Our Services

During this COVID-19 pandemic, while we are following all CDC guidelines for cleaning, we will be limiting our patient census and clinic hours as a way to minimize health risks.  As an alternative to an onsite clinic visit, we are able to provide "telehealth" via phone or video calls.  We use a doxy.me platform to maintain your privacy.


Medicare does reimburse for telehealth sessions as do many other private insurers.  We will ask for your written authorization in order to provide these telehealth options.  


We are requesting that you stay home if you feel you have been exposed to a high risk situation. 



We have added dry needling to our current services.


Listed below are the clinical services, treatment techniques and modalities we provide at Hand-N-Hand Therapy. Although we are a highly individualized hands-on clinic, we may occasionally utilize physical modalities such as cold laser, ultrasound and electrical stimulation as a way to augment our treatment approach.

We only participate with Medicare, so payment is requested at the time of service.  You receive a receipt for submission to your insurer with most claims being processed at a rate of 40% to 70% of our fee. 


HMO and low option insurance plans usually do NOT reimburse for PT or OT at our non-participating clinicWe do follow a Tricare fee schedule for our military folks and a slightly reduced fee schedule for Federal Annuitants.



Also known as Structural Integration, Rolfing®, was first developed by biochemist Dr. Ida P. Rolf. Dr. Rolf was looking for a way to help her arthritic child. She discovered by manipulating fascia, the connective tissue of the body, she could realign her son’s joints and posture. Over the past 60 years, this form of bodywork has evolved and is now one of the most predominant interventions in the world of manual therapy. Rolfing® has a standard set of ten sessions that are recommended to address all aspects of your body.

Lymphatic Drainage


Lymphatic Drainage Technique (LDT) is a gentle hands on approach developed by Dr. Bruno Chikly as a way to assist our body’s lymphatic system. Through the gentle manual pumping of lymphatic vessels and nodes, LDT increases the filtration of debris trapped within the body’s tissues.   Manual Lymphatic Drainage (MLD) is the industry standard for lymhatic drainage and taught by many schools such as ACOLS, Norton School and Vodder, etc....

Lymphedema Treatment


Lymphedema (LyE) is the abnormal accumulation of protein-rich fluid that results in swelling. This swelling usually occurs in the arms or legs, but can also occur in any area of the body. Lymphedema is the result of an impaired lymphatic system whose vessels and nodes are responsible for draining fluid from the tissue cells in the body, as well as removing protein molecules, bacteria, and cell waste products. This system not only filters lymph, but also helps to fight infection and produce white blood cells.

Breast Cancer Rehabilitation


Breast Cancer Rehabilitation is a program that targets the specific and unique needs of the breast cancer survivor before, during, or after medical treatment. Evaluation and treatment is performed by a physical therapist knowledgeable in breast cancer medical treatment, who has taken continuing education courses regarding breast cancer rehabilitation, and is also certified as a Lymphedema therapist to meet the unique needs with which a breast cancer survivor may be presented.


Dry Needling


According to the American Physical Therapy Association (APTA), dry needling is a technique used by some physical therapists, when state law permits, to treat myofascial and chronic pain.  In Virginia, upon a written referral by your doctor, dry needling may be administered through the use of sterile filament needles.

Movement Work


The way you move can directly influence your pain, resulting in imbalances in your body. Movement work is a necessary component for the resolution of these imbalances. To emphasize this point we like to suggest that “movement is medicine”. We focus on the whole of you, providing interventions for neurologic, orthopedic, postural, lymphatic and breath dysfunctions. Our movement interventions include, but are not limited to the following:

    Strength training

    Core program Functional movement screen™

    Postural re-education

    Relaxation Breath re-education



Postural Restoration Institute® Techniques

A gentle approach to restore optimal function to the client through the integration of system imbalances found within each person.