In - Home Coaching
Improve overall fitness and well-being
Might be reimbursable by insurance, HSA, and/or FSA
Reduce minor aches and pains
Restore, mobility, strength, and function
This service is delivered through a secure and HIPAA-compliant platform. Learn more
Ditch Long Waits
I get it. Access to effective care for your minor aches and pains is increasingly limited by long waits, high copays, and hidden fees. Meanwhile, those minor aches gradually worsen as you patiently wait your turn to see a specialist.
Well, say goodbye to those barriers as I bring my expertise as a board-certified rehab and fitness specialist straight to your home.
I am fully equipped to tailor workouts to diverse conditions and fitness levels. Transform your health and achieve your goals with convenience and expert guidance right in the comfort of your own home!
Whether you're juggling work deadlines, family commitments, or just need a moment for self-care, this service offers the flexibility and convenience you need to prioritize your health.
User-Friendly Mobile App
Customized workouts and valuable resources to keep you motivated and on track during and outside of our sessions.
How It Works
In-Home Evaluation
is then scheduled if we agree to proceed past the initial consult. I will visit your home to assess your current status, and devise a plan to address your needs.
Download the App
to access your personal program, message me directly, and access additional resources to keep you on track.
We Schedule Future Visits
depending on your needs. You and I will discuss this during your consult call and evaluation to choose a plan that is best for you.
In-Home Treatment Approaches
Below is a summary of approaches commonly utilized to design effective treatment programs. Use of each is dependent on your needs, abilities, and circumstances. I reserve the right to exclude any approach(es) that I deem not appropriate for your specific circumstance(s). For example, if you have history of a medical condition that increases your risk for harm from a specific treatment option, I will withold that approach.
Evaluation
An evaluation visit serves to gauge functional capacities so I can design a treatment strategy for your unique requirements. The scope of the evaluation is influenced by your needs and circumstances. This may include conducting interviews about daily activities, observing task performance and interactions with your environment, utilizing specific evaluation tools, or performing comparative assessments against age-specific benchmarks.
The information I gather from our free consult call will help design my plan for your evaluation.
Therapeutic Exercise
Therapeutic exercise refers to a wide range of physical activities that are specifically designed and prescribed to help individuals recover from injuries, improve their physical condition, and maintain their overall health. The primary goal of therapeutic exercise is to restore normal bodily function, enhance movement capabilities, reduce pain, and prevent further injury. This form of exercise is often a key component of rehabilitation programs and is tailored to meet the specific needs of an individual, depending on their health status, physical limitations, and recovery goals.
Therapeutic exercises can encompass a variety of activities, including but not limited to, stretching exercises for flexibility, strengthening exercises to build muscle, endurance exercises to improve cardiovascular health, balance and coordination exercises, and functional movements that simulate daily activities. Each exercise is aimed at improving specific aspects of physical fitness and function, ensuring a holistic approach to rehabilitation and health maintenance.
Physical therapists and occupational therapists are typically involved in prescribing and supervising therapeutic exercises as thorough knowledge of exercise physiology, pathophysiology, and research-based guidelines are essential to safely and effectively doing so. This requires careful assessment of an individual's condition in order to create a customized exercise program that safely challenges their current level of function and progress over time to facilitate steady improvement.
Through insightful monitoring and adjustment, therapeutic exercise can significantly contribute to an individual's recovery journey, enhancing their quality of life and enabling them to engage in their daily activities with greater ease and less discomfort.
How is Therapeutic Exercise different from exercises from a Personal Trainer?
The expertise required to prescribe and supervise effective therapeutic exercises far exceeds general fitness knowledge. Physical and occupational therapists develop a deep understanding of exercise physiology, pathophysiology, and the principles of tissue healing to through advanced education and practical experience working under the mentorship and license of an experienced physical or occupational therapist. Upon successful completion of these requirements, along with passing a national board-exam, a therapist is granted a license to practice within their discipline.
This experience allows the physical or occupational therapist to assess an individual's specific health status, physical limitations, and recovery goals to develop a tailored exercise regimen. It's a delicate balance to push someone enough to foster improvement without overstepping and causing further harm. This balance requires not only an understanding of the body's healing processes but also how different exercises can be modified to suit the varying stages of recovery.
The ultimate aim is to enhance an individual's quality of life, enabling them to perform daily activities with greater ease and less discomfort. The personalized, careful monitoring and adjustment of these exercises underscore the critical difference from general fitness training, highlighting the unique blend of science and sensitivity that therapeutic exercise requires.
Manual Therapy
Manual therapy involves hands-on techniques by clinicians to manipulate soft tissue, joints, and nerves. These techniques are utilized to reduce pain and improve movement. While exercises and stretches are often prescribed for independent practice, the application of manual therapy by a skilled therapist can amplify the benefits of treatment.
Electrical Stimulation (TENS and NMES)
What is TENS?
Transcutaneous Electrical Nerve Stimulation (TENS) is a therapeutic method that employs low-voltage electrical currents to alleviate pain. It involves a small device, known as a TENS unit, which targets nerves to either block or alter pain perception. This technique is utilized by healthcare providers for treating various acute and chronic conditions such as back pain, osteoarthritis, fibromyalgia, tendinitis, bursitis, and diabetes-related neuropathy.
What is NMES?
Neuromuscular electrical stimulation (NMES) uses electrical current to enhance muscle strength, preserve muscle mass and strength when there's extended immobility, retrain specific muscles selectively, and manage swelling.
The Florida Board of Occupational Therapy requires an Occupational Therapist meet specific educational and experience requirements in order to use Electrical Stimulation devices in treatments. I have successfully met these requirements.
