Introduction

Choosing the right pelvic floor physical therapist is a significant decision that can greatly impact your progression in managing and reducing your symptoms. This article outlines important credentials and qualifications to consider, ensuring you receive the best care possible.

1. Credentials and Years of Experience

Look for a therapist with at least a master's degree in physical therapy, ideally a doctorate, and certifications such as the APTA Women's Health Clinical Specialist Board-Certification(WCS), or Pelvic Rehabilitation Practitioner Certification (PRPC) through the Herman and Wallace Institute. Experience is crucial; aim for a therapist with over three years in the field. Use the APTA search tool to find a specialist. More experience often translates to better outcomes and more effective treatment plans.

2. Understanding PT Credentials

The letters behind a PT's name indicate their initial degree, such as BS, MSPT, or DPT. Historically, these degrees have evolved from a bachelor's to a master's and now a doctorate. Many PTs also pursue additional education to attain a transitional doctorate, which updates their knowledge and skills to a higher level.

3. Clinical Specialists: WCS, PRPC, CAPP-OB, CAPP-Pelvic.

These credentials signify a PT's pelvic health specialization from the American Physical Therapy Association (APTA).

The WCS (Women's Health Clinical Specialist), although named specific to women's health, does covers a broad range of conditions to include prenatal, and postpartum care, and men’s pelvic health. It requires extensive clinical experience, case study reviews, and passing a rigorous board exam.

The Pelvic Rehabilitation Practitioner Certification (PRPC) further exemplifies expertise in pelvic health, covering a wide array of pelvic dysfunctions in both men and women. This certification involves extensive study and clinical experience, culminating in a rigorous exam that tests knowledge and practical skills in the treatment of pelvic health issues.

The CAPP- OB and CAPP-Pelvic is also provided through the APTA, and stands for the Certificate of Achievement in Obstetric or Pelvic Health Physical Therapy. These certifications specialize in pelvic and obstetric physical therapy. They require completing specific courses, clinical mentoring, and passing exams focused on pelvic floor dysfunctions, pregnancy, and postpartum care.

4. Other Letters and Certifications

There are numerous certifications and credentials available that can helpful in the pelvic floor therapy realm. Research any unfamiliar letters to understand their relevance and significance to your needs. For example, certifications in visceral mobilization, dry needling, or a Postpartum Corrective Exercise Specialist (PCES) can be beneficial for specific treatment approaches and diagnoses.

5. Appointment Length with Your PT

Ensure your therapist spends at least 1 hour with you per session. This time allows for comprehensive treatment and education about your condition. Avoid clinics that cut appointment times to increase patient turnover. Quality care requires one on one time and attention to detail.

6. Both Internal and External Treatment

Your therapist should provide both internal and external manual therapy. They must address internally at the pelvic floor and connect those findings to underlying issues beyond the pelvic floor, including the lumbar and thoracic spine, SI joint, hips, feet, and abdomen.

7. One on one care with your PT

Focused primary care from your Doctor of PT is crucial for excellent pelvic floor care. Close and ongoing assessment of exercises and manual therapy is important to progress your treatment plan effectively and efficiently. When you are passed off to an untrained eye, proper cuing and progression is often be missed.

8. A Specialty Clinic

Choose a clinic focused on pelvic floor therapy, as therapists in these clinics typically have more specialized expertise, training, and experience in treating complex conditions. Additionally, these clinics often provide a more private environment, which is more conducive to healing and relaxation, compared to general PT clinics focused on sports or orthopedic care that have might open gym concepts.

9. Continuing Education

Inquire about a PT's continuing education after graduation, as this reflects their commitment to advancing their knowledge. Entry-level programs often lack comprehensive experience needed in treating pelvic floor dysfunction, making ongoing education crucial. Ask about recent courses or workshops they have attended.

10. Major Continuing Education Programs

The APTA Section on Women's Health and Herman & Wallace Pelvic Rehabilitation Institute are prominent organizations offering comprehensive training, including internal examinations and treatments. Participation in these programs is a good indicator of a PT's dedication to the field.

11. Residencies

Residencies are intensive, year-long programs focused on women's health physical therapy. Completing a residency demonstrates a PT's strong commitment to education and specialized training. Working closely with experienced clinicians during residencies significantly enhances a PT's practical and critical thinking skills. This level of commitment often exposes PT’s to a wide variety of pelvic health conditions and treatments to allow for more experienced patient care.

14. Other Continuing Education Opportunities

Various courses, conferences, and national meetings offer additional learning opportunities. Reviewing a PT's resume or CV can provide insight into their continuing education efforts and how they align with your needs. The more a PT invests in their education, the better they can serve you.

Take Control of Your Health!

Ask questions and research thoroughly. Ensure your therapist and clinic can answer your inquiries confidently and transparently. Taking ownership of your healthcare is vital for finding the right therapist. Don't hesitate to seek a second opinion if needed.

Conclusion

Choosing the right PT involves understanding their qualifications, certifications, and commitment to continuing education. While the field of pelvic physical therapy is still growing, finding a dedicated and passionate PT, even with limited experience, can be highly beneficial. Your health is worth the effort to find the best possible care.

Written by:

Dr. Jana Richardson, PT, DPT, WCS, PRPC, CIDN
Dual Board Certified Pelvic Floor Therapist and Owner of Chicago Pelvic Health

Dr. Jana Richardson is a highly accomplished pelvic floor therapist with dual board certifications and extensive experience in treating complex pelvic floor dysfunctions. As the owner of Chicago Pelvic Health, Dr. Richardson is dedicated to providing personalized and effective care for her patients. With a Doctorate in Physical Therapy, and specialized certifications in Women’s Health and Pelvic Rehabilitation, Dr. Richardson is a leading expert in her field. She is also certified in Integrative Dry Needling, further enhancing her ability to offer comprehensive treatment plans. Dr. Richardson’s commitment to patient-centered care and her passion for helping individuals achieve optimal pelvic health make her an invaluable asset to the community.