Care
What to expect at an evaluation
A thoughtful evaluation begins with your goals, symptom history, neurological context, medical care, daily routines, access needs, and consent.
The conversation comes first
- What changed, when, and whether it is stable or worsening
- Bladder, bowel, sexual, pain, sensation, mobility, and toileting patterns
- Neurological diagnoses, surgeries, injuries, medications, testing, and current care team
- Your priorities, environment, equipment, fatigue, support, and privacy needs
The examination should answer a question
Depending on the goal, the therapist may observe breathing, trunk movement, transfers, walking or wheelchair skills, balance, sensation, strength, muscle tone, positioning, or external pelvic movement. Every part should have a clear reason.
Bring a clearer picture
A short symptom timeline, bladder or bowel diary, medication list, prior testing, and two or three goals can make the visit more useful. You do not need to arrive with the “right” diagnosis.
Sources and review notes
This page summarizes authoritative guidance in plain language. It does not reproduce a full clinical guideline or replace individualized assessment.
- Adult Neurogenic Lower Urinary Tract Dysfunction Guideline — American Urological Association / SUFU
- Pelvic Rehabilitation and Parkinson's Disease — Parkinson's Foundation Learning Lab