What should you expect during a house call? 

Your first session will start with a brief interview. I will review your past medical history. (Please prepare copies of any lab and x-rays reports, and your physician’s contact information.) I would like to hear from you about your goals and expectations. Then, I will examine you, and discuss my diagnosis, prognosis, and treatment options. 

During follow-up sessions, you will receive comprehensive and on-going evaluations of outcomes. My recommended treatments will depend on your particular needs, may include any or all the following: 

• strengthening, re-education, or facilitation of movement, 
• mobilization or manipulation of joints, 
• stretching and mobilization of soft tissues, 
• cardiopulmonary conditioning, and/or 
• relaxation, massage, or application of physical modalities. 

Please wear clothes comfortable both for examination and exercises. 

Each session lasts about 45 min, and ends with detailed Personal Exercise Program (PEP). The program is cost effective, and easy to follow on your own. Each exercise in the program forms a step towards your functional goal. When you master any particular step, your treatment will proceed to the next level. If you have any questions, I am available by phone or video conferencing between sessions . 

Why do some people recover from brain injuries with better results than others? 

Many factors affect one's recovery. For example: the extent of the initial injury or presence of other medical conditions. Although, one factor is of great importance. The healing brain is very receptive. It needs precise, skilled input to form appropriate synaptic connections. The dose and quality of therapeutic effort is of paramount importance. The right intervention has to come to the right person, at the right time—and every time. Without appropriate attention, the synapses will grow along the path of least resistance. And patient will end with compensatory, sub-maximal outcomes.

What is more important, the quality or quantity of training? 

They are both important, but in different ways. The proper number of repetitions helps to memorize the movement. But, the quality of the movement restores the right function. The optimal blend of quantity and quality is critical to skill acquisition. 

What is a good exercise for my weaker hand?

There is no such thing as "a good exercise" or " a set of good exercises" for a "typical" weak hand, arm, or leg. Each person presents with a different set of skills, and with a unique pattern of acquired impairments and dysfunctions. For this reason, I need to examine your hand, so you may gain optimal dexterity and strength.

Do you include any holistic therapies in your practice? 

Yes, I include elements of Eastern practices, when research supports their usefulness. I use them myself. For example, I daily practice meditation and qi gong.  

Is Tai Chi better then Yoga as an addition to my physical therapy? 

Both may be beneficial. Yoga and Qi Gong can balance your mind and body. Both can promote the relaxation response and assist the process of healing. You may find that you enjoy one style of exercise more than the other. But, the outcome will depend on the quality of your instructor's reasoning. The magic is not in the tools, but in the way we use them.  

Would you like to include my testimonial at your web site? 

Thank you for asking. I do not include testimonials on my website because I think they are of limited value for healthcare services. Healthcare industry marketers use them to mislead, or distract consumers from other important issues. Instead of testimonials, I prefer to explain my service in person during a free initial consultation. 

Can a person recover from a severe brain injury?

Jane Brody of The New York Times describes one person's recovery from a severe stroke. This patient "regained full physical function, comprehension, and intelligible speech." And then, he wrote a book about his experience. In this patient's opinion "recovery takes determination, focus, resiliency, and persistence." And he admits, that it also takes “the financial resources… to get the kind of help that can make a difference." 

How much is your service? 

The initial consultation is free. Follow-up sessions, depending on the length and complexity of the service, range from $150 to $250. There is always one flat fee. Payment is due at the time of service—no hidden charges, no surprise bills later. 

Please note that I am an out of network provider for all insurances. I do not take part in Medicaid, Medicare, TRICARE, WorkersComp, or No-Fault Insurances. If you plan to reimburse your expenses, please clarify your benefits with the insurance company’s representative before beginning therapy.