Frequently Asked Questions

This is a short list of our most frequently asked questions. For more information please give us a call.

A 48 hour cancellation policy is required; however, if you need to cancel an appointment, and we are able to fill that appointment accordingly, then you will not be held accountable for the $50 cancellation fee. It is our goal to due our best to assist you in these situations.

To be eligible to sit for the exam, all applicants must have completed 2000 hours of direct pelvic patient care in the past 8 years, 500 of which must have been completed in the last 2 years. Patient care hours can only be earned by a licensed clinician, and hours spent with patients prior to licensure do not satisfy this requirement.

Patient’s are scheduled for a 1 hour visits. It is important that you are on time to maximize your therapy time.

Yes! Often if your flow is light, and you are not bothered by this, it does not preclude your normal therapy. However, even if your flow is heavy, there is a significant amount of treatment that is done externally and will not be limited by your menstrual cycle.

We highly encourage you to attend your first visit alone, as distractions may make it difficult to focus and may ultimately prolong the number of visits you need. However, new Mom’s often cannot leave their babies, and we are sensitive to that, and we will work with you as needed. Small children cannot be left unattended in the waiting room.

It is always your choice and your right to have your spouse or another individual join you for your appointment, if doing so makes you feel more comfortable, or if they are interested in assisting in your care.

Comfortable clothing that you can stretch in. Socks may be helpful for certain exercises and to help keep your feet warm. Tennis shoes may be helpful, but not critical.

There is an important difference between a certificate and a certification or credential. Certificates are not held to the objective standards required of other types of credentialing. Credentialing is the umbrella term that includes the concepts of accreditation, licensure, registration and professional certification.

A Certificate of Attendance is issued after an individual attends or participates in a particular continuing education course. No knowledge is assessed and the recipient is not required to demonstrate competence according to professional standards.

A Knowledge-Based Certificate recognizes a relatively narrow scope of specialized knowledge used in performing tasks required by the profession. It is issued after the individual passes an assessment instrument. ( CAPP)

Professional Certification is the voluntary process by which a non-governmental entity grants a time-limited recognition to an individual after verifying that he or she has met predetermined and standardized criteria. It is the vehicle a profession uses to differentiate among its members. The holder is called a certificant. Herman & Wallace's Pelvic Rehabilitation Practitioner Certification falls into this category of credential. ( PRPC)

*Adapted from the "NOCA Guide to Understanding Credentialing Concepts"

Certified Pelvic Rehabilitation Practitioners possess the knowledge and skills necessary to accurately diagnose and treat pelvic dysfunctions for men and women throughout the life cycle. Pelvic dysfunctions include colorectal, urogynecological, neuromusculoskeletal, gynecological, obstetrical, and sexual medicine. In addition to completion of direct pelvic patient care, applicants must pass an exam that covers the following domains as they relate to pelvic rehabilitation: Anatomy, Physiology, Pathophysiology, Pharmacology, Medical Interventions & Tests, Tests & Measures, Interventions, and Professional & Legal Requirements. (cited from H&W Pelvic Rehabilitation)

Depending on the nature, chronicity and complexity of your problem, visits may vary. Traditionally we always start with 4 visits, 2xs per week for 2 weeks, and for some patients, this is all that is needed. Often you will complete your initial training in 4 visits, and then you would be scheduled for a follow up visit in 2 to 4 weeks to reassess and progress as indicated. However, if we are dealing with chronic pain or complex multifaceted problems, then more visits will likely be indicated. Average chronic pelvic pain patients typically complete 8-12 visits, as indicated, spaced out initially 2xs per week, with gradual reduction to 1x per week, once HEP is in place. In rare cases, 3xs per week may be recommended, to help improve consistency and carryover with patients who need more manual therapy or guidance. It is critical that you have consistency early on to help provide repetition for motor learning, to ensure carryover for proper technique, and to monitor your early responses and modify treatment accordingly.

Everyone must complete the General Intake Forms. If you are unable to appropriately answer the questions re: bowel and bladder, then you should complete the bowel and bladder log to allow you to monitor your habits so you can answer the questions appropriately. If you have a recent onset pain problem, then the general intake forms will cover the necessary information. However, if you have a chronic or complicated pain or pelvic dysfunction, then you are highly encouraged to complete the Chronic Pelvic Pain Form. If you are a pediatric patient, then you must complete the General Intake as well as the Pediatric Forms. If you are a male patient, we have specific forms we may mail to you, but you should could complete the General Intake Forms as applicable.

Due to the sensitive and private nature of pelvic dysfunction disorders, one-on-one, specialized care is mandatory and gold standard. The most discreet, efficient and effective way to approach treatment is to provide one-on-one, 1-hour visits with the actual physical therapist, with no use of ancillary Aide’s or Assistant’s. This provides an environment that is conducive to quality learning, consistency of care, early retention, and often fewer total visits. Unfortunately, it is often not possible or feasible to provide this quality of individual care under certain insurance contracts. However, due to the specialized nature of care at this facility, and the specialized training that was completed to provide this service, many patients are successful in receiving an out-of- network waiver to attend therapy at this location. This often allows them to receive a higher rate of reimbursement for their visits. This process however can be lengthy, and requires that the patient initiate the process with their insurance company. We at WHPT will provide you with the treatment codes and diagnoses codes that are needed, at your request, and we will assist you as able with this process.

Pelvic Rehabilitation Practitioner Certification. Please click on the links below or visit Herman & Wallace Pelvic Rehabilitation Institute to learn about the qualifications associated with this credentialing process.

No. Your treatment time is always one-on-one with Brande.

All clinicians holding a license as a: Physical Therapist (PT), Physician (MD), Registered Nurse (RN), Occupational Therapist (OT), Doctor of Osteopathy (DO), Advanced Registered Nurse Practitioner (ARNP), or Physician’s Assistant (PA-C) are automatically approved to apply for PRPC. If an individual wishes to sit for the exam who does not hold one of the above licenses, they may request permission to apply to sit for the exam, and will be evaluated on a case by case basis.