NOTE: You should not use electrical stimulation devices if you have a pacemaker, cancer, deep vein thrombosis (DVT), epilepsy, bleeding disorder, and/or certain other conditions.
Cup Therapy
Cup therapy, known professionally as Myofascial Decompression (MFD), is a manual therapy technique designed to alleviate restrictions in connective tissue, enhancing the movement and flexibility of the soft tissues. By placing cups on specific areas of the body, a suction effect is created, generating negative pressure. This action helps to separate the layers of soft tissue, reducing stiffness and allowing for smoother movement between layers by decreasing the resistance among them.
This approach is unique in manual therapy because it utilizes a decompressive technique, unlike other methods that apply compressive forces. The suction provided by cup therapy increases the space within the musculoskeletal system, facilitating better movement and flexibility of tissues. This increase in space not only improves the glide and mobility of tissues but also contributes to the overall efficiency of movement, making MFD a distinctive and effective treatment for enhancing soft tissue function.
How is Cup Therapy different from Cupping?
Myofascial decompression and traditional cupping differ in several key aspects. Firstly, myofascial decompression is rooted in Western medicine principles and is supported and continuously improved by scientific evidence. This technique typically involves the application of cup(s) for no more than 5 minutes, with a focus on integrating active movement patterns and neuromuscular retraining to achieve lasting results. It also emphasizes a minimalist approach, using fewer cups for shorter durations to minimize the risk of negative effects.
On the other hand, traditional cupping is grounded in Eastern medicine traditions and often entails applying several cups for periods longer than 5 minutes. Unlike myofascial decompression, traditional cupping does not usually include movement science or neuromuscular retraining as part of the treatment. Additionally, many of the benefits attributed to traditional cupping lack scientific backing and have even been refuted by research.
Frequently Asked Questions
Who is this service best for?
This service is perfect for individuals looking to address minor aches and pains and improve overall physical wellness without having to significant alter their daily routine.
This is a practical alternative to traditional clinic visits. With accessible, customized advice, it suits busy people looking to incorporate health management into their lifestyle seamlessly, without disrupting their daily routines.
What separates me from other coaches?
What sets me apart from other coaches is not just my extensive experience, but the depth of expertise I bring to the table, particularly in the realm of upper limb rehabilitation.
With thousands of hours experience guiding clients through their recovery journeys—whether it's pre-operatively, post-operatively, or non-operatively—I possess a nuanced understanding of the body's healing processes.
Moreover, my commitment to excellence is underscored by my attainment of the most respected board-certification in upper limb rehabilitation (CHT), a credential that is highly esteemed among surgeons and rehabilitation professionals.
This extensive blend of hands-on experience and specialized knowledge ensures that I make informed decisions to achieve optimal outcomes for my clients, distinguishing me in a field where understanding and expertise are key.
What is a Certified Hand Therapist (CHT)?
A Certified Hand Therapist (CHT) is a specialized occupational or physical therapist who has gained advanced certification in the treatment of hand and upper extremity conditions.
To qualify as a CHT, a therapist must have at least three years of professional experience and complete 4,000 hours of specialized practice in hand and upper extremity therapy. Additionally, they must pass a comprehensive certification examination to demonstrate their expertise in this area.
The role of a CHT encompasses providing accurate assessments, immediate care, and effective treatment to ensure a quick and cost-effective recovery. They offer a continuum of care that reduces the need for multiple medical providers, leading to faster recovery times, decreased medical expenses, and a quicker return to work and normal activities for patients. CHTs work in close collaboration with surgeons specializing in upper limb conditions to deliver the most comprehensive care possible.
CHTs are highly skilled in managing treatments for hand and upper extremity disorders, ensuring the best functional outcomes for their patients. Their advanced certification signifies a commitment to excellence in their field, requiring continuous professional development to adapt to changes and advancements in hand therapy.
CHTs are required to renew their certification every five years through ongoing education and practice to maintain their credential.
How much does this service cost?
The initial consultation call is free so that we can ensure I am the right coach for you before proceeding.
Thereafter, price varies depending on the number of visits purchased.
You can purchase one session at a time or save money by purchasing multiple sessions upfront. Please familiarize yourself with the options below prior to our free consult. We will discuss these options during the consult to determine the package that is best for you.
Can I use my insurance?
I cannot bill your insurance as I have not entered into a contractual agreement with them. If you do wish to use your insurance, you can try submitting a claim for reimbursement (AKA Superbill) if your policy covers out-of-network services. For the majority of insurance policies that cover out-of-network services, some or all of this service might qualify for reimbursement. The process for seeking insurance reimbursement is illustrated below. I cannot guarantee that insurance will reimburse for any of the service as it is up to their discretion whether or not to do so. I also cannot submit the Claim on your behalf, per HIPAA regulations. You must do so on your own but I can certainly help you navigate this road if you so choose to pursue it. We can discuss this further during the free consult call.
Will I need a script from my doctor?
Testimonials
My recovery process has been very successful thanks to Brian. He was easy to work with, very professional, and caring.
Hector
I am an avid hiker and also a registered nurse with foot and ankle issues. Brian has worked with my weaknesses and designed functional training workouts that kept my needs in the forefront.
Kelly
Brian’s technical knowledge of human physiology is most impressive but equally matched by his interpersonal skills which allows him to more fully understand his clients’ issues and motivations.
Don
Brian was very knowledgeable and helpful in getting my wrist back to where it needed to be.
James
He tailored exercises to my needs and abilities and during the weeks working with Brian, my strength and flexbility increased. I believe working with him has given me the skills I need for good workouts with the weights. At the completion of our sessions, I could touch the floor in front of my toes.
Joe
Brian was very knowledgeable and always tried to explain what I needed to do in the easiest way possible.
-JP
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