FAQs

Colorado is an open access state. You do not need a referral to receive Physical Therapy services.

At PelviCare, we take a holistic approach with every individual, considering the biopsychosocial factors that contribute to pelvic floor pain and dysfunction. We see the whole person—your experiences, goals, and lifestyle—before we focus on a diagnosis.

At PelviCare, we also place a strong emphasis on orthopedic assessment, recognizing that the pelvic floor does not function in isolation. We consider the interconnectedness of the entire musculoskeletal system to ensure a comprehensive and effective treatment approach.

Karine brings a deep commitment to continued learning and excellence in Pelvic Health. She has completed numerous workshops, courses, and hands-on labs. She obtained a Certificate of Achievement in Pelvic Health Physical Therapy, is a pregnancy and postpartum corrective exercise specialist, and she is working towards the Certificate of Achievement in Obstetric Physical Therapy. Her passion for staying up to date with the latest research and evidence-based techniques ensures that her patients receive the highest standard of care.

In addition to her clinical work, Karine has led the development and implementation of a successful postpartum pelvic health program at BCH. Now, she is excited to bring her expertise to a broader community—offering compassionate, comprehensive care for those navigating pelvic floor challenges beyond the hospital setting.

A physical therapy evaluation will include a 15-20 minute discussion, where we get to know you, followed by education and hands-on assessment and treatment during the initial evaluation. Your Physical Therapist will continue assessment and treatment as needed during all the subsequent sessions.

The pelvic floor assessment can be either internal or external. A patient can always decline an internal assessment.

For an external assessment, your physical therapist will assess your whole body, posture, joint range of motion, gait, and body mechanics with functional tasks such as sit-to-stand, squats, lunges, and overhead activities, to name a few. The external examination will also include palpation of the muscle and fascia, assessment of your breathing pattern and rib cage mobility.

For an internal pelvic floor assessment, your physical therapist will use gloves and lubricant to do an internal vaginal or rectal examination of your pelvic floor function.

An internal exam gives pelvic floor physical therapists a better understanding of whether your pelvic floor muscles are tight, weak, and what happens when you try to use them. We defer to whatever the patient is comfortable with.

The internal treatment will focus on muscle tissue and flexibility, muscle tone, myofascial and painful trigger points, and synergy between the pelvic floor muscle function and breathing.

At this time, we do not accept Medicare or Medicaid insurance.

It varies from patient to patient, but most commonly patients start seeing an improvement after one to three sessions. Many will feel relief between six to ten sessions.

At PelviCare we will work with you to create an individualized treatment plan based on our initial PT evaluation.

Please consider wearing athletic clothing.