Indy Women Physical Therapy is all about helping women take back control. Issues such as leakage, painful intercourse or just returning back to exercise or life in general after having a baby can be very real challenges for women to overcome. Unfortunately, women can be ignored and dismissed by their health care providers and left trying to figure things out on their own with little, if any, support. That’s where we come in. Indy Women Physical Therapy has cared for and successfully treated:
- Women wondering if they will be able to have sex again with their partners after years of struggling, to be told by their doctor to just “have a glass of wine before sex.”
- Women who feel their bodies are “broken” after being diagnosed with a prolapse, who just want to learn ways to return to their favorite activities safely.
- Moms who are peeing their pants just trying to keep up with their kids to be told by their doctor “you’ve had kids it’s normal to leak, maybe you can look into surgery.”
- The woman who is afraid to walk around her neighborhood for fear she may run into a neighbor after having an “accident.”
- The new mom that wants to return to exercise after having a baby, but is told she has a diastasis recti and becomes scared of doing anything now for fear of making it worse.
- The woman that says “why didn’t anyone ever tell me help was available” when she has to undergo surgery to correct a prolapse, after years of a very physical job that involved a lot of lifting.
Indy Women Physical Therapy is located in the beautiful Fitness by Design building located at 1355 W. 96th St. in Indianapolis, at the corner of 96th and Ditch road. Fitness by Design is a very spacious personal training-only facility, so it is not your typical crowded fitness gym experience.
Treatments are provided in a private exam room, then will be extended out into the gym with guided exercises to help you reach your goals. This can include:
- Weight lifting progressions
- Incorporating small weights and/or resistance work with bands
- Plyometric activities to return back to activities such as running
- HITT type workouts to include cardio with resistance work
- Pilates-based exercises, include using a Pilates reformer
Exercises will be emailed to you after each session to help you carry over the exercises with whatever equipment you have at home. In most cases, you will receive a resistance band to take home with you to help get you started.
Exercises are always individualized based on patient symptoms and advanced appropriately.
I Know Your Issues Because They Were MY Issues
As a mom of 2 boys I understand the frustrations women experience. I myself was diagnosed with a prolapse after my second child, not by my OB/GYN but another pelvic floor Physical Therapist. These issues are very personal and impact women’s lives. This is why I love what I do and can’t imagine doing anything else!
A little about me—I received my master’s degree in physical therapy from Loma Linda University in 2002, and in 2010 completed my post-doctoral degree in physical therapy from Des Moines University.
I started Indy Women Physical Therapy in 2016 after working 8 years in a major hospital setting in Indianapolis where I was able to specialize in women’s health. I have attended several continuing education courses with the women’s health section of the American Physical Therapy Association where I was able to obtain both certificates of achievement in pelvic physical therapy and pregnancy/postpartum. I have been recognized by the American Physical Therapy Association as a board certified women’s health clinical specialist. Over the years I have also enjoyed working with cancer survivors including being an instructor for the Pink Ribbon Program. I am also a certified Lymphedema therapist with Klose training.
In order to further help my postpartum female athletes safely return to their sports, I have also taken courses with Julie Wiebe, PT who has done extensive research with pelvic floor dysfunction and female athletes as well as Antony Lo, PT who is known to work with female CrossFit athletes. I have also obtained my Pregnancy and Postpartum Athleticism Coach certification through Brianna Battles, who is a huge advocate for the safe return of postpartum athletes to their sport after having their babies.
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“I came to see Camille with tailbone pain due to sitting long hours for work, as well as pelvic floor pain. I have not had children, so I was hoping there’d be some relief and that this type of therapy would still work for me. Camille treated the various trigger points, and educated me on pelvic floor health and wellness. She gave me profound resources to do at home, and was wonderful at listening to my concerns and validating my experience. After a handful of sessions and following the at-home treatment she laid out for me, I am now pain free. If I ever have a flare up again, or a baby in the future (as pelvic floor therapy should be given to all women postpartum), I’ll be definitely coming back here.”
