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Proudly offering Post-operative care of plastic surgery, Postpartum recovery and Private Pilates.


Does physical therapy hurt?

In almost all cases – No. “No Pain – No Gain” is not true in most cases. Though, you may develop some more muscle soreness from working muscles that you haven’t used or that are weak.

Who chooses which physical therapist I go to?
Often, your physician will give you a recommendation or a listing of physical therapists in your area. Sometimes your insurance company will guide you with regard to who is “in network” for your insurance plan. Ultimately, however, the decision as to where you receive your care is up to you. If you have a specific request, you need to let your physician or insurance company know. If we are not in-network for your insurance company most plans have out-of-network benefits that will allow you to choose your physical therapist. We accept most every insurance plan at this time.
How do I arrange an appointment?

Just call us directly to make your first appointment.

What is my responsibility in physical therapy?
You are our partner in your recovery. Your physical therapist cannot do it without you! We ask that all patients and clients cooperate by following through with their home exercise programs and instructions, as this is extremely important in expediting your recovery.
What should I bring with me?
For your first visit you will need your insurance card, and any paperwork that you downloaded from our website or forms that may have been sent to you. If you have any operative reports, MRI or X-ray results, you may bring those as well. Additionally, if you are utilizing any type of brace, splint, or crutches, those should come with you. In addition, please bring in your current medication list.
Will my insurance cover physical therapy?
Most insurance companies cover physical therapy and occupational therapy services. We will verify your exact coverage for you, however, so you will know your insurance policies guidelines when you begin your therapy sessions. If you have additional questions regarding your specific insurance give us a call.
What is the co-pay for physical therapy?
Co-pays are determined by your insurance company. However, we will do all of your insurance authorization and re-authorization for you and will be able to give you all the information about your therapy services coverage, including co-pay amounts on your first visit.
What should I expect on my first visit?
On your first visit, your physical therapist will perform an evaluation to determine what deficits and/or problems you have that can be addressed in physical therapy. The evaluation involves a thorough history, a systems review, and tests and measures that allow the physical therapist to get a more specific understanding of your condition. Your physical therapist will make a clinical judgment as to your diagnosis and prognosis. A treatment program will be developed aimed at resolving the problems identified as well as to attain the goals you set in conjunction with the physical therapist. Your evaluation will be sent to your doctor within 24 hours so that your physician is always kept up to date with your therapy progression. If any problems or concerns arise, your therapist will contact your doctor directly to work out a plan to handle it quickly for you.
What types of interventions may I receive?
The interventions you receive will depend on what the physical therapist finds in the evaluation. Our intervention programs include coordination among all people involved in your care (other health care professionals, family, friends, caregivers, and others), communication to ensure a good exchange of information, thorough documentation of the care and services provided, and instruction to you and others involved in your care to promote and optimize our services. Most physical therapy plans of care will include three categories of interventions: manual therapy component, exercise/mobility/flexibility, and balance component, and third, functional training, including patient education. Other interventions might include manual therapy techniques; use of equipment such as supports, orthotics; electrotherapeutic modalities; and mechanical modalities.
How long is a typical treatment session?
Treatment sessions will take approximately 45-75 minutes depending on the diagnosis being treated.
How long is a course of therapy?

It depends upon the diagnosis, the severity of your injury and how dedicated you are to doing your part outside of treatments. Our goal is to not only get rid of your pain but to get you to the point where the likelihood of the pain coming back is significantly reduced. A-Z Physical Therapy & Wellness has an average therapy length of 12-15 visits per condition.

