The heart of our practice is hands-on care. Traditional physical therapy clinics often lack individualized one-on-one care, and may limit treatment times and use of manual therapy due to the demands and restrictions imposed by insurance payors. We believe there is tremendous value in manual therapy, particularly manual lymphatic drainage, which can help reduce swelling and pain, improve joint range of motion, support tissue healing, encourage healthy scar formation, and provide many other benefits.
Our goal is to work with you to identify the underlying cause of dysfunction in your body, set meaningul goals, and develop a treatment plan that helps you return to living comfortably and with purpose. Together, we can customize a program that may include manual therapy, manual lymphatic drainage, therapeutic activity, functional activity training, and lifestyle education, or any combination of the above of theese approaches, to best meed your individual needs.
All you need is a space that comfortably accomodates a massage table with some additional room to move and exercise! Depending on your individual treatment plan, sessions may focus on manual therapy treatment, therapeutic exercise, or a combination of both. We will bring a treatment table, linens, and any necessary exercise equipment. We can also incorporate items and equipment you already have in your home to help make your rehabilitation as effective and convenient as possible.
MLD sessions are conducted in a relaxing environment, similar to what you might experience during a massage. We will bring a treatment table, linens, pillows, and bolsters to your comfort during the session.
MLD is most effective when performed directly on the skin. Appropriate draping will be provided throughout your treatment, and your privacy and comfort will always be respected. If you are unsure what to wear, please don't hesitate to contact your therapist before your appointment. For those who have difficulty getting on or off a treatment table, we can also discuss alternative positioning options to ensure a comfortable and effective treatment.
Sessions typically range from 30 to 90 minutes depending on your individual needs and treatment plan which we will discuss during your initial evaluation.
For more information about the treatment, please visit our Manual Lymphatic Drainage page.
Yes. If you currently have an active infection or fever, MLD is contraindicated and cannot be performed.
Please inform your therapist if you have a history of congestive heart failure, cardiac arrhythmia, deep vein thrombosis (DVT), active cancer, or kidney disease. These conditions require further discussion and may warrant consultation with your physician before beginning MLD.
A comprehensive health history and screening will also be completed during your initial evaluation to help ensure that treatment is appropriate and safe for you.
Hannah is certified in manual lymphatic drainage (MLD) a hands-on therapy technique designed to encourage the movement of lymphatic fluid through the lymphatic system. (See our Manual Lymphatic Drainage page for more information)
Lymphedema is a condition that requires comprehensive management by a Certified Lymphedema Therapist (CLT) who has additional training in Complete Decongestive Therapy (CDT). This typically includes MLD, compression bandaging, and patient education.
We would love to be part of your care team by providing MLD services if you have already consulted with a CLT and are being followed by a physician. While MLD can be a valuable component of lymphedema management, it is not a substitue for comprehensive treatment initially. Because lymphedema is a lifelong condition requiring ongoing management, it is important to have the appropriate clinical support.
As a Doctor of Physical Therapy, Hannah would be happy to meet you for an evaluation, discuss appropriate treatment options, and provide referrals to other qualified practictioners as needed.
Physical therapy is a skilled healthcare service that may be covered by insurance when medically necessary. Our practice operates on a cash-pay basis, allowing us to provide individualized care outside the constraints of traditional insurance-based models. This approach allows us to dedicate quality one-on-one time to each client and provide a holistic, hands-on treatment experience tailored to their individual needs. We believe that a more personalized approach, delivered in a comfortable and supportive environment, creates the opportunity for meaningful progress and effective recovery. By allowing us the time to focus on your specific goals, this approach may also help reduce the number of visits needed to achieve desired outcomes.
We are happy to provide superbills upon request, which you may submit to your health insurance provider for potential out-of-network reimbursement. Reimbursement is subject to your individual insurance plan and coverage.
If you are a Medicare beneficiary, please let us know so we can discuss Medicare-specific coverage and reimbursement considerations before beginning treatment.
No. Massachusetts allows direct access to physical therapy, meaning you generally do not need a physician's referral to schedule an evaluation with a licensed physical therapist.
If you plan to seek out-of-network reimbursement using a superbill, we recommend checking with your insurance provider to confirm its specific requirements. Please note that referral and authorization requirements may vary depending on your individual insurance plan.
We will work together to develop a treatment plan tailored to your specific needs and goals. Postoperative recovery or significant swelling may benefit from two sessions per week for several weeks, with treatment frequency gradually decreasing as you progress. Treatment plans that focus primarily on exercise and education may require only one session per week or less.
One of the benefits of cash-pay physical therapy is the flexibility to provide individualized, one-on-one care without the limitations often imposed by insurance companies. This allows us to dedicate more time to your specific needs and may help you achieve your goals with fewer sessions.
Our goal is to help you feel your best, return to the activities you enjoy, and provide you with the knowledge and tools to manage your health and maintain your progress independently. We will work together to develop a treatment plan that fits your needs, goals, and schedule!
Absolutely! Because we do not bill insurance, you are welcome to use our services alongside traditional physical therapy. We would be happy to communicate with your current physical therapist to coordinate treatment goals and ensure we are working together as a team to support your recovery.
We currently provide mobile services throughout Cape Cod. Travel is included in our service area, with an additional travel fee per visit of $10 for Falmouth, Eastham, Wellfleet, and Truro, and $20 for Provincetown.
For physical therapy sessions, we recommend having an area in your home with adequate space to move and exercise comfortably. Depending on your goals and treatment needs, we may also be able to meet occasionally at a community location, such as a gym or office, with prior permission from the facility owner.
If MLD is part of your treatment plan, we recommend having a quiet, private area in your home with enough space to comfortably accommodate a massage table.