Frequently Asked Questions
Can I get my "body back" after having a baby?
Your body went through 9 months of growing a baby, so it may take at least that long to regain strength and confidence to return to the activities that you love. The "mommy tummy" that you have after delivering a baby could be a result of diastasis recti, (which is a separation of the abdominal muscles) and/or from skin that was stretched to accommodate the size of the growing baby. Learning how to engage the core and pelvic floor correctly together during exercise as well as everyday activities can help reduce the appearance of a diastasis over time. Read more here about our Postpartum Power Up program.
Can you help me fix my Diastasis Recti?
Diastasis Recti is the separation of the abdominal muscles that occurs as a result of pregnancy. The “gap” that is measured between the abdominal muscles around the belly button is what dictates if you have a separation or not. Usually, a 2 finger or more gap is considered significant to be a diastasis.
Current research on treatment for Diastasis does not promote “closing” the gap so much as it does targeting and contracting the abdominal muscles below it. The gap may reduce in time (though may not close all the way which is OK) if you are doing exercises that do not increase intra-abdominal pressure, which can promote more separation, like planks or sit-ups right after having a baby. Performing the right exercises, that do not promote excessive abdominal pressure, can help strengthen the abdominals without adding this strain along the abdomen. Read here to find out ways we help moms regain strength in our Postpartum Power Up program.
Am I supposed to have aches and pain during pregnancy?
While aches and pain can be common during pregnancy you do not have to live with it. Low back pain can be helped with a combination of massage and exercises to help strengthen and add stability to the hips and back. Pubic pain can be reduced with external bracing such as a pregnancy support belt, exercises and learning how to stabilize during painful activities such as rolling in bed. Pain in the butt, also known as sacroiliac pain, can be helped with massage, stretches and strengthening exercises. These are just a few examples of how pregnancy pain can be reduced or eliminated with the help of physical therapy. To see what else we can help with during pregnancy please click here.
Can I still do my favorite exercises with a pelvic organ prolapse?
Pelvic organ prolapse is when the bladder, uterus, or rectum have shifted down into the vaginal wall. This can first occur after delivering a baby, lifting heavy objects as with job duties, or perhaps as women age and hormonal changes occur. Many women are told after being diagnosed with prolapse to never do certain exercises again, such as squats or sit-ups, for fear of making the prolapse worse. However, there are ways to return to exercises that you enjoy doing by adjusting things such as your posture, breathing techniques, and engaging the pelvic floor and core correctly during exercise and daily activities. In most cases, you can resume most exercises with the proper recommendations. Learn more about Pelvic Organ Prolapse and how we can help.
Am I able to learn how not to pee my pants even though I had my baby years ago?
There is always room to improve no matter if you had your baby 6 months or 16 years ago! Leakage is not “normal” or should ever be acceptable. There is more to it than “just do your kegels.” For example, holding your breath as you lift weights at the gym may increase pressure along the pelvic floor or vagina, causing leakage. Keeping the pelvic floor muscle contracted continuously during activities may also cause leakage. Certain postures may contribute to leakage especially when held under load during exercise. Looking at the whole body is important when prescribing the right exercises to help prevent leakage. Click here for more information on how we help our patients.
Can I get help for painful intercourse?
Pelvic floor physical therapy can help women overcome painful intercourse. In some cases, a condition called Vaginismus can prevent the vaginal muscles from relaxing enough to have intercourse or even a pap smear at the doctor’s office. Learning ways to relax the muscles can include dilator use, biofeedback, manual therapy and introducing ways to accept touch while decreasing anxiety. Please check out this link to the blog 'When The Heart Says Yes But The Vagina Says No' for more information.
Sometimes there may be tearing along the perineum during childbirth which can result in painful intercourse. Addressing the scar tissue from the tear, performing soft tissue mobilization along the vaginal muscles and regaining normal pelvic floor muscle strength and tone will help. Please click here to see how our postpartum services can help you recover after having a baby.
Can you help me if I’ve been diagnosed with Endometriosis or Interstitial Cystitis?
