FREQUENTLY ASKED QUESTIONS

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Physical Therapy

Who is a modern athlete?


A modern athlete is someone who is active, and motivated to keep their body healthy and moving at it’s peak capacity. This includes everyone from professional athletes, aspiring professional athletes, to your weekend warriors. We want to help you perform at your highest level in whatever you do.




What should I expect from my initial evaluation?


Your time is our priority. Your session will take place on time, one- on – one with a Doctor of Physical Therapy. We will begin by discussing your symptoms in detail, as well as relevant medical history, and leave enough time for a comprehensive physical therapy evaluation. The Pilates Rx feels strongly that all systems of the body influence one another, so your evaluation will include a full body movement assessment to ensure we are addressing the root of your symptoms. This evaluation may include postural assessment, strength and range of motion testing, neurological screening, and a detailed assessment of your pain. Time will be spent discussing the findings of the exam, as well as expectations for your continued treatment. We believe deeply in the importance of patient education and will make sure you leave the session with better resources to understand your symptoms.




What should I expect from each follow-up session?


You can expect to spend 50 minutes, one – on – one with the Doctor of Physical Therapy. Your treatment may include manual therapy techniques such as soft tissue mobilization, joint mobilization and manipulation, as well as therapeutic exercise and neuromuscular re-education using Pilates.




How long are sessions?


Each session is 50 minutes long. This includes both the initial evaluation, as well as all follow up treatment sessions.




Do you use Pilates equipment for Physical Therapy?


Yes! We firmly believe the Pilates equipment is one of our best modalities for physical therapy because of the feedback it provides the patient, as well as the endless modifications it allows for, to ensure safe movement for different bodies.




How many sessions will I need?


Everyone is different, but most patients see results within 5-8 sessions. We will be sure to discuss our expectations for treatment during your initial intake appointment.




Do you accept insurance?


-We are considered an out-of-network (OON) provider. We do not contract directly with any insurance companies, but can provide the appropriate invoices and documentation if you would like to pursue reimbursement directly with your insurance company. It is up to you to contact your insurance company to understand your out of network benefits. -We put together this work sheet to help you better understand your out of network benefits, and how to get reimbursed, click here for more information. -When compared to In-Network services, our Out-of-Network payment style can actually save money. There are many In-Network costs that add up: co-pay, co-insurance, deductible, as well as the time spent commuting and attending physical therapy several times a week for several months. Oftentimes, you will find our expert, personalized treatment style will get you better faster, saving both money and time. -You can use your health savings accounts (HSA) and flex savings accounts (FSA) to pay for treatment.




What should I bring?


Any relevant medical history or documents, as well as a comfortable change of clothing. Otherwise, our space is fully stocked with towels, toiletries, and water.





Pilates

What is Pilates exactly?


-The dictionary defines Pilates as (noun | piˈla’tes | \ piˈlätēz \ ): “A mind-body exercise that provides daily conditioning, promotes whole body health and develops mental awareness to optimize your personal performance." -Pilates originated in the 1960’s and is named after the German physical fitness specialist Joseph Pilates who devised the system.




What are the benefits of Pilates?


Pilates is a low impact group of exercises designed to strengthen your body while also improving posture and flexibility. While many traditional workouts build tight, bulky muscles in familiar postures which pre-disposes you to injury, Pilates uses unfamiliar postures to retrain your muscle memory while elongating and strengthening your body. This will improve muscle elasticity and joint mobility, ultimately reducing your risk of injury. Pilates is gentle, yet challenging even for elite athletes. It will teach you to be a more efficient mover and improve your breathing with all athletic activities. Your mind body awareness and connection will develop, and many clients report it to be a great stress reliever.




What should I expect from each session?


We will design a Pilates program specific to your needs and goals ahead of time, which may include mat, and equipment based Pilates exercises. I am a stickler for form and using safe but challenging movement to enhance your athletic performance or personal well-being. You can expect to work hard, but safely, with lots of cueing to ensure you are getting the most out of your workout. We can also work together to design a program for you to work on at home between sessions.




How long are sessions?


Each session is 50 minutes. If you are interested in a shorter or longer sessions, please contact us directly to schedule.




I've never done Pilates before, can I still sign up?


Absolutely! Private lessons are the best way for new clients to learn the Pilates way of moving, and get used to the equipment. You can be sure we will take the time to teach you what you need to know to get started. It is a great way to prepare for a group class as well.




What should I bring?


Just yourself, and activewear you will be comfortable in. Our studio space is fully stocked with towels, toiletries, and water.




