Answers To Your Physical Therapy Questions
I am a new patient and want to set up an appointment. How do I do this?
Please call the office where you would like to schedule, email us at appointments@n2physicaltherapy.com, or schedule directly on your chosen provider’s page, via that provider’s appointment link. Please provide your date of birth and an email from a frequently used email that you would like to be your patient portal. This is where you’ll access forms and be referenced to when you receive a statement.
I am a new patient and want to get started with a Telehealth consultation. How do I do this?
Please go through all the same steps as listed above, but put in the notes you would like to start with a Telehealth consultation. We will include the same information as if you were in person and we will distribute forms electronically. We utilize a HIPAA secure Telehealth platform with an additional layer of security on this, so you will need to be able to access Google Meet.
How long is a standard in office treatment session?
All evaluation and treatment session appointments are scheduled to be one on one with your therapist for 40 minutes. It is important to your care that you are 10 minutes early to be registered properly and able to remain for the entire appointment. If this is not possible please call the front desk to reschedule for a time that is a better fit for you.
How long is a Telehealth appointment?
Telehealth appointments vary between 15 minutes, 30 minutes and 40 minutes. Please work with your therapist to choose your time based on your needs in this visit. We recommend a 40 minute appointment for a new evaluation so you are able to look at anatomy, design a home program, and talk about everything that you want to work on in physical therapy.
I am seeking specialized pelvic floor treatment. What can I expect?
All therapists at N2 specialize in treating pelvic health conditions and have a strong orthopedic background. You can expect to receive education and time to discuss your condition prior to an examination, and for your physical therapist to competently perform an external and internal pelvic floor assessment with your consent. Treatment techniques include: soft tissue mobilization, trigger point release, functional myofascial trigger point dry needling, myofascial and visceral mobilization techniques, biofeedback, e-stim, breathing techniques, exercise programs to complement manual therapy, and running and lifting mechanics.
Watch the quick video below on “What to Expect at Your First Appointment”:
Does your clinic take insurance?
Currently we are in network with United HealthCare, UMR, UHC Medicare Advantage, Cigna (ASH), and Kaiser.
For Medicare clients, we have as of January 2024 become a non-participating provider. This means that we collect a portion of your payment for your visit at the time of visit, and submit your claim to Medicare on your behalf. Medicare will process these claims and remit payment to you quarterly. You can monitor this in your Medicare patient portal. Starting in 2025 we will no longer be participating in Medicare.
Does your clinic have self pay options?
We offer a self pay rate of $120 per in person visit (40 min. session). We are able to submit this out of network for you, and insurance will reimburse you directly.
Telehealth options vary and self pay rates are listed below:
- $40 for a 15 minute session
- $80 for a 30 minute session
- $120 for a 40 minute session
- $180 for a 60 minute session
We also offer concierge in home services at $250 per hour ($180 per session with $70 as a travel and set-up fee). This is a perfect option for someone who does not want to take their own time to drive, park, find a sitter for the kiddos, and have the comfort of full treatment in your own home.
Will I be given an exercise program?
It is important for your overall healing that you are active in an exercise program that complements your in person sessions. Our physical therapists have several approaches and a diversity of training on how to address symptoms of pelvic floor dysfunction, chronic pain, pregnancy and/or postpartum, difficulty with movement and more. N2 Physical Therapy works with each patient to be certain that your program fits your lifestyle, needs and are set to progress you as quickly as possible. We are currently encouraging all patients to utilize our apps and access to getting health care programs on your phone or online. It’s better for our trees and we find that it helps people to access it easily, at any time, without rummaging through paper sheets. Our most frequently used apps are Medbridge Education and HEP2Go.
What is dry needling?
Dry needling by a physical therapist is the use of a physiotherapy needle to treat a myofascial trigger point via needle insertion into the trigger point. Research studies have demonstrated that myofascial trigger points have necrotic features, spontaneous electrical activity (they never rest!), limited blood flow, and are anoxic, amongst other findings. Research has also demonstrated that myofascial trigger points possess a buildup of nociceptive generating biochemical substances that have potential to decrease our thresholds for pain.
Dry needling is a well researched technique for chronic pain treatment that is successful when administered by a properly trained professional. When properly administered as an adjunct to a proper plan of care and broader physical therapy treatment, treatment with dry needling can result in fast and sustainable results.
What is pelvic floor dry needling?
Pelvic floor is dry needling focused on the muscles of our pelvic floor, both muscles of the levator ani, perineum, and obturator internus and coccygeus. Pelvic floor dry needling by a physical therapist is not internal vaginal or rectal insertion of a needle. An example of integrating pelvic floor dry needling as an adjunct to other techniques is with pudendal neuralgia. Utilizing dry needling to swiftly resolve trigger points in the obturator internus, gluteal musculature and coccygeus and promote fast decompression of the pudendal nerve and allow for stretches, and other techniques to be more effective. Please email the clinic you would like to see for information on which providers in that location are certified in advanced pelvic floor dry needling. You may also submit questions via our online forms under any provider, or on our services page.
