Q. What type of insurance do you accept?

Erica Fletcher is an in network provider for Highmark Blue Cross. The office will directly bill these plans for care received. She is out of network for Aetna, United Health Care and Cigna. These carriers will be billed directly but may require a deductible to be met prior to paying for care with an out of network provider. Personal choice (Independence Blue Cross) required the patient submit for and out of network provider. Patients with Personal Choice pay at the time of visit and are given a receipt to submit to IBC for reimbursement.

HMO and Medicare plans are not accepted.

Q. How do I make an appointment?

My assistant, Trez will schedule you an appointment--please call 610-639-6586. The wait for an initial appointment is approximately eight weeks.

Q. What type of disorders do you treat?

Erica Fletcher treats spinal and pelvic girdle dysfunction. She is a pelvic floor specialist.

Q. What is pelvic floor dysfunction?

Pelvic floor dysfunction is a term that describes abnormal function or discoordination of the pelvic floor. The pelvic floor is a term used for the group of muscles at the base of the pelvis. The pelvic floor muscles assist in postural control, respiratory function and assist with bowel and bladder function. The muscles have dual innervation. They are innervated by both the somatic and autonomic nervous system and therefore are more susceptible to discoordination.

Q. As a manual physical therapist how do you treat high tone pelvic floor dysfunction?

Osteopathic based manual techniques are utilized to address the soft tissue and joint restrictions found on clinical exam. The patient participates in a therapeutic home program individual to their level in conjunction with receiving treatment. Typically the patient demonstrates dysfunction of the pelvic girdle as well as the pelvic floor. Structural improvement can help normalize the pelvic floor. Many patients find that palpation of the pelvic floor is not as painful when the sacroiliac joint is functioning better. Internal massage of the pelvic floor can address the myofascial restrictions and trigger points present and often gives the patient pain and symptom relief. The high tone will return if the cause of the pelvic floor dysfunction is not addressed. Treating the underlying cause of the pelvic floor dysfunction is essential for a long term successful outcome.

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