Restoring Function. Rebuilding Foundations.
Alexa Allgeier, OTR/L
Hi, I’m Alexa, an Occupational Therapist and Pelvic Health Practitioner with over 7 years of clinical experience helping individuals reconnect with their bodies and restore confidence in their daily life.
I’ve completed extensive pelvic health training through Herman & Wallace Pelvic Rehabilitation Institute, the Lindsay Vestal Functional Pelvic Health Practitioner program, and specialized coursework in care for clients with both male and female anatomy, allowing me to support a wide range of clients and pelvic health needs.
As an Occupational Therapist, I bring a holistic, biopsychosocial approach—addressing not just your physical symptoms, but the emotional, social, and lifestyle factors that your pelvic health can impact. My goal is to collaborate with each person to understand their unique story and focus on what truly matters to them—whether that’s returning to activities they love, improving intimacy, or simply feeling at home in their body again.
What conditions can you address in pelvic floor therapy?
Bladder & Bowel Concerns
Urinary urgency, frequency, or leakage (incontinence)
Difficulty starting the flow of urine or fully emptying the bladder
Constipation or incomplete bowel movements
Fecal incontinence or leakage
Pelvic Pain & Discomfort
Pelvic, vaginal, rectal, or perineal pain
Pain with intercourse (dyspareunia)
Tailbone (coccyx) pain
Abdominal, hip, or low back pain related to pelvic muscle tension
Vulvodynia or vestibulodynia
Pregnancy & Postpartum Recovery
Pelvic, hip, or back pain during or after pregnancy
Perineal or cesarean scar pain
Diastasis recti (abdominal separation)
Postpartum muscle weakness or coordination issues
Pelvic Organ Support & Pressure Symptoms
Pelvic organ prolapse (heaviness or pressure)
Sensation of bulging or instability in the pelvic area
Other Functional Concerns
Core weakness or instability
Difficulty with posture or breathing patterns
Our Services
Comprehensive Evaluation
$200
Includes a comprehensive, one-on-one assessment focused on understanding the factors contributing to your pelvic health concerns. We’ll review your intake paperwork, discuss your medical history, lifestyle, and symptoms, then assess posture, breathing, and pelvic floor muscle function.
This session helps identify areas of weakness, tension, or habits affecting your pelvic health. Together, we’ll develop a personalized treatment plan and home program to support your goals. All evaluations are conducted in a private, comfortable setting, with your consent and comfort prioritized at every step.
Please don't hesitate to book a pelvic floor evaluation for fear or anxiety of an internal assessment. If you are uncomfortable with internal pelvic floor work, there are multiple other options we can explore to get you the care that you need.
Follow Up Treatments
$140
Each individual treatment is personalized to your specific needs and goals. Sessions may include education on pelvic health, guided exercises to improve strength and coordination, manual therapy for muscle tension or pain, and strategies to support healthy bladder, bowel, and movement habits.
Treatment focuses on restoring comfort, improving function, and helping you confidently return to the activities that matter most. Every session is collaborative and guided by your feedback to ensure comfort and progress at your own pace.
Investment
You deserve care that’s tailored to your unique needs, not limited by preset visit counts or generalized coverage guidelines.
After working in several traditional healthcare settings, I’ve seen firsthand how insurance-driven systems can limit both patients and providers. When care is dictated by insurance requirements—such as visit limits, diagnostic codes, or “medical necessity” definitions—it often prevents us from addressing the whole person and the root causes of your symptoms. Too often, I found myself forced to focus on checkboxes and productivity metrics rather than what truly mattered to my patients.
In my private practice, I’ve chosen to step outside that system so that I can offer care based on your goals, your pace, and your priorities—not the restrictions of a third party.
By not accepting insurance:
We can spend quality time together during each session, without rushing.
Treatment plans are personalized, not standardized.
We can address all aspects of your health—physical, emotional, and lifestyle—without needing to justify each step to an insurance adjuster.
You are an active participant, not a number on a billing form.