Do you offer group classes?


No, we do not offer group classes because our goal is to provide the best, individualized program for YOU , and we do not feel we are able to do so in the group setting. We do offer private lessons for groups of two people, to allow couples or friends with mutual goals in mind to work together, and still receive individualized attention from the instructor.





Virtual Sessions

What should I expect from my telehealth physical therapy initial evaluation?


Your time is our priority. Your session will take place on time, one- on – one with a Doctor of Physical Therapy. Prior to your session, you will be emailed the virtual intake forms. Be sure to complete these prior to the start of the session. You will also be emailed the link to a secure virtual meeting space using HIPAA compliant Google Meets platform ahead of time. Try to log on a few minutes early, and check our FAQ on how to maximize these sessions. We will begin by discussing your symptoms in detail, as well as relevant medical history, and leave enough time for a comprehensive physical therapy evaluation. The Pilates Rx feels strongly that all systems of the body influence one another, so your evaluation will include a full body movement assessment to ensure we are addressing the root of your symptoms. Time will be spent discussing the findings of the exam, as well as expectations for your continued treatment. We will establish a home program to get you started on your first day. We believe deeply in the importance of patient education and will make sure you leave the session with better resources to understand your symptoms.




Who can use telehealth physical therapy services?


Due to licensing regulations, you must reside in the state of Massachusetts to qualify for telehealth physical therapy sessions with Dr. Duffy. However, our virtual pilates instruction is available to anyone, anywhere.




How long are your telehealth physical therapy sessions?


Each telehealth physical therapy session is 50 minutes long. This allows us ample time to review any changes in status, update your home program, and go over any questions you may have.




How many sessions will I need?


Everyone is different, but most patients see results within 5-8 sessions. We will be sure to discuss our expectations for treatment during your initial intake appointment.




What should I have prepared for telehealth or virtual fitness?


You should prepare a workspace on the ground large enough to accommodate a yoga mat. If you do not have a yoga mat, you can always use a towel or blanket. Additionally, prepare any small equipment you have, or would like to use including but not limited to foam rollers, tennis balls, therabands, small weights, pilates magic circles or exercise balls. Have water and a small towel nearby if you need it. You will also need an internet connection, and working device with camera and microphone capabilities.




How can I make the most of my telehealth or virtual fitness sessions?


Make sure that you have a working camera, and microphone on your device, and log on a few minutes early. We want to maximize our time together, and minimize the time spent on technical difficulties. If possible, we recommend using two different camera angles perpendicular to one another to provide the best feedback on your form. You can do so by opening up the virtual session on two different devices (ie, your phone & laptop) and setting them up perpendicular to one another. If you have a large open room, or lots of background noise, we recommend you use headphones to improve sound quality on both ends. It is also helpful to prepare your workspace ahead of time with any equipment you may have at home.




Do you take insurance?  Does insurance cover telehealth?


    1. We are considered an out-of-network (OON) provider. We do not contract directly with any insurance companies, but can provide the appropriate invoices and documentation if you would like to pursue reimbursement directly with your insurance company. It is up to you to contact your insurance company to understand your out of network benefits.
    2. When compared to In-Network services, our Out-of-Network payment style can actually save money. There are many In-Network costs that add up: co-pay, co-insurance, deductible, as well as the time spent commuting and attending physical therapy several times a week for several months. Oftentimes, you will find our expert, personalized treatment style will get you better faster, saving both money and time.
    3. You can use your health savings accounts (HAS) and flex savings accounts (FSA) to pay for treatment.
    4. The rules and regulations regarding telehealth coverage are changing every day. We recommend you call your insurance company ahead of time to verify any telehealth benefits you may have. Please use our worksheet HERE to help guide you through the reimbursement process.




I have Pilates equipment at home, can we use this?


Absolutely! When signing up for telehealth, or virtual pilates instruction, leave me a note describing what equipment you have (ie, reformer, pilates chair, magic circle), so we can prepare to use it during the session.




Can you really give live feedback during a virtual session?


Yes, absolutely! We have had great success teaching in the virtual realm, and feel it provides a very similar experience to in person training. We are able to best visualize your form using two separate camera angles perpendicular to one another (see FAQ on “getting the most” out of your sessions).




I am not tech savvy, will this still work for me?


If you are concerned about the technical set up, please contact us to walk you through it. We are happy to arrange a phone call ahead of time to walk you step by step through the set up of a virtual session, and make sure that you are prepared to hit the ground running. We’ve had a lot of practice with virtual sessions, and can troubleshoot most problems by now!





