Dr. Natalie Padveen, Pelvic Health Physical Therapist

What I Treat

If you are one of the millions of women living with a pelvic floor dysfunction and it is impacting your life, you do not need to suffer in silence. You have options. Many conditions are treatable and I love to help change women’s lives.

Core & Pelvic Floor Issues

Pelvic therapy will teach you how to safely and correctly train your core and pelvic floor muscles to improve all types of dysfunctions.

Pain During Intercourse

Whether pain is with initial insertion or with deep penetration, you will learn about potential causes and through an individualized plan of care, appropriate treatments.

Urinary Incontinence & Bowel Issues

Often lifestyle or behavioral changes in addition to pelvic floor training can help resolve embarrassing leakage.

Pelvic Organ Prolapse (POP)

POP is a supportive dysfunction and pressure management as well as strengthening are key components of preventing prolapse.

Diastasis Rectus Abdominus

A common occurrence, especially after multiple pregnancies, this can be improved through soft tissue work, pressure management training and correct strengthening exercises.

Pelvic & Tailbone Pain

Whether from a fall, a medical condition such as endometriosis, or after delivering a baby, pain can be debilitating. Via manual therapy and relaxation techniques, your quality of life can be restored.

Back Pain

Pelvic floor dysfunctions are a common contributor to lower back pain as they create the foundation upon which all functional movements occur. Restoring proper pelvic function will reduce lower back pain

Prenatal & Post-Partum Issues

Lower back pain and pubic symphysis pain are only some of the discomforts of pregnancy, but prenatal therapy for mom will help to make this time in your life as wonderful as it should be.

Menopause

The loss of estrogen wreaks havoc on a women’s body and is often a contributing factor in pelvic floor dysfunction. Pelvic therapy can help restore normalcy to your life.

Core & Pelvic Floor Issues

Pelvic therapy will teach you how to safely and correctly train your core and pelvic floor muscles to improve all types of dysfunctions.

Pain During Intercourse

Whether pain is with initial insertion or with deep penetration, you will learn about potential causes and through an individualized plan of care, appropriate treatments.

Urinary Incontinence & Bowel Issues

Often lifestyle or behavioral changes in addition to pelvic floor training can help resolve embarrassing leakage.

Pelvic Organ Prolapse (POP)

POP is a supportive dysfunction and pressure management as well as strengthening are key components of preventing prolapse.

Diastasis Rectus Abdominus

A common occurrence, especially after multiple pregnancies, this can be improved through soft tissue work, pressure management training and correct strengthening exercises.

Pelvic & Tailbone Pain

Back Pain

Prenatal & Post-Partum Issues

Lower back pain and pubic symphysis pain are only some of the discomforts of pregnancy, but prenatal therapy for mom will help to make this time in your life as wonderful as it should be.

Menopause

The loss of estrogen wreaks havoc on a women’s body and is often a contributing factor in pelvic floor dysfunction. Pelvic therapy can help restore normalcy to your life.

FAQ

What is pelvic floor therapy?

Pelvic floor therapy treats pelvic floor dysfunctions, including bladder, bowel and sexual problems such as incontinence, prolapse, pain with intercourse, pelvic and lower back pain. Treatments may include manual therapy, soft tissue mobilization, therapeutic exercise, relaxation and breathing techniques, as well as strengthening and biofeedback. Every patient is provided a comprehensive evaluation and an individualized custom treatment program to help restore normal function, improve quality of life and safely return to physical activities.

Do you take insurance?

As a concierge pelvic health physical therapist, I do not take insurance. I provide the highest quality of care for my patients and see everyone privately, one-on-one. I am an out-of-network provider and payment is due at the time of service. My services could be applied to your out-of-network benefits and you can submit a claim for reimbursement to your insurance company after treatment. If you choose to do this, I will be happy to provide you with a detailed superbill.

Do you see Medicare patients?

I am not a Medicare Provider, so I am unable to provide Medicare patients with what would be considered Medicare-covered services.

What forms of payment do you accept?

I accept all major credit cards.

What is your cancellation policy?

For a no-show or same day cancellation (less than 24 hours), you will be charged for the full cost of the visit. This fee must be paid in full to keep future appointments. After third no show or late cancellation, we will request that you prepay for future visits or discontinue care.

Is there any reason that I would not be a good candidate for Pelvic Physical Therapy?

If you have a fever or have had physical or emotional trauma, such as a car accident, concussion, loss of loved one or recent surgical procedure, please call me before attending your appointment to see if physical therapy would be appropriate. In some cases, I may recommend holding off on pelvic physical therapy treatment.

What should I expect during my first visit?

The evaluation begins with a thorough discussion of your medical history and current concerns, followed by an orthopedic assessment. I will examine the way your hips and back are aligned, assessing range of motion of your joints as well as strength testing. If needed and with your consent, an internal examination of the pelvic floor muscles will be performed. The pelvic floor muscle examination requires the patient to undress from the waist down, but draping will be performed for privacy. Through palpation of the vaginal wall, I can assess muscle tightness, areas of tenderness or pain and muscle strength. The pelvic floor muscles will be assessed for strength to better help understand areas of weakness and dysfunction. Through this examination, I can identify any muscle weakness, tightness and areas of dysfunction. Combined with your medical history, this will help me create an individualized treatment plan for you.

Do I need a referral from my medical doctor?

You do not need a referral but if you have one, please bring it to your first visit

Do I need an internal exam?

The internal exam is the best way for us to truly assess your pelvic anatomy and get a good baseline for your strength, control and impairments. However, if you feel uncomfortable, you have every right to refuse this part of the assessment. If this is the case, I will still be able to develop an appropriate plan of care with all the other information I have gathered.

Should I keep my appointment if I am menstruating?

If you are comfortable with it, internal work can be performed while you are menstruating. You do not need to cancel your appointment.

Is it safe to have pelvic floor physical therapy during pregnancy?

Yes. Pregnancy can often lead to back pain, neck pain, groin pain, weakness, ligamentous laxity, misalignment and/or diastasis recti among other things. If you are pregnant, it is a good idea to be evaluated by a Women's Health specialist to advise on proper posture, optimal sleeping positions, exercise precautions and labor positions for delivery. I can also provide education on a wide variety of topics to help ensure an easier and quicker postpartum recovery! If an internal examination is warranted, I usually request a sign off from your OB/GYN or midwife prior to examination.

What is Telehealth Pelvic Physical Therapy?

Telehealth Physical Therapy can, in certain cases, be provided over a secure video technology platform instead of in person. The level of service provided is the same, in that I will interview you in detail to get a full picture of the problem(s) you are having, ask you to do a few simple movements to help assess your problem, and then create an individualized program of exercises and strategies tailored just for you.

Pelvic Floor Physical Therapy Can Transform your Life

About Dr. Natalie

Get treated in-office, at your home or via telehealth

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