How is my progress measured?
Because your physical therapist will perform a meticulous evaluation, quantifying and qualifying all the deficits and problems you are presenting with, re-examination to determine progress is possible. You will be reexamined based on your diagnosis as well as on the chronicity of the problem. Additionally, the physical therapist always needs to be aware of follow-up visits with your physician, if you were referred by one, as a reexamination may be performed so that the physician can be updated at that time. Re-evaluation/progress notes are performed on all patients at regular intervals, with those reports sent directly to the patient’s doctors to keep them updated on your progress and on any potential issues.
What if I have an increase in symptoms?
If you have increased symptoms please call your physical therapist. When you call the office, please be sure you explain to the office staff that you are having an increase in symptoms. The office staff will pull your chart and contact your physical therapist or a covering physical therapist. We will be able to review the information and will give you a call back that same day. After we discuss the case with you, we will be able to give you guidelines as to what would be appropriate to reduce your symptoms, whether you need to come in our office, or if you should contact or follow up with your physician. It is best to call us prior to calling your physician if a change in symptoms has occurred. It is important that we send the physician a report so that he/she can be up-to-date on your care when you see him/her for a follow-up visit.
I have never had physical therapy before, how do I know that my treatment is of good quality?
Treatment should include manual hands-on care, exercise, and a balance component and functional training, along with patient education. Although you may be a little sore after therapy, you should feel an improvement in your ability to perform your activities at home, work or leisure with greater ease, increased tolerance, and an improved feeling of well being.
Will I need follow-up or maintenance care?

We offer complimentary consultations for all our patients any time after their completed episode of care. This helps to avoid any problems that may arise from getting worse, and also allows us to help the patient be more independent in their condition.

