It is very challenging and frustrating to need physical therapy for an injury when the therapy setting is not conducive to your lifestyle. I have seen trans men delay care for their hip pain for multiple years because they did not feel safe in a group gym setting. I worked with a CIS female dominatrix who had back and shoulder issues, impeding her flogging ability. How do you explain that to your "mainstream" P.T.? I have seen hip, knee and ankle problems disappear once the gender affirming surgical scars were properly addressed, whether top or bottom surgery.
The bottom line is that if you are reading this, you probably are looking for a physical therapist who "gets you" regardless of your lifestyle. That is why I am here! I am here for YOU so we can work together to eliminate the obstacles and get you living your best life!