FAQ: twelve straight answers
Asked constantly, answered in writing
Everything athletes ask before booking, answered the way we'd answer on the phone, including the questions where the honest answer is 'it depends, and here's on what'.
Do I need a referral to start?
No: Oregon has direct access, so you can book an evaluation without a physician referral. The exception is post-surgical rehab: there we work from your surgeon's protocol and their clearance governs every phase change.
Do you take my insurance?
We're cash-based and out-of-network with all insurers. You pay us directly and we give you a superbill after each visit to submit for out-of-network reimbursement: many PPO plans reimburse a meaningful share. Priya can walk you through checking your out-of-network benefits before your first visit.
Why cash-based? Isn't that more expensive?
Sometimes, and sometimes not: you get 60 one-on-one minutes with the same doctor of physical therapy every visit, so plans typically need fewer total visits than a 3-visits-a-week clinic where much of the hour is aides and hot packs. The honest answer is that it depends on your benefits: we publish every price so you can do the math.
What should I wear or bring?
Clothes you can move in, the shoes you play or run in, and any imaging or operative reports you have. Runners: bring your watch data or training log, it's usually more useful than the MRI.
How many visits will I need?
It depends on the tissue and the goal, and we'll tell you our best estimate at the evaluation. Rough shapes: tendinopathy 6–10 visits over 2–3 months; bone stress injuries 6–12 visits over 2–4 months; post-op ACL 20+ visits over 9–12 months, spaced further apart as you progress.
Is the readiness quiz a return-to-sport clearance?
No, and nothing online is. The quiz is educational: it maps where you probably sit in a return-to-sport arc and what a real assessment would measure. Clearance comes from testing (strength symmetry, hop battery, readiness scoring) and, post-op, from your surgeon.
Can you work with my surgeon?
Yes: that's the default, not an add-on. We follow the operative protocol, send progress reports at each phase, and never advance a post-op athlete past a protocol gate without the surgical team's sign-off.
I'm not injured. Can I still come in?
Yes. Gait analysis and the return-to-sport test battery are open to healthy athletes who want a baseline, and Return to Strength blocks suit athletes with a nagging asymmetry that hasn't become an injury yet.
What does a typical week at Pivot look like?
Most athletes are in once or twice a week early on, then every other week as the program shifts toward the clinic gym and their own training. You always have written work between visits: the plan is what you do the other six days.
Do you treat non-athletes?
We treat people who want to get back to a physical life: that includes hikers, weekend skiers, and parents who lift kids all day. What we're not is a general outpatient mill: if your goal isn't movement- or sport-shaped, we'll happily point you to clinics better set up for it.
What if I'm not making progress?
The retests catch it early: that's what they're for. First we change the program (load, frequency, sleep, fueling). If the curve still won't move, we say so and refer: imaging, a physician visit, or a different specialty. Paying for months of drift is the thing we built this clinic against.
Do you offer telehealth?
For program check-ins, training-log reviews, and some running consults, yes. Evaluations, manual work, and testing days are in person: you can't measure a hop over video.
Question answered?
Then the next step takes two minutes: the readiness quiz if you're curious, the booking form if you're ready.