Frequently Asked Questions

What to Expect

Your first visit will be with a Doctor of Physical Therapy, DPT, and will usually consist of an evaluation and time permitting, a short treatment. The session lasts for 1 hour with one to one undivided attention to address your personalized and customized needs.

Each visit after that lasts for 1 hour (60 minutes per session) with 1:1 undivided time.

We do offer 30-minute sessions at a lower cost. However, to optimize your recovery, the typical 60-minute session is recommend.
We are fee-for-service based and do not belong to any networks including insurance companies and Medicare/Medicaid.

We DO NOT participate in Medicare and therefore are NOT enrolled in it.

  • With the shift in healthcare, more clinicians are transitioning to direct cash-based services due to inadequate insurance reimbursements and a decline in quality care.
  • You get the luxury of 1:1 care for one hour with a Doctor of Physical Therapist coming to your door. To provide patients with superior service, it is not feasible to work with direct cash pay healthcare
  • In traditional settings that are in-network, a therapist will see anywhere from 2-4 patients per hour. As a result, patients receive minimal 1:1 time with their therapist (at most 30 minutes), meaning that the majority of your sessions will instead be managed by an assistant, a technician, or an aide.
  • In-network models allow for more patients to be seen on a given day. The result is that instead of hands-on manual treatment, patient therapies may involve a combination of many modalities and exercises that could easily be performed in any gym or home setting. Unfortunately, this results in more sessions for the patient to reach their goals, increased amount of copays, and minimal to none hands-on manual therapy.
  • We find this method of operation is a disservice to the client. Those practices require a high caseload of clients to sustain and pay both their bills and employees. Ultimately, at the cost of efficient quality care.

We DO NOT participate in Medicare and therefore are NOT enrolled in it.

  • You’ll want to wear comfortable clothes and sneakers – think of it as dressing for the gym.
  • Depending on the insurance, you may be eligible for reimbursement. Most Non-Medicare patients can send in self-claims, which are often found on the insurance company’s website.
  • We are more than happy to provide you with a separately detailed receipt, upon request, which includes patient and therapist information, diagnosis and treatment codes, and tax ID information to send in self-claims to your insurance company.
  • Keep in mind that the amount of reimbursement or application towards your deductible may not be consistent with the amount you have spent. The reimbursement amount will depend on your insurance plan. Therefore, we recommend you call and ask about your out-of-network reimbursement rates.

We DO NOT participate in Medicare and therefore are NOT enrolled in it.

  • Due to laws in place by the US government and to appease providers to enroll in their system, Medicare beneficiaries are limited where they can spend their health care dollars.
  • We are NOT ENROLLED in Medicare
  • We can only accept Medicare beneficiaries as patients when the client DOES NOT want Medicare billed for any physical therapy services.
  • The patient must choose up front not to involve Medicare in their payments, and this must be made by the patient’s own free will.
  • Medicare beneficiaries that insist on only working with Restore and Revitalize PT to handle their care despite our services being non-enrolled Medicare, need to state upfront that Medicare will NOT be billed or involved in their physical therapy care.
  • However, if you DO want to use Medicare benefits then we CAN NOT provide you with treatment.

We DO NOT participate in Medicare and therefore are NOT enrolled in it.

  • We make it easy for you. You pick the place where you want to receive treatment. At your home or office, we save your busy schedule the travel time to and from the clinic.
  • Every patient gets a customized home exercise program.
  • Holistic centered treatment.
  • Hands-on manual therapy.
  • Extensive full body evaluation on your first visit.
  • 1:1 care for 60 minutes.
  • Not limited to an insurance-determined number of visits.
  • You pay at the time of service (cash, credit, check) no hidden bills.
  • We cater the number of visits to your schedule – meaning you don’t need to be seen 2-3 times a week to justify your physical therapy to your insurance company for reimbursement.

Health Information

The lymphatic system allows lymph fluid to flow from tissue spaces back into the bloodstream by traveling through various lymph nodes. Lymph fluid contains proteins, water, cellular components and particles, and fat. The lymph nodes allow for the filtration of impurities before depositing the fluid back into blood circulation just before entering the heart.

