FREQUENTLY ASKED QUESTIONS

 

What is Physical Therapy?

When people here "physical therapy," they think rehabilitation from injury or surgery. Think of it as therapy for your physical body - you don't HAVE to wait until you're injured to receive physical therapy. Doesn't it make sense to take care of your body BEFORE you are injured to further improve your performance, recovery, and give you the ability to heal faster if you happen to get injured?

I want to help you move better, feel better, perform better, recover better.

Let's use physical therapy to teach your body better habits to minimize future injury.

 

Do you take my insurance?

I am an out-of-network provider that offers services through private pay. I am here for those that want to better their body both before and after injury. I offer one-on-one treatment sessions, personalized programming, and continued communication throughout your time with me to help attain your goals. I do not submit claims to insurance as it may take up to months or years to receive reimbursement, and I am here to help you now.  I understand what your body needs to get better faster and want to help you without fighting a third-party payer and justifying your need for services.

Please note that when you see me, I want to improve your performance, but I also want YOU to improve your performance. I create personalized programs for all my patients to do on their own time so that I can use my skills in the time you have with me for hands on work.

If you wish to try to get reimbursed for physical therapy services by your insurance company, I am more than happy to provide you with paperwork to submit to your private insurance company as a self claim.  I will supply you with a self-claim form, receipt, and medical documentation for that date of service to send to your insurance company in order to get reimbursed. I do not participate with Medicaid or Medicare.

**PLEASE NOTE: Your insurance company may or may not cover all or any of the price you have paid for your physical therapy services.  Please understand it is not the responsibility of MUSCLE UP Physical Therapy to ensure you are reimbursed, rather that you have the paperwork necessary to submit for potential reimbursement.

 

What happens when I want to start physical therapy?

Please contact me to set up an appointment, no walk-ins please as I will be traveling between 3 different locations.

Your first visit will be used to voice any concerns and your goals (in life, the gym, etc), perform an evaluation, and begin treatment that day.

 

What does an evaluation entail?

An evaluation includes time for us to:

  • Talk about your concerns, goals, and past injuries;
  • Clear any potential underlying condition and determine any weaknesses or movement dysfunctions;
  • Develop a program for you to continue your care outside of physical therapy appointments;
  • Begin hands-on treatment using appropriate techniques and approaches.

How often should I make appointments for physical therapy?

I will always give you my recommendation for physical therapy services. 

If you are recovering from an injury, I recommend 1x per week for 4-8 weeks.

If we are working on maintenance and prevention, I recommend 1-2x per month.

If we are working on recovery from exercise, I recommend 1-3 times per month.

 

What might happen at a treatment session?

After your first visit, I have an idea of what your goals are and how your body moves and responds to treatment. Typically I will start by testing some of the general movements to see how your body is moving as a whole. From there we will get your body into it's "healing mode" to better receive treatment and to make the treatment effects last longer. Then I will usually go into hands-on treatment, using a combination of cupping therapy, the Graston technique, and soft tissue and joint mobilizations. We may also incorporate some movements and exercises to make lasting changes to your body's nervous system to decrease pain, promote healing, and improve movement.

What is the difference between physical therapy for rehabilitation and physical therapy for prevention and wellness?

New York State (NYS) is a "limited direct access" state, stating that you are able to visit a physical therapist BEFORE a medical doctor for any injury concerns. However, once you have seen a physical therapist for 10 visits or 30 days (which ever come first) and you continue to need rehabilitative physical therapy services, you must obtain a note from a medical doctor (MD). If within that 10 visits or 30 days you are able to rehabilitate the injury, you may be re-evaluated and transitioned to a "prevention" case if appropriate.

Per NYS law, Physical therapy prevention consists of interventions that provide instruction in self-help skills to individuals or groups to prevent pathology or impairments from progressing into functional limitations or disability and to promote health, wellness, and fitness. 

Examples of physical therapy prevention screening and activities include:

identification of the elderly who are at risks for falls

identification of children who may need an examination for scoliosis

identification of children who may have a developmental delay 

Physical therapy prevention that promotes general health (performance or conditioning) in well individuals, may include:

evaluation of movement with suggestions that modify movement patterns to enhance performance

classes for the well elderly to enhance/maintain balance skills and coordination

pre- and post-partum classes to teach relaxation and maintain muscle tone and strength.

Physical therapy activities that prevent or minimize the potential of the occurrence or reoccurrence of injury would include:

post-acute evaluation of movement with suggestions to modify movement patterns to reduce the risk of future injury

exercises for stretching or strengthening to prevent back problems in the absence of acute or recent pathology

workplace evaluation, exercises for stretching, strengthening, endurance and postural training to prevent job-related disabilities

 

Physical therapy activities that limit the degree of disability in individuals with chronic or irreversible diseases may include:

aquatic exercise programs, including cardiovascular conditioning and resistive exercise, to maintain flexibility and fitness in individuals with chronic disorders 

When providing preventive care, the PT must maintain a record that appropriately documents the activities undertaken with each patient/client.

If the physical therapy service is advertised as beneficial for the alleviation of an existing disability, injury or disease entity, or is billed to an insurer as a physical therapy treatment, it cannot simultaneously be termed prevention.

 

What do I do if I cannot make an appointment?

Please let me know ASAP. If you cancel within 24 hours of your appointment, you are responsible for that appointment fee upon your next appointment.

Please remember, I have other people that want to schedule. Don't take the time away from someone else that needs my services.

 

What do you take for payments?

Cash, check, credit cards, FSA and HSA cards.

 

Do you offer payment plans?

It is preferred that payments for services are made at the time of service. However, payment plans can be made on an individual basis if necessary, just ask prior to your appointment!

 

Telephone: (585) 721-0668
Email: kelseydpt31@gmail.com

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