Endometriosis or Interstitial Cystitis (IC) can be helped by treating any painful muscles or structures that reproduce or worsen your symptoms. These symptoms include low back pain, lower abdominal pain, urgency, painful sex, constipation and vaginal pain. Treatment includes massage or soft tissue mobilization, scar tissue mobilization, relaxation exercises, bladder retraining and dietary recommendations. In some IC patients bladder symptoms such as frequency to urinate or bladder pain may be reduced or eliminated after addressing any painful scars or muscles around the pelvis. For more info click here.
Do you accept insurance?
While we do see a number of people with different insurance plans, we are considered an out-of-network provider. This means that insurance is not accepted directly and payment is due at the time of service. We understand that most patients do rely on receiving insurance reimbursement. We will provide a receipt for you along with a list of the treatments performed and the payment amount that was given. This receipt can be mailed to your insurance to help receive the maximum reimbursement available. You will be expected to mail the receipts and necessary paperwork to the insurance company yourself. Patients are advised to contact their insurance companies to find out what their benefits are for outpatient out-of-network physical therapy visits before their first visit. We provide an insurance benefits worksheet on our website under patient center that may help you to determine these benefits when talking with your insurance company. We accept payment in the form of cash or credit card/debit card/health care spending account, etc. We are unable to treat Medicare patients at this time due to government regulations that restrict us from taking cash payments from Medicare beneficiaries. We hope this will change in the future.
Why are you an out-of-network provider?
Unfortunately, many insurance companies are reimbursing less and less while enforcing more restrictions on the type of treatments and number of visits that are allowed. Many physical therapy clinics in order to stay afloat are having to see many patients a day, in some cases overlapping care and seeing patients every 15-30 minutes to be productive. As a therapist who has experienced this firsthand in the past, it can be extremely hard to give the care patients deserve under these circumstances. Diagnoses related to women’s health in particular demand more one-on-one time as well as our full attention. Our clinic prides itself in that we want to provide the best care possible without the interference of insurance companies calling the shots. We believe that as an out-of-network provider we will be able to provide this care while keeping the focus directly on the patient instead of the numbers at the end of the day.
How much are visits?
Each visit is individualized for each patient depending on what the specific needs are.
The initial evaluation is $175 and between 75 and 90 minutes long. This includes some treatment in most cases during that first visit.
Follow-up visits are typically between 45 and 60 minutes. Price ranges from $125 to $147 per visit. Exercise only visits, for example establishing individulized progressive exercises for those with Diastasis Recti, are $125. For those that require more massage or manual therapy the price can vary between $135 to $147.
Do you require a prescription to be seen?
While we are not required by state law to have a prescription for the initial evaluation, due to the specialty of services we provide it is highly recommended that you do obtain one. We want to make sure there are no contraindications to treatment so we can provide our care in a safe and appropriate manner. By keeping communication open with your referring provider we can ensure we are providing the best care possible. Some insurance companies require a prescription in order to reimburse for physical therapy services. After 42 days from the initial evaluation date, we are required to have a prescription to continue care. Providers we are allowed to take referrals from include a physician, podiatrist, psychologist, chiropractor, dentist, nurse practitioner, or physician assistant.
What should I expect during my first visit?
When you arrive for your first appointment please text or call 317-689-0073 to let us know you have arrived. You will be met at the front door and be taken immediately to a private treatment room. Most initial evaluations are around 90 minutes long. A complete medical history will be taken along with a review of current symptoms. After taking the history, the physical therapist will then perform a thorough musculoskeletal examination. If you are being seen for a pelvic floor-related diagnosis the therapist will also in most cases perform an internal assessment. You are welcome to bring a second person with you into the examination room during the examination and subsequent treatments. We will discuss the physical findings and together set up a plan of care with your personal goals in mind. Please bring comfortable clothes to change into for exercises.
If there are any questions we have not answered please do not hesitate to contact us. We do offer free phone consultations to make sure we are a good fit for your needs. We can be reached at 317-689-0073 or email at email@example.com.
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