While I do not bill insurance directly, I am happy to provide a superbill that you can submit to your insurance company for potential out-of-network reimbursement.
For your convenience, I accept cash, HSA/FSA cards, and all major credit cards.
Your care should be guided by what supports your healing—not limited by what’s covered under insurance.
**I value every patient who reaches out to me. At this time, federal CMS regulations prevent me from accepting private pay clients who have Medicare as a primary insurance. I truly appreciate your understanding and I would be happy to help you find a pelvic health practitioner who can accept your insurance.
Restoring Function. Rebuilding Foundations.
We’re so glad you’re here. Booking your first appointment is a powerful step toward healing, strength, and confidence. Whether you’re navigating pelvic pain, postpartum recovery, preparing for or hoping to avoid surgical interventions or just want to feel more connected to your body, I’m here to support you with expert care and compassion. Choose a time that works for you—we’ll take care of the rest.
Booking
FAQs
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Not necessarily. Ohio is a direct access state, which means you can begin pelvic floor therapy without a doctor’s referral or prescription.
However, there are a few situations where a doctor’s note may be helpful or required:
If you are pregnant and wish to participate in an internal exam, written permission from your provider is required.
If you are within 6–12 weeks of surgery or labor, a referral or clearance note may be requested to ensure your safety.
If you plan to submit a superbill to your insurance for potential reimbursement, having a doctor’s script can sometimes improve your chances of coverage.
Otherwise, you can start therapy without any additional paperwork.
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Kegels only help if your pelvic floor muscles are weak, and if your’re doing them correctly (a lot of people are not) Many people actually have tight or overactive muscles that need relaxation, not strengthening. Pelvic floor therapy is personalized to your body’s needs and may include breathwork, manual techniques, posture training, and more. It’s about restoring proper function, not just doing exercises.
Trying to fix things on your own can be frustrating and confusing. I’m here to guide you with evidence-based care, education, and support every step of the way.
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Not necessarily. While internal pelvic floor exams can provide valuable information, they are never required and are only performed with your full consent. There are many important aspects of pelvic health that can be addressed before considering internal work—such as posture, breathing, movement patterns, and muscle coordination.
If an internal exam is recommended, you have several options:
A fully clothed assessment, where we focus on external observation and movement.
A guided self-assessment, where the therapist talks you through what to notice without any direct contact.
An external-only exam, which can be done with or without touch, depending on your comfort level.
Your comfort, safety, and readiness are always the top priority. We’ll discuss all options together so you can make an informed choice about what feels right for you.
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Just come as you are—no special clothing or preparation needed. The most important step is completing your intake paperwork. This gives me the information I need to tailor your care from the very start. If your paperwork isn’t submitted at least 24 hours before your appointment, I’ll need to reschedule so I can dedicate the right amount of time to prepare for you. Your care deserves that level of attention.
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The number of treatment sessions varies for each individual based on the complexity of their condition and the amount of time they are able to dedicate to their home exercise program between sessions. In general, patients can expect to plan for approximately six weeks of treatment. Sessions may be added or reduced depending on how each patient feels and progresses throughout their therapy.
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Yes, absolutely. Menstruation is a normal part of life, and nothing about it will make your therapist uncomfortable. In fact, attending your session while on your period can sometimes be helpful—especially if you experience pain or discomfort during menstruation. Assessment during menstruation can provide valuable insight into your symptoms and help guide your treatment.
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Yes, you’re always welcome to bring a partner or support person to your session. Patients are also offered a chaperone at any time. Having a partner present can be very beneficial—especially if they’re learning techniques to support your care and help with carryover outside of therapy.
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Your first visit at Foundations Pelvic Therapy is all about getting to know you. We’ll start with a thorough conversation about your intake paperwork, health history, and goals. Then, we move onto assessment. This includes assessment of how your pelvic floor, posture, and movement patterns are working together. If appropriate, we can move to an internal assessment. If this isn’t comfortable, I have several other options I can provide you. You’ll leave with a personalized plan and a clear understanding of your next steps—no surprises, just support.