Western Montana · Butte · Private pay
Private pelvic floor physical therapy in Butte, by video.
From Uptown and Walkerville down to the Flats and out to Rocker and Ramsay, Butte patients see Dr. Elana Shalem one-on-one by video.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Butte
Why Butte patients choose video.
Butte is a mining city with a long memory: steel headframes over Uptown, the Berkeley Pit at the edge of the neighborhoods, and families who have been here four or five generations. Mining, Montana Tech, health care and trucking where Interstates 90 and 15 meet keep people working, often on their feet. At more than 5,500 feet, winters are long and cold. Low back pain, sciatica, leaking after prostate surgery and rehab after knee or hip replacement are common reasons people in Butte 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 Butte
Common reasons Butte patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Butte
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 Butte
ZIP codes 59701, 59750. Any home with an internet connection works.
- Uptown Butte
- Walkerville
- Centerville
- West Side
- The Flats
- Floral Park
- Rocker
- Ramsay
- Melrose
Nearby: Anaconda, Deer Lodge and Philipsburg · Dillon and Beaverhead County · Helena, East Helena and Montana City · Ennis, Virginia City and the Madison Valley · All of Western Montana
Questions
Questions from Butte
Is a video visit private in a town like Butte, where everyone knows everyone?
Yes. Visits are one-on-one on a HIPAA-compliant platform, nothing is recorded and there is no waiting room, so nobody sees a familiar car in a clinic parking lot. Any room with a closed door works.
Do you treat back pain and sciatica from mine or construction work?
Yes. Back pain and sciatica are treated by video with a plan built around the job, whether that is the mine, a construction crew or a long-haul truck. A 60-minute evaluation comes first, then 45-minute follow-ups.
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.