Accounts and Medical Aid
The climate in South Africa is one of fee-for-service. Whilst the benefits and evils of this system can be debated, patients remain responsible for their accounts. A service is rendered in exchange for payment.
Pelvic Function is not contracted into the medical aids. Payment is expected when services are rendered. Settlement is on the day. Payment is via cash, major credit cards, SnapScan or same day EFT by arrangement.
This practice offers specialist services, devoted to the many functions and dysfunctions of the pelvis. Assessment and treatment is complex and complicated, involving multiple systems. The focus is on accurate assessment to inform appropriate treatment.
Costs and Fees:
R1000 for 60mins
R1500 for 90mins
R500 for 30mins
R750 for 45mins
R1000 for 60mins
We have a 24-hour Cancellation Policy. Please cancel appointments directly to the practice cellphone on +27 (0)83 2582843. There is a cancellation fee of R500 for unkept appointments. Sms is NOT considered adequate notice; insist on confirmation of cancellation.
Pro bono cases are accepted – these are direct referrals from health clinicians who identify a particular need for pelvic physiotherapy in an individual who lacks access to appropriate care. We reserve the right to assess each case on merit.
Patient Admin Forms
If you prefer to complete documentation prior to your appointment:
- Registration Details
- Consent for Evaluation of Pelvic Floor Muscle Dysfunction
- Consent for Patient Information Usage
- Consent to Payment of Account
- Bladder Chart
- Bladder Training
- Defaecatory Technique
- Active Cycle of Breathing Technique
- Pelvic Floor Muscle Contract and Relax for the Men
- Pelvic Floor Muscle Contract and Relax for the Women
- Pelvic Floor Muscle Contract and Relax for the Boys
- Pelvic Floor Muscle Contract and Relax for the Girls
One hour (60mins), please arrive 10-15mins before the session to complete registration details if you have not already done so. A longer consult can be booked by prior arrangement for complex and out of town patients.
Assessment includes a history of your presenting complaints, including their severity, intensity and nature, and other relevant medical and social details. We then discuss a possible hypothesis, choose our assessment techniques, be it an abdominal check, an internal examination or ultrasound assessment. Initial treatment is performed, and advice and a home program given.
Ranging from half an hour to an hour (30mins, 45mins or 60mins), depending upon need. Longer consults can be booked by prior arrangement for complex and out of town patients.
A quick-check of pelvic floor muscle activity and confirmation that movement patterns are appropriate takes less time (30mins) than a session of EMG and neuromuscular stimulation (60mins), or connective tissue mobilisation and visceral manipulation sessions (45-60mins).
At follow up, your response to the initial intervention will be noted and treatment adapted accordingly. The aim is to do the right thing at the right time for the right patient, to maximize response. Some patients prefer a more therapy intense environment – we try to discourage dependence in pelvic and pain patients.
Maintenance and review
We encourage maintenance in the community as much as possible. Although the occasional pain patient wants the safety of a scheduled review, we tend to encourage less reliance on therapy and suggest you return when you are no longer in control of your pelvic experience!
In preparation for a consult
Patients should be prepared for a once-off assessment. This may or may not include an internal pelvic examination (vaginal or rectal).
You do not need to have a full bladder. You will be given an opportunity to empty your bladder before manual assessment. If your symptoms are related to recurrent urinary tract infections, and you would like to do a urine sample, please drink 250-400ml of water 30mins before the session. The same applies for those anticipating an ultrasound assessment.
Treatment is based on your response to the assessment, and a treatment plan will be formulated should it be required – some patients respond very well to simple advice and interventions and don’t need multiple therapy sessions. Ongoing rehabilitation (including exercise like Pilates, yoga or gyrotonic) is done in the community where possible.
What to bring?
- A companion or partner, if you so choose.
- A parent or guardian if under 16 years of age.
- Relevant medical records, reports and test findings including imaging.
- If you are consulting regarding an irritable bladder or frequency : urgency, please complete a bladder chart so that we have accurate facts regarding current bladder function at our disposal. Forty-eight (48) consecutive hours is required – 2 full days.
- If you have a baby that is not mobile, you are welcome to bring the little one into the session. If your baby is mobile, it can be very distracting, especially during an internal examination or ultrasound. You are welcome to breastfeed during the consult.
What to wear?
- Normal clothes.
- Avoid difficult to remove and put on shoes and boots, or stockings.
- You may need to partially disrobe, so something that can be easily removed from the bottom half of the body. Ladies wearing skirts can remove knickers and keep the skirt on, if they so choose.