How long is N2 Physical Therapy closed, and how do I communicate with you about appointments?
Per the executive orders issued by DORA, N2 Physical Therapy plans to stay closed as long as our government mandates this. Currently we are hoping to reopen on April 15th, 2020 but we are watching the updates, and the DORA website, and will update as soon as we know differently. Our physical therapists are booked for when we reopen so we are recommending to email at firstname.lastname@example.org to communicate about your appointment needs. Once you connect with us, we will be certain to move your appointments if needed. You do not need to worry about cancellation fees due to extensions of closures, or any symptoms related to COVID-19.
I am a new patient and want to set up care for when you reopen. How do I do this?
Please email us via one of our online forms. You can select your provider, or go to our services page to do this. Registration can be completed in a matter of minutes if you utilize an online form, or email us at email@example.com. Please provide your date, email from a frequently used email that will easy to use as your patient portal, and email your birthday. You will receive a response within 24 hours and be able to set up your care.
I am a new patient and want to get started with a Telehealth consultation. How do I do this?
Please send your request to start this service at firstname.lastname@example.org. Please include the same information you would as a new patient, and we will distribute forms electronically. Telehealth is currently being covered by insurance and evolving daily. Please refer to our Telehealth page for more and continually updated informaiton.
What measures will you be taking when you reopen to prevent spread of COVID-19?
N2 Physical Therapy has always followed sanitation, hand washing, and recommendations to provide a healthy environment and will continue to do so. Prior to your first return appointment you will receive a questionnaire that you will be required to consent to before you come in. We will administer this each visit as long as COVID-19 continues to be a threat. We are restructuring our clinics to maintain social distancing, and are asking unless absolutely necessary that you come to your appointment alone. If you do bring people who are not there due to needed assistance, we will ask you to reschedule or ask them if safe to do so, to wait outside the building.
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 on time, 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 are typically 30 minutes but may vary depending on your needs, symptoms, and diagnosis. We offer flexible pricing and scheduling for these sessions, and have more information on our Telehealth page. Sometimes it is beneficial for a new patient to schedule more than 30 minutes, and sometimes an active patient doing an exercise check or update will only need 15 minutes. Please email any questions to email@example.com and someone will help you.
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 compliment manual therapy, and running and lifting mechanics.
Does your clinic take insurance?
Yes, we take most insurances and Medicare, but not Medicaid. If you have further questions please call the clinic with your insurance information ready and our staff can help you determine what your coverage would be. If you do not have insurance our self pay rate is $105 per 40 minute session. Please see our Telehealth page for information on various times of visit, and our insurance information for these session.
Does your clinic have self pay options?
Yes, we have self pay options for in person and Telehealth. Please contact the clinic to inquire about the self pay rate for your plan and provider.
Will I be given an exercise program?
You will be given a program appropriate for you, which for pain is often relaxation and downtraining muscles, on your first visit. 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 post partum, difficulty with movement and more. N2 Physical Therapy works with each patient to be certain that your program fit your lifestyle, needs and are set to progress you as quickly as possible.
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. 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.
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. We treat some neck, shoulder, and TMJ issues depending on the diagnosis. 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. We also participate in classes, in person an virtual for men who are receiving Androgen Deprivation Therapy. Our therapists also treat several male patients for chronic low back pain, hip pain, and other myofascial pain syndromes.
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 treamtent of cancer. Regarding pelvic floor this may include estrogen deprivation driven vulvar pain, autoimmune resopnses 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 choulder 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?
Metered street parking is available on the surrounding streets (11th Ave, 12th Ave, Sherman St, etc). There is a parking garage, 1 hour for $3 that is CASH ONLY, in the basement of the Chancery Building. The entrance is on Lincoln street just north of 11th Ave. There are parking lots that take per hour payments aross from the building, and on the corners of 12th and Grant, and 11th and Lincoln. There is free two hour parking behind the building on Grant street.
There is a free parking garage in the basement of the building at 19th Ave and Gilpin. There is also 2 hour street parking is also available, and a parking lot at 19th and Gilpin.
Our office on 335 W South Boulder Road is located in a medical office park and has it's own building. Parking is never an issue and there are parking lots on all sides of our building.
Is currently located on Swedish Medical Center campus. There is valet parking at the front of the building and it is highly recommended to save time and utilize this. There is also a parking garage across from the office building but at high volume hours it is often difficult to negotiate. Street parking is also available. Please note in July 2020 N2 Physical Therapy is relocating this office to 6909 S Holly Circle, in Centennial, CO. This will be more accessible to patients and will be a medical building with parking lots on all sides
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 theeffectiveness 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.
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 phyiscal therapist.
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 you spine, hips, posture in sitting, standing, breathing and anything else that is meaningful to you and helps you reach. yourgoals with physical therapy.