Central and Eastern Montana · Roundup and the Musselshell Valley · Private pay

Private pelvic floor physical therapy in Roundup and the Musselshell Valley, by video.

Dr. Elana Shalem sees patients in Roundup, Melstone, Ryegate and Lavina by video, so a visit no longer means the 50 miles to Billings and back.

  • Private pay, superbill for PPO reimbursement
  • No referral needed to start
  • Usually seen within a week
A woman at her kitchen table on a video visit with her physical therapist

Roundup and the Musselshell Valley

Why Musselshell Valley patients choose video.

The Musselshell River winds east through cattle and wheat country from Ryegate and Lavina to Roundup and on to Melstone, with the pine-covered Bull Mountains south of Roundup and a coal mine working underneath them. Roundup is the county seat and the place for groceries and Friday night football; Billings, about 50 miles south on Highway 87, is the drive for anything specialized. Ranchers, miners and Billings commuters all live here. Back pain, sciatica, bladder leaking and constipation are typical reasons people here 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 Roundup and the Musselshell Valley

Common reasons Musselshell Valley patients book.

All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy

Private pay

Private pay in Roundup and the Musselshell Valley

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 Roundup and the Musselshell Valley

ZIP codes 59072, 59059, 59054, 59074, 59046. Any home with an internet connection works.

  • Roundup
  • Klein
  • Musselshell
  • Melstone
  • Ryegate
  • Lavina

Nearby: Billings · Lewistown and Fergus County · Big Timber and Harlowton · Miles City, Forsyth and Colstrip · All of Central and Eastern Montana

Questions

Questions from Roundup and the Musselshell Valley

Is constipation something a Roundup patient can see a pelvic floor therapist about?

Yes. Constipation, straining and other bowel problems often involve the pelvic floor muscles, and they are treated by video with education, breathing, positioning and exercise. Visits are private, and nothing is recorded.

What happens on the free discovery call for someone in the Musselshell Valley?

It is a free 15-minute call to talk through what is going on, ask questions and decide whether video physical therapy fits. If it does, the 60-minute evaluation is usually within a week.

How soon can I be seen?

Usually within a week. Early morning, evening and weekend video visits are available.

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Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.

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Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.