Find the right first door
The best starting point depends on what changed, how quickly, whether emptying or safety is affected, and which parts of daily life are hardest.
Choose by the problem to solve
- Emergency department: new retention, loss of control, saddle numbness, or rapidly worsening leg weakness
- Primary care: new or unexplained symptoms, medication review, infection screening, and referral coordination
- Urology or urogynecology: bladder storage, emptying, pressure, recurrent infection, or urinary-system concerns
- Gastroenterology or colorectal care: persistent bowel changes, pain, bleeding, leakage, or program complexity
- Neurology or rehabilitation medicine: neurological change, autonomic symptoms, spasticity, and interdisciplinary planning
- Pelvic health PT, neuro PT, or OT: movement, muscle, sensation, pain, habits, transfers, equipment, positioning, and access
Location still matters for telehealth
Physical therapy is generally considered to occur where the patient is located. A therapist needs the authorization required by that jurisdiction; a PT Compact privilege can support eligible practice in participating states but does not erase state rules.
Why there is no directory yet
A useful pelvic neuro directory needs a credible way to verify licensure, neurological populations served, accessibility, transfer equipment, telehealth jurisdictions, examination options, insurance status, and update dates. Listing names without that process would create false confidence.
Sources and review notes
This page summarizes authoritative guidance in plain language. It does not reproduce a full clinical guideline or replace individualized assessment.
- Telehealth and Compact Privileges — Physical Therapy Compact Commission
- Adult Neurogenic Lower Urinary Tract Dysfunction Guideline — American Urological Association / SUFU