The lymphatic system is divided into both superficial and deep layers, which are separated by fascia. The superficial layer drains the skin and the innermost aspects of the skin while the deeper layers drain fluid from muscle tissue, tendons, nervous tissue, periosteum, joint structures, and even internal organs.

The lymphatic system has many functions. It helps the body’s immune system by filtering out harmful material present in the lymph fluid, producing antibodies (white blood cells), and thickening lymph fluid before returning to the heart. It helps to maintain blood volume for the cardiovascular system and prevent edema formation by increasing the amount of fluid that can be transported back to the heart.

The lymph system can even assist in fat reabsorption in the gut where intestinal lymph vessels break down long-chain fatty acids to allow for reabsorption (although, this is only the case if there is no problem with the intestinal lymphatics themselves). Overall, the lymphatic systems are designed to promote and enhance lymphatic transport and absorption.

When your bodily tissues get damaged from an accident, injury, surgery, or any disease, your body’s cells release chemicals that change the permeability of the blood vessels in the area of the trauma. The increase in permeability allows fluid that contains proteins, white blood cells, and other chemicals to reach the injured tissue and promote healing. This process, known as inflammation, is what causes swelling in the damaged areas and is very much a natural process we experience after trauma, as the body tries to heal itself.

Edema can also be caused by medication, heart and kidney conditions, vascular or lymphatic disruption, protein deficiency, being in a dependent position for long periods of time, pregnancy, and excessive salt intake.

When edema occurs, it increases internal pressure, slowing down the rate at which oxygen and other nutrients reach the tissues, therefore, delaying the healing process and putting the tissues at risk. As a result, there can a spike in cell death within the first 24 hours generating a vicious cycle as damaged cells release broken down proteins that create more swelling, leading to increased lack of oxygen and further cell death.

Edema can often cause pain, stiffness, and difficulty walking. It can also lead to:

  • Stretched skin and tissue separation
  • Inhibition of neuromuscular control
  • Production of reflexive neurological changes
  • Increased risk of infection
  • Scar tissue formation
  • Impaired blood circulation
  • Decreased elasticity of arteries, veins, joints, and muscles
  • Increased risk for ulcers

There are many ways to manage edema including medications, immobility, and R.I.C.E (rest, ice, compression, elevation). At Restore & Revitalize Physical Therapy, we specialize in treating swelling through manual techniques that improve the functioning of the lymphatic system. Using assisted forms of compression, we help the lymphatic system increase the transport of fluid out of swollen areas, allowing for a speedier recovery and enhancing tissue healing.

Lymphedema is an abnormal accumulation of water and proteins in the subcutaneous tissue (innermost layer of skin) that occurs when the lymphatic system becomes insufficient and has difficulty transporting a healthy load of proteins and fluid back to the heart.

Lymphedema can occur either gradually or appear suddenly in the extremities, trunk, abdomen, head and neck, genitalia, and even the internal organs.

Lymphedema commonly manifests after surgery or radiation therapy for various types of cancers. Moreover, it can develop at any stage in life as a primary incident or as a result of trauma or deep vein thrombosis (DVT).

Lymphedema is a serious long-term condition. If left untreated, it can stress out the body’s lymphatic system especially if combined with other pathologies related to cardiac and venous function. Also, cosmetic deformities can be difficult to hide and can increase the chances of complications, such as cellulitis and fibrosis.

Lymphedema can be managed through Complete Decongestive Therapy (CDT) and Manual Lymphatic Drainage (MLD) to promote the reduction in swelling size that can be maintained with compression garments.

For tissues to heal, they must go through the inflammatory phase. The injured tissue results in altered metabolism and the release of chemical mediators that define this process. This is when you notice redness, swelling, pain, warmth, and difficulty moving the area. The process can last anywhere from 2-4 days before entering the repair stage, which typically begins after 48 hours and can continue anywhere up to six weeks.

If there is any abnormal or delayed skin healing, the risk of infection rises, patient morbidity increases, and scar tissue formation occurs. Manual therapy can help with this healing process to allow for improved tissue healing and minimize scar formation.

If you have any other questions, please contact us

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