What should I bring with me to the first session?
Bring any medical documentation that you have regarding your problem and some comfortable clothing to exercise in.
How many sessions will I need? How frequently do I need to come?
This depends on your situation, condition and diligence. In general, for urinary incontinence 9 weeks, and with pelvic organ prolapse 12-14 weeks is necessary to start to see results. If you have long standing pain or injury to the pelvic floor it may be 6 months.
We usually meet every 2 weeks. If you need biofeedback, it may be more efficient to come weekly, and if you have long standing pain (more than 6 weeks and you had a doctor’s examination) or if you have pelvic organ prolapse, it might be beneficial to come every 1-3 weeks initially, later every month or so.
We will discuss what is most likely in your case during your first visit.
Can I bring my baby to the physiotherapy session?
Yes, if there is no one else who can take care of your baby. In order to make the most of the session, however, it is usually more comfortable if you come alone, or bring someone to watch the baby in the waiting room. This makes it easier for you to focus on therapy. There is a changing table available.
Older children should not accompany you into the therapy room due to the nature of the discussed topics and examinations.
Can I cancel my appointment if I can’t make it?
You can cancel up to 24 hours before the appointment. ( Email: info@physiosteo.eu, call or send sms to: +36303105524) If you fail to cancel on time or if you do not show up, an invoice may be sent to you for half the price of the session.
Is it a problem if I am currently on my period?
No. We can still do the assessment and start exercises, however it may be more comfortable if you try timing the appointment when you don’t have your period. Biofeedback and electrostimulation can not be used during your period.
Is it always neccessary to do an intravaginal pelvic floor muscle examination?
No. We always discuss this case-by-case and I give a full explanation of all available options.
Can exercise help even if I am older?
Yes! Improvement is expected no matter your age. Muscles have the ability to strengthen at any age. The elasticity of connective tissues do decrease after menopause though, which may limit improvement in symptoms somewhat.
How soon can I come after giving birth?
It is best to wait for your doctor’s check up (around 6 weeks), but there is no hard and fast rule.
How long do I have to wait after surgery to come to physiotherapy?
Always ask the doctor involved in your surgery what they recommend. It is usually best to start physiotherapy prehabilitation before the operation. Very generally speaking, it will be around 6 weeks.
I have insurance, how does it work?
We do not have direct contact with any insurance company. However, if you let us know the wording your insurance company accepts, we will make sure to bill accordingly. Most insurance companies are happy to reimburse patients based on the invoice, but if you have any questions regarding this, please contact your insurance company directly.
Do I have to exercise and manage my problem outside of physiotherapy?
Yes, absolutely. You will definitely receive homework. The aim of therapy is for me to teach you how you can manage your symptoms yourself. You must be ready to be an active participant during therapy.
Can too much pelvic floor exercise make vaginal birth more difficult?
No. Only incorrectly done exercise can hinder birth. Supervised (then independent) exercise that focuses on good form and full relaxation will aid you in having an easier birth experience.
Is seeing a physiotherapist after giving birth always recommended?
Yes. Most obstetric-gynecologic doctor’s do not assess muscle function. Unless your doctor specializes in pelvic floor problems and gives you guidance on exercise (pelvic floor, abdominal and how to return to sports), it is best to see a specialized women’s health physiotherapist to help you with these things.
Should I see a physiotherapist before conception or only once pregnant or postpartum?
Ideally, it is best to have a check up before starting family planning as prevention is the best cure. If you have conceived, it is then best to come after the 12th week mark, as the array of therapeutic modalities are much wider then. If you have physiotherapy related issues in the first trimester, feel free to seek help earlier. It is best to contact us before booking an appointment. ( Email: info@physiosteo.eu, call or send sms to: +36303105524)
Are there online classes?
Currently this option is only available when discussed on an individual basis. I am able to provide less in the online setting. Therefore, if possible, it is preferable to book in person sessions.
Do you do home visits?
No. You must attend physiotherapy at this address: Hajnóczy József utca 22. Budapest 1122.
Do you provide care for male patients?
It is not uncommon for male patients to have overactive pelvic floor muscles or incontinence. Unfortunately, I do not see male patients currently at PhysiOsteo. If you are seeking help in this area, please contact me and I will help you find the right service for you.
