2 LOCATIONS:   BETHESDA, MD. 4905 Del Ray Ave, Suite 508   |   MCLEAN, VA. 1305 Vincent Place

Physical Therapy FAQs

McLean Location

McLean has a free parking lot in front of the building. Parking is ample and open. The entrance to the clinic (located inside the McLean Massage Center) is on the same side of the building as the parking lot.

Bethesda Location

A good amount of street metered parking is available right on Del Ray Ave and surrounding streets. A public parking garage is also located directly on Del Ray Ave right next to the building. Our Bethesda location is also metro accessible. Our building is approximately a half mile walk. For your convenience, Bethesda offers free bus service from 7am to midnight every 10 minutes or so and there is a stop less than a block away from our building (Old Georgetown Rd and Del Ray Ave).

Further information can be found at the Bethesda Circulator Website.

No prescription or referral is needed. Both Maryland and Virginia are now direct access states for physical therapy. But if you have a referral, we’d love to see it. The spirit of the referral is that it opens communication between ITR and your other providers. We believe you’ll get better care if members of your medical team are talking to each other. And if you upload your referral to your patient portal before your first appointment, we do a little happy dance! However, please be sure to check with your insurance company as some insurance companies do require it.

ITR Physical Therapy has never turned a patient away for financial reason. Please discuss this with our scheduler or ask to speak to Jennifer and we will work with you to find a solution that works for everyone.

ITR Physical Therapy is not a Medicare provider. Federal law prevents non-participating physical therapists (like us) from providing normally covered services to Medicare beneficiaries.  This applies even if you only have Medicare part A.

If you want to use your Medicare or supplemental insurance benefits, we’re happy to refer you to one of the local hospital systems.

It is possible to see one of our staff for a wellness/maintenance program where you are treated not more frequently than once a week. This is not considered normal physical therapy medical treatment by Medicare.  You would pay at the time of service and you would receive an invoice that says “Wellness Session.”  The invoice would have no medical codes or descriptions of treatments rendered.

Yes, as long as your insurance company accepts providers who are out of network. If you have a type of PPO insurance then your insurance company will reimburse you a percent of the cost of each treatment session (typically 60-80%). ITR is a fee-for-service physical therapy practice. By not working directly with insurance companies, we can focus exclusively on quality treatment and care while optimizing your recovery process. This also allows us to spend more individual time with you during each treatment session. Please contact your insurance company prior to your first treatment session to determine what your out-of-network benefits are for physical therapy. We will do our best to assist you in maximizing your insurance benefits.

ITR Physical Therapy is an out-of-network provider for all insurance companies.  You will be provided with an invoice (also known as a superbill) with the appropriate ICD-10 (diagnostic) and CPT (procedure) codes you will need to submit to your insurance company so you can utilize your out-of-network benefits.

We typically treat patients once a week for an hour long treatment session.

The American Physical Therapy Association has a number of specialty areas that a physical therapist can focus on. The Women’s Health specialty requires that therapists sit for a half day-long board exam after proving they have met certain requirements, including 2000 hours of treating patients in their area of specialty within the past three years. This rigorous exam focuses on foundational sciences, behavioral sciences, clinical sciences, ancillary tests, medical interventions, professional practice expectations and, of course, patient care. Physical therapists who have met the requirements and pass the exam are known as Board Certified Women’s Health Specialists and have the initials WCS after their name. As of 2023 there were only 773 PTs in the county who have met these qualifications. If you would like further information you may learn more at the APTA’s Pelvic Health Academy.

Each session will last approximately 50-60 minutes. Please allow an hour for your initial evaluation and each follow-up appointment.

If you have one, please bring your prescription from your referring physician, any clothes you feel comfortable moving around in, and if you would like, a partner or friend.

You and your therapist will review your history and any questions you may have. She will educate you on your anatomy and the physical therapy assessment and treatment techniques she feels would be appropriate for your problems and dysfunctions. A hands-on evaluation will also be started assessing your posture, musculoskeletal alignment and balance. Your physical therapist will also look for possible fascial or connective tissue restrictions throughout your body that may be affecting you. If appropriate she may also evaluate your pelvic floor muscles.

Depending on your condition, there may be some activities that are counterproductive for your pelvic floor. The strength, flexibility, and endurance have to be increased systematically to be able to handle harder tasks. Anything that causes pain, bladder leaking, causes you to hold your breath and strain, or forces you to compensate or lose form could be detrimental to your rehab progress. Pelvic floor exercises and Kegels are appropriate in only certain conditions of pure weakness and sometimes are overutilized. In some cases, these exercises can aggravate pelvic pain and pelvic floor dysfunction conditions.

Yes, when it’s called for.  It’s one of our specialties. After explaining what to expect, and asking for your consent, our physical therapists can perform soft tissue mobilization and trigger point release or myofascial release to the pelvic floor muscles. Muscles are muscles, so increasing the blood flow, decreasing the myofascial restrictions, and decreasing the spasm/tone are all addressed through manual techniques to these specific muscles. It does typically require an internal vaginal or internal rectal approach because that is where the muscles live. The muscles surround the urethra, bladder, anorectal and genital regions; therefore, if there are restrictions or issues in the surrounding muscles, nerves, or organs it can cause pelvic floor dysfunction, including bladder and bowel problems, sexual dysfunction and abdomino-pelvic pain. You are more than welcome to bring a partner with you to your session, if you wish with your consent, they are welcome to be in the treatment room with you.