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Frequently Asked Questions

  • We are all inclusive in our pelvic floor physical therapy, pregnancy, and postpartum services. A full list of diagnosis we treat is located HERE.

  • Getting started is simple. Fill out our contact form or for a quicker response call (636)226-1755. We will contact you within 1 business day to answer all questions and get you scheduled.

  • We are always 1-on-1 with an expert doctor of pelvic floor physical therapy. We utilize technology to help maintain compliance and contact between appointments. You will never feel lost or abandoned along your care journey like most hospital and insurance based clinics.

  • I am an out-of-network provider, which means I do not bill insurance directly.

    This model allows me to offer clear, upfront pricing with no surprise bills and give you the specialized one-on-one care you deserve without restrictions or rushed appointments. Many patients find that, even with insurance, they end up paying over $180 per visit in traditional healthcare settings.

    I’m happy to provide you with a detailed receipt (also called a “superbill”) that you can submit to your insurance for possible reimbursement, depending on your out-of-network benefits.

    We accept cash, checks, HSA/FSA, and credit card payments. We require all payment at time of service. We will create individualized treatment plans when scheduling appointments in order to get the quality of care you deserve while making sure you don’t feel overwhelmed by cost.

  • In the United States, only licensed Physical Therapists (PTs) and Occupational Therapists (OTs) who have completed specialized training are qualified to perform internal pelvic floor evaluations and treatments.

    Other healthcare professionals may offer external assessments or general pelvic health support, which can certainly be beneficial. However, without internal evaluation, it’s often difficult to get a complete picture of pelvic floor function. Internal assessment allows for a more comprehensive and individualized approach, especially when addressing issues like pelvic pain, incontinence, or postpartum recovery.

    Always make sure your provider has the appropriate credentials and training specific to pelvic health.

  • I have advanced training in assessing your tissue health and prolapse assessments. Occasionally, your pelvic floor might need a little more support than the exercises we perform in pelvic floor therapy. A pessary is a supportive medical device that can help your pelvic organs as your tissues are healing and allow them to get stronger over time.

  • No! In the state of Missouri we only need a script after 30 days from a licensed healthcare provider.

  • Yes! We will assess and go over any additional risk factors that might change our treatment approaches and plan but all with be monitored by a skilled physical therapist

  • Many people come to us unsure if pelvic floor therapy will help. That’s okay. Your first visit is about understanding your body and your options.

  • You can reach us anytime via the contact form or call us during business hours at (636)226-1755. Dr. Samantha will always contact you within 24 hours.

  • We are $145 a visit with the average client being seen for 6-8 visits. Every client case is different and plans will vary based off individual needs.

    We accept cash, checks, credit cards, or HSA/FSA.

  • Collaborative, honest, and easy to understand modifications. We're here to guide you on a path towards long term health and every step of the way we collaborate with your specific goals and needs.

  • Your first visit will take place in a private, one-on-one setting to ensure your comfort and confidentiality.

    We’ll begin with a detailed conversation about your current symptoms, medical history, and any lifestyle or physical factors that may be contributing. This helps us fully understand the root causes of what you're experiencing.

    Next, we’ll move into a full-body movement assessment. Please wear comfortable clothing, as we’ll be doing gentle movements and functional tests to evaluate how your body is working from head to toe.

    After the assessment, I’ll explain my findings in clear terms so you understand what’s going on and why. We’ll then build a personalized treatment plan that may include therapeutic exercises, lifestyle recommendations, and a general timeline for your recovery, so you’ll leave with a clear understanding of what comes next.

  • I am treating out of New Beginnings Chiropractic in St. Charles, MO. We are conveniently located off Hwy 634 and Muegge Rd. When parking you will see the sign for Keough Chiropractic and enter a peaceful waiting room where your children can play with toys while you check in at the front desk for your appointment.

  • Pelvic floor physical therapy is an advanced assessment technique that helps us treat common bladder, bowel, and uterine conditions. We can assess the pelvic floor muscles externally and internally depending on your symptoms and consent. This means that our therapy sessions look like a mixture of traditional physical therapy movements and strength testing, mixed with a muscle assessment of the pelvic floor similar to and OB or GYNO exam.

  • Nothing is required. We will educate on the benefits and risks of all our assessment and treatment techniques and allow you the opportunity to ask questions and feel comfortable with the care you receive.

  • I recommend starting the birth preparation appointments at 28-32 weeks of pregnancy. It is designed to help with third trimester changes and prepare your pelvic floor for labor.

Vital Support for a Confident, Pain-Free You.

Call us at (636)226-1755 or fill out our form to see if our experts at Vital Physical Therapy are the right fit for you.