Built for pelvic floor physical therapy
PelvicPath delivers the home program to your patient's phone, records each session as she finishes it, and captures the symptom flags that used to surface only when you asked in person. You walk into the room already knowing which days went well and which ones fell apart.
Week 3, Marisol R.
5 of 7 days logged. Symptom flag on Saturday: urgency after long standing shift.
The gap between visits
Pelvic rehab lives or dies on what happens in the twenty days you are not in the room. Right now the only record of those days is whatever your patient can recall while she is undressing.
She says "most days, I think." You have no way to tell whether that means five sessions or one, or whether the down training happened before bed or not at all. Every progression decision starts from a guess.
14 minutes of each visit spent reconstructing the weekA patient triggers pain on day four, stops the program, and waits until her scheduled visit to mention it. By then the plan of care has drifted and you are unwinding two lost weeks instead of adjusting one set.
2 to 3 wasted visits per flareThe patients who stop doing the work stop showing up. They cancel the eighth visit, then the ninth, and the plan of care closes with no outcome recorded and no referral back to the physician.
$1,240 in lost revenue per lapsed plan of careProgress notes and re evaluations need adherence evidence, and right now that evidence is a sentence you type from memory. Reviewers ask for specifics and you have nothing dated to point at.
Roughly 4 unbilled hours every weekHow it works
Nothing here asks your patient to create an account, learn an app or download anything. She taps a link and answers two questions a day.
Pull exercises from your own library or from the pelvic health set that ships with the account: diaphragmatic breathing, reverse kegels, hip series, bladder retraining intervals, dilator progressions and return to running blocks. Set reps, holds, frequency and the days you want them done.
The program goes out by text and email as a plain web link, with short video demonstrations you can record yourself or use from the stock library. It opens on any phone, works offline once loaded, and never asks for a password.
Each session gets one tap to mark it done, a pain or urgency slider, and an optional note. If she skips two days in a row the app asks one question about why, which is where the useful answers live.
The morning of her appointment you get a one screen recap: sessions completed, the days she missed, symptom trend, and any flag she raised. Copy the adherence block straight into your note.
What is inside
Every one of these came out of a request from a treating pelvic health therapist, not from a product roadmap meeting.
Every session is stamped with the date and time she marked it done, so adherence is a record rather than a recollection. The weekly view shows streaks and gaps as segments you can read at a glance.
Pain, urgency, leakage and heaviness each get their own slider, and anything she scores above the threshold you set sends you a notification that afternoon. You decide whether to call, adjust the program remotely or hold until the visit.
A single page per patient covering the interval since her last appointment, ready the morning of the visit. It carries adherence percentage, symptom direction, her notes and the exact exercises she skipped most.
Two hundred and ten exercises written and filmed for pelvic rehab, including postpartum abdominal wall work, pudendal nerve glides, dilator and wand progressions and pessary care routines. You can film your own cues over any of them in one take.
Send the PFDI 20, PFIQ 7, FSFI or your own intake questions at intervals you define, and the scores land on the same timeline as the adherence data. Change over time appears as a plotted line rather than a folder of PDFs.
Written consent to receive messages is captured before the first program goes out and stored with the patient record. Any chart exports as a dated PDF for the referring provider, the payer or the patient herself.
What changes
Measured across 168 practices between March 2025 and July 2026, comparing the six months before adoption with the six months after.
71%
Up from a self reported 42 percent. The lift comes from the daily prompt and from the fact that someone she respects will see the record on Thursday morning.
3.1
Patients who log four or more sessions a week hit their goals in a shorter plan of care, which frees appointment slots without cutting anyone's care short.
$1,860
Fewer silent drop offs. When a patient stops logging, the practice sees it within three days and calls her instead of finding out at the next no show.
4.2 hrs
The adherence block pastes into a progress note as dated text, so re evaluations stop being an exercise in reconstructing four weeks from memory.
From the treatment room
I used to open every visit with ten minutes of archaeology. Now I read the summary in the hallway and start with the Saturday she had urgency after her shift. My patients notice that I already know, and they log more because of it.
The symptom flag caught a postpartum patient whose heaviness score climbed three days running. I called her, pulled the loaded carries, and we avoided a setback that would have cost her a month. That single call paid for the year.
My second therapist and I share a caseload and we were duplicating handouts constantly. Both of us can see the same program history now, so a coverage day does not mean the patient explains her whole plan again to a stranger.
Pricing
No charge per patient, no charge per program sent, no setup fee. Cancel whenever the plan of care for your practice changes.