For The Moms

Who is appropriate for Pre/Post- Natal Physical Therapy?


Anyone dealing with pregnancy or postpartum (new or chronic) related pain or dysfunction.

  • Prenatal: your body goes through many changes during pregnancy including hormone fluctuation. These fluctuations relax your ligaments & joints to ready the body for delivery, which can create instability and increased risk for injury. Further, postural imbalances develop as the uterus expands and belly grows which can contribute to pain complaints and dysfunction.
  • Postnatal: appropriate following both vaginal and c-section delivery. We will address conditions such as diastasis recti, pelvic floor, prolapse, and continued hormone effects on joint stability. Additionally, we can address specific pain complaints, restore efficient breath patterning and reconnect to your core, optimize intra-abdominal pressure management for safe return to exercise, and combat ongoing postural changes from pregnancy and new child care duties. Exercise can aid in postpartum stress, anxiety, and depression management.




What changes happen to my body during pregnancy?


  • Hormone fluctuation: relaxin loosens ligaments and readies body for birth delivery, joints are less stable and at risk for injury.
  • Postural imbalances: develop as belly grows, uterus expands and pelvis compensates by moving anteriorly, abdominal muscles stretch, glutes and hamstrings lengthen and can weaken, pregnancy weight gain increases rounded back and shoulder, and forward head positioning.
  • Breath: baby takes up space, makes it harder to get a deep breath in or to exhale fully, back tightens to offset weight, necessary to focus on back and side expansion with breath during pregnancy.
  • Balance: with hormone changes and as body weight shifts center of gravity balance can be thrown off.
  • Only to name a few!




How can the wellness package help me during and after pregnancy?


The goal of our wellness packages during pregnancy is to take a proactive approach through ongoing musculoskeletal assessment and check ins. We will provide trimester specific guidance and instruction related to modification of activities of daily living that can become difficult, provide safe modifications for exercise, and implement targeted therapeutic exercise programming to address muscle imbalances arising from postural changes and demands of child care. We also hope this program helps to build overall self confidence and empowerment. To learn more please view our "trimester trail guide" here .




What should I expect from my initial evaluation / first trimester check in?


Your time is our priority. Your session will take place on time, one- on – one with a Doctor of Physical Therapy. We will begin by discussing any symptoms you may be having in detail, as well as relevant medical history, and leave enough time for a comprehensive musculoskeletal evaluation. This evaluation may include postural assessment, strength and range of motion testing, and neurological screening. Time will be spent discussing the findings of the exam. The goal of the first trimester check in is to establish your baseline, educate you about upcoming postural and body changes, and teach you to efficiently breathe and connect to deep core and pelvic floor. We believe deeply in the importance of patient education and will make sure you leave the session with better resources to feel empowered to take care of your body through pregnancy and postpartum periods.




What can I expect at the second, third, and fourth trimester check ins?


  • Second trimester: on-going education about expected postural changes, sleep positioning, activity modifications, and exercise modifications. This may include how to continue to safely train abdominals, utilize props safely during exercise, and education around the effects of increased ligamentous laxity and its impact on joint positioning and balance.
  • Third trimester: updated exercise modifications, increased focus on pelvic floor relaxation and release, preparations for delivery, education relevant to early postpartum, scar tissue management, and exercise plan.
  • Fourth trimester (initial 12 weeks postpartum): musculoskeletal evaluation, symptom evaluation + discuss method of delivery and associated concerns. We may review postpartum conditions such as pelvic floor, diastasis recti, prolapse, and education relevant to activity modification and child care ergonomics.




How can additional PT sessions help me during and after pregnancy?


The goal of additional PT visits beyond the wellness program is to manage any specific musculoskeletal pain or dysfunction that arises during these periods. This may include joint pain due to increased laxity from hormonal changes, lower back, SIJ, hip pain from pregnancy postural related changes. Your physical therapist will make a recommendation during your wellness visits about additional PT sessions. These sessions may also address postpartum dysfunction such as pelvic floor, diastasis recti, prolapse, and hormone effects on joint stability, as well as pain and tension complaints from breast or bottle feeding, lifting, carrying, stroller pushing. Finally, these sessions will include the development and implementation of a home exercise program as well as instructions for a safe return to exercise program.




Can I bring my baby to my sessions?


Yes, absolutely!




Who is appropriate for prenatal or post natal Pilates?


  • Prenatal: Anyone who is currently pregnant and cleared by MD for exercise.
  • Postnatal: Anyone who is recently postpartum and cleared by MD or anyone managing ongoing postural dysfunction from prior pregnancies.




