Central and Eastern Montana · Havre, Chinook and the Hi-Line · Private pay
Private pelvic floor physical therapy in Havre, Chinook and along the Hi-Line, by video.
Along US 2 from Chester and Rudyard through Havre to Chinook, Hi-Line families see Dr. Elana Shalem by video instead of driving two hours to Great Falls.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Havre, Chinook and the Hi-Line
Why Hi-Line patients choose video.
The Hi-Line is a chain of grain towns along US 2 and the BNSF main line, each marked by its elevators, with the Milk River below and the Bears Paw Mountains rising south of Havre. Havre is the hub, with MSU-Northern, the rail yard and the stores, and the Empire Builder stops at the depot. Wheat, durum, pulse crops and cattle run the economy, and the wind is a constant. Bladder leaking, pain with intercourse, back pain and urinary urgency in men are common reasons people along the Hi-Line book.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Montana: a 60-minute evaluation, then 45-minute follow-ups.
What we treat in Havre, Chinook and along the Hi-Line
Common reasons Hi-Line patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Havre, Chinook and along the Hi-Line
Rates are quoted on the free discovery call. A superbill after every visit supports out-of-network reimbursement from PPO plans; HSA and FSA cards are accepted. No authorizations, no plan visit limits, no waitlist.
Referrals: Montana allows you to see a physical therapist for evaluation and treatment without a physician referral, with no visit limit. Some insurance plans still ask for one, and we check that for you.
Neighborhoods
Serving all of Havre, Chinook and the Hi-Line
ZIP codes 59501, 59523, 59522, 59531, 59540, 59528, 59525, 59532, 59547. Any home with an internet connection works.
- Havre
- Kremlin
- Gildford
- Hingham
- Rudyard
- Chester
- Joplin
- Chinook
- Zurich
Nearby: Malta and Glasgow · Fort Benton and Chouteau County · Shelby, Cut Bank and Conrad · All of Central and Eastern Montana
Questions
Questions from Havre, Chinook and the Hi-Line
Can pain with intercourse be treated by video from Havre?
Yes. Pain with intercourse is treated one-on-one on a private, HIPAA-compliant video platform with nothing recorded. An internal exam is not possible by video; if a hands-on assessment would change the plan, Dr. Shalem says so and helps coordinate local care.
Can a Havre mom with pelvic pain months after birth be seen by video?
Yes. Pelvic pain, pain with sitting and scar tightness after a vaginal birth or C-section are treated by video, whether the birth was months or years ago. A baby can be in the room, and sessions can pause for a feed.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.