$45 per month
$95 per month
$189 per month
Every plan is billed monthly in US dollars and can be cancelled at any time from inside the account. Your patient records stay exportable for 90 days after cancellation.
Questions therapists ask
No. The Solo Therapist plan is $45 per month, the Two Therapist plan is $95 per month and the Clinic plan is $189 per month, and each one covers unlimited active patients and unlimited programs sent. We priced it that way on purpose, because per patient pricing makes therapists ration the tool and then it stops being useful. Text message delivery is included in every plan for US mobile numbers.
Most therapists send a real patient program within 40 minutes of their first login. You add your practice name, pick the exercises you use most into a favorites list, and build two or three protocol templates from the visits you run every week. From there a new program takes about ninety seconds to assemble at the end of a session. If you want your existing handouts loaded, send them to us and we return them as templates within two business days.
Patient data is encrypted in transit and at rest, held on servers located in the United States, and access is limited to the therapists on your account. We sign a business associate agreement with every practice on every plan, at no extra cost. Patient program links carry a rotating token rather than a password, and any link can be revoked from the chart in one click. We never sell, share or mine patient data, and we do not run advertising trackers anywhere on the patient facing pages.
PelvicPath sits alongside your EMR rather than trying to replace it. The between visit summary is designed to be copied into a progress note as formatted text, and every chart exports as a dated PDF you can attach to the record. Practices on WebPT, Prompt, Jane and Raintree use it this way today. If you need a structured export we can send a scheduled CSV of adherence and outcome scores to your billing or reporting workflow.
You cancel from the account settings page and billing stops at the end of the current month. There is no annual commitment, no cancellation fee and no phone call to sit through. Your patient records stay available for export for 90 days after the account closes, then they are deleted. If you come back later, we can restore an archived account within that window.
Every pelvic health therapist asks us this before anything else, and the doubt is well earned. Across the practices using PelvicPath, 74 percent of patients log at least four days a week, and the sliders are deliberately wordless: a scale and a body region, no free text required unless she wants it. Nothing is public, nothing is shared with anyone but her treating therapist, and she can turn off symptom tracking entirely and still log completed sessions. The therapists who get the highest use are the ones who show the patient the weekly view on their own phone during the second visit.
Inside the between visit summary
This is the artifact the whole product exists to produce. It arrives by email at 7 a.m. on the day of the visit, and it is short on purpose.
A segmented bar for each week in the interval, one block per prescribed day. Completed blocks fill in, missed days stay open, and any day carrying a symptom flag is marked in accent so you can see the pattern rather than a percentage on its own.
Week 2: six of seven sessions logged, one flag raised Saturday.
Each tracked symptom shows its trend across the interval alongside the score she gave at her last visit. A rising urgency line next to a falling adherence line tells a very different story from two flat lines, and you get to see which one you are walking into.
Completion is logged per exercise, so the summary names the two or three movements with the lowest completion rate. In practice this is where the real conversation starts, because the dropped exercise is almost always the one that hurt or the one she never understood.
Any note she left is quoted verbatim with its date, and skipped day answers are grouped so you can see whether the obstacle was pain, time, travel or confusion. Nothing is summarized by the software, because paraphrasing a patient is your job and not ours.
Where it fits
Four summaries land in your inbox, one for each patient on today's schedule. You read them with coffee and mark one chart for a longer conversation about a dilator progression that stalled.
A postpartum patient finishes her visit. You adjust her program from the same screen you used to review it, add a new bridge progression, and it reaches her phone before she has left the building.
A symptom flag comes in from a patient six weeks post op. You send a short message pulling one exercise until her follow up on Monday, and log the decision in the chart in the same motion.
Getting started
No implementation project, no data migration, no eight week rollout. Here is the whole thing.
Add your practice details, choose your favorite exercises, and send programs to three patients you are already treating. Pick the three most likely to log, because their first week gives you something real to look at.
Turn the protocols you repeat into templates: postpartum return to activity, urge incontinence retraining, pelvic pain down training, post prostatectomy. Most practices end up with six templates that cover four fifths of the caseload.
By the end of week one you have adherence data on your first patients and you will know within two visits whether the pattern is useful. If it is not, you cancel and we part on good terms.
Pelvic Practice
Pelvic Practice covers the parts of this trade that nobody credentialed you for: coding a mixed session, setting a cash rate that holds, and getting a home program done in a house with a newborn in it.
Talk to us
Thirty minutes, screen shared, your caseload on the table. We will build a program for a patient you are actually treating and you can keep it whether or not you sign up.
We reply within one business day, from a real person who has watched a pelvic caseload run. Prefer email? Write to jimenezjulien42@gmail.com.
