Pelvic health and orthopedic physical therapy
One-on-one video visits with Dr. Elana Shalem, DPT, a pelvic health specialist who also treats back, neck, hip, knee, and shoulder problems. Usually seen within a week.
What we treat
Pelvic health for women and men, and orthopedic physical therapy, with one Doctor of Physical Therapy who knows all three. Every condition has its own page.
Women's pelvic health, in depth
Pelvic floor problems are common at every stage of a woman's life, and most respond well to physical therapy.
1 in 4US women has at least one pelvic floor disorder, and the share rises with each decade of life.
How it works
Most of pelvic floor physical therapy is education, breathing and pressure management, and guided movement. That is why it translates so well to video.
A short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.
Dr. Shalem takes a full history, watches how you move and breathe, and guides a self-assessment so she can see how the pelvic floor is working.
You leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.
Progress checks, program updates, and techniques you can do yourself, for as long as they are useful.
Your physical therapist
Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami
Dr. Shalem focuses on women's pelvic health: pregnancy and postpartum recovery, bladder and bowel symptoms, pelvic pain, and recovery after surgery. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.
She sees patients one-on-one by video in every state where she is licensed, and in the Miami area she also offers visits in your home.
More about Dr. ShalemWhere you live
Insurance, referral rules, and booking depend on where you live. Choose your area and we take you to the right page.
Not listed? Dr. Shalem can only treat patients located in a state where she holds a license. Send a message and we will tell you what is possible.
Questions
Much of pelvic floor PT is education, breathing and pressure management, movement retraining, and a home program, and all of it works on camera. During the evaluation Dr. Shalem guides a self-assessment so she can see how the pelvic floor is coordinating.
An internal examination is not possible by video. If a hands-on assessment would change the plan, she will say so and help you find local care.
It depends on your state and plan. In Florida, no referral is needed to start. In Hawaii, TRICARE Select members do not need a referral, and TRICARE Prime members need one from their primary care manager. Not sure? Ask on the discovery call.
A 15-minute phone call. You describe what is going on in as much or as little detail as you like, Dr. Shalem explains how she would approach it, and we confirm insurance or pricing. If it is a fit, you book the evaluation.
Comfortable clothes you can move in. A mat or towel, a small pillow, and a chair are all that most visits use.
Visits run on a HIPAA-compliant video platform, and only Dr. Shalem is on the call. Choose a room where you can close the door for the hour.
Often, yes. Dr. Shalem is licensed in several states; if your new home is in one of them, care continues by video and only the billing details may change. Ask on your call and we will tell you.
Yes, in the Miami area, where Dr. Shalem offers in-home visits. Everywhere else, visits are by video.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.