What are the benefits of Prenatal Pilates?


  • Focus on breath, connection between breath and core and pelvic floor activation, control breathing for labor and delivery.
  • Connection between mind and body, breath and emotional state, can help calm anxiety states.
  • Safe core training through pregnancy can prevent abdominal separation and manage low back, pelvic, and hip pain.
  • Bring awareness to pelvic floor, learn how to both contract, as well as relax and release to prepare for childbirth.
  • Promote balanced pelvic, hip, and lower body muscle development for stability and to support weight of baby on joints.
  • Promote balanced upper body flexibility and strength, stretch chest and strengthen upper back to counteract breast and bottle feeding demands, strengthen upper body for lifting, carrying, and stroller pushing.
  • Maintain spine mobility in all directions, promote rib cage movement which gets stiff as baby grows.
  • Address balance impairments due to hormonal changes and center of gravity shift.
  • Exercise helps with blood flow and digestion and can help alleviate common pregnancy related constipation complaints, promote healthy weight gain, and improve sleep.
  • Exercise may also help to prevent gestational diabetes, diastasis recti, incontinence, prolapse, and may reduce chance of cesarean section.




What are the benefits of Postnatal Pilates?


  • Relief of postpartum musculoskeletal pain, address diastasis recti, pelvic floor concerns, prolapse, and hormone effects on joint stability.
  • Promote c-section recovery and fascial mobility.
  • Restore efficient breathing pattern, core recruitment, and lumbopelvic stabilization to safely resume exercise.
  • Combat postural changes from pregnancy and childcare.
  • Manage postpartum stress, anxiety, depression.
  • Self confidence and empowerment through physical activity




What should I expect from a Pre/postnatal pilates session?


We will design a Pilates program specific to your needs and goals, and adjust accordingly as pregnancy advances or postpartum recovery allows. The program may include mat, and equipment based Pilates exercises. We are sticklers for form and using safe but challenging movement to enhance your performance or personal well-being. You can expect to work hard, but safely, with lots of cueing to ensure you are getting the most out of your workout. We can also work together to design a program for you to work on at home between sessions.




How long are sessions "For The Moms"?


Each session is 50 minutes for wellness visits, physical therapy & pilates. If you are interested in a shorter or longer sessions, please contact us directly to schedule.




Can I do my sessions virtually?


Absolutely! You can schedule virtual pilates sessions directly under the "For The Moms" tab. If you are interested in conducting your wellness package virtually please email us to make arrangments. We understand the virtual setting may be more accesible for new moms.




I want to do the wellness package but I am past my 1st trimester, is this possible?


Yes! We initially designed the 4 visit wellness package For The Moms to have one check-in visit per trimester, but set it up to allow the flexibilty to schedule at your convenience. This means you can schedule your 4 sessions at the frequency that works for you. Many of our clients elect to use two of their wellness visits postnatal. In this case we recommend scheduling your initial postnatal wellness visit around 6 weeks postpartum and the final visit around 12 weeks.




I am not pregnant yet but am thinking about trying, what program should I do?


We LOVE when moms-to-be start thinking about their wellness care in advance. If you are thinking about getting pregnant and want to prepare your body for the upcoming changes, we strongly recommend starting with our private pilates sessions. You can schedule your visits as a regular pilates session. Once you become pregnant we will transition to pre-natal pilates.




Do you work with runners?


Yes! We can help manage any pregnancy related running concerns in partnership with our sister clinic The Run RX.




I am over 1 year postpartum, can I still do this program?


Yes! It is never too late to address postpartum concerns. We recommend scheduling a wellness visit or physical therapy session if you are having on-going symptoms postpartum.





General Questions

Do you have parking at your facility?


Yes; we have a parking lot directly in front of our building.




What is your Cancellation Policy?


Your appointments and well-being are very important to us. We understand that sometimes, unexpected delays can occur, requiring schedule adjustments. If you need to cancel or reschedule your appointment, we respectfully request at least 12 hours notice.

Our Policy:
Any cancellation or reschedule made less than 12 hours will result in a cancellation fee. The amount of the fee will be equal to 50% of the reserved services. If you are more than 15 minutes late for your appointment, we may not be able to accommodate you. In this case, the same cancellation fee will apply. We will do our very best to reschedule your service for another time that is convenient to you. We require a credit card to hold your appointment. Cancellation fees will be charged to your card on file. In the event of a true, unavoidable emergency, all or part of your cancellation fee may be applied to future services.