Every assessment and treatment is performed in a private room. The therapist will ask about any relevant history as well as perform a hands-on exam. This exam includes both an external component, where the back, hips, and core may be assessed, as well as in internal component, where the therapist will assess the pelvic floor itself. This is done via a digital (finger) vaginal and/or rectal exam. The choice is always the patient’s to make, and the internal exam is not always necessary. However, this exam will help the therapist fully understand the function of the muscles, nerves, and organs that are causing problems.