Getting started with pediatric floor physical therapy
Physical therapy services are typically initiated once you have discussed your condition with your healthcare provider. Physical therapy is a conservative treatment approach for pelvic muscle dysfunction. If your health care provider is not familiar with this treatment we would be happy to provide information to them regarding our treatment protocols. In the state of New York, you have limited direct access to treatment by a physical therapist without a physician referral. However, insurance guidelines may require a prescription for reimbursement. If you come to therapy without a previous medical assessment, we may request a visit to your healthcare provider if the therapist feels it is in your best interest. Discuss your condition with your healthcare provider and ask for a referral.
To schedule an appointment, call (914) 552-9639, or complete the contact form. Once you have scheduled your appointment, please read and completed the appropriate patient information and determine what your out of network insurance benefit is prior to your first visit.
Please print and sign the following forms we have provided on this website:
- Pediatric Health History & Screening Questionnaire
- Pediatric Consent to Treat
- Receipt of Privacy Notice
- Bladder Log (print 3 copies)
- Bladder Log Instructions
Please review our Notice of Privacy Practices and Financial/Cancellation policies.
What to expect at your child’s initial visit
We believe in treating the whole patient. Prior to your first visit, your therapist will ask you to fill out a 3 day diet/bladder/bowel diary. At your initial evaluation, your physical therapist will take a detailed description of your child’s medical history and current concerns. Please have all pertinent medical records available (medication list, surgical reports, x-rays, urodynamics study etc) as well as your referring doctor’s written prescription.
A comprehensive physical examination will be performed including an assessment of your child’s posture, flexibility, balance, and coordination. A pelvic floor muscle visual evaluation will then be conducted to observe the integrity of your child’s skin, ability to contract the pelvic floor muscles correctly, and to check for normal sensation/reflexes of the anus with a light external touch. There are absolutely NO internal vaginal or rectal exams performed by physical therapists in the pediatric population. Your therapist may choose to perform a biofeedback evaluation to assess the muscle activity of your child’s pelvic floor. This involves the use of external muscle sensors near the rectal opening which enable you to see how your child’s muscles are responding on a computer. All initial visits are 60 minutes long and are performed with a parent or guardian present.
How long will my child need therapy?
While total length of treatment varies from child to child, a course of treatment may last 2-5 weeks. Follow up visits are 60 minutes.
Appointments available! Call (914) 552-9639 today.
At home or in office appointments available in Westchester County, NY.
Did you know?
About 50% of pregnant women will suffer from some kind of low back pain at some point during their pregnancies or during the postpartum period.
Meet your physical therapist
Marina Castellanos, MPT has extensive training in therapeutic treatments for women and children experiencing pelvic floor dysfunction.