07/24/2026
Come along with me as I crash out about the APTA’s recent “State of Pelvic Health Physical Therapy”
Pelvic Health PT is rising in demand everywhere, patients need better access to affordable & high quality pelvic health providers (and all healthcare, but that’s a separate crash out). The issue isn’t that therapists don’t want to take the time to get certified in pelvic health or that therapists just don’t accept insurance so they can make more money.
The REAL issue is that reimbursements for all therapy services have been declining since the start of our profession. Therapists cannot operate successful businesses that can pay employees fairly and generally function on reimbursements that are less than 1/3 of what they charge for care. All these things can be true at once: patients deserve high quality healthcare, healthcare should be affordable, and therapists deserve to be paid a fair wage for their time and expertise.
This isn’t “reimbursement variability” causing a shortage of Pelvic Health therapists, insurance reimbursements make it impossible to accept insurance without taking a loss. Reimbursements are so low across the board for therapy services that a doctorate degree (and the student loans it requires, for most of us), additional residency program, advanced training, and board certification (on top of the regular PT board certification), plus the administrative costs of running a therapy business that accepts insurance isn’t financially feasible, so why would anyone do it? Let’s be real and honest about what’s causing these issues, so we can actually address them and help everyone.