• What should I expect at my first appointment?

What should I expect at my first appointment?


Dr. Adams will thoroughly review your medical history with you and then complete an exam. The exam will include a detailed analysis of your posture, alignment, strength and quality of muscle contractions, range of motion, sensation and reflexes. A pelvic or visceral assessment may be completed if necessary, to treat your condition.




What is a pelvic floor assessment?


This assessment is performed by observing and/or palpating the perineal region including the vagina and/or rectum. The exam begins externally and usually often includes an internal examination. This evaluation will assess skin condition, reflexes, muscle tone, length, strength and endurance, scar mobility, and function of the pelvic floor region. Such evaluation may include vaginal or rectal sensors for muscle biofeedback.




What is visceral manipulation?


  • Developed by the French Osteopath and Physical Therapist Jean-Pierre Barral.
  • Definition of Visceral Manipulation as per Barral Institute: “Gentle manual therapy that assesses the structural relationships between the viscera (organs), and their fascial or ligamentous attachments to the various systems in the body. It assists functional and structural imbalances throughout the body including musculoskeletal, vascular, nervous, urogenital, respiratory, digestive, eliminatory, neuroendocrine and lymphatic dysfunction” https://www.barralinstitute.com/therapies/
  • A visceral exam requires the patient to begin standing or sitting with gentle pressure applied to the head followed by lying on their back with a gentle palpation of the abdomen to assess the area of greatest restriction or adhesion. This exam and subsequent treatment should not result in pain.




What should I bring/wear to my appointments?


  • Bring ALL COMPLETED new patient paperwork

  • Bring any imaging reports (X-Rays, MRI’s, CT scans etc…) The imaging will not be read here at Blue Sky Wellness, but the radiologist’s report would be helpful.

  • Wear loose comfortable clothes to move in. Exercise clothing is appropriate.




How many appointments will I need and how long does it take to get better?


  • This varies depending on condition. Most conditions require anywhere from 4-12 visits. Some conditions require maintenance and therefore further visits are warranted.
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  • Generally, the more chronic the issue the longer it takes to heal.




Why does Blue Sky Wellness not accept insurance?


We are an Out of Network provider. We provide you with an invoice that you submit to your insurance company. This includes both your diagnostic and treatment codes.




Does Blue Sky Wellness accept Medicare?


We do not participate with Medicare. You may see Dr. Adams for a wellness or maintenance program. Your invoice will state, “Wellness and maintenance.” *Please see our letter of clarification regarding Medicare status.




How much will my insurance company reimburse me?


Your reimbursement depends on your particular plan with your particular insurance company. Most companies may also require that you meet a deductible before they will compensate you. We have made an effort to keep our charges within the “customary and acceptable” guidelines of most insurance companies. Call the member information number on the back of your insurance card to find out/know your out-of-network benefits. *Refer to the Insurance Worksheet for more information




What can I expect from Blue Sky Wellness?


  • Insurance companies will not dictate the quality of care you receive.
  • We will have the freedom to spend more time with you and set functional goals to meet your specific needs without limitations set by insurance companies.




What is your no show/cancellation policy?


No-show appointments are subject to a $75 fee. We require 24 hr notice for cancellations or a charge of $50 will be required. Please do not hesitate to contact us regarding this policy.




How do I know if I could benefit from pelvic physical therapy?


We would be happy to discuss your symptoms with you and explain how Blue Sky Wellness may be able to help. Please contact us at 410-775-5335 for a free 10 minute telephone consultation, or email erica@blueskywellnesspt.com for more information.





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