The whole practice comes to your door — table, tools and an unhurried hour. Here is exactly what that looks like, because almost nobody explains it.
Bergen County, New Jersey · 60-minute initial · 55-minute follow-ups
I arrive with a portable treatment table and everything the session needs, and set up in whatever space you have. That takes a couple of minutes.
Then we talk. The first visit gives that real time — your history, what brought you here, what you have already tried, and what you actually want to get back to. That last question shapes everything else, and it is the one most appointments never get around to asking.
Assessment follows: how you move, how you breathe and manage pressure, and a pelvic floor assessment — external, and internal if it is appropriate and you consent. Nothing happens without being explained first, and you can decline any part of it without the session becoming less useful.
Then treatment begins the same day. Hands-on work where it helps, and a short set of things to practise — usually two or three, not a printout of twenty. You finish with a plan and written notes.
You need a patch of floor. I bring the rest:
The obvious advantage is practical — no traffic, no waiting room, no arranging childcare to get to an appointment about the aftermath of having children.
The clinical advantage is less obvious and probably matters more. Your symptoms happen in your house: on your stairs, in your bed, lifting your car seat out of your car, at the kitchen counter where you stand feeding a baby for an hour. In a clinic those get approximated. Here we use the real thing.
It also changes what an hour is worth. There is no double-booking, no aide running you through exercises, and no one waiting in the next room. You see the same physical therapist every visit, which for pelvic health — where the first appointment often involves telling a stranger something you have not said out loud — is not a small detail.
The initial evaluation is 60 minutes and covers history, assessment, the beginning of treatment, and a plan. Follow-ups are 55 minutes: hands-on work, progressing what you are practising, and adjusting as things change.
How many visits people need varies widely, and you will get an honest read at the evaluation rather than a package to commit to up front. Some people need a short series; others do better with a longer stretch and more space between sessions.
The practice is cash-pay, which is what makes an unhurried hour possible and keeps the plan driven by what you need rather than what a payer will reimburse. You get a superbill for out-of-network reimbursement.
No, and genuinely nobody minds. I have worked around laundry piles, toys, building work and a great deal of dog hair. A clear patch of floor is the only requirement, and if that does not exist when I arrive we will move something together.
That is normal and expected — it is a large part of why this practice exists. Babies can be fed, held or worn through most of a session. Toddlers usually decide the treatment table is theirs, which is fine. We work around it rather than rescheduling.
No. The treatment table needs roughly the footprint of a single bed with room to stand on one side. A living room, bedroom or any cleared floor space works. Apartments are completely fine, including walk-ups.
Whatever is comfortable and lets you move — leggings or shorts and a top you can move in. Nothing needs to be bought or prepared. If an internal assessment is part of the visit and you consent to it, undressing happens privately under a drape, the same as in a clinic.
Worth raising when we schedule. We can pick a room, close a door, or choose a time when the house is quieter. Some people want a partner present and that is welcome too — it is your home and your call.
Across Bergen County, New Jersey — Ridgewood, Glen Rock, Wyckoff, Paramus, Fair Lawn, Hackensack, Teaneck and everywhere between. If you are just outside the county, ask anyway on the free consult; it is often still workable and it is a quick question to answer on the phone.