I don't just help you get out of pain—I help you build the strength, confidence, and movement habits that allow you to stay active for the long haul.

Physical therapy is designed to evaluate, diagnose, and treat pain, injury, movement dysfunction, and physical limitations. I use a combination of the best current evidence, clinical judgement, client input, and a bit of intuition. (Medicine is an art as well as a science, and EVERY case is different.) to evaluate and treat.

You should start with physical therapy first if you have:

• Acute or unstable pain (the behavior of your pain is all over the place, no rhyme or reason)

• Pain or limitations that have not been fully evaluated

• You want to make the to make the most progress in the shortest amount of time possible. (But it's still going to take time!)

The only difference between Holistic PT and Holistic Women's Health PT are the intake forms. The Women's Health intake forms go into a lot more depth about pelvic floor functions.

Pilates is a movement system (dare I say a lifestyle) focused on body awareness and integration, rebuilding trust in yourself, rediscovering the joy of movement. Pilates sessions are fully movement based, starting with the breath. You may sometimes learn self release techniques to supplement your home program, and I will use hands on cuing.

There is a brief screening before beginning Pilates, but not a comprehensive evaluation.

Pilates is not physical therapy.

Pilates is not hands on treatment or skilled medical care.

If you're not sure where to start, email angela@angelamarciano.com and let's set up a time to chat.

No. Massachusetts is a direct access state so you do not need a doctors referral or prescription.

I choose to have a contract with my client and not an insurance company or other 3rd party payers.

This creates several HUGE shifts in the way I can work with you.

1. We can focus on your goals. The things that matter to you, the things that make life enjoyable. Things like running, or running faster. Playing softball, or hitting the ball further. Getting on the floor or keeping up with your kids or grandkids.

2. You can bring your whole body to every session. Whether you have multiple areas of concern, or your coming in for your right knee but today your neck hurts. We can focus on the priority.

3. Your plan of care will be direct one-on-one with me for fewer, longer sessions. This allows us to do a comprehensive session including a check in, manual therapy, corrective exercise or Pilates when indicated, and perhaps most importantly education. The majority of in-network providers in a traditional PT settings are booked every 15 to 30 minutes for a full day, followed by documentation.

4. Your progress won't be interrupted by delays in insurance authorization. While a short gap in care can be a good time for you to practice the self-management skills you've learned, a poorly timed gap can delay or even set back your outcome.

Your work and personal schedule will be less disrupted by frequent short visits through the week. You'll make progress in fewer but more thorough sessions, with time to learn what you can do to help yourself. My clients are typically far more satisfied with this model of care.

Medicare Beneficiaries

I am considered a non-Participating Medicare Provider.

If you are a Medicare Beneficiary and would like to work with me and do not want to bill Medicare for PT services, you can, but you agree that you will forfeit your opportunity to bill Medicare.  

The request to not involve Medicare must be made up front by you, the patient, and of your own free will.

If you are a Medicare Beneficiary and want to use your benefits for physical therapy, I cannot provide you with treatment at my clinic. I can recommend Medicare providers in the area.  

As a Medicare Beneficiary, I am able to provide you with wellness services.

 If you have additional questions, please contact me to ensure you get the help you need.  

The number of physical therapy sessions you will need is dependent on a number of factors, so it depends. We will have more information after your initial evaluation and I will make a recommendation based on our discussion, findings, and your response to initial treatment. And then it's up to you to decide.

Factors that influence the duration of physical therapy include the following, and more:

How intense is your pain? How frequent?

How severe are your physical limitations?

How long has this been going on?

What else have you tried?

How is your general health, nutrition, hydration, stress level?

What phase of life are you in and how much time can you commit to care of yourself between sessions.

What do you do for work, and is there any flexibility for modifications?

What do you do for recreation.

Some clients come for as few as 3-6 visits.

The majority of my clients come for about 24 sessions over the course of a year -weekly to start and then decrease to twice and then once a month as they progress.

Many clients start feeling so much better they come to a whole new realization of possibility and potential and they stay on for wellness sessions once or twice a month.

The future is yours to discover!

Your comfort is top priority, so this part is not mandatory. This is what makes it easiest for me to assess your posture and then accessing your muscles and joints for treatment.

If you do not have or do not feel comfortable with the recommendations below, we can 100% work around that.

Physical Therapy:

For female anatomy: Please bring or wear a bra or swimsuit top that hooks in the back, and swimsuit bottoms or loose fitting athletic shorts (not compression shorts.)

For male anatomy: loose fitting athletic shorts

Pilates:

Comfortable clothing you can move in!

coming soon!

coming soon!

coming soon!

coming soon!

coming soon!