Portland Metro
Pelvic floor and orthopedic physical therapy in Portland Metro, by video.
Private pay with superbills for out-of-network reimbursement. Women's and men's pelvic health and orthopedic physical therapy, one-on-one with a Doctor of Physical Therapy, from home anywhere in Portland Metro.
- No referral needed (unrestricted direct access)
- Usually seen within a week
- Video visits anywhere in Portland Metro

What we treat in Portland Metro
Three specialties. One physical therapist.
Portland has pelvic health physical therapists, and most have waitlists, limited evening hours, and a parking problem. A video visit gives you one-on-one specialist care from home anywhere in the metro, usually within a week.
Women's pelvic floor physical therapy
- Pregnancy and after birth
- Postpartum recovery · Pregnancy pelvic and back pain · Diastasis recti · C-section recovery
- Bladder and bowel
- Urinary incontinence · Overactive bladder, urgency and frequency · Pelvic organ prolapse · Constipation and bowel dysfunction
- Pain and recovery
- Painful intercourse · Chronic pelvic pain · Menopause pelvic health · Recovery after pelvic surgery
Men's pelvic floor physical therapy
- After prostate treatment
- Leaking after prostate surgery · Pelvic floor and erectile dysfunction
- Pain and urgency
- Chronic pelvic pain syndrome · Male urgency, frequency and leaking
Orthopedic physical therapy
- Spine
- Low back pain · Sciatica · Neck pain and headaches
- Hip and knee
- Hip pain · Knee pain · Rehab after knee or hip surgery
- Shoulder, foot and ankle
- Shoulder pain · Foot and ankle pain
Coverage in Oregon
Insurance and pricing
Bring your plan name to the discovery call and we confirm your physical therapy benefit before the first visit. No surprises.
Private pay
Visits in Oregon are private pay. We provide a superbill you can submit to your insurer for out-of-network reimbursement. HSA and FSA cards accepted. Rates are quoted on the free discovery call.
Referrals
Oregon 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.
Multnomah, Washington, Clackamas, and Columbia counties are seen by video.
Questions
Questions people ask in Portland Metro
- Is there a pelvic floor physical therapist in Portland Metro?
- Do I need a referral for physical therapy in Oregon?
- Can I get pelvic floor physical therapy by telehealth in Oregon?
- Can I get reimbursed for out-of-network pelvic floor physical therapy in Oregon?
- Can pelvic floor physical therapy be done over video?
- How many pelvic floor physical therapy visits does it take?
- How much does pelvic floor physical therapy cost?
- Do men need pelvic floor physical therapy?
Where
Anywhere in Portland Metro
A video visit works the same in Portland, Beaverton, Hillsboro, Tigard, Lake Oswego, Gresham, Oregon City, Tualatin, West Linn, Troutdale, and Forest Grove as it does anywhere else in Portland Metro. No clinic, no drive, no waiting room.
- Portland
- Beaverton
- Hillsboro
- Tigard
- Lake Oswego
- Gresham
- Oregon City
- Tualatin
- West Linn
- Troutdale
- Forest Grove
- Everywhere in between
Pages for each area
- Northwest Portland, the Pearl and the West Hills
- Irvington, Alameda and Laurelhurst
- Sellwood, Eastmoreland and Milwaukie
- Lake Oswego
- West Linn and Wilsonville
- Beaverton, Cedar Mill and Bethany
- Hillsboro, Cornelius and Forest Grove
- Tigard, Tualatin and Sherwood
- Happy Valley, Clackamas and Damascus
- Oregon City, Canby and Molalla
- Gresham, Troutdale and Sandy
- St. Helens, Scappoose and Columbia County
How it works
How a virtual visit works
Most of pelvic floor physical therapy is education, breathing and pressure management, movement retraining, and a home program. 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 with breath and movement. An internal examination is not possible by video; if a hands-on assessment would change the plan, she says so and helps the patient find local care.

Discovery call
15 minutes, free, by phoneA short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.
Evaluation
60 minutes, by videoDr. Shalem takes a full history, watches how you move and breathe, and guides the self-assessments she needs to build a plan.
Your plan
Same visitYou leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.
Follow-ups
45 minutes, every 1 to 2 weeksProgress checks, program updates, and techniques you can do yourself, for as long as they are useful.
For a video visit you will need
- A phone, tablet, or laptop with a camera
- A private room
- A mat or towel
- About an hour
Questions
Common questions in Portland Metro
Do I need a referral for physical therapy in Oregon?
Oregon 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.
What insurance do you take in Oregon?
Private pay: Visits in Oregon are private pay. We provide a superbill you can submit to your insurer for out-of-network reimbursement. HSA and FSA cards accepted. Rates are quoted on the free discovery call.
Do you see men as well as women?
Yes. Dr. Shalem treats women's pelvic health, men's pelvic health (leaking after prostate surgery, chronic pelvic pain, urgency, and pelvic-floor-related erectile dysfunction), and orthopedic conditions for everyone.
Do I have to live near a city to be seen?
No. Video visits work anywhere in Portland Metro with an internet connection. Patients in rural areas are a large share of the practice.
What does a visit cost?
With in-network insurance, your plan's physical therapy copay or cost share; we verify it before the first visit. Private-pay rates are quoted on the free discovery call, and a superbill is provided for out-of-network reimbursement.
How soon can I be seen?
Usually within a week. Evening and weekend appointments are available.

Your physical therapist
Dr. Elana Shalem, DPT
Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami. Licensed in Oregon.
Dr. Shalem treats pelvic health for women and men, from pregnancy and postpartum recovery to bladder, bowel, and pelvic pain conditions and recovery after prostate or pelvic surgery, and general orthopedic conditions of the back, neck, hips, knees, shoulders, and feet. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.
More about Dr. ShalemPrefer 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.