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Here are some common questions regarding Zia Physiotherapy services. Please call or send an email if you have additional questions not listed here.


What steps are you taking to ensure patient safety during the COVID-19 pandemic?

During this unprecedented time, Zia Physiotherapy is committed to keeping patients safe during the COVID-19 pandemic while continuing to provide quality care. Sara will continue to monitor and adjust cautionary measures as additional guidance is released.

In addition, Sara understands you may not feel comfortable with in-person visits due to the current health crisis. If you would like to schedule an appointment but are uncomfortable scheduling an in-person visit, scheduling one of Zia Physiotherapy's virtual services may be the perfect solution for you.

What is the pelvic floor?

No, it’s not just all about the kegel! The pelvic floor is a group of muscles which function to provide organ support, maintain continence, manage sexual health, stabilize the lumbo-pelvic-hip complex, and pump fluid from veins in the legs to prevent fluid retention. The primary goal of pelvic health physical therapy is ensuring proper function throughout the pelvic floor.

Sara is highly dedicated and compassionate when it comes to pelvic health physical therapy. Her philosophy is simply that one's own home is the most comfortable environment for what can be a sensitive area to treat.  

She emphasizes a very supportive, patient-to-therapist relationship with open communication. Her sole mission is to get you back to enjoying your life the way you want!

Do I need a pelvic health physical therapist?

If you are not sure whether pelvic health physical therapy is for you, complete this questionnaire and call Sara to discuss your results.

What does a session typically involve?

As a physical therapist, Sara assesses and treats the musculoskeletal system. As a specially trained pelvic health physical therapist, she works in the pelvic area, specifically with the pelvic floor muscles.

When appropriate, Sara accesses these muscles through the vagina and/or anus using proper draping and sanitary measures, gloves, and lubrication. Muscle length, tone, and function will be assessed as it relates to your symptoms/concerns.

She also evaluates and treats external muscles throughout the core complex, including tissue mobility, nerve function and mobility, muscle length and function, postural considerations, and spinal/hip/pelvic girdle mobility. Sara looks at the body as a whole; if there is something she cannot treat, she will send you to the right person.

Does Zia Physiotherapy provide a chaperone?

Chaperones will not be provided during your sessions. If you prefer to have a chaperone present, please provide one and Sara will document their presence during the session.

What is Sara's availability?

Because Sara provides in-home services, availability varies. Please call or email to book a session. 

Do I need a doctor’s referral?

Virginia is a Direct Access State which allows patients to directly access a physical therapist without a doctor’s referral. Upon request, a report will be sent to the doctor of your choosing for a signature on your therapy  plan of care.

Sara does like to communicate with your medical team, and if you give her the consent to do so, she will send reports to the providers of your choice. It is always a good idea to have a great team of medical professionals working together to help.

If at any point Sara feels you are no longer appropriate for physical therapy or believes you will benefit from the evaluation of another medical professional, she will inform you of that promptly. Your safety and health are of the utmost importance.

Do you take insurance?

Zia Physiotherapy does not accept any insurance for services. This allows Sara to deliver the highest possible level of care to patients. Zia Physiotherapy is not restricted by insurance rules or standards that often limit the quality of care offered in the health care field. 

Clients do receive invoices that can be submitted to their insurance company for reimbursement. Zia Physiotherapy is considered an out of network provider and most clients receive 50-80% reimbursement after their out of network deductible has been met.

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