailed pricing and explanations will be provided to you before your first appointment. Contact Effingham Pelvic Health & Wellness with further payment or insurance questions.

WHAT CONDITIONS DO YOU TREAT?

We specialize in pelvic health and pre/postnatal care but Dr. Ritz also has been treating general orthopedic conditions since she graduated.

  • general orthopedic conditions (muscle weakness or joint pain)

  • balance deficits

  • vestibular/vertigo conditions

  • urinary or bowel leakage

  • back, tailbone, hip, abdominal, rectal, or pelvic pain 

  • SIJ pain

  • urinary urgency and frequency (overactive bladder)

  • interstitial cystitis

  • Contact the clinic for questions regarding diagnoses not listed

WHAT IS YOUR CANCELLATION OR "NO SHOW" POLICY?

The clinic up holds a 24 hour cancellation policy and requests patients provide at least 24 hours notice so that Dr. Ritz & Dr. Kyla might have an opportunity to accommodate other patients. If you cancel less than 24 hours in advance or no-show to an appointment, you will be responsible for a $50 cancellation fee. 

CAN I BRING MY CHILDREN WITH ME?

Yes. You are welcome to bring your child(ren) with you and the clinic offers a kid's corner to keep them entertained. If you are able to find a sitter though, it will help with reducing distractions during your appointment.

HOW OFTEN WILL I NEED PHYSICAL THERAPY SESSIONS?

Frequency and duration of physical therapy is different for each person and depends on your individual circumstances.  Most patients are seen for three to six months on average. At your first appointment, Dr. Ritz or Dr. Kyla will take a thorough medical history and objective measurements to develop your individualized plan of care. She will discuss your prognosis and an approximate frequency and duration of treatments. Duration of therapy is dependent on patient compliance and individual symptom presentation. Most concerns require once weekly sessions initially and then progress to longer intervals between visits as the patient becomes more independent with their home exercise program.

WHAT SHOULD I WEAR?

You are able to wear any clothes you are comfortable to move around in.

WHAT TO EXPECT DURING MY FIRST APPOINTMENT?

During your initial pelvic physical therapy evaluation, you will discuss the reason(s) for your visit and the goals you wish to accomplish with the help of your therapist.  A full assessment of bladder, bowel, and sexual health will be performed. Dr. Ritz or Dr. Kyla will then perform a physical examination to best determine how to treat your specific symptoms. A pelvic floor assessment may involve an external and/or internal examination of your pelvic floor muscles. No speculum or stirrups are used in the clinic. Dependent on client comfort level, alternatives to internal assessments will be provided upon request. An internal examination is highly effective for proper assessment and treatment of many pelvic floor conditions. Dr. Ritz or Dr. Kyla will then educate you on exercises and education/health tips to start at home prior to your next physical therapy session.

For all other conditions as well as for pelvic symptoms, a full orthopedic assessment will be performed looking at strength, flexibility, and alignment. 

WHAT IS NORMAL  BLADDER HEALTH? 

Here is a pdf that goes into more detail about normal bladder health. Just enter your email and the link will be sent to you!