Neuromodulation is utilizing the knowledge of the muscles, nerve routes, and connection to the spine to apply electrical current and help to calm the nerve, and help resolve pain. Several therapists at N2 Physical Therapy are formally trained in pelvic floor dry needling and neuromodulation. Please ask your scheduler to help you find the right provider for you, if this is what you want as part of your care plan.
Do physical therapists at N2 Physical Therapy treat other types of diagnoses besides pelvic floor?
Yes, we treat other conditions such as low back pain, hip pain, knee pain, abdominal pain as our philosophy is that the entire body interacts to create problems for us, and the entire body needs to be assessed and treated. We are unique because we are highly trained in integrating pelvic floor into our examination and discovering how it interacts to cause problems that don’t look exactly like the pelvic floor. We also have providers that specialize in pediatric pelvic floor and oncology based treatment, including helping people counter the side effects of ADT, radiation, and recover from surgeries related to treatment of cancer.
Do you treat men at N2 Physical Therapy?
Yes, we typically see men for urinary frequency, hesitancy, pain with urination, urinary leaking, constipation, bowel issues, fecal leaking, post-prostatectomy, pelvic pain, and erectile dysfunction. Please also see our free community class on Male Pelvic Health.
Our therapists also treat several male patients for chronic low back pain, hip pain, and other myofascial pain syndromes. The treatment at N2 Physical Therapy is unique because your pelvic floor will be considered as part of the problem you are trying to cure.
Do you help children with pelvic floor problems?
Yes, we typically see children (4 years old to 20 years old) for urinary urgency/frequency, urinary accidents, bed wetting, constipation, fecal accidents, diaphragmatic breathing dysfunction, rumination, abdominal or pelvic pain. We do not do an internal pelvic floor assessment for pediatric cases, except for specific cases in which a physician has previously performed an internal exam and specifically requests internal treatment in PT with patient and parent consent. Parents must be present for all treatment sessions. Please call the clinic location you wish to be treated at so you are able to schedule with one of our pediatric pelvic floor specialists.
How does N2 Physical Therapy help people who have had treatment for cancer?
N2 Physical Therapy treats several patients who are struggling with symptoms related to treatment of cancer. Regarding pelvic floor this may include estrogen deprivation driven vulvar pain, autoimmune responses such as lichens sclerosis, pain in the shoulder, radiation pain, bowel difficulties or leakage, urinary changes, pain with sexual activity, and more. N2 Physical Therapy does have specialists in management of symptoms after breast cancer including range of motion difficulties, pain with shoulder movements, headaches, fascial changes due to scar tissue or radiation, lymphatic cording, and swelling post-operatively. Please call the clinic location you wish to be. treated at and ask which specialists at that location are trained to help with symptoms related to treatment of cancer (oncology rehabilitation).
Where are you located?
Denver (Uptown)
Metered street parking is available on the surrounding streets.
Boulder
We have recently relocated our Louisville location to Boulder, CO. We are now located at 4730 Table Mesa Drive, #K-100. Parking is ample.
Greenwood Village (DTC)
Our office is located at 7000 E Belleview, Suite 310, Greenwood Village, CO 80111. There is a parking lot in front of the building that takes you straight into Level 2, and you can go up from there. There is also parking in the back of the building that you can enter via Level 1.
Please also see our Contact page for more information.
What is biofeedback and is this offered at N2 Physical Therapy?
Biofeedback or EMG biofeedback is a form of treatment that uses electrodes (stickers) placed on the skin, or an electrode inserted into the vagina or rectum, to read muscle activity. Biofeedack has been very helpful to patients trying to learn how to control their pelvic floor, or gain instant feedback into the effectiveness of their pelvic floor exercises. It can also help to teach people to relax the pelvic floor and be integrated into treatment, or utilized during movement, exercises, or even to determine which positions may be best for the pregnant patient in preparing for delivery. Research has shown that the best success from biofeedback is if the patient has a home device to be consistent with programs and utilize more frequently. We recommend looking into the Perifit or Elvie device.
I have tried doing pelvic floor exercises, such as kegels, and they did not help.
Kegels or pelvic floor muscle contractions are not for everyone. They are also incredibly difficult to teach yourself. Often people who have certain types of urinary incontinence have tight, and uncoordinated muscles, and doing self prescribed kegel exercises could make this worse. Patients who have pelvic pain especially due to nerve compression should not be doing kegels. Kegels are often effective when the muscles are healthy, coordinated, and the hips and low back are also coordinated. If you are concerned that. you are not performing pelvic floor exercises properly, or they may not be right for you, it would benefit you to schedule a consult with a pelvic floor physical therapist.
https://www.elvie.com/en-us/shop/elvie-trainer
Is my pelvic floor problem related to my hips and/or low back problems?
The pelvic floor is connected to the hip musculature, and inserts at our tailbone, as well as coordinates with the low back, abdomen, diaphragm in breathing, and even movements at our shoulder. A proper pelvic floor plan will also examine and evaluate the health of your spine, hips, posture in sitting, standing, breathing and anything else that is meaningful to you and helps you reach. Your goals with physical therapy. We have two community lectures available for free that talk about these interactions for you, so you can try to think of how your own symptoms relate. Please see below!
