FAQ’s
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Steady Motion Physical Therapy is a mobile concierge service. This means I come to YOU! If you need me to come to your home or office, just make sure to let me know the address and any pertinent information when you schedule.
My travel mile radius is set at 15 miles from Downtown Saratoga Springs, NY. A $10 fee will be added for every additional 5 miles outside of this designated area, per visit.
If you have any questions regarding the exact mileage to your requested location, email me at steadymotionpt@gmail.com
When I arrive, all I need is a relatively quiet room, preferably with plenty of light, so that I can set up my portable treatment table.
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Steady Motion Physical Therapy, PLLC offers out-of-network at home vestibular treatment and rehabilitation. I run under this transparent cash-based approach because I don’t want my practice or your treatment to be limited by restrictions and regulations placed by insurance companies. This allows more time for what matters to me the most, developing a unique one-on-one treatment plan that will allow you to manage your symptoms and progress towards your goals.
You are also always welcome to request a treatment superbill to self-submit to your insurance company for potential reimbursement.
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Preferred payment in person can be made using: cash, check, Venmo, or PayPal
If necessary, payments can also be made through the patient portal/Jane App using: Visa, Visa Debit, MasterCard, Debit Mastercard, American Express, Discover, Diners Club, UnionPay, Apple Pay and Google Pay.
You may see a $1 or less “pending” charge on credit card or bank statements when your card is added to your file. This is a temporary authorization charge which is used to ensure the card provided is valid and able to accept charges. These authorizations will drop off the card statement after a few days and may appear as long as 7 business days.
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While prescriptions and/or referrals (or any input) from your physician are always welcome, one is not needed for me to provide care.
Per NYS Direct Access Law, patients can be seen by any physical therapist (who has been treating for at least 3 years) for 10 visits or 30 calendar days (whichever comes first) without a prescription. If your treatment looks to be likely to go over this outlined time frame, I can help you obtain a prescription from a prescribing provider.
Also, any notes can be provided to you or to your requested provider as desired or as necessary to assist with your care.
As always should be the case, if I evaluate you and there are any red flags that need to be addressed medically first or your signs and symptoms are not pointing toward a condition that is appropriate for me to treat, I will refer you to your primary to be cleared prior to any further treatment sessions.
Please note that treatment under New York’s Direct Access Law is not applicable to worker’s compensation, no-fault, or Medicare coverage.
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New to the term, “vestibular”? Don’t worry, more often than not, I find that people do not know they have a vestibular system until something goes wrong with it!
The vestibular system is an organ that is part of your inner ear. It is responsible for detecting your position as it relates to gravity and head motion. It is primarily involved in the fine control of visual gaze, balance, spatial awareness, and compensatory posture correction.
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Common symptoms of vestibular impairment include:
Dizziness (can be described as mental confusion, being off-balance, or a general whirling heady sensation)
Vertigo (false rotation, the world is spinning, or you feel like you are toppling head-over-heels)
Oscillopsia (gaze instability/bouncing vision)
Motion sensitivity or general intolerance to head movement
Imbalance (observable unsteadiness with gait or postural instability)
Disequilibrium (sense of imbalance felt but not observed)
You may also demonstrate secondary symptoms such as:
Auditory symptoms (feeling of fullness, tinnitus, vertigo induced by sound and/or ear pressure, or non age related changes just before, during, or after a sensation also felt above)
Nausea or vomiting
Blurred vision
Falling or stumbling
Disorientation
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I specialize in vestibular, neurologic based and balance conditions including but not limited to:
Ménière disease
Benign paroxysmal positional vertigo (BPPV)
Persistent Postural-Perceptual Dizziness (PPPD)
Labyrinthitis
Vestibular neuritis
Migraine and anxiety disorder related dizziness (to address motion sensitivity)
Neurological disorders (Stroke, Parkinson’s disease, multiple sclerosis to address fall risk and motion sensitivity)
Traumatic brain injury / Post-concussion syndrome
Fall risk individuals
Motion Sensitivity
Acoustic neuroma (after resection)
Cervicogenic dizziness (cervical spine affecting gaze stability and postural control)
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Vestibular Rehabilitation Therapy (VRT) involves exercises that help you manage primary issues such as dizziness, gaze instability, and balance issues. This treatment approach includes exercises such as habituation, gaze stabilization, and balance training. By addressing the main issues by these exercise approaches, secondary symptoms such a as falling, nausea, concentration issues may also be resolved or managed.
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Issues stemming from the cervical spine (neck) can cause headache, pain and dizziness. This may be due to muscle imbalance or tightness, nerve compression, head or cervical spine injury (such with direct trauma or whiplash), as well as cervical arthritis or disc issues.
These spinal issues can sometimes cause a condition called cervical vertigo or cervicogenic dizziness. If the cervical spine is a factor in your symptoms, hands on stretching and range of motion, tissue release and massage, joint mobilization to the neck and upper back may be helpful in treating symptoms.
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This is a treatment specifically for BPPV, to reposition the otoconia (ear crystals/rocks/debris) that have moved out from the area of your vestibular system that they are suppose to be in, and now are free floating within the canal system. BPPV causes you to feel vertigo upon head movement/body position changes. A canalith repositioning maneuver is performed by a series of specific head movements, held in each position for 30 seconds each. If performed successfully, in all canals that improperly contain otoconia, canalith repositioning maneuvers should resolve vertigo!