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we always encourage you to be referred by your physician but we also have direct access direct access allows the patient to come to therapy without a referral from the physician that is of course pending insurance some insurance has cover that some dont so you would have to investigate whether that was covered but it makes sense if you know your system has a musculoskeletal problem because you havent been able to return to intercourse or you have back pain at work physical therapy is a very logical and affordable service that you can seek out and whether its pelvic therapy or with a regular physical therapist now of course we we specialize in the pelvis so were more than health more than happy to work with any back abdominal and pelvic pain patients [Music] you