PhysicalTherapy.com Phone: 866-782-6258


Effective Documentation with Pelvic Pain Diagnosis in Pregnant Women

Cynthia Neville, PT, DPT, WCS, BCB-PMD

May 26, 2015

Share:

Question

Can you give us any tips on effective documentation in this area?  Have you had any trouble with insurance reimbursement?

Answer

That is a great question.  I would absolutely focus on the positive tests for pelvic girdle pain as evidence that there is pelvic joint dysfunction, and the root impairment is a problem with load transfer across the pelvis.  We have had no trouble with insurance reimbursement whatsoever.  Going back to the tips, I would focus on the function.  The patient is having pelvic girdle pain that is interfering with her ability to perform her job as a waitress.  Pain is impairing her ability to care for her children at home.  She is having difficulty traveling to and from work because of pelvic girdle pain.  When we focus on function, most often the insurance carriers really understand that it is not just pain.  We are saying this pelvic girdle pain is leading to a functional impairment and here is what it is and here is why we are seeing it.  We are seeing these positive tests and our plan of care is going to be restore the ability of these joints to transfer load, to restore the normal motor control of those important muscles, and to restore those specific functions.  


cynthia neville

Cynthia Neville, PT, DPT, WCS, BCB-PMD

Dr. Cynthia (Cindy) Neville, PT, DPT, WCS is Assistant Professor of Physical Therapy, Mayo Clinic Alix College of Medicine, in Jacksonville, Florida. She is a Women’s Health Certified Specialist (WCS), board certified by the American Board of Physical Therapy Specialties. She serves on the faculty of the Mayo Clinic Florida Orthopedic Physical Therapy Residency Program, and advises multiple medical specialty programs at Mayo Clinic Florida. Her outpatient clinical practice at Mayo Clinic Florida serves women and men with pelvic floor disorders. Dr. Neville has authored and co-authored several research articles and book chapters on the topics of pelvic health rehabilitation, pelvic pain, and urinary incontinence. She has presented her research and provided rehabilitation and medical education nationally and internationally. She has developed successful Pelvic and Women’s Health Rehabilitation Programs at premier healthcare organizations including the Rehabilitation Institute of Chicago (now the Shirley Ryan Ability Lab) and Mayo Clinic Florida. At Brooks Rehabilitation in Jacksonville, Dr. Neville developed the first institutional pelvic health rehabilitation program across all levels of care, and the first credentialed physical therapy women’s health residency program in the state of Florida. She has trained more than a thousand physical therapists, occupational therapists, physical therapist assistants, and physicians in pelvic floor examination and pelvic health rehabilitation. 


Related Courses

Physical Therapist Management of Pelvic Floor Tension Myalgia: When Your Patient Has Pain Down There
Presented by Cynthia Neville, PT, DPT, WCS, BCB-PMD
Recorded Webinar

Presenter

Cynthia Neville, PT, DPT, WCS, BCB-PMD
Course: #4358Level: Intermediate2 Hours
  'Instructor knowledge & in depth teaching style'   Read Reviews
Pelvic floor tension myalgia can cause a range of symptoms including pain in the vagina and rectum, feeling of sitting on a ball or stick, and pain during intercourse. This course will explore why and how pelvic physical therapy is first line treatment for pelvic floor tension myalgia. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.

Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders in Women's Health Physical Therapy: Look For the Zebra
Presented by Cynthia Neville, PT, DPT, WCS, BCB-PMD
Recorded Webinar

Presenter

Cynthia Neville, PT, DPT, WCS, BCB-PMD
Course: #4151Level: Intermediate2 Hours
  'This was a wonderful course'   Read Reviews
Women with Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorders (HSD) have a high rate of pelvic floor disorders, and EDS and HSD are highly prevalent in women with pelvic health impairments. This course provides physical therapists with an evidence-based update on EDS, HSDs, and pelvic health and will explore clinical reasoning in pelvic physical therapy treatment for this diverse patient population. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Wag Your Tail! Pelvic Floor Disorders and the Importance of the Coccyx
Presented by Cynthia Neville, PT, DPT, WCS, BCB-PMD
Recorded Webinar

Presenter

Cynthia Neville, PT, DPT, WCS, BCB-PMD
Course: #4164Level: Intermediate2 Hours
  'The research and knowledge of instructor review of anatomy'   Read Reviews
MRI studies show that with the performance of correct pelvic floor muscle contraction, the coccyx should move cranially, and with adequate pelvic floor muscle relaxation, the coccyx should move causally. This course examines the importance of the coccyx to the function of the pelvic floor muscles, discusses how coccyx impairments may contribute to pelvic floor muscle disorders, and explore physical therapy treatment options for coccyx impairments. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Physical and Occupational Therapy Treatment Of Abdominal Scars, Adhesions, And Abdominal Cutaneous Nerve Entrapments. Quit Your Belly Aching!
Presented by Cynthia Neville, PT, DPT, WCS, BCB-PMD
Recorded Webinar

Presenter

Cynthia Neville, PT, DPT, WCS, BCB-PMD
Course: #4757Level: Intermediate2 Hours
  'thorough with good examples for assessment'   Read Reviews
Abdominal scars, adhesions, and nerve entrapments are a source of abdominal and pelvic musculoskeletal pain symptoms. This course will examine and discuss physical and occupational therapist examination and treatment of musculoskeletal symptoms that may be caused by or associated with abdominal scars, adhesions, and abdominal cutaneous nerve entrapments.

Basic Physical Therapy Treatment of Constipation
Presented by Cynthia Neville, PT, DPT, WCS, BCB-PMD
Recorded Webinar

Presenter

Cynthia Neville, PT, DPT, WCS, BCB-PMD
Course: #3737Level: Introductory2 Hours
  'Good introductory course to constipation and PF'   Read Reviews
This basic course will introduce clinicians to the physical therapy treatment of constipation. Participants will gain skill and knowledge in simple interventions to improve bowel evacuation that they will be able to apply immediately in the clinic. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.