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Evaluation and treatment of Shoulder, Elbow, Wrist and Hand with a holistic approach
Holistic approach evaluation of all aspects of your condition (pain, range of motion, strength, sensation, contributing factors) and establishment of client centered goals
Manual therapy, reiki, strengthening, stretching, exercise program, home program updates
Brief phone discussion of your condition to determine if I can be of service to you or if a referral to another specialist is needed
Discussion of your condition with follow up as needed via doxy.me
Personalized assessment and development of home program
individual yoga class 60 min
75 min class for up to 4 students
Clients may bring a prescription / diagnostics to evaluation or make Deb Fraine OT their first step on the road to recovery. With over 33 years of experience, I am able to determine when a referral is needed to other specialists such as Orthopedics, Hand Surgery, Neurology, Physical Therapy, Psychology/ Counseling, Massage Therapy in order to achieve the best possible outcomes. It often takes a "team approach" to expedite successful recovery.
What is the difference between an OT and a PT?
- An Occupational Therapist is trained with a specialization in the upper extremity . Both a PT and an OT may be seen treating an orthopedic condition such as a shoulder condition in an outpatient clinic. Occupational Therapists are trained in the evaluation and treatment of psychological conditions as well and are required to train in psychiatric settings in their education. The goal of Occupational therapy is to promote independence with full consideration of physical and mental health. Occupational therapists also are trained in custom fabricated splinting to facilitate healing, function and improved range of motion.
What is a certified Hand Therapist?
- A certified hand therapist is specialization of OT or PT. In order to take the board exam, clinician must have 5 years of practice in the area of hand therapy. Certified Hand Therapists are preferred by Hand Surgeons to treat their clients. Certified Hand therapists take the patient with a shoulder, elbow, hand, finger injury from surgery to recovery with splinting and detailed protocols for treatment.
Why don't you take Insurance?
-Over the years of practice, I have seen our caseloads increase and reimbursement from insurance payors decrease. As a matter of fact insurance companies where reimbursing more for OT and PT 15 years ago than they are now. This has compelled outpatient clinics to become fast paced with little time for individual, hands on treatment. I have become frustrated with the limitations and visits and the judgement from insurance companies (not therapists) on how much therapy a client needs for recovery. Co-pays have risen to 40-50./ visit in many cases. As I head into the last quarter of my career, I wanted to continue my dream of being the best therapist for my patients in a setting that would facilitate this. I plan to combine my passion for yoga, reiki and hands on treatment to facilitate recovery. Insurance is often not willing to reimburse for these modalities.
What do I need for therapy?
- Direct access care (fee for service) does not require a physician prescription under MA state law for OT or PT. Your therapist may request further information from an orthopedic physician and/or diagnostics to clarify your condition. Any information including a prescription with always be helpful in determining your best care.
-You will be provided to bring a list of medications and medical history to your first visit.
-Always wear comfortable clothing allowing exposure to your shoulder, upper back, elbow, wrist and hand.
What are the considerations for therapy in the COVID-19 pandemic? Is it safe to come for therapy?
-Occupational Therapy is considered an essential service. We are trained in principles of universal precautions and infection control. Your therapist will be wearing a mask and eye protection during your treatment and you are required to wear a mask as well. All equipment and treatment areas will be sanitized frequently and thoroughly. We ask that you wash your hands thoroughly before and after treatment. Linens are changed and cleansed with each patient visit. Attention to your health, mind, body connection and wellness will facilitate optimal immunities and emotional health during times of crisis. Your safety is always of primary concern.