What if I need to return to physical therapy?
If you have a recurrent problem after your completed episode of care, how/if you will return to physical therapy will depend on a number of factors. It would depend if it was a re-injury of the same specific problem, how long it has been since you were last in physical therapy, how long it’s been since you saw the physician (if a physician referred you), and many other factors. In general, if you are discharged from physical therapy and feel the need to return, you should contact the physical therapist who treated you. He or she will review your chart and call you back to discuss with you what should be done, depending on the problem you are having.
Is it OK to ask my doctor about physical therapy?
If you have a problem that you think can be helped with physical therapy, feel free to give us a call. After discussing with you the specific problem you present with, we can give you a better idea if it is something that is manageable with physical therapy. You can also give your doctor a call. If he or she is not sure, he or she is welcome to contact us as well. In today’s healthcare, if you feel physical therapy can be helpful to you, you will need to stress your feelings to the doctor you are seeing. Remember that it is your choice where you go for physical therapy. Don’t hesitate to voice your desires to your physician. In most cases, they will be happy to send you where you prefer and where it is the most convenient for you.
Are Physical Therapists licensed?
Yes, all physical therapists have to be licensed in the state in that they work. Licenses should be prominently displayed.
What should I wear to my physical therapy appointments?
In general, wear comfortable clothing for physical therapy. If you are presenting with a problem of your cervical spine, upper back or shoulders, the therapist can provide you with a gown as needed to expose these areas, or you can wear a tank top or halter top of your own. If you are coming for a lower-extremity problem, shorts are important. You can bring your own clothing here to change into if that is more convenient for you.
When to start post-operative treatment?
After surgery, everything depends on the kind of treatment that will be developed in the postoperative period. The physical therapist will start using manual therapy within 48 hours after the operation. Postoperative care begins within a week for patients who chose the intraoperative procedure. In order to prevent progression of edema and tissue damage, it is imperative to start treatment within the intraoperative or 48-hour period after surgery to control the inflammatory phase and, thus, to monitor the healing process.
How many sessions of therapy do I need after a plastic surgery?
The number of sessions (consultations) will depend on the treatment chosen, as stated in the question above. It usually takes 8 to 20 visits (on average) for manual therapy to be effective postoperatively. There are several factors to consider, including the surgery and the extent of the procedure.
Postoperative: aesthetics or rehabilitation?
Cosmetic plastic surgery aims to enhance body contour and harmonize body and face features. The goal of aesthetic plastic surgery is to make one’s appearance more appealing, but it’s achieved through something invasive (surgery) that triggers a series of responses to heal the affected area.
How to care for the scar?
1. It is recommended that the scar region be moved as much as possible. However, edges of the scar cannot be spread apart so as to make the scar less prone to recurring.
2. Removing stitches: Schedule a return visit with the plastic surgeon.
3. Some professionals recommend keeping the micropore on average for 30 days after removing the stitches. Some professionals, however, recommend using ointments. Follow the recommendations of the professionals you are working with.
4. As scars develop, physiotherapy plays a crucial role. With physical therapy, the balance of forces acting on the scar can be improved. Some elastic bandages can approximate the healing edges that can be subject to dehiscence (opening of the stitches).
5. The use of physiotherapy can aid in the restoration of mobility compromised by scar adhesions. Therefore, the scar will have a more aesthetic appearance.
6. Ensure the scar is protected from friction with a bra. A bra with a hoop and seams that may cause friction on the scar should be avoided.
How soon after surgery should scarred areas be exposed to the sun?
Scars change color as they heal. A color variation in the patient’s skin tells us what stage of recovery the patient is in. So, for a scar to be as evident as possible, it is important to respect the time of exposure to the sun. During the postoperative period, patients often ask about sun exposure. As a result, to prevent color changes from occurring, it is best to hide the scar until it is as close as possible to the patient’s natural skin tone. In this way, the scars do not become hyperpigmented and the final result of the scars is not compromised. In case of doubt, consult your surgeon / dermatologist and the physiotherapist. Each case will be handled differently, so they will advise you accordingly.
Patients are often exposed to possible complications and intercurrences in plastic surgery after undergoing a surgical procedure. On the other hand, all pre- and postoperative follow-up and guidance must be provided by the plastic surgeon and physiotherapist, to minimize and even avoid complications.
​​There are some complications mentioned in the literature: Seroma, hematoma, scar dehiscence, ecchymosis, scar retraction, hypertrophic scar, keloid scar, fibrosis, deep vein thrombosis (DVT), pulmonary thromboembolism (PTE) etc.
There’s no doubt that surgeons will do everything in their power to avoid complications during the procedure. It is, however, vital that the team is attentive to provide all support / treatment to ensure that everything is handled and resolved as soon as possible. Physiotherapists are those professionals who closely monitor the postoperative period, as well as communicating with the plastic surgeon in order to provide guidance and/or treatment to the patient.
Checklist for before and after plastic surgery
1. Take a deep breath. Be calm. It all goes away! You have just had an operation, but what you see isn’t the end result.
2. Physiotherapy should be started as soon as possible.
4. Invest in postoperative rehabilitation. Choose a physiotherapist who is experienced in plastic surgery.
5. At that moment it is necessary to be PATIENT.
6. Try to avoid excessive movement.
7. Make sure that you follow the advice of professionals (doctors, physiotherapists, nurses).
8. Be sure to notify the medical team if there is anything abnormal.
9. Take care of scars according to their instructions.
10. Until medical clearance, you should avoid smoking and consuming alcohol.
11.The initial postoperative period should be free of sexual activity.
12. It is recommended to suspend physical activity on average for 30 days.
13. It is part of the treatment to use a brace after surgery. Do not stop using it without medical or physical therapy advice.
15. Occasionally, retaining plates are used during surgery. Do not stop using without medical or physical therapy advice.
16. Stay hydrated.
What is post liposuction fibrosis?
An invasive procedure such as liposuction causes inflammation beneath the skin, as well as damage to connective tissue, lymphatic vessels, and blood vessels. As the surgeon suctions out fat through the cannula, the tissue is separated and spaces are created where blood and lymph can pool after surgery. An inadequate post-operative care regimen can result in long-term swelling and pockets of fluid, known as seromas. As a result of chronic swelling in these areas, chronic inflammation eventually results in excess deposition of connective and adipose tissue, eventually leading to fibrosis. For a good result, swelling must be well-managed, which is why postoperative care is so important.
Therefore, in simple terms:
swelling after liposuction causes inflammation
inflammation, which causes hardening of tissue and leading into scarring over time
this is known as liposuction fibrosis
Post-liposuction fibrosis can be prevented by managing swelling!
Fibrosis after liposuction: how do we recognize it?
It is normal to notice lumps and bumps after liposuction since cellular debris and fluid fill the spaces created by the cannula insertion. Within two weeks after liposuction, the tissue begins to feel harder as most of the fluid is absorbed, leaving behind thicker components for the body to process. During this period, the area might feel lumpy and bumpy, and it might feel gummy or putty. Post liposuction massage and adequate compression can help manage this common occurrence. Once again, this is normal and has not yet developed into liposuction fibrosis! Fibrosis usually begins after the first month or two, and appears as a distinct lump on the skin.
It is possible to develop fibrosis after liposuction anywhere, but it is most common in the flanks and upper abdomen.
Fibrosis after liposuction can develop in any area, with some common sites being the flanks and upper abdomen.
How does fibrosis after liposuction feel?
Post-liposuction fibrosis is identified by woody, firm, wrinkled, leathery and stuck-feeling tissues. Depending on the patient, fibrosis after liposuction can last 1-2 years, while for others this can be a long-term, permanent problem that affects body appearance, causes discomfort, and reduces range of motion.
Fibrosis after liposuction or uneven liposuction?
You might have experienced uneven liposuction causing irregular contours if you are experiencing lumps, bumps or unevenness months after your procedure without any other symptoms mentioned above. Liposuction can cause this condition when the procedure is too aggressive in some areas and the fat removal is uneven. Uneven liposuction is usually corrected with revision liposuction performed by a qualified revision specialist, whose treatment may include fat grafting to fill out the areas that are depressed. While massage can help treat fibrosis, it also can alleviate lumps and bumps caused by uneven liposuction.
How do we treat fibrosis after liposuction?
Post-surgery manual therapy and lymphatic drainage are among the services we offer. Recently, we have performed a number of treatments for post-operative BBL (Brazilian Butt Lift) recovery, since this procedure is becoming increasingly popular. As BBLs involve very aggressive liposuction, postoperative treatments become even more imperative as the likelihood of complications such as fibrosis increases. If the postoperative care is delayed, the final outcome can be altered.
What can be done to prevent liposuction fibrosis?
If you’re looking to prevent fibrosis after liposuction, this is your best choice. Manual therapy treatment, post-liposuction lymphatic drainage, as well as adequate compression and self-care at home can help to prevent fibrosis after liposuction or a BBL procedure.
Is After Liposuction Fibrosis Massage Painful?
In the event you developed fibrosis after liposuction, these techniques are more and deeper than those used during postoperative re-evaluation massages. Even though these techniques may cause discomfort at times, we stay within the client’s comfort level and take steps to minimize discomfort. Frequently, clients report that they feel much better after fibrosis treatment because the fibrotic area is softer and their range of motion is greater.
What can I do at home to treat liposuction fibrosis?

Whenever I work with my clients, we always emphasize the importance of self-care! “There are only a few hours a week that we can see you, so what you do afterwards greatly affects your recovery”. As a liposuction fibrosis and lymphatic drainage specialist, I usually discuss the following aspects of self-care with my patients:

  • Lymphatic post-liposuction self massage
  • Liposuction Fibrosis Self Massage
  • Various tools they can use to massage themselves
  • Stretching and Exercises
  • Skin care

That may seem overwhelming, especially given how many liposuction and BBL patients fail to follow through with the full recovery process, but we promise – it’s well worth it! Nothing is worse than having cosmetic surgery and not feeling the confidence you expected because of poor post-operative care leading to fibrosis.


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20 LINDEN ST., STE 232

Phone: (617)-787-0030

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If you feel unsure about physical therapy right now or you don't know if it’ll work for you, please feel free to schedule a discovery visit, in-person or virtual. This is a free, no obligation consultation for you to determine if we are the best people to help you.