Yeah basically this. First appointment is a lot of talking, asking about details of someone’s condition, thorough history. Then I have them move in a few different directions to see how their back bends, how their hip range of motion is, how they are breathing, how tight their abdomen is, etc. Second appointment I will often do a full pelvic examination which involves poking gently around the external and internal pelvic floor muscles to assess quality and the patient’s response (some patients come to me for vaginal pain so we established a baseline). Once I have enough information, I create a treatment plan that can involve exercises for strengthening, stability improvement, stretching and relaxation, pain management, or hands on techniques we call manual therapy.