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 and pelvic health interventions 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.  We also offer occupational therapy services and will provide a receipt for submission to your insurer.


HMO and low option insurance plans usually do NOT reimburse for PT or OT at our non-participating clinic.


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.

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.

Pelvic Floor Muscle Dysfunction PFMD

As with any other muscle in the body, dysfunction of the Pelvic Floor Muscles can be characterized by muscle laxity, inefficient functioning or tightness of the muscles that may be causing weakness, pain or spasm. The role of these muscles is to support various pelvic organs, including the bladder, prostate, rectum and female reproductive organs. These muscles are directly involved in the functioning of the urinary and anal sphincters. Therefore problems with the pelvic floor muscles can lead to urinary issues and bowel dysfunction.

Postural Restoration Institute® Techniques

Postural Restoration Institute® (PRI) targets breathing and how we move to resolve injury.

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


Pilates is an exercise system focused on flexibility, conditioning, toning and strength for the total body. Joseph Pilates, the founder of the Pilates method, believed in precise, concentrated movements using the mind to “feel and focus” the body. The primary focus of Pilates/Core Work is to keep the body’s center controlled and strong. This is achieved through the use of the body’s “powerhouse” made up of the pelvic floor, deep abdominal and back extensor muscles. This “powerhouse” provides a stable base from which a participant moves through a variety of range of motion and resistance exercises.

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