Western Montana · Hamilton and the Bitterroot Valley · Private pay
Private pelvic floor physical therapy in Hamilton and the Bitterroot Valley, by video.
Bitterroot ranchers, retirees and families in Hamilton, Corvallis and Darby work with Dr. Elana Shalem by video instead of spending an hour each way on Highway 93.
- Private pay, superbill for PPO reimbursement
- No referral needed to start
- Usually seen within a week

Hamilton and the Bitterroot Valley
Why Bitterroot patients choose video.
The Bitterroot Valley runs south from Missoula between the jagged Bitterroot Range and the rounder Sapphires, with Hamilton as the hub and Darby, Conner and Sula strung out toward Lost Trail Pass. Retirees have been settling here for decades alongside ranch families, outfitters, log-home builders and the researchers at Rocky Mountain Laboratories. Blodgett Canyon and Lake Como fill up on weekends. Prolapse, bladder changes after menopause, hip pain and rehab after a hip or knee replacement are common reasons people in the Bitterroot 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 Hamilton and the Bitterroot Valley
Common reasons Bitterroot patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Private pay
Private pay in Hamilton and the Bitterroot 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 Hamilton and the Bitterroot Valley
ZIP codes 59840, 59828, 59829, 59827, 59871. Any home with an internet connection works.
- Hamilton
- Corvallis
- Grantsdale
- Darby
- Conner
- Sula
- West Fork
Nearby: Stevensville, Florence and Lolo · Missoula · Dillon and Beaverhead County · All of Western Montana
Questions
Questions from Hamilton and the Bitterroot Valley
Can rehab after a hip or knee replacement happen by video from the Bitterroot?
Yes, once the surgeon clears outpatient physical therapy. Joint replacement rehab is done one-on-one by video from home, which saves the drive up the valley while walking and sitting in a car are still hard.
What happens if a hands-on prolapse exam is needed down in Darby?
An internal exam is not possible by video. Much of prolapse care is education, pelvic floor training and lifting habits, which are taught on camera. If a hands-on assessment would change the plan, Dr. Shalem says so and helps coordinate local care.
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.