Vestibular rehabilitation therapy (VRT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head maneuvers and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. Overwhelming evidence has proven that VRT is effective in improving symptoms in various vestibular conditions including unilateral vestibular hypofunction, chronic dizziness, vestibular migraine and tension type headaches, PPPD, concussion and many others.
Musculoskeletal rehabilitation (rehab) program is a treatment method designed for people with impairments or disabilities due to disease, disorders, or injury to the muscles, tendons, ligaments, or bones. Musculoskeletal rehab programs can often improve the person's ability to function, reduce symptoms, and improve the person's well-being. The goal of rehab is to help the person return to the highest level of function and independence possible, while improving the overall quality of life — physically, emotionally, and socially.
Dry Needling involves the insertion of a thin filament needle to stimulate the healing process of soft tissues (muscle “trigger points”, fascia, tendons and ligaments, etc.) resulting in pain relief and restoration of healthy physiology. Generally, the insertion of the needle is not felt. The local “twitch response” may provoke a brief pain sensation that has been described as tingling, aching, or a cramping sensation. Side effects vary among individuals. Typically, only mild muscle soreness or skin bruising can occur.
Manual Lymphatic Drainage
Lymphatic drainage massage, also known as manual lymphatic drainage, relieves swelling that happens when medical treatment or illness blocks your lymphatic system. Lymphatic drainage massage involves gently manipulating specific areas of your body to help lymph move to an area with working lymph vessels. It aims to reduce swelling by relieving the buildup of lymph fluid.
While getting enough rest and sleep after a concussion is still crucial, we now know that post-concussion rehabilitation is a highly useful tool in supporting recovery for a patient. The problem for patients with post-concussion symptoms is that exercise intolerance is often one of the persistent symptoms they suffer from. This means that during or after exercise, they develop debilitating symptoms such as headaches, nausea, dizziness, brain fog, and extreme fatigue. Physical therapy can help patients return symptom free to previous activities or may uncover any underlying signs of medical emergency or severe pathology (e.g., more serious brain injury, medical conditions, or cervical spine injury) that warrant further evaluation by other health care providers.
After having a mastectomy, lumpectomy or lymph node dissection, physical therapy can be a useful tool to restore full range of motion and function to the shoulders and arms. Some women develop axillary web syndrome (also known as cording) after surgery. This can be painful and severely limit the range of motion in the affected shoulder and arm. Physical therapy is an effective treatment for axillary web syndrome and has been shown to help reduce the risk of developing lymphedema after having breast surgery.
Sarah believes that every patient deserves to be evaluated in a thoughtful manner in which they feel both listened to and cared for. She is thrilled to have created an environment where this is possible. Patient care is Sarah’s number one priority. She gives a full hour of time for each evaluation and follow up. Often, however, patients with extreme dizziness are not able to tolerate an hour of treatment. In such cases, Sarah will schedule the follow up visits for half-hour increments. She utilizes a combination of manual (hands on) therapy and physical exercise in her treatments. Sarah additionally provides patients with clear home exercise programs to empower them to make independent and continued progress in their healing.
Do You Accept Insurance?
I am an out of network provider for all patients as I have opted out of all private insurance contracts.
Payment will be collected at time of service. (self-pay)
I can provide a “superbill” that you can submit to your insurance for reimbursement.
$160 per evaluation
$160 per 1 hour follow up appointment
$80 per 1/2 hour follow up appointment (available to vertigo/vestibular patients only)
$ 200 per home visit
*Prices include gross receipts tax.
What If Medicare Is My Insurance?
At this time physical therapists cannot opt out of the Medicare program. So I cannot provide physical therapy services to Medicare patients but there are a couple of exceptions.
1) I can provide services to Medicare patients for services such as wellness, fitness, prevention which are not covered by Medicare.
2) If a Medicare patient “refuses, of his/her own free will, to authorize the submission of a bill to Medicare” (section 40, chapter 15 of the Medicare Benefit Policy Manual), I can accept self-payment for physical therapy services.
To receive treatment, I will ask you to sign an agreement that states neither you or I will send claims to Medicare or any secondary insurance or allow anyone else to send claims on your behalf.
What Types of Payments Do You Accept?
I accept cash, check and all major credit/debit cards. A 2.7% convenience fee will be added to credit/debit card transactions for processing.
What Are My Privacy Rights?
As your physical therapist, I believe that your privacy is a fundamental part of your treatment. I want to make sure you understand privacy practices and procedures. This information will be provided for you at your first appointment.
How Do I Make An Appointment?
To schedule email email@example.com
or call at 505-920-2847
What Is The Cancellation Policy?
Patients will be charged 50% of their appointment cost for a cancellation given less than 24 hours for any reason. This will not apply in the case of illness or snow/ice making